Clinical Effectiveness of an Outpatient Multidisciplinary Chronic Pain Management Telementoring Service

The objective of this study was to assess the effectiveness of a Pain E-Consult Program (PEP), a multidisciplinary telementoring service based on the Extension for Community Healthcare Outcomes (ECHO) model to reduce opioid use in the outpatient setting. A PEP was associated with greater reductions in morphine milligram equivalent (MME)/day compared with usual care despite similar rates of nonopioid alternative medication initiation. Outcomes included change in MME and initiation of nonopioid alternative medications.