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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: Medical Board 2006 April, Ad Hoc Study
Document: ... fied in AHA approved ACLS; 192.2 (k) page 8 of 10 change perating surgeons or anesthesiologiststo hysicians or certified registered nurse anesthetist;and 192.3 (a) and 192.4 (a) delete urgicalbefore procedure; and 192.1(13) add and/or tumescent anesthesia greater than 1 liter of solution. Agenda ite ...
Description: Acupuncture 2001 September, Full Board Min
Document: ... concerning this issue, including a proposed rule change previously sent to the Medical Board in 1996 that was rejected. Following a lengthy discussion, Dr. Voris moved, Ms. Lin seconded, and the motion passed to direct staff to research the questions of granting of titles and granting of degrees as ...
Description: Acupuncture 2002 April, Educ Min
Document: ... to recommend to the full Board that proposed rule change A licensee may carry forward CAE hours earned prior to an annual registration report which are in excess of the 17-hour annual requirement and such excess hours may be applied to the following years requirements. A maximum of 34 total excess h ...
Description: Acupuncture 2002 November, Educ Min
Document: ... ved, Dr. Voris seconded, and the motion passed to change the CAE ethics requirement to one hour. Following discussion, Dr. Voris moved and Ms. Smith seconded the motion to reduce the required number of CAE hours to 12. Following discussion, an amendment to the motion was made and accepted to reduce ...
Description: Acupuncture 2002 November, Lic Min
Document: ... ove the proposed rules changes with an additional change that the permit can be issued for a one-year period but may only be issued one time per applicant.
There being no further business, the meeting was adjourned the meeting at 9:50 a.m.
The committee was called back into session at 9:51 a.m. fo ...
Description: Acupuncture 2003 February, Full Board Min
Document: ... nded, and the motion passed to
approve the rule change and to recommend that the Medical Board approve it for publication and comment. Agenda items #6-14, approval of orders and cancellation of licenses, were next. It was announced that there were no orders or cancellations to be considered for th ...
Description: Acupuncture 2004 January, Full Board Minutes
Document: ... roactive within the board and to decide issues to address during the review process of the agency.
Agenda item #4, discussion, recommendation and possible action regarding the examination requirements for licensure relating to board rule 183.4(a)(5), was next. Ms. Kaufman gave a report regarding th ...
Description: Acupuncture 2004 July, Education Minutes
Document: ... owing discussion, the Committee directed staff to change the CAE application to help applicants provide all the needed materials. Additions to the CAE application should include instructions and an example showing that the course explanation should be hour for hour in each abstract with indication a ...
Description: Acupuncture 2004 May, Education Minutes
Document: ... r, more lines added for hour descriptions, and to change Texas License Number to State Issued/Field Credentials.
Agenda item #4, regarding a memorandum concerning Courses Related to the Practice of Acupuncture and Oriental Medicine, was considered. Ms. Kaufman reviewed her findings on states that r ...
Description: Acupuncture 2004 October, Full Board
Document: ... he Texas Higher Education Council and the need to change the definition of acupuncture.
The Board directed staff to put rule 183.15 for discussion on the next agenda.
Agenda item #14, discussion, recommendation and possible action re garding rule review to include possible revision to Chapter 183. ...
Description: Acupuncture 2005 January, Education
Document: ... approved so long as the course provider agrees to change the name of the course to include the word apanese
The Committee reviewed the request by Universal Institute of Pragmatic Education, Dallas, Texas. Following discussion, Dr. Roscoe moved, Ms. Lin seconded, to defer action on the courses: Fund ...
Description: Acupuncture 2006 January, Full Board
Document: ...
Agenda item #4, Presentation of request for rule change regarding Chapter 183.4, Acupuncture Licensure relating to the number of examination attempts allowed. Ms. Shackelford presented a request for rule change regarding Chapter 183. After discussion, Mr. Garcia moved, Ms. Smith seconded, and the m ...
Description: Acupuncture 2006 May, Full Board
Document: ... regarding development of rules pursuant to Sunset change in Acupuncture Act,§ 205.255 regarding delegation of approval of Continuing Acupuncture
Education courses to staff.
Agenda item #4 was deferred to the July Board meeting.
Agenda item #5, Report and discussion regarding the status of the prop ...
Description: Acupuncture 2006 May, Licensure
Document: ... nd Oriental Medicine and to draft a possible rule change providing a remedy for applicants who graduated when a school is in candidacy status. The Committee requested a draft for this rule change be ready for review at the July Board meeting.
There being no further business, Mr. Garcia moved to adj ...
Description: Acupuncture 2006 October, Full Board
Document: ... nts of Texas; (2) the Texas Medical Board did not change Conclusion of Law No 8 that states, The acupuncture licensing requirements of Arizona and Florida are not substantially similar to those of Texas ; and Applicant has not met the requirements for a Texas acupuncture license based on the Finding ...
“... 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.