The Program for Spine Health: A Novel, Evidence-Based Interdisciplinary Clinic-Session Presentation

Video Transcription

Video Summary

In this video, Chris Standard, a physician from UPMC, discusses the spine program they have developed, emphasizing the importance of value-based care. He explains that back and neck pain is costly in the United States, and the current spine care system is fragmented. Their program aims to optimize health, quality of life, and function for patients with back pain. The program utilizes a team-based approach, including specialists like clinical psychologists, physiatrists, and physical therapists, who work together to provide coordinated and individualized care. Patient empowerment, lifestyle factors, tracking outcomes, and utilizing a skilled and diverse team are significant components of their program. They have demonstrated the effectiveness of their approach in improving outcomes and reducing costs. They also focus on sustaining the program through physician satisfaction and support and have created a fellowship program to train more clinicians in their approach.<br /><br />Charlotte Brown, a clinical psychologist in the spine program, uses a cognitive behavioral approach combined with strategies from dialectical behavior therapy, supportive therapies, and problem-solving strategies. She values collaboration with the team to gain insight into the patient's condition. Her role involves evaluations, counseling, and consultation during team meetings. She focuses on helping patients cope with chronic pain and improve functioning, rather than solely reducing pain. Her work includes psychoeducation, increasing patients' sense of control, and addressing issues like negative thinking, stress management, and coping with grief and loss. She collaborates with the team and incorporates their recommendations into her work. Referral to psychiatric outpatient services is important for patients with severe psychiatric symptoms.<br /><br />Overall, the video highlights the value-based approach of UPMC's spine program, with a focus on coordinated, individualized care, patient empowerment, and a collaborative team.

Keywords

physician

UPMC

spine program

value-based care

back and neck pain

fragmented care system

health optimization

team-based approach

coordinated care

patient empowerment

improved outcomes