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Evidence to Improve Care

Chronic Pain

Care for Adults, Adolescents, and Children



This quality standard addresses care for people with chronic pain. It applies to care for chronic pain delivered in outpatient settings, including primary care, community pain clinics, and interprofessional pain programs.

The standard does not address opioid prescribing for chronic pain, which is addressed in a separate Health Quality Ontario quality standard.


Thank you for your comments and feedback. The consultation period has now ended.

The two guides below are in draft form. Please check back here in a few months for the finalized guides and for a variety of other resources related to this standard.

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Patient Conversation Guide

If you have chronic pain: Know what to ask for in your care

Read more

Patient conversation guide cover

Quality Standard

Clinicians: Know what quality care looks like, based on evidence and expert consensus

Learn More

The clinical guide cover

This project started in September 2017.


Health Quality Ontario thanks the following individuals for their generous, voluntary contributions of time and expertise to help create this quality standard:

Tania Di Renna (co-chair)
Medical Director,
Toronto Academic Pain Medicine Institute

Karen St. Jacques (co-chair)
Registered Physiotherapist, Team Lead
Chronic Pain Management Program, St. Joseph's Care Group

Jonathan Bertram
Addiction Medicine Service,
Centre for Addiction and Mental Health

Julie Besse
Registered Dietitian,
St. Joseph's Care Group

Heather Boynton
Manager of Mental Health Outpatients,
St. Joseph's Care Group

D Norman Buckley
Professor Emeritus,
Department of Anesthesia, McMaster University

Fiona Campbell
Department of Anesthesia and Pain Medicine,
Hospital for Sick Children, Associate Professor, University of Toronto

Henrique Candelaria
Practice Lead,
Lower Back Pain Rapid Access Clinic, Trillium Health Partners

Hance Clarke
Director Pain Services / Transitional Pain Program,
University Health Network; Centenary Pain Clinic

Lynn Cooper
Lived Experience Advisor 

Mary-Ellen Hogan
Canadian Institute for Health Information;
University of Toronto.

Howard Jacobs
Pain Physician,
Jacobs Pain Centre 

Aska Patel
Consultant Pharmacist,
Central West Local Health Integration Network. 

Lutz Plotzke
Lived Experience Advisor

Patricia Poulin
The Ottawa Hospital Research Institute 

Arun Radhakrishnan
Family Health Team Consultant,
The Ottawa Hospital Pain Clinic

Janet Rodriguez
Lived Experience Advisor 

Monakshi Sawhney
Assistant Professor,
Queen's University, School of Nursing; Chronic Pain Clinic, Hotel Dieu Hospital

Sarah Sheffe
Toronto Academic Pain Medicine Institute,
Women's College Hospital

Sulabh Singh
N'Mninoeyaa Aboriginal Health Access Centre

Jennifer Tyrrell
Adjunct Lecturer,
Lawrence Bloomberg School of Nursing, University of Toronto,

Department of Anesthesia and Pain Medicine,
The Hospital for Sick Children

Kari Van Camp
Nurse Practitioner,
Transitional Pain Service, Department of Anesthesia and Pain Management, Toronto General Hospital

For more information, contact QualityStandards@HQOntario.ca.

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