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Chronic Pain Management

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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

Specialty Referral Options

IMA Pain Management Clinic

  • Neck/Back injections ONLY.
  • NOT Chronic Opioid Management.
  • For directions on referral, click here

Neurology

  • For pain related to neuropathies and other peripheral nerve syndromes
  • For directions on referral, click here

Neurosurgery

  • For pain related to spinal stenosis etc that may require surgical decompression
  • For directions on referral, click here

Orthopedics

  • For knee/shoulder injections
  • For directions on referral, click here

Physical Therapy

  • For directions on how to refer, click here

Rehab Medicine

  • Injectons in ALL regions.
  • Comprehensive Evaluation.
  • For directions on how to refer, click here

Adjunct Pain Management Resources

Adjunct-Pain-Management-Resources-6-2021.pdf