A Scientifically Developed Tool for Pain and Opioid Risk Assessment

Developed with support from the National Institutes of Health (NIH), PainCAS is a scientifically validated web-based, patient self-report clinical tool for assessing pain and opioid misuse risk in patients with chronic pain. By replacing traditional paper-and-pencil assessments, PainCAS improves workflow related to administering and documenting patient pain and opioid risk assessments.

PainCAS includes electronic versions of the SOAPP-8 and COMM-9, which are brief forms of the SOAPP®-R and COMM®.

PainCAS includes:

PFI (Pain and Functioning Index):
A brief assessment that gathers information about patients’ demographics, location and intensity of pain, extent to which pain interferes with daily activities, medications and substances used (prescribed and non-prescribed), and emotional/psychological distress.

SOAPP-8 (Screener and Opioid Assessment for Patients with Pain):

A screener for patients with pain being considered for opioid therapy to determine their level of risk for problematic opioid-related behavior, now with only 8 questions.

COMM-9 (Current Opioid Misuse Measure):
A screener to detect problematic opioid-related behavior in patients with pain who are receiving opioid therapy, now with only 9 questions.

PainCAS helps:

Standardize the assessment of pain, functioning, and risk:

  • Enables consistent pain assessments for patients coming in for intake and follow-up clinic appointments (typically every 30 days)
  • Offers evidenced-based problematic opioid-related behavior risk assessments that are quick for patients to complete, and are scored and interpreted automatically
  • Increases documentation of risk assessment and pain variables within the electronic health record (EHR)

Improve workflow by:

  • Eliminating the need for paper assessments
  • Reducing staff burden related to hand scoring and interpretation of risk assessment
  • Encouraging patients to complete intake/follow-up assessments prior to their appointments
  • Providing at-a-glance graphical summary reports which include key clinical concerns
  • Offering EHR integration

Advance clinical decision-making by:

  • Identifying changes in patient risk status over time
  • Tracking patients’ pain profile in the context of ongoing treatment
  • Automatically generating graphical displays of patient functioning over time
  • Monitoring changes in patient functioning