Starting Chronic Opioid Therapy
-
Review and sign pain agreement with patient. (Form available under Letters tab in EPIC).
- Place in the scan bin after its been signed and give a copy to patient.
- Add "Pain medication agreement signed" to the problem list (ICD V58.69).
- Order a urine drug test: Monitor Drug Profile 10 or 14
- Check iStop.
- Review IMA Safe Opioid Prescribing Practices Guideline IMA-Safe-Opioid-Prescribing-Guidelines-12-2017-v3-clean.pdf
- Use dotphrase .IMAOPIOIDINITIAL
Continuing Chronic Opioid Therapy
- Ensure there is an updated patient-provider agreement annually to review medical indications for opioid therapy and benefits versus risks.
- Patients must be seen at a minimum every 3 months in person.
- Remember to check urine drug tests at least every 3 months.
- Review IMA Safe Opioid Prescribing Practices Guideline IMA-Safe-Opioid-Prescribing-Guidelines-12-2017-v3-clean.pdf
- Use dotphrase .IMAOPIOIDFOLLOWUP