Robert W. Hurley, MD PhDWake Forest Baptist Medical Center

The goal of the proposed project is to develop a pragmatic point of care health informatics tools for the elderly patient with chronic low back pain. I have a substantial background in needs assessment, registry development and implementation and education and dissemination. I began work in experimental pain physiology in my undergraduate education at McGill. During my MD and PhD, as well in post-doctoral work, I carried out research examining neurochemical, neuroanatomical and neuropharmacological mechanisms of nociceptive, inflammatory and neuropathic pain focusing on supraspinal regions and nuclei. Following my anesthesiology residency, I pursued a fellowship in clinical pain medicine and began a pain research post-doctoral fellowship pursuing research examining the site of the pain generator and central sensitization in post-amputation pain in the nervous system using quantitative sensory testing. As a faculty member, I have extensive clinical experience with elderly patients with acute, sub-chronic and persistent pain. In addition, as the Executive Director of the WFBMC Comprehensive Pain Program, I provide pain management in patients with acute, sub-chronic and persistent debilitating pain as well as oversee the Health System approach to pain diagnosis, management and education. This approach combines the tenets of implementation science to practical application. The current application builds logically on my prior work developing health informatics tools (HIT) in pain management and family medicine.