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“... 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: Press Release November 19, 2008 A (PDF File)
Document: ... uing threat to the public welfare. The action was based on evidence the board received that Dr. Anderson tested positive for a cocaine metabolite in June, 2008, while undergoing drug testing required as a condition of his placement on five years deferred adjudication probation for possession of coca ...
Description: Press Release November 22, 2004 (PDF File)
Document: ... e order restricts the physician to practice in an office setting only and prohibits his practice in a hospital setting. The action was taken following a hearing November 15 and became effective immediately. A second panel of the Board temporarily suspended the license of Larry Thirstrup, M.D., Licen ...
Description: Press Release November 30, 2006 A (PDF File)
Document: ... hearing, along with his attorney.
The action was based on the fact that Dr. Baker performed spine surgery, Kyphoplasty, on October 10, in violation of an agreed order approved by the board on October 6 restricting him from performing any spine surgery. Dr. Baker's attorney attended the October 6 bo ...
Description: Press Release December 02, 2005 (PDF File)
Document: ... temporary suspension was granted. The action was based on Dr. Jones' impairment and substance abuse. The length of a temporary suspension is indefinite and remains in effect until the board takes further action. -30The Texas Medical Board, the state agency that regulates physicians, physician assis ...
Description: Press Release February 02, 2012 (PDF File)
Document: ... Evans entered into an Agreed Order in April 2011 based on his non-therapeutic prescribing of narcotics to 15 patients. Subsequently, Dr. Evans voluntarily surrendered pain management certificates for Holland Clinic and CPR Medical Group in lieu of further disciplinary action. A temporary suspension ...
Description: Press Release December 19, 2002 (PDF File)
Document: ... gh either the Physician Profile or TMB Public Web-based Verification, a link is provided to the document(s) if the licensee has board action. The links are available at http://www.tsbme.state.tx.us/agency/ProfessionalInfo.htm 55 Doctors Disciplined During its December 12-13 Board meeting, the Texas ...
Description: Press Release December 20, 2000 (PDF File)
Document: ... years under certain terms and conditions. Action based on conviction of a misdemeanor involving moral turpitude. Dr. Jaikaran may file a motion for rehearing within 20 days of the order. If a motion is filed, and the Board denies the motion, the order is final. If a motion is filed and the Board gr ...
Description: Press Release December 21, 1999 (PDF File)
Document: ... d resident permitting; it is developing rules for office-based anesthesia and will soon implement physician profiles. In 1998, Dr. Levy requested an outside audit by consultants KPMG, which resulted in a reorganization of the agency that has enhanced efficiency and made it possible for the agency to ...
Description: Press Release December 28, 2010 (PDF File)
Document: ... emporary Restriction (With Notice of Hearing) was based upon the Board's determination that Dr. Atlas poses a continuing threat to the public welfare. The Board found that Dr. Atlas failed to comply with guidelines for the use of pain medicines; failed to meet the standard of care in her treatment o ...
Description: Press Release February 23, 2012 (PDF File)
Document: ... -1512 filed against her by the Board at the State Office of Administrative Hearings. The complaint stated that Dr. Stogre continued to prescribe controlled substances after surrendering her DEA and DPS controlled substance prescribing privileges, and that she prescribed controlled substances to a pa ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES AUGUST 1, 2002
Document: ... next. Mr. Walker reported that the newly created Office of Patient Protection now requires the agency to collect a fee, which will necessitate an increase in physician assistant renewal fees. Mr. Walker also reported on staff reassignments, which would eliminate the Department of Complaints and Dis ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES AUGUST 1, 2003
Document: ... next. Mr. Walker reported that the newly created Office of Patient Protection now requires the agency to collect a fee, which will necessitate an increase in physician assistant renewal fees. Mr. Walker also reported on staff reassignments, which would eliminate the Department of Complaints and Dis ...
Description: Press Release April 25, 2012 (PDF File)
Document: ... e actions included two revocations, 10 violations based on quality of care, four based on other states' actions, two based on unprofessional conduct and two cease and desist orders. The Board issued 121 physician licenses at the April board meeting, bringing the total number of physician licenses is ...
Description: Press Release December 03, 2003 (PDF File)
Document: ... composed of one physician and two public members, based its decision on allegations that Dr. Hardimon employed Dr. Eric Scheffey and/or associated with Dr. Scheffey in the practice of medicine when Dr. Scheffey was under an Order of Temporary Suspension entered by the Board on August 29. The panel f ...
Description: Press Release May 07, 2012 (PDF File)
Document: ... or
An Irving doctor who performed a nine-hour, in-office liposuction procedure on a patient who suffered severe complications has been barred from performing any cosmetic, plastic or reconstructive procedures. The Texas Medical Board's temporary restriction of Hector Oscar Molina, M.D., went into ef ...
“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 192 defines analgesic and anxiolytics as shown below:
Analgesics--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.