Resource Center: Setting up a practice, Recordkeeping
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Description:
This clinical guidance provides information about the requirements for storing, dispensing, and maintaining records for physicians who provide office-based opioid treatment.
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Physician Clinical Support System (PCSS) 0
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Comprehensive document detailing the HIPAA Privacy Rule and its implications for alcohol and substance abuse programs.
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Department of Health and Human Services (DHHS) 4.75
Your rating: None Average: 4.8 (4 votes)
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Medical Recordkeeping
Description:
A description of what should be included in a buprenorphine patient's medical record. Many portions of the medical record contain general information that is not specific to patients with substance use disorders or opioid dependence.
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An example of the wording and structure necessary in a consent for release of information form.
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Substance Abuse and Mental Health Services Administration (SAMHSA) 0
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The California Society of Addiction Medicine (CSAM) website provides information and materials for buprenorphine treatment providers, including screening tools and sample consent and patient agreement forms, and provides links to other helpful resources.
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California Society of Addiction Medicine (CSAM) 0
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- General information - buprenorphine
- Getting a waiver/setting up your practice
- Initial patient contact
- Screening and diagnosis
- Rules, regulations and recordkeeping
- Physician and staff training
- Addiction
- Assessment
- Confidentiality
- Consent
- Contract
- COWS
- Recordkeeping
- Screening
- Training
- Waiver
- Misc. informational materials
- Becoming waivered
- Just became waivered
- Need to refer
- Setting up a practice
Description:
Informational checklist designed to aid health care providers in making sure their practice is compliant with HIPAA regulations.
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Substance Abuse and Mental Health Services Administration (SAMHSA) 4
Your rating: None Average: 4 (3 votes)
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This website from the American Academy of Family Physicians provides information about HIPAA and how physicians can implement its guidelines in their practices.
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American Academy of Family Physicians (AAFP) 0
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This form provides a list and a place to document important information that should be recorded during the intake assessment, including whether the patient is pregnant, taking other drugs, on methadone or has other addiction behaviors.
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Colleen LaBelle, RN/Boston Medical Center 4.666665
Your rating: None Average: 4.7 (6 votes)
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Description:
This log can be used to keep track of office inventories of buprenorphine medication.
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California Society of Addiction Medicine (CSAM) 4.5
Your rating: None Average: 4.5 (4 votes)
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Description:
This appendix from TAP 13: Confidentiality of Patient Records for Alcohol and Other Drug Treatment provides sample consent forms for substance abuse patients.
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Substance Abuse and Mental Health Services Administration (SAMHSA) 0
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