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The Johns Hopkins multidisciplinary pediatric pain management service: a concept paper
M-Irfan Suleman1, Ama Akoma Essuman2,3, Maqbool Dada1,3
1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Insights
A new Multidisciplinary Pediatric Pain Management Service (MPPMS) offers a biopsychosocial approach for children with chronic pain. This scalable model integrates care, optimizes operations, and ensures fiscal responsibility for improved patient outcomes.
Area of Science:
- Pediatric healthcare
- Pain management
- Health services research
Background:
- Chronic pain affects many children, representing a significant public health challenge.
- Existing pediatric pain management services are often insufficient to meet the growing clinical need.
Purpose of the Study:
- To outline the design and implementation of a novel Multidisciplinary Pediatric Pain Management Service (MPPMS).
- To establish a scalable blueprint for pediatric chronic pain management that integrates care, optimizes operations, and ensures fiscal responsibility.
Main Methods:
- A biopsychosocial framework guides the care delivery model, emphasizing patient-centered care across escalating intensity levels.
- Phased operationalization includes a lean model scaling to a transdisciplinary team, integrating technology and strategic resource allocation.
- Financial implications are examined, including cost-per-encounter, resource utilization, and sustainability strategies.
Main Results:
- The proposed MPPMS model integrates care through a multidisciplinary team structure.
- Operationalization is phased for scalability and efficiency, incorporating technology and resource optimization.
- Financial sustainability is addressed through cost analysis and revenue stream strategies.
Conclusions:
- The MPPMS offers a novel, scalable blueprint for pediatric chronic pain management.
- This model aims to deliver measurable patient benefits while ensuring fiscal responsibility.
- The MPPMS can serve as a replicable model for other institutions addressing pediatric chronic pain.
Abstract:
Chronic pain in children poses a significant and under-addressed public health burden. This concept paper outlines the proposed design and implementation of a Multidisciplinary Pediatric Pain Management Service (MPPMS) at Johns Hopkins Medicine, addressing four key objectives. First, it presents a novel care delivery model grounded in the biopsychosocial framework, led by a multidisciplinary team and structured to deliver patient-centered care across escalating levels of clinical intensity. Second, it details the operationalization of the clinic in three phases, starting with a lean model and scaling toward a transdisciplinary team structure through enhanced clinic efficiency, technology integration, and strategic resource allocation. Third, it examines the financial implications of the model, including cost-per-encounter estimates, phased improvements in resource utilization, and strategies for achieving long-term sustainability through alternative revenue streams and workflow optimization. Fourth, it proposes a comprehensive outcomes framework encompassing clinical, operational, and financial metrics to guide continuous improvement and facilitate national benchmarking. Collectively, this paper provides a scalable blueprint for managing pediatric chronic pain that integrates care, optimizes operations, ensures fiscal responsibility, and delivers measurable patient benefit, positioning the MPPMS as a model that can be replicated at other institutions to address this growing clinical need.
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