West Virginia Code of State Rules › Agency 69 - Health And Human Resources › Title 69 - LEGISLATIVE RULE DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 69-08 - Chronic Pain Management Clinic Licensure › Section 69-8-10 - Provision and Coordination of Patient Care

Current through Register Vol. XLI, No. 28, July 12, 2024
10.1. Each pain management clinic shall
				develop and maintain current policies and procedures, patient protocols,
				treatment plans, and profiles for the treatment of patients seeking treatment
				for chronic pain.
10.2.
				Assessments.
10.2.1. All patients shall
				undergo an initial assessment in order to determine the patient's condition,
				diagnosis, and treatment. The assessment shall be conducted by one or more
				physicians who specialize in the treatment of the area, system, or organ of the
				body perceived as the source of the pain.
10.2.2. The initial assessment shall include
				documentation of:
10.2.2.a. A physical
				examination, by a qualified medical professional working within their scope of
				practice;
10.2.2.b. The patient's
				health history;
10.2.2.c. All
				current medications, prescription or otherwise;
10.2.2.d. The patient's use of alcohol,
				tobacco, or other substances;
10.2.2.e. Determination of current dependence
				on controlled substances;
10.2.2.f.
				An inquiry to and report from the Controlled Substances Monitoring
				Program;
10.2.2.g. Laboratory
				tests;
10.2.2.h. A full toxicology
				screen;
10.2.2.i. An inquiry
				whether the patient is being treated at any other pain management
				clinic;
10.2.2.j. The diagnosis of
				all conditions, including a diagnosis of chronic pain, if applicable, including
				signs, symptoms, and causes;
10.2.2.k. A copy of the report by the
				referring physician and any medical records from other providers; and
10.2.2.l. The dates, amounts, and dosage
				forms of any drugs prescribed, dispensed, and administered.
10.2.3. Subsequent patient
				assessments shall include documentation of:
10.2.3.a. Follow-up physical examinations, by
				a qualified medical professional working within their scope of
				practice;
10.2.3.b. The patient's
				response to treatment;
10.2.3.c.
				Any modification to the plan of treatment;
10.2.3.d. The dates on which any medications
				were prescribed, dispensed, or administered;
10.2.3.e. The amounts and dosage forms for
				any drugs prescribed, dispensed, or administered;
10.2.3.f. Laboratory tests, according to the
				pain management clinic's policy, but at least every 60 days; and
10.2.3.g. Full toxicology screen, according
				to the pain management clinic's policy, but at least every 90 days.
10.2.4. A physician, physician
				assistant, certified registered nurse anesthetist, or advance practice
				registered nurse shall perform a physical examination of a patient on the same
				day that the physician initially prescribes, dispenses, or administers a
				controlled substance to a patient. If the patient continues to be treated for
				chronic pain at the clinic, a physical examination shall be performed at least
				four times, or every 90 days, per year thereafter. All examinations shall be
				performed according to accepted and prevailing standards for medical
				care.