Initial Evaluation and Risk Assessment of Chronic Pain Patients Managed with Opioids
Regulations Regarding Patient Evaluation and Risk Assessment. Do your own initial evaluation and multidimensional risk assessment.
From 844 IAC 5-6-4 Evaluation and risk stratification by physician.
Do your own initial evaluation and risk assessment
(a) The physician shall do the physician’s own evaluation and risk stratification of the patient by doing the following in the initial evaluation of the patient:
- Performing an appropriately focused history and physical exam and obtain or order appropriate tests, as indicated.
- Making a diligent effort to obtain and review records from previous health care providers to supplement the physician’s understanding of the patient’s chronic pain problem, including past treatments, and documenting this effort.
- Asking the patient to complete an objective pain assessment tool to document and better understand the patient’s specific pain concerns..
- Assessing both the patient’s mental health status and risk for substance abuse using available validated screening tools.
- After completing the initial evaluation, establishing a working diagnosis and tailoring a treatment plan to meaningful and functional goals with the patient reviewing them from time to time.
Prioritize use of non-opioid options
(b) Where medically appropriate, the physician shall utilize non-opioid options instead of or in addition to prescribing opioids.