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“... provided by the physician (e.g. primary practice address, hospital privileges, specialty board certification, delegation information, etc.) and can be updated at any time. Many updates are provided by the physician at a time of licensure renewal/registration. An update may be provided b ... ”
“... he Board within 30 days after the event:
(1) Any change of mailing or practice address;
(2) Incarceration in a state or federal penitentiary;
(3) A description of any conviction for a felony, a Class A or Class B misdemeanor, or a Class C misdemeanor involving moral turpitude;
(4) A description of ... ”
“... rth. You will need to enter and confirm the email address you provided with your online application, which will be your username. After you create your account, you will be required to create a password and establish security questions. Please be aware that your account contains confidential inform ... ”
“... number is in an automated email sent to the email address registered with the application the next business day. Please check your spam or junk folders for this email. You may call Consumer Services at (512) 305-7030 to request this number if you do not have a copy of this notice with your provided ... ”
“... B account).
Login ID defaults to the given e-mail address, but may be changed, if desired.
You can go immediately to the exam by logging into the newly created account. However, if you prefer to take the exam at another time, you may go back to the JP Exam Catalogue page at any time and login ... ”
“... state.tx.us. We recommend that you add this email address to your contacts list so they will not be lost. Please check your junk and spam mail for these notices if you are not receiving them. If you have any questions about the fingerprint requirements or the renewal process, please cont ... ”
“... ician, PA or APRN who does not have a TX practice address and needs to register prescriptive delegation, please contact the Registration Department at Registrations@tmb.state.tx.us . ”
“DIRECT DEPOSIT FORM 74-176
PAYEE CHANGE FORM 74-157 ”
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES APRIL 26, 2002
Document: ... stated that the committee was recommending a rule change to increase the fee for physician assistant annual registration to $155 to fund on-line registration. Mr. Belgard moved, Ms. Baker seconded, and the motion passed to approve the report and proposed rule change. Agenda item #19, regarding a rep ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES AUGUST 1, 2002
Document: ... r agenda item #14. Agenda item #15, proposed rule change, was next. Ms. Shackelford explained the proposed amendment to board rule 185.15 regarding the eligibility of a physician to supervise a physician assistant. Following discussion, Dr. Benold moved, Ms. Clark seconded, and the motion passed to ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES AUGUST 1, 2003
Document: ... r agenda item #14. Agenda item #15, proposed rule change, was next. Ms. Shackelford explained the proposed amendment to board rule 185.15 regarding the eligibility of a physician to supervise a physician assistant. Following discussion, Dr. Benold moved, Ms. Clark seconded, and the motion passed to ...
Description: Press Release December 05, 1997 (PDF File)
Document: ... Review and Recognition of the ACCME." A proposed change to Board Rule 171.9 concerning the Faculty Temporary License would prevent the issuance of this temporary license to an applicant who has not passed a board recognized licensing examination within three attempts.
Disciplinary Actions The foll ...
Description: Press Release December 06, 2007 A
Document: ... for DWI), and failure to notify the Board of his change in practice address. GRAHM, THOMAS W., M.D., Tyler, TX, Lic. #H8659 On November 30, 2007, the Board and Dr. Grahm entered into an Agreed Order requiring that he pay an administrative penalty of $1,000. The action was based on Dr. Grahm behavin ...
Description: Press Release December 10, 2008 (PDF File)
Document: ... th local law enforcement, are working together to address the illegal prescribing of pain killers - often Vicodin, Xanax and Soma -- that have contributed to hundreds of overdose deaths in Harris County and elsewhere. Based upon the evidence obtained by Harris County Sheriff's Department personnel i ...
Description: Press Release December 13, 2006 A (PDF File)
Document: ... ommended by the evaluating psychiatrist, that any change of his employment that would include the treatment of females must be approved in advance by the executive director of the Board and requiring that he prepare a report regarding what he learned from attending the professional boundaries course ...
Description: Press Release December 17, 2003 (PDF File)
Document: ... apter 193.6, Standing Delegation Orders: proposed change concerning delegation of prescriptive authority related to obstetrical services.
For copies of rule changes or proposed rules, write the Board at MC 901, P.O. Box 2018, Austin, TX 78768-2018, or e-mail jill.wiggins@t mb.state.tx.us
ANDERSON ...
Description: Press Release December 18, 2008 A (PDF File)
Document: ... nd ultimately the death of the infant; failure to address multiple post-surgical complications in two gastric bypass patients who died; and failure to meet the standard of care in treating post-operative complications of a laparoscopic surgery on an incisional hernia in a patient who also died. Wall ...
Description: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING December 9, 2011
Document: ... hearings are scheduled in January and February to address Interim Charges from the House of Representatives. Physician Assistant/Physician Joint Ownership Update. Ms. Robinson reported the forms are completed for physician assistants to report any physician assistant/physician joint clinic ownership ...
Description: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING December 14, 2012
Document: ... ion c.) Failure to get CME; d.) Failure to update address; e.) Failure to release medical records. 2
TEXAS PHYSICIAN ASSISTANT BOARD DECEMBER 14, 2012
Agenda item, #10, Consideration and possible action regarding pending litigation. Ms. Robinson gave a brief update on a lawsuit involving the Phys ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES FEBRUARY 28, 2003
Document: ... save money and asked the board to approve a rule change that would allow the board to meet fewer than four times per year. Following discussion, Dr. Hedges moved, Ms. Clark seconded, and the motion passed to approve an amendment to Chapter 185, Physician Assistants, needed as a cost-saving measure. ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES February 27, 2004
Document: ... and 4.) 185.20 complaint procedure notification, change of references of chapters from 188 to 178 and adoption of procedures for processing complaints. Mr. Benold moved, Ms. Bentley seconded, and the motion passed for approval of rule changes after final corrections have been emailed to board membe ...
Description: PA Board 2005 February, Full Board
Document: ... useman, P.A., with the following modifications a) change monthly physician visits to quarterly visits; (b) change to a five year order; and (c) insert his order supersedes all previous orders.
Ms. Clark moved, Mr. Deter seconded, and the motion passed to approve the Agreed Order on Salvatore A. Man ...
Description: PA Board 2006 February, Full Board
Document: ... ributed with the following changes: 1.) 185.2(14) change "presiding officer" to "chairman"; 2.) 185.4(10) change "three attempts" to "six attempts"; 3.) 185.6(i)(4) remove the grace period; 4.) 185.7(a) remove "but meets guidelines set by the physician assistant board including, but not limited to, ...
“... this determination. That said, there has been no change in the law that requires that a physician must provide adequate supervision of delegates. In any given case, the number or percentage of charts reviewed may be an important factor in determining the quality of the physician’s supervision ... ”
How many charts must be reviewed?
The law does not provide a specific number or percentage of charts that must be reviewed. Rather, the law provides that the number of charts to be reviewed is determined by the parties to the prescriptive authority agreement. The number may vary from one practice setting to another. Factors such as the length of time the APRN or PA has been in practice, the length of time the physician and APRN or PA have practiced together, whether the parties to the prescriptive authority agreement practice together in the same practice setting, and the complexity of patient care needs should be given consideration when making this determination. That said, there has been no change in the law that requires that a physician must provide adequate supervision of delegates. In any given case, the number or percentage of charts reviewed may be an important factor in determining the quality of the physician’s supervision.
“... ical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often reso ... ”
What is "non-biographical" information as it pertains to an Electronic Medical Record (EMR)?
165.1(a) (10) now requires the following:
"All non-biographical populated fields, contained in a patient's electronic medical record, must contain accurate data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."
Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often resolve between encounters (as result of treatment), diagnoses may no longer be active or present (because of previous treatments), and vitals fluctuate, such data fields should not contain inaccurate, non-current, or irrelevant data that is not pertinent to the present illness/issue. Such information may be part of the patient’s history, but should not be reflected as current/present unless such symptoms/diagnoses are ongoing. Such information may become part of the patient’s historical data/information contained in the electronic medical record. Non-biographical information/data contained in a medical record for each encounter should be based on actual assessment, evaluations or other diagnostics that are documented by the physician.
Also see: EMR Position Statement
“... Because not all applicants reside at the mailing address of record when they submit their online applications, it is the responsibility of the applicant to verify whether or not they can be live-scanned. If that is not an option, they must request a fingerprint card by contacting the Texas Medical ... ”
Will I automatically be sent fingerprint cards if I enter an out-of-state address when I apply?
No, fingerprint cards are not automatically sent out to applicants. Because not all applicants reside at the mailing address of record when they submit their online applications, it is the responsibility of the applicant to verify whether or not they can be live-scanned. If that is not an option, they must request a fingerprint card by contacting the Texas Medical Board at Screen-CIC@tmb.state.tx.us if they are an applicant, or at Registrations@tmb.state.tx.us if they are a licensee. When emailing the request, please include a current mailing address.
“... icensees. To update your mailing or practice address online click the “My TMB” link in the upper right hand corner of our website (near the “search” box), and create an account if you do not have one already. ”
How do I change my address with the Texas Medical Board?
As part of the “My TMB” system, we are now able to offer the ability to update mailing and practice addresses online for the majority of our licensees.
To update your mailing or practice address online click the “My TMB” link in the upper right hand corner of our website (near the “search” box), and create an account if you do not have one already.
“Renewal notices are sent out to the mailing address of record 60-90 days prior to the expiration date of a permit. Currently, extensions are not granted on the basis of not receiving a renewal reminder in the mail. ”
I didn’t receive a renewal notice from the TMB and now I am going to have to register late. Will the TMB offer an extension of my license?
Renewal notices are sent out to the mailing address of record 60-90 days prior to the expiration date of a permit. Currently, extensions are not granted on the basis of not receiving a renewal reminder in the mail.
“... s beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptiv ... ”
Do I have to let the Medical Board know about my delegates/supervising physicians?
Yes, if you are a physician or a physician assistant.
Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.
PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement. They are also required to notify the Board within 30 days of any change to the scope of the delegation.
APRNs should look to guidance provided by the Texas Board of Nursing for how to register their delegating physicians, as the Medical Board does not have licensing authority for nurses.
“... or their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group. ”
Does everyone at my practice have to apply for a waiver or just the medical director?
Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.
“... cribers when their waiver expires. This may change in the future. ”
Will I be notified before my waiver expires?
No, TMB is not currently notifying prescribers when their waiver expires. This may change in the future.
“... .tx.us. We recommend that you add this email address to your contacts list so they will not be lost. Please check your junk and spam mail for these notices if you are not receiving them. If you have any questions about the fingerprint requirements or the renewal process, please cont ... ”
I didn’t receive my email renewal reminder. How can I find that?
Email renewal reminders are sent 60-90 days before the expiration date, from no.reply@tmb.state.tx.us. We recommend that you add this email address to your contacts list so they will not be lost. Please check your junk and spam mail for these notices if you are not receiving them. If you have any questions about the fingerprint requirements or the renewal process, please contact us at Registrations@tmb.state.tx.us.