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“... escription Monitoring Program (PMP) fee, and a $5 Office of Patient Protection fee for the first year, with an additional $1 charged for any subsequent year. These fees are required by statute and cannot be pro-rated. The remaining amount is required by the Physician Assistant Board and prorate ... ”
“... 0 for the Physician Health Program (PHP) and a $2 Office of Patient Protection fee. These fees are required by statute. The remaining $535 is the fee required by the TMB.
These fees are explained in more detail in the chart below.
Subsequent Registration
Agency Fee
Of ... ”
“... rd party payor ID#, if applicable, from their GME office or residency training program coordinator. The 3rd party ID# is needed if the program will be paying the application fee. For questions about the application process, contact Customer Services at (512) 305-7030.
Apply
App ... ”
“Each physician who provides anesthesia services or performs a procedure for which anesthesia services are provided in an outpatient setting, including the use of analgesics and anxiolytics, must register and pay a fee to the Texas Medical Board. The current fee for office-based anesthesia is a total ... ”
“... individual application processing time will vary based on the complexity of the application. The processing time clock begins when the applicant has submitted all initial documents and has moved to the second step. Factors that increase the processing time are answering “yes” to a ... ”
“... ed by the hospital, is this considered a facility-based practice?
Is a prescriptive authority agreement required in a hospital or long term care facility-based practice?
At how many facilities can one physician delegate prescriptive authority through protocols?
Who may delegate prescriptive au ... ”
“... services - The administration of tumescent anesthesia; the delivery of tumescent anesthesia in conjunction with the delivery of narcotic analgesics or anxiolytics by mouth in dosages as defined under Level I, as prescribed for the patient on order of a physician; or except for the perfor ... ”
“... services do not include deep sedation or general anesthesia.
A physician and at least one other personnel must be present during the procedure and recovery until ready for discharge. The physician must be currently certified by AHA, ASHI, or ASA in ACLS or PALS, or PeRLs as appropriate. The additi ... ”
“... services - The use of regional or neuraxial anesthesia and/or the use of anxiolytics, narcotic analgesics, and/or hypnotics to establish deep sedation or general anesthesia, as defined under this Chapter.
Level IV services do not require physicians to maintain a stock of lipid emulsion. & ... ”
“The registration fee includes a $1 per year Office of Patient Protection fee. These fees are required by statute. The remaining fee is required by the TMB.
These fees are explained in more detail in the chart below.
Subsequent Registration
Length of Permit
Agency Fee
OPP
Total c ... ”
“... include input from a wide variety of stakeholders based on periodic stakeholder meetings. The frequency of rulemaking in any given year varies depending on the volume of newly passed legislation, the number of rule chapters open for review and comment based on state requirements for rule revie ... ”
“... the Physician Health Program (PHP), and a $2 Office of Patient Protection fee. These fees are required by statute. The remaining $370 is the fee required by the TMB.
These fees are explained in more detail in the chart below.
Subsequent Biennial Registration
Length of Permit
Ag ... ”
“... CONVERSION OF TELEMEDICINE LICENSE TO FULL
Based on change in law in 2017, a Full medical license is required to practice Telemedicine in Texas. Therefore, the issuance of telemedicine licenses has been suspended. Until now, there have been no changes in the existing telemedicine regist ... ”
“... the U.S. Department of Veterans Affairs with the Office of National Drug Control Policy to address acute and chronic pain in light of the ongoing opioid crisis. The Task Force mandate is to identify gaps, inconsistencies, and updates and to make recommendations for best practices for managing acute ... ”
“... or more information, contact your local DEA Field Office, which may be found at https://apps.deadiversion.usdoj.gov/contactDea/spring/fullSearch.
You may also contact the Registration Service Center: 1-800-882-9539 or DEA.Registration.Help@usdoj.gov.
FBI Warns Health Care Professionals of Ong ... ”
Description: Press Release February 16, 2011 (PDF File)
Document: ... ctions in this news release include 21 violations based on quality of care; seven based on unprofessional conduct; five based on criminal behavior or convictions; as well as nine cease-and-desist orders. In addition, the board accepted the voluntary surrender of a pain management clinic's certificat ...
Description: Press Release February 17, 2010 (PDF File)
Document: ... included one temporary suspension; 21 violations based on quality of care; five actions based on unprofessional conduct; four nontherapeutic prescribing violations; 17 actions based on inadequate medical records violations; one action based on failure to properly supervise or delegate; two actions ...
Description: Press Release February 21, 2007 A (PDF File)
Document: ... ed physicians.
Actions included seven violations based on quality of care; three actions based on unprofessional conduct; one action based on inappropriate conduct involving physician-patient relationships; seven actions based on inadequate medical records; one action based on impairment due to alc ...
Description: Press Release February 22, 2011 B (PDF File)
Medical Board suspends four pain clinics in Houston, Highlands
Document: ... , a nonphysician.
The temporary suspensions were based upon the panel's determination that the continued operation of the clinics poses a continuing threat to the public welfare, due to the fact that large amounts of dangerous drugs and controlled substances are being prescribed at the clinics in v ...
Description: Press Release March 02, 2006 (PDF File)
Document: ... irector to immediately revoke Dr. Browns licensed based on a positive test for any prohibited substances. After presentation of evidence and witnesses by both the agency and Dr. Brown, the Board panel found that Dr. Brown had violated the terms of the December 18, 2002, Agreed Order. Evidence was pr ...
Description: Press Release March 09, 2011 (PDF File)
Document: ... ed prescription pads were found in Dr. Stafford's office. The Temporary Suspension Hearing Without Notice took place under the Board's authority granted by the Medical Practice Act. The physician has the opportunity to have a Temporary Suspension Hearing With Notice at least 10 days after notice of ...
Description: Press Release March 10, 2005 (PDF File)
Document: ... mmediately. Dr. Howard's temporary suspension was based on her failure to comply with a February 6, 2004, Agreed Board Order in which she was publicly reprimanded and ordered to complete various requirements. Among the requirements were payment of a $5,000 administrative penalty within 90 days; the ...
Description: Press Release March 18, 2005 (PDF File)
Document: ... spension is effective immediately. The action was based on the following: On May 24, 2004, Dr. Gilliland was arrested for driving while intoxicated. On his online license renewal on October 6, 2004, Dr. Gilliland provided false information to the Board by responding no to the question, since your ...
Description: Press Release March 18, 2010 (PDF File)
Document: ... spension is effective immediately. The action was based on the following findings: On December 4, 2009, Dr. Shiller, while on-call for ophthalmological emergencies at Palestine Regional Medical Center, was observed driving his vehicle into a utility pole. He left the scene and drove off the highway, ...
Description: Press Release March 19, 2008 A (PDF File)
Document: ... spension is effective immediately. The action was based on Dr. Roberts' abuse of anesthesia drugs. After Dr. Roberts withdrew from a residency program in May, 2007, the Texas Medical Board received a report that he had admitted a history of drug abuse. Dr. Robert's use of an anesthesia drug while he ...
Description: Press Release March 23, 2004 (PDF File)
Document: ... uing threat to the public welfare. The action was based upon allegations that Dr. Ruffier acted unprofessionally or dishonorably by performing unnecessary cardiac procedures and that Dr. Ruffier failed to meet the standard of care in the treatment of certain patients. The panel took action based on ...
Description: Press Release March 25, 2009 (PDF File)
Document: ... uing threat to the public welfare. The action was based Dr. Pigott's failure to comply with a previous board order, unprofessional and dishonorable conduct, and impaired mental status. The temporary suspension hearing took place Tuesday, March 24, and the suspension was effective immediately. The le ...
Description: Press Release March 28, 2006 (PDF File)
Document: ... uing threat to the public welfare. The action was based on the panels finding that Dr. Torres is a real danger to his patients and to the public because of his admitted physical and mental impaired status and his history of smoking crack cocaine. The temporary suspension hearing took place Friday an ...
Description: Press Release April 01, 2005 (PDF File)
Document: ... pension was effective immediately. The action was based on the following: On February 18, Dr. Bryan's car was observed by Dallas police officers pulling away from a known crack house. When he failed to signal, an officer activated his red lights and attempted a traffic stop. Dr. Bryan disregarded th ...
Description: Press Release April 03, 2008 A (PDF File)
Document: ... sped had violated previous orders. The action was based on Dr. Basped's failure to comply with an agreed order dated April 20, 2007, requiring him to take and pass the Special Purpose Examination (SPEX), a test for basic medical knowledge that physicians should possess, and complete the Center for P ...
“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.