Opioid Management Established Patient Checklist
▢ H&P/ ROS completed by provider
▢ Patient assessment completed
▢ Current medications reviewed
▢ PDMP checked
▢ Checked ofor Opiate, Benzodiazepine, other legal drug cocktails
|Diagnostics, Alternative Treatments and Medical Necessity|
▢ What diagnostics have been performed?
▢ What alternative therapies or treatments have been tried?
▢ Medical necessity has been established
|Referral and/or Consultation|
▢ Consider referral to pain clinic
▢ Other consult: neuro, psychologic, surgeon, alternative, etc.
▢ Both functional and reduction of pain
▢ Reduction of opiate dose
▢ ABC checklist
▢ Algorithm for low, med, high risk
▢ Assess goal progress