Outpatient clinic primary care screening and monitoring

1. The certified clinic is responsible for outpatient primary care screening and monitoring of key health indicators and health risk. Whether directly provided by the certified clinic or through a designated collaborating organization, the certified clinic shall ensure these services are received. 2. The medical director shall establish protocols that give consideration to screening recommendations with scores of A and B, in accordance with United States preventive services task force recommendations for HIV and viral hepatitis. 3. The medical director shall identify and establish parameters for primary care referrals in accordance with sections 75-03-44-37 and 75-03-44-38. 4. The medical director shall develop organizational protocols to ensure screening is conducted for individuals who are at risk for common physical health conditions experienced by populations across the lifespan. Protocols must include: a. Identifying individuals with chronic diseases; b. Ensuring individuals are asked about physical health symptoms; and c. Establishing systems for collection and analysis of laboratory samples. 5. The certified clinic shall have the ability to collect biologic samples directly, through a designated collaborating organization, or through protocols with an independent clinical laboratory organization. A certified clinic may conduct laboratory analyses directly, through a designated collaborating organization, or through another arrangement with an organization separate from the certified clinic. 6. If the individual's primary care provider conducts the necessary screening and monitoring, the certified clinic is not required to do so if it has a record of the screening and monitoring and the results of any tests that address the health conditions included in the certified clinics screening and monitoring protocols developed under section 75-03.1-44-32. 7. The certified clinic shall provide ongoing primary care monitoring of health conditions as clinically indicated for the individual. Monitoring of health conditions includes the following: a. Ensuring individuals have access to primary care services; b. Ensuring ongoing periodic laboratory testing and physical measurement of health status indicators and changes in the status of chronic health conditions; c. Coordinating care with primary care and specialty health providers, including tracking attendance at needed physical health care appointments; and d. Promoting a healthy behavior lifestyle.