TN HIM PROFESSIONALS:
Here are two very important legislative updates that directly impact health information management:
NEW TENNESSEE OPIOID LEGISLATION
- On May 21, 2018: Governor Haslam signed House Bill #1831 to address the opioid crisis in Tennessee. The new legislation places more guidelines for and checkpoints between healthcare practitioners and patients before an individual is put on a chronic regimen of opioids. Before prescribing up to a 10, 20, or 30 day opioid prescription, the following is required:
- Check the controlled substance monitoring database/CSMD
- Conduct a thorough evaluation of the patient
- Document consideration of alternative treatments for pain and why an opioid was used
- Obtain informed consent
- Include the ICD-10 code for the primary disease in the patient’s medical record and on the prescription
- THIMA leadership responded with a plan to address the new legislation. Three Task Forces – Informed Consent, Medical Record Documentation, ICD-10 Code Assignment – were appointed with THIMA leaders and volunteers from the Governance and Informatics/Data Analytics Committees. The Task Forces are in place and plan to publish best practice guidelines appropriate for all care settings with both paper and electronic solutions to comply with the requirements. The Task Forces are consulting with appropriate legal, pharmacy, IT and clinical as they develop best practices.
- Target completion date for distribution of the Best Practice Guidelines to THA hospitals and THIMA is July 1, 2018.