Attachment I TN Opioid Legislation Public Chapter 1039 – – Attachment 2 Education Power Point Implementation Steps – – Attachment 3 Sample Informed Consent/Agreement – Attachment 4 Progress Note Template – Attachment 5 Opioid Risk Assessment – Attachment 6 Patient Opioid Education Brochure – Attachment 7 Opioid Prescribing Flowcharts for Hospital, Outpatient Surgery, – Emergency Department, Physician Practices Attachment 8 Suggestions for Documenting ICD-10-CM Code – Thank you to the following members who contributed to this Best Practices guidance: Jamie Glenn Dawn Scruggs Melissa Koehler Gust Michelle Hall Amanda Tindal Tonia Poteet Lori McCrary Tammie Bolling Cynthia Sullivan Tiffany Nation Monique Pasley Rene Stanley Philip Viers Joleen Barry Rebecca Reynolds Lisa Justice Robin Keeney Tracy Hunt Menika Bobo Mary Reeves Tracy Hickey April Insco Shannan Swafford
Attachment I – TN Opioid Legislation – Public Chapter 1039 Attachment 2 – Education Power Point – Implementation Steps Attachment 3 – Sample Informed Consent/Agreement Attachment 4 – Progress Note Template Attachment 5 – Opioid Risk Assessment Attachment 6 – Patient Opioid Education Brochure Attachment 7 – Opioid Prescribing Flowcharts for Hospital, Outpatient Surgery, Emergency Department, Physician Practices Attachment 8 – Suggestions for Documenting ICD-10-CM Code Thank you to the following members who contributed to this Best Practices guidance: Jamie Glenn Gust Tonia Poteet Cynthia Sullivan Rene Stanley Rebecca Reynolds Tracy Hunt Tracy Hickey Dawn Scruggs Michelle Hall Lori McCrary Tiffany Nation Philip Viers Lisa Justice Menika Bobo April Insco Melissa Koehler Amanda Tindal Tammie Bolling Monique Pasley Joleen Barry Robin Keeney Mary Reeves Shannan Swafford
117_154ecf8e5b7d1c1fa6e895920400eebe_1___Implementation_Plan__TN_Opioid_Crisis_Legislation_2.docx