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“... by the Texas State Board of Acupuncture Examiners based on a review and recommendation of the course content by the Education Committee of the board (see “List of Current Approved Courses” below),
are offered by Approved Providers (see “List of Current Approve ... ”
“... edication assisted tapering and weaning, computer-based training pain coaching, acupuncture, chiropractic, physical therapy, massage, and exercise/movement; or
collaborative care or other behavioral health integration services such as evidenced-based cognitive behavioral therapy interventions for me ... ”
Description: Medical Board 2013 - December- Full Board Minutes
Document: ... Robin
son gave an update on reaching out to State Office
of Administrative Hearings regarding options for mediations.
CPEP
.
Ms. Robinson report that CPEP is interested in making a presentation at a
future board meeting.
Agenda item #5,
Medical Director
Report.
a. ...
Description: TMB disciplines 42 physicians at February meeting, adopts rule changes
Document: ... er resolves a formal complaint filed at the State Office of Administrative
Hearings.
Cooper, Viraf R., M.D., Lic. N
o. G4553, Edinburg
On February 7, 2014, the Board and and Viraf R. Cooper, M.D., entered into an Mediated Agreed Order publicly
reprimanding Dr. Cooper, and for a period of fou ...
Description: Physician Statistics 2014 Jan - Physicians In and Out of State
Document: ... anuary 2014
Statistics are included for location (based on practice address), degree, number of
licensees who are Texas, U.S. or foreign medical graduates, method of licensure, gender,
type of license held and race/Hispanic origin*.
* We are still in the process of transitioning from ethnic orig ...
Description: Rule Changes Effective November 7, 2013
Document: ... authority agreements
when
exercised in facilit
y based practices in h
ospitals or long term care facilities, subject to certain
limitations
,
and in practices serving medically underserved populations. Prescribing under prescriptive
authority agreements pursuant to this section eliminates former ...
Description: Acupuncture 2013 - May- Full Board Meeting Minutes
Document: ... ed
a draft letter to the Attorney General’s office requesting
reconsideration of
Dan
Morales Attorney General opinion. After
discussion,
Ms. Drain moved, Mr. Graham seconded
to
forward the letter as
drafted
to the
Attorney General
After discussion,
a hand
vote was
taken
and the moti ...
Description: Acupuncture 2013 - February - Full Board Meeting Minutes
Document: ... ndance record to the Governor’s Appointment
Office.
Agenda item #6,
Discussion, recommendation, and possible action regarding a
request
for an Attorney General’s opinion related to advertising as herbal pharmacies.
Ms.
Robinson reported
the feedback received from a stakeholder member ...
Description: Acupuncture 2013 - May - Full Board Meeting - Agenda Item 6 - CPT Code Billing Position Statement
Document: ... ctice standards among acupuncturists in
general, based upon educational standards from the Accreditation Commission for Acupunctu
re
and Oriental Medicine (ACAOM), National Certification Commission for Acupuncture and
Oriental Medicine (NCCAOM) job task analysis, and conventions of acupuncture pr ...
Description: Pain Management Clinics - Spreadsheet of Current Certificate status
Document: ... so J9610 Agarwal Ajai PMC00307 Greater Texas Anesthesia & Pain Management, P.A. (Location 1) Lewisville K4347 Agha Tasneem K PMC00339 Greater Texas Anesthesia & Pain Management, P.A. (Location 2) Denton PMC00501 Gulfton Primary Care Clinic PMC00192 St. Theresa's Outpatient Wo ...
Description: HB 12 (2013) - Staff Compensation Information
Document: ... o 167,500.
Private Sector
The State Auditor's Office reports the "Market Average" salary for the TMB Executive Director as $142,223.
Report is found at http://www.sao.state.tx.us/reports/main/12-708.pdf
about staff compensation on its website.
Because the methodology for determining the executi ...
Description: TMB suspends Marble Falls psychiatrist
Document: ... Medical Board
staff raided Dr. Smith
’
s office.
During the raid, the DEA and Board staff found 13 pre
-
signed
official prescription blanks i
n his office. Dr. Smith
’
s staff acknowledged that he kept pre
-
signed
official prescription blanks in his office.
As a result of the ...
Description: Medical Board 2014 - February - Electronic Medical Records Ad Hoc Committee Minutes
Document: ... rent
proposed changes to Board Rule 165.1(a)(9)
based on the comments received
and bring a
new version/draft of the rule to the
next
Committee and more than one option may be
presented to the Committee at that meeting.
There b
eing no further agenda
it
ems, the meeting adj ...
Description: Medical Board 2014 - May - Licensure Committee Minutes
Document: ... ineligibility be upheld.
This recommendation is based on the
applica
nP’s fMilure Po meeP eligibiliPy for pMin mMnMgemenP cerPificMPion by virPue of M disciplinMry order
relat
ed to prescribing practices.
Dr. Simonson
seconded the motion. All voted in favor. The motion
passed.
...
Description: Form L - Acupuncture Professional Evaluation
Document: ... OF PROFESSIONAL HISTORY
1.
This evaluation is based on
Personal Knowledge
Review of Credential File
2.
Provide dates of affiliation:
Beginning
month ______ / year _______
Ending
month _______ / year _______
3.
Is the applicant related to you?
Yes
No
4.
Do you ...
Description: Medical Board 2014 - May - DPRC - Agenda Item 02 - TX PHP Report
Document: ... od
sugar was low. I got a snack and drove to the office. While I was
driving the practice manager's phone accidentally called me and I
heard for 20 minutes her and the clinical manager
"cat fighting"
and arguing with each other. We had scheduled that day as a
day off for office meetings. I sp ...
Description: Medical Board 2014 - February - Full Board Minutes
Document: ... ible action regarding TMB
inspections of of
fice based anesthesia and pain management clinics.
Ms. Robinson
requested
direction on how to proceed with possible administrative violations if found in the first set of
T
EXAS
M
EDICAL
B
OARD
F
EBRUARY
7,
2014
3
TMB office based an ...
“No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care ... ”
Is a CRNA under a valid delegation order, subject to discipline by the Texas Medical Board under the Medical Practice Act for a violation of the standard of care in the selection and administration of anesthesia or the care of an anesthetized patient?
No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care by a CRNA would be carried out by the Texas Board of Nursing under the authority of the Nursing Practice Act. Ultimate responsibility and accountability for the medical management of a patient under anesthesia remains with the delegating physician who may be subject to discipline for improper delegation dependent upon the facts and circumstances of each case, and how state statutes and regulations apply in those situations.
“... te 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 ... ”
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
“... nts can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint. ”
I just found out that my fingerprints were rejected. May I immediately request new fingerprint cards?
Applicants are informed of their fingerprints being rejected by IdentoGo prior to that information being sent to the TMB. Fingerprints can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint.
“... that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety. ”
What is the TMB definition of an analgesic and anxiolytics?
Board rule 173 defines analgesic and anxiolytics as shown below:
Narcotic Analgesics-- Opioid or opioid-like dangerous or scheduled drugs that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).
Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety.
“... s not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without prope ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.