Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XXVII - Chiropractors › Chapter 7 - Peer Review Committee › Section XXVII-705 - Impaired Chiropractic Substance Abuse Recovery Program

Current through Register Vol. 50, No. 6, June 20, 2024
A. Medical Evaluation. Participant will, at
				participant's expense, within seven days of agreeing to enroll in the Impaired
				Chiropractic Substance Abuse Recovery Program (the Program), or as otherwise
				specified in the program specifications in Subsections J and K, enter into an
				inpatient treatment facility (the "Primary Treatment Facility") approved by the
				peer review committee, as designated in the program specifications, for
				inpatient assessment and diagnostic evaluation. The program shall be managed
				under the authority of the peer review committee.
B. Initial Primary Treatment. (Defined as the
				initial treatment following the evaluation, whether it is inpatient, partial,
				outpatient or residential). If, upon such medical evaluation participant is
				diagnosed to be suffering from chemical dependency, substance abuse, or other
				condition which may impair the participant's capacity to practice chiropractic
				with reasonable skill and safety to patients, participant will immediately
				submit to such inpatient evaluation and treatment and/or continuing outpatient
				treatment and aftercare thereafter as may be prescribed or recommended by
				addictionologist and treatment team at the primary treatment facility for not
				less than the treatment period specified in the treatment plan. The peer review
				committee reserves the right to obtain further evaluations from other medical
				professionals to ensure public safety. Within 48 hours of participant's
				discharge from primary treatment, participant shall give telephonic notice of
				such discharge to the program.
C.
				Continuing Treatment and Aftercare. Participant shall confirm discharge in
				writing to the peer review committee within five days of discharge from
				treatment. Such written notice shall be accompanied by a copy of the discharge
				treatment plan or contract prescribed or recommended by the treatment program
				for participant's continuing outpatient care and aftercare and a designation of
				the name, address and telephone number of participant's primary treating
				physician for outpatient care and aftercare, which physician shall be
				knowledgeable in the treatment of chemical dependency. The terms and conditions
				of any such treatment plan or contract shall be incorporated into, and deemed
				incorporated in, the program specifications, and any such continuing outpatient
				care and aftercare program shall continue in effect for not less than one year
				from the date of participant's discharge from primary treatment or for such
				other period as may be specified in the treatment plan. The participant will
				attend weekly continuing care (aftercare) at the program-approved treatment
				center specified in the treatment plan. If continuing therapy is recommended,
				therapist must be approved in advance by the peer review committee.
D. Attendance at AA/NA Meetings. Following
				discharge from primary inpatient treatment, or concurrent with outpatient
				treatment, participant will attend Alcoholics Anonymous ("AA") and/or Narcotics
				Anonymous ("NA") meetings at such location and at such frequency as specified
				in the program specifications. Within two weeks of discharge from primary
				inpatient evaluation treatment, or as specified by treatment team, participant
				will give notice to the peer review committee upon obtaining AA and/or NA
				sponsor(s), which will thereupon be incorporated in the program specifications.
				The participant will maintain contact with participant's AA and/or NA
				sponsor(s) a minimum of once per week. The peer review committee may request
				reports from the sponsor. Participant shall submit monthly verification of
				participant's attendance at AA/NA meetings, aftercare and facilitated meetings
				of the participant.
E. Random Drug
				Screens. Participant must agree that, during the term of this agreement,
				participant shall be subject and shall voluntarily submit to supervised random
				drug screens, inclusive of bodily fluids, breath analysis, hair analysis, or
				any other procedure as may be directed by the program. Random drug screens will
				be at least monthly during the first 18 months following discharge from
				inpatient treatment. At that time, participant and compliance will be evaluated
				for possible bi-monthly testing. The results of any such testing will be
				reported directly to the peer review committee. Any and all such testing shall
				be performed at participant's expense.
F. Employment; Employer's Agreement. The
				participant will not return to professional employment, on a full-time or
				part-time basis, until and unless participant's addictionologist at the primary
				treatment facility advises participant and the peer review committee in writing
				that, in their professional opinion, the participant's prognosis for continued
				recovery is good and that participant is capable of practicing chiropractic
				with reasonable skill and safety to patients. The treating addictionologist
				must complete and return the Fitness for Duty Form. Participant must have
				approval from the peer review committee and all employment process must be
				completed prior to returning to work. Before accepting or engaging in
				chiropractic practice of any kind, whether as an employee or independent
				contractor and whether on a full-time or part-time basis, the participant will
				enter into an agreement with each and any such employer or contractor, in the
				form and substance prescribed by the peer review committee.
G. Information and Reports. During the term
				of agreement, the participant will authorize, consent to and cause the
				following information, reports and notices to be given to the peer review
				committee, as indicated.
1. Consent to
				Release of Medical Information. T he participant will execute a written
				authorization and consent for the disclosure to the peer review committee and
				its representatives of the records, information and opinions of the primary
				treatment facility, participant's attending physician and counselors at such
				facility relative to the participant's diagnosis, course of treatment,
				prognosis, and fitness and ability to practice chiropractic with reasonable
				skill and safety to patients.
2.
				Primary Treatment Facility Records. Participant shall authorize physicians and
				counselors at primary treatment facility to furnish the peer review committee
				with a written report on participant's diagnosis, course of treatment at the
				facility, prescribed or recommended care and aftercare, fitness for duty form,
				and prognosis. Such records should be furnished to the peer review committee
				within 20 days of discharge.
3.
				Primary Treatment Physician Records. P articipant will authorize and cause
				participant's primary treating physician to furnish the peer review committee,
				not less frequently than quarterly during the term of this agreement, with
				written report on participant's diagnosis, course of treatment and prognosis
				for continuing recovery.
4. Contact
				with, Reports to Program. T he participant shall keep the peer review committee
				advised of the participant's current address and employment addresses and
				telephone numbers, the nature of participant's employment, and participant's
				course of continuing recovery. The participant shall notify the peer review
				committee within 24 hours of any change in participant's residence address or
				employment status or location, and shall furnish written notice of any such
				change to the peer review committee within five days of any such
				change.
5. Verification of
				attendance at AA/NA, aftercare and facilitated meeting shall be submitted on a
				calendar monthly. Meeting attendance should be verified by initials and
				calendar received by the peer review committee no later than the tenth of the
				month.
6. Counselor Progress
				Reports. P articipant will authorize and cause participant's counselor(s) at
				the aftercare treatment center designated in the treatment plan to furnish the
				peer review committee with written reports on participant's progress. Such
				reports shall be submitted monthly for 12 months following participant's
				discharge from treatment or for the length of aftercare treatment if more than
				12 months.
7. Other forms and
				records deemed necessary by the peer review committee to fulfill the program
				will be forwarded to peer review committee.