Rules & Regulations of the State of Tennessee Title 1145 - Health
The "Rules & Regulations of the State of Tennessee, Title 1145 - Health" primarily focuses on the Commissioner's Controlled Substance Monitoring Database Rules.
Unlike some broader "Health" titles in other states that encompass a wide range of public health, environmental health, and healthcare facility regulations, Title 1145 in Tennessee is specifically dedicated to the Controlled Substance Monitoring Database (CSMD).
Here's a breakdown of what Title 1145 covers:
Chapter 1145-01 - Commissioner's Controlled Substance Monitoring Database Rules: This is the core chapter and it details the regulations for Tennessee's CSMD. This database is a critical tool for combating prescription drug abuse and diversion in the state. Key aspects of these rules include:
Definitions: Clarifying terms such as "controlled substance," "database," "dispense," "dispenser," "healthcare practitioner," and "law enforcement personnel" as they relate to the CSMD.
Reporting to the Database: Specific requirements for healthcare practitioners (e.g., pharmacists, physicians, physician assistants, advanced practice registered nurses) who dispense controlled substances to report data to the CSMD. This includes details like prescription number, fill date, quantity dispensed, days' supply, and patient information.
Registration with the Database: Requirements for healthcare practitioners to register with the CSMD.
Drugs of Abuse: May include specific provisions or focus on certain controlled substances identified as having a high potential for abuse.
Maintenance and Sharing of Information: Rules regarding how law enforcement and other authorized personnel can access and use information from the CSMD, including protocols for sharing data.
Waivers and Hardship Exceptions: Provisions for dispensers who may face undue hardship in complying with electronic reporting requirements.
Purpose of the Controlled Substance Monitoring Database:
The primary purpose of these regulations, and the CSMD itself, is to:
Prevent Prescription Drug Abuse: By monitoring controlled substance prescribing and dispensing patterns, the system helps identify potential doctor shopping, overprescribing, and diversion of medications.
Support Patient Care: Provides practitioners with a tool to review a patient's prescription history for controlled substances, aiding in clinical decision-making and preventing harmful drug interactions or concurrent prescriptions.
Aid Law Enforcement: Offers data to assist law enforcement in investigating cases of drug diversion and illicit activities.
Important Note:
It's crucial to understand that while Title 1145 specifically addresses the CSMD, the broader "Health" landscape in Tennessee is governed by numerous other titles and chapters within the Tennessee Rules and Regulations, administered by the Tennessee Department of Health and its various boards and agencies. These other titles would cover areas such as:
Licensing and Regulation of Healthcare Professionals: (e.g., medical doctors, nurses, dentists, pharmacists, etc.) - often found under separate titles (e.g., Title 0880 for Board of Medical Examiners, Title 1000 for Board of Nursing, Title 1140 for Pharmacy).
Regulation of Healthcare Facilities: (e.g., hospitals, nursing homes, clinics) - also found under separate titles.
Public Health Programs: (e.g., communicable disease control, environmental health, vital records) - covered under various specific chapters within the Tennessee Code Annotated and corresponding administrative rules.
How to Access the Full Rules & Regulations:
To access the complete and most up-to-date "Rules & Regulations of the State of Tennessee, Title 1145 - Health," you should refer to official sources:
Tennessee Secretary of State - Publications Website: This is the official repository for Tennessee's administrative rules. You can typically find a compilation of the "Tennessee Rules and Regulations" there. Look specifically for "Title 1145."
Tennessee Department of Health - Controlled Substance Monitoring Database (CSMD) Website: The official website for the CSMD (often part of the TN Department of Health website) will usually provide direct links to the relevant rules and regulations, along with guidance for prescribers and dispensers.
Legal Databases: Platforms like Justia Law or Cornell Law School's Legal Information Institute (LII) often host the Tennessee Administrative Code. Searching for "Tenn. Comp. R. & Regs. 1145" will lead you to the specific chapter.
Always consult the official TN.gov websites or the Tennessee Secretary of State's publications for the most current information, as regulations are subject to change.
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