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Healthcare templatesComprehensive Policy Templates for Tennessee Pain Clinics
Because of the opioid crisis, federal and state regulators are watching pain clinics closely. These templates help you pass certification, avoid fines, and run a compliant clinic.
Overview
Clinical, operational, and regulatory policies in one set.
Designed specifically for Tennessee pain management clinics, these templates speed compliance with state regulations for pain clinics. They include best practices for the clinical management of patients in chronic pain: patient agreements, periodic urine drug tests, pill count protocols, industry-accepted risk scoring, supervision of mid-level providers, review of the state prescription registry, and rigorous clinical documentation.
Full compliance is also included for DEA, OSHA, the CDC infection control guidelines, and HIPAA. While built for Tennessee, the templates specify best practices for pain clinics generally and can be readily adapted for clinics in other states.
Why these templates
Built for certification day.
01
Protect your business.
02
Eliminate stress.
03
Save time.
04
Proven results.
Regulations
Fully aligned with the rules that govern your clinic.
TN Rule 1200-34-01 Pain Management ClinicsTN Rule 0880-02 Practice of MedicineTN Rule 0880-03 Physician AssistantsTN Rule 0880-6 Nurse PractitionersTN Rule 1050-02 Practice of OsteopathyHIPAA: 45 CFR Part 164AMA Code of EthicsT.C.A. 53 Professions of the Healing Arts29 CFR (OSHA)T.C.A. 53-10-301 Tennessee Prescription Safety ActCDC Guideline for Prescribing Opioids for Chronic PainTennessee Chronic Pain GuidelinesDEA Practitioners Manual21 CFR (FDA)CDC Infection Control Guidelines
Contents
What’s included.
About 190 pages in Microsoft Word, with hyperlinked citations to the relevant regulations and reference materials.
I. Administration: general
- 1100Mission, Values and Ethics
- 1110Definitions
- 1120Licensure and Certification
- 1130Risk Management
- 1140Loss or Theft of Property or Money
- 1150Visitor Injury/Mishap
- 1160Incident Reports
- 1170Advertising and Marketing
- 1180Notifications and Reporting to the Department of Health
- 1190Closing of Entity or Pain Program
- 1195Policy Updates
I. Administration: fiscal management
- 1200Billing Procedures and Collections
- 1210Petty Cash Procedures
II. Pain management program
- 2100Patient Responsibilities
- 2110Patient Complaints
- 2120Consent Policy
- 2200New and Established Patient Protocols
- 2210Urine Drug Screening
- 2220Pain Management Methods and Procedures
- 2230Dismissal of Non-Compliant Patients
- 2240SOAPP® Version 1.0 Use and Scoring
- 2250CESD-R Depression Screening Instrument
- 2260Suboxone Therapy Protocol
- 2300Prescriptions: General Rules
- 2310Clinic Medications and Storage
- 2320Dispensing and Administering Medications
III. Human resources
- 3100General Policies
- 3110Employment
- 3120Personnel Records
- 3130Classification of Employees
- 3140Performance Assessment
- 3150New Employee Onboarding
- 3160Non-Discrimination
- 3170Termination of Employment
- 3200Employee Compensation and Benefits
- 3300Dress Regulations and Appearance
- 3310Attendance
- 3320Employee Requests for Time Off and PTO
- 3330Sexual Harassment
- 3340Personal Telephone Calls and Text Messaging
- 3350Smoking Policy
IV. Employee health and safety (OSHA)
- 4100General Safety for All Employees
- 4110Exposure Control Plan
- 4120Tuberculosis Screening Program
- 4130Immunizations
- 4140Post Exposure Prophylaxis
- 4150Reporting Injury on the Job
- 4160Fire and Safety Procedures
- 4170Building Standards
- 4180Emergency Response
- 4185Cardiopulmonary Resuscitation
- 4190Hazardous Materials
- 4195Radiation Safety
V. Infection prevention and control
- 5100Principles, Overview and Staff Training
- 5110General Rules
- 5120Hand Washing
- 5130Universal Precautions
- 5140Injection Safety
- 5150Disposal of Sharps
- 5160Environmental Cleaning/Housekeeping Procedures
- 5170AIDS/HIV Positive Guideline
- 5180Biohazard Waste
- 5190Sterilization Procedures
- 5195Evaluation/Audit
VI. Clinical staff
- 6100Medical Director Qualifications and Duties
- 6110Coverage for Medical Director
- 6200Supervision of Nurse Practitioners
- 6210Supervision of Physician Assistants
- 6230Credentialing of Physicians and Mid-Levels
- 6300Staff Training Requirements
- 6310Cardiopulmonary Resuscitation Certification
VII. Medical records and quality
- 7100Medical Record Procedures
- 7110Quality Assurance and Improvement Program
- 7120Patient Satisfaction Survey
VIII. HIPAA privacy
- 8100General Rules
- 8110Confidentiality, Privacy and Computer Security Definitions
- 8120Minimum Necessary Policy
- 8130Confidentiality Safeguards (Oral and Written)
- 8140Speaking with the Family and Friends of a Patient Receiving Services
- 8150Authorizations
- 8160Verification
- 8170Minors, Personal Representatives and Deceased Patients
- 8180Duty to Report Violations and Security Incidents
- 8190Disclosures that do not Require an Authorization
- 8195Patient Portal
- 8200Patient’s Right to Access Records
- 8210Patient’s Right to Request Amendment of Records
- 8220Patient’s Right to Receive an Accounting of Disclosures
- 8230Patient’s Right to Request Additional Restrictions
- 8240Patient’s Right to Request Confidential Communications
- 8300Mitigation
- 8310Notice of Privacy Practices
- 8320Non-Intimidation and Non-Retaliation
- 8330Privacy Complaints
- 8400Policy Updating and Staff Training
- 8410Business Associate Contracts
- 8420HIPAA Assignments and Documentation
IX. HIPAA security
- 9100HIPAA Security Officer and Security Management Process
- 9110Data Backup Policy
- 9120Disaster Recovery Plan and Emergency Mode Operation
- 9130Facility Security and Access Control
- 9140Annual Security Evaluation
- 9150Audit Control and Activity Review Policy
- 9160Malicious Software Protection Policy
- 9170Security Awareness Program
- 9180Device and Media Disposal and Re-Use
- 9190Technical Safeguards
- 9195Breach Reporting
- 9200Employee System Access and Termination Procedures
- 9300Computer Usage
- 9310Use of Social Media
- 9320Portable Computing Devices and Home Computer Use
- 9330Security Incident Response and Reporting
Appendices and forms
- Appendix A: Identifying Business Associates
- Appendix B: Sample HIPAA Business Associate Agreement
- Appendix C: Sample Privacy and Security Officer Duties
- Appendix D: Facility Security and Safeguards for Oral and Written PHI
- Appendix E: Workforce Access to PHI and Safeguards
- Appendix F: Minimum Necessary: Procedures for Routine Disclosures and Requests
- Appendix G: Miscellaneous
- Authorization Form
- Notice of Privacy Practices
- Disclosure Log
- Privacy Instructions
- Confidentiality Agreement for Cleaning Agency
- Acknowledgement of HIPAA Policies and Procedures
- Acknowledgement of OSHA Policies and Procedures
- Acknowledgement of CDC Infection Control Policies and Procedures
- Incident Report Form
- Visitor/Patient Incident Report
Download today
Comprehensive Policy Templates for Tennessee Pain Clinics
Instant download in Microsoft Word. Perpetual license for a single organization. Satisfaction guaranteed.
Need policies built around your organization?
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