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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 2012 - November - Full Board Committee Meeting Minutes
Document: ... the Agreed Order for #21 and proceed to the State Office of Administrative Hearings for revocation, due to the constant non-compliance on behalf of the respondent. After discussion, Dr. Arambula moved, Ms. Blackwell seconded, and the motion passed to approve the Agreed Orders en masse for Charles L. ...
Description: Medical Board 2012 - November - Licensure Committee Meeting Minutes
Document: ... determined that administrative penalties, solely based on falsification of a licensure application, are not connected to the delivery of healthcare services and should not be reportable to the NPDB.
Agenda Item 3 - Discussion, recommendation, and possible action regarding disciplinary terminology ...
Description: Medical Board 2012 - November - Licensure Committee - Agenda Item 8b: Proposed Changes to Board Rule 195
Document: ... he option of appealing the determination to State Office of Administrative Hearings (SOAH). An applicant has 20 days from the date the applicant receives notice of the committee's determination to appeal to SOAH. (B) If the applicant timely requests a SOAH hearing, the applicant must file a petition ...
Description: Medical Board 2012 - November - Standing Orders Committee Meeting Minutes
Document: ... le action regarding registration requirements for Office Based Anesthesia.
1)
Ms Kaufman and Ms Rhea Hines described the process by which physicians that provide anesthesia services at office-based locations register their relationship for a site. Staff asked for guidance from the committee on whe ...
Description: Medical Board 2012 - November - Disciplinary Process Review Committee - Agenda Item 02 - TX PHP Report
Document: ... the Monitoring and Assistance Agreement with your office, I was assured an opportunity to avoid any professional consequences that might affect my ability to practice medicine. In hindsight, this get-out-of-jail-free approach to my problems only served to promote my own belief that alcohol was not a ...
Description: Medical Board 2013 - April - Minutes of the Disciplinary Process Review Committee
Document: ... to be consulted and multiple tests performed. The anesthesia team cannot determine if a patient is brain dead or not. The committee unanimously moved that the appeal of Item 12.A.i., Log #12-7060 be granted and that an investigation be opened. Motion carried. Dr. McNeese moved, and Dr. Zeitler secon ...
Description: Medical Board 2013 - February - Minutes of the Disciplinary Process Review Committee
Document: ... Dr. Holliday amended this motion to include that based on the evaluation of the second chart monitor if those reports are not favorable then this Respondent will scheduled for an ISC. The committee unanimously agreed. Dr. Willeford moved, and Dr. Shulkin seconded that the appeal of Item 9.A.ii., Lo ...
Description: Medical Board 2013 - February - Full board Committee Meeting Minutes
Document: ... iance Proceeding for publication. d. Chapter 192. Office-Based Anesthesia Services 192.1 Definitions 192.2 Provision of Anesthesia Services in Outpatient Settings Ms. Robinson gave a brief summary of proposed amendments to Chapter 192. Written comments were received and reviewed. No one signed-in ...
Description: Medical Board 2013 - February - Licensure Committee Meeting Minutes
Document: ... rivileges while under, or to avoid investigation, based on unprofessional conduct or professional incompetence likely to harm the public, and unprofessional conduct likely to deceive, defraud or injure the public. Factors contributing to this recommendation include the applicant surrendered hospital ...
Description: Medical Board 2013 - February - Licensure Committee - Agenda Item 6a: Proposed Changes to Board Rule 163
Document: ... ts, unless the Board allows an additional attempt based upon a showing of good cause. An applicant who is unable to pass the JP exam within three attempts must appear before the Licensure Committee of the board to address the applicant's inability to pass the examination and to re-evaluate the appli ...
Description: Medical Board 2013 - February - Licensure Committee - Agenda Item 6b: Proposed Changes to Board Rule 172
Document: ... er, unless the board allows an additional attempt based upon a showing of good cause. An applicant who is unable to pass the JP exam within three attempts must appear before the licensure committee of the board to address the applicant's inability to pass the examination and to re-evaluate the appli ...
Description: Medical Board 2013 - February - Licensure Committee - Agenda Item 6b: Proposed Changes to Board Rule 175
Document: ... e included with each payment. (b) Additional Fees Based on Method of Payment. (1) Online payments. Applicants and licensees who submit payments online may be subject to convenience fees set by the Department of Information Resources, that are in addition to the fees listed in 175.1 - 175.3 of this ...
Description: NCT Documentation Checklist & Eligibility Requirements
Document: ... the
MRT
Licensure Committee
may be required based on the amount of time
out of practice.
☐
Active Practice Statement
A statement explaining how the applicant has kept
current with the medical radiologic technology
field, employment plans, and
any CE
courses in the
past
thr ...
Description: IT Qualification Data Sheet form
Document: ... ion, to the Texas Medical Board's Human Resources Office.
Example:
Two years of customer service experience working directly with public
While employed at ABC department store, I performed customer service duties including: greeting customers and helping them find the perfect suit, taking their m ...
Description: TMB disciplines 14 physicians at October meeting, adopts rule changes
Document: ... er resolves a formal complaint filed at the State Office of
Administrative Hearings.
Young, Mark, M.D., Lic. No. J0388, Denison
On October 14, 2022, the Board and Mark Young, M.D., entered into an Agreed Order of Voluntary Surrender in which
Dr. Young agreed to voluntarily surrender his Texa ...
“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.