Bert,
I'm in Florida so laws a little different.
1) have written controlled med management agreement
2) put reason for pain med on script ie "for severe chronic pain from crohns disease"
3) random urine drug screens (at least once a year)
4) check state database as much required. I always check for new patients or any aberrations (early refill requests, etc)
5) documentation of need for med
6) see every 3 months if stable, with 3 prescriptions printed, the second two will "fill after a certain date", all dated the same date as actual visit. Florida requires patients to be seen face to face at least every 3 months.
I try to have a focus of the quarter to self audit chart to make sure done. Ie agreements, drug screens, database check, documentation for need.
Hope that helps. We avoid taking new non-cancer chronic narcotic patients. As you know, the pendulum has swung and now "consensus" seems to be patients should just suck it up, take tylenol and do yoga, etc...
