Reporting And Data

NRHP QI - Physician Compliance with Opioid Prescribing Requirements (AB 474)

Latest Update: October 14, 2020

Reporting Information

NRHP member facilities report on this quality indicator developed by the NRHP Risk Manager Work Group, which tracks compliance with the opioid prescribing requirements as determined by AB 474 in the 2017 Legislative Session.

Responsible Party

Who Must Report?

All NRHP member facilities are encouraged to report. Reporting is mandatory for LiCON-covered facilities.


When Do I Report?

After the end of the quarter and prior to the NRHP Risk Manager Work Group meetings in January, April, July, and October.


How Do I Report?

Members may use the "Visit Portal Site" button at the top of this screen to submit their quarterly quality indicator numbers to NRHP.

Contact Information

Becky Bayley, Director of Strategic Initiatives
Nevada Rural Hospital Partners
(775) 830-7458


Any other pertinent information


  • all patients who are prescribed Schedule II, III, or IV drugs for pain in the ED
  • whose chart reflects
  • bona fide relationship with the patient; and
  • evaluation and risk assessment, including
  • review of PDMP and patient’s medical history
  • physical exam
  • obtain and review medical records, document the conclusions, and assess patient’s mental health and risk of abuse, dependency and addiction; and
  • preliminary diagnosis of the patient; tailored treatment plan, and
  • documented reasons for prescribing the controlled substance instead of alternative; and
  • obtain informed written consent from the patient, parent, or legal guardian


  •  all patients who are prescribed Schedule II, III, or IV drugs for pain in the ED
Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.