Practice planning tool

    Plan a painful diabetic neuropathy service line

    A practical worksheet for staffing, training, workflow, follow-up, and outcome documentation. It does not estimate revenue or establish clinical policy.

    Clinical scope

    • Which clinicians evaluate patients?

    • What approved selection and exclusion criteria will be used?

    • How are contraindications and adverse events reviewed?

    Team and training

    • Who needs product, procedural, and follow-up training?

    • Who owns scheduling, patient education, and escalation?

    • How will competency and refresher training be documented?

    Space and workflow

    • Which room and supplies are required?

    • How will placement, follow-up, and removal visits fit the schedule?

    • What is the backup plan for urgent questions or device issues?

    Outcomes and review

    • Which pain and function measures are recorded at baseline?

    • When are follow-up measures collected?

    • Who reviews incomplete, unreviewed, or adverse-event records?

    Blank documentation aid

    Pain and function follow-up record

    Choose the same questions at baseline and follow-up. This blank worksheet is not a validated outcome instrument and does not recommend a measurement schedule.

    Date and follow-up interval

    Pain now (0–10): ____ Average pain (0–10): ____ Worst pain (0–10): ____

    Patient-defined activity or function goal

    Change in walking, standing, sleep, work, or another chosen activity

    Treatment changes or other events since the prior visit

    Concerns requiring clinician review or escalation

    Next follow-up plan