Hilarie Tardif, Australian Health Services Research Institute, University of Wollongong, eppoc-uow@uow.edu.au
ePPOC is an integrated outcome centre which aims to improve the quality of outcomes and services for people experiencing chronic pain. It is an initiative of the Faculty of Pain Medicine, and was established in 2013 with funding from the NSW Ministry of Health.
There are 90 specialist adult and paediatric pain management services participating in ePPOC, across Australia and New Zealand.
The purpose and aims of ePPOC are to:
- produce information on the effectiveness of pain management interventions through use of standardised assessment tools and measures;
- develop an Australasian benchmarking system to improve pain management outcomes;
- provide comparative data to pain management services using the benchmarks developed;
- develop clinical and management information reports that meet the needs of ePPOC stakeholders;
- provide annual reports that summarise the Australasian data; and
- develop research proposals to address areas of interest within the pain management sector.
ePPOC receives data describing over 32,000 patients attending chronic pain clinics each year. The longitudinal database currently contains over 100,000 patients.
For adult services, nine benchmarks and one indicator have been endorsed for pain management services to strive to achieve. These cover the following domains: pain and interference, depression, anxiety, stress, pain self-efficacy, pain catastrophising, opioid use and waiting time for treatment.
For paediatric services, there is currently one benchmark and three indicators, covering waiting time for treatment, pain, quality of life and functional disability.
- Reported in Annual Report
- Shared with clinicians
- Shared with hospital executive
- Reported in other public reports
- Benchmarking workshops: The purpose of these workshops is to examine the benchmarking data, share information and learn from services who are achieving the best outcomes
- Service reports: Each individual pain management service receives a report that presents their data and also compares this to aggregated data from all other participating services
Adults: Brief Pain Inventory; Depression, Anxiety Stress Scale; Pain Catastrophising Scale; Pain Self-Efficacy Questionnaire; Work Productivity and Activity Impairment Questionnaire; Global Rating of Change scale; CARRA Body Chart.
Paediatrics: Modified Brief Pain Inventory; Faces Pain Scale - Revised; Paediatric Quality of Life Inventory; Bath Adolescent Pain Questionnaire – Pain-related worry section; Bath Adolescent Pain – Parent Impact Questionnaire; Work Productivity and Impairment; CARRA Body Chart.
Nil
https://www.uow.edu.au/ahsri/eppoc/about/
New South Wales
- Central Coast Integrated Pain Service, Gosford Hospital
- Coffs Harbour Chronic Pain Service
- Concord Repatriation General Hospital, Multidisciplinary Pain Clinic
- Hunter Integrated Pain Service, John Hunter Hospital
- Illawarra Shoalhaven Chronic Pain Service
- Innervate Pain Management
- John Hunter Children’s Hospital, Children’s Complex Pain Service
- Lismore Base Hospital, Pain Clinic
- Liverpool Hospital Chronic Pain Services
- Michael J Cousins Pain Management and Research Centre, Royal North Shore Hospital
- Nepean Blue Mountains Primary Health Network:
- Nepean Blue Mountains PHN Community Chronic Pain Management Program - Nepean Pain Unit
- Orange Chronic Pain Clinic
- Prince of Wales Hospital, Department of Pain Management
- Royal Prince Alfred Pain Management Clinic
- South Eastern NSW Primary Health Network:
- COORDINARE Chronic Pain Management Program - St George Hospital Pain Management Unit
- St Vincent's Hospital Sydney Pain Clinic
- Sydney Children's Hospital Randwick Interdisciplinary Complex Pain Service
- Sydney Spine and Pain Rehab
- Tamworth Integrated Pain Service (TIPS)
- The Children's Hospital at Westmead, Complex Pain Clinic
- Westmead Hospital Pain Management Centre
Queensland
- Gold Coast Health, Interdisciplinary Persistent Pain Centre
- Metro South Health Persistent Pain Management Service, Princess Alexandra Hospital
- North Queensland Persistent Pain Management Service, Townsville Hospital
- Queensland Interdisciplinary Paediatric Persistent Pain Service
- St Vincent's Private Hospital Brisbane
- Sunshine Coast Persistent Pain Management Service
- Tess Cramond Pain and Research Centre
- Wesley Pain and Spine Centre
South Australia
- Adelaide Primary Health Network:
- Living Well with Persistent Pain Centre West - Central Adelaide Local Health Network (CALHN) Queen Elizabeth Hospital
- Flinders Pain Management Unit
- Northern Adelaide Pain Rehabilitation Service, Northern Adelaide Local Health Network, Modbury Hospital
- Women's and Children's Paediatric Chronic Pain Service
Tasmania
- Royal Hobart Hospital, Persistent Pain Service
Victoria
- Advance Healthcare
- Austin Pain Service, Austin Health
- Ballarat Health Services Persistent Pain Management Services
- Barbara Walker Centre for Pain Management, St Vincent's Hospital, Melbourne
- Bendigo Health, Outpatient Rehabilitation Services, Pain Rehabilitation Clinic
- Caulfield Pain Management and Research Centre, Alfred Health
- Dorset Rehabilitation Centre
- Eastern Health Ambulatory Pain Management Service
- Empower Rehab
- Epworth Hospital, Epworth Healthcare
- Goulburn Valley Health Chronic Pain Clinic
- Latrobe Regional Hospital
- Melbourne Health
- Monash Children’s Hospital Pain Service
- Monash Health
- North Western Melbourne Primary Health Network:
- Cohealth
- Merri Health - Northern Health Service
- Peninsula Health Integrated Pain Service, Persistent Pain Management Service
- Precision Ascend
- Royal Children's Hospital Children's Pain Management Clinic, Melbourne
- Royal Women's Hospital
- Victorian Rehabilitation Centre
- Western Health Pain Management
Western Australia
- Fiona Stanley Hospital Pain Management Unit
- Sir Charles Gairdner Hospital
- WA Primary Health Alliance:
- 360 Health + Community
- Arche Health Chronic Pain Service
- Black Swan Health Limited Midland
- Black Swan Health Limited Wanneroo
New Zealand
- Active+
- Advantage South
- APM NZ
- Body in Motion
- Canterbury DHB, Burwood Hospital Pain Management Centre
- Capital and Coast DHB, Wellington Hospital
- Futureproof Rehab
- Habit Rehabilitation
- Hutt Valley District Health Board
- Integrative Pain Care
- Nelson Nursing Service
- Occupational Health Canterbury
- Pain Management & Rehabilitation Services
- Pain Rehabilitation Christchurch
- Proactive Rehab
- Proactive Southern Limited
- QE Health Limited
- Southern DHB Persistent Pain Service, Dunedin Hospital
- Southern Rehab
- Starship Complex Pain Service
- Taranaki DHB Persistent Pain Service
- TBI Health Group
- The Auckland Regional Pain Service DHB (TARPS), Auckland Regional Hospital
- Waikato DHB