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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 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: 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 ...
Description: TMB disciplines 61 physicians at May meeting, adopts rule changes
Document: ... spouse”
“military veteran” based on SB0162 (83
rd
Reg. S
ession)that amended Chapters 55 of the Texas Occupations Code to
credit certain verified service, training, or education for applicants with military experience and to create an expedited
licensure process for milita ...
Description: Form L - Physician Licensure Evaluation Verification of Postgraduate Training and Professional Evaluation
Document: ... F PROFESSIONAL HISTORY
1.
This
evaluation is based on
Personal Knowledge
Review of Credential File
2.
Is this applicant relate
d
to you?
Yes
No
3.
Do you consider the applicant:
(a) Reliable?
Yes
No
(b) Ethical?
Yes
No
...
Description: TMB suspends Grand Prairie physician
Document: ... second degree felony offense.
The panel found
based on
his
arrest,
Dr. De Leon is a continuing threat and a real danger to the
health of his patient
s
or to the public
.
A temporary suspension hearing with notice will be held as soon as practicable with 10 days'
notice to
Dr.
De Leo ...
Description: Physician Statistics 2014 May - Physicians In and Out of State
Document: ... 13500
68442
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: TMB restricts Houston physician
Document: ... edules II
-
V.
The temporary restriction was based on the panel’s findings that Dr.
Joselevitz
’s care and
treatment of 17 pain patients demonstrate a pattern of practice of substandard care and
nontherapeutic prescribing.
The temporary restriction remains in place until the ...
Description: Medical Board 2014 - June - DPRC - Agenda Item 02 - TX PHP Report
Document: ... lty in the amount
of $4000.
The action was based upon the participant’s failure to meet the standard of care,
prescribed inappropriately and failed to
maintain adequate medical recor
ds for one patient. Additionally
, the participant inappropriately self
-
prescribed medications.
...
Description: Medical Board 2014 - June - Disciplinary Process Review Committe Minutes
Document: ... to determine whether the applicant
i
s eligible based upon the applicant’s explanation, remediation and timeframe of the paid
claim. If the physician’s portion of the payment is over the amount of $250,000, the
applicant will be determined ineligible for a panelist position.
Th ...
Description: Medical Board 2014 - June - Licensure Committee Minutes
Document: ... ment of their license.
This recommendation is based on the applicant’s
unprofessional conduct
and failure to demonstrate
reinstatement was in
the best interest of th
e public
.
Ms. Southard
seconded
the motion. All voted in favor. The motion passed.
2
Applicant #
1
181
...
Description: Medical Board 2014 - June - Executive Committee Minutes
Document: ... Program Revie
w (RMPR) and Action
Plan for State Office of Risk Management (SORM)
.
Ms. Robinson
reported on
the Risk
Management Program Review conducted by the State Office of Risk Management
. She
presented the findings and recommendations from the SORM review and
the
agency’s ...
Description: Medical Board 2014 - May 2 - Full Board Minutes
Document: ... amount of c
ases that are currently at the State Office of Administrative
Hearings.
Le
gisla
tive update.
After
Ms. Robinson
briefly outlined
the
draft
strategic
plan
,
the
board discussed items to include in the strategic plan
.
Ms. Robinson reported
Interim Charges
and C ...
Description: Rule Changes Effective January 20, 2014
Document: ... e” and “
military veteran”
based on the passage of SB 162 and SB
949 (83
rd
Reg. Session)
that
amended Chapters 55 and 155 of the Tex. Occ. Code
.
22 TAC §163.2
The Amendment to
§
163.2, related to Full Texas Medical License,
deletes §163.2(d) of this this r ...
“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.