Tenn. Comp. R. & Regs. 0940-05-42-.19 - DIVERSION CONTROL PLAN
(1) Each clinic
shall prepare a Diversion Control Plan that contains specific measures to
reduce the possibility of diversion of controlled substances from legitimate
medical treatment use and that assigns specific responsibility to the medical
and administrative staff of the OTP for carrying out the diversion control
functions described in the Diversion Control Plan.
The Diversion Control Plan shall contain, at a minimum, a random call-back program with mandatory compliance.
(a) This call-back shall be in addition to
the regular schedule of clinic visits.
(b) Each service recipient receiving three or
more consecutive take-home medications shall be called back randomly within the
three-month period immediately following the previous call-back.
(c) Upon call back a service recipient shall
report to the clinic within 24 hours of notification, with all take-home
medications. The quantity and integrity of packaging shall be verified for all
doses. If a take-home dose shows evidence of tampering, the clinic shall impose
uniform sanctions for violating take-home policies, including sanctions for a
service recipient's tampering with a take-home dose.
(d) Service recipients shall be informed of
consequences for violating the take-home policy.
(e) The Facility shall maintain individual
call-back results in the service recipient record.
(2) Diversion control plans shall minimize
the diversion of methadone or other opioid treatment medications to illicit
use. The plan shall include:
(a) Clinical and
administrative continuous monitoring of the potential for and actual diversion
including an investigation, tracking and monitoring system of incidents of
diversion; and
(b) Proactive
planning and procedures for problem identification, correction and prevention
signed by the Facility medical staff and the service recipient.
Notes
Authority: T.C.A. ยงยง 4-3-1601, 4-4-103, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302, and 33-2-404.
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