ࡱ>   5bjbj 4zËË -JJldKnJJJJJJJ$L2OJAAAJJAJAJn):!= 9 Wv1; }JJ0KQ;OO@!=O!=\ =hTHJJgKAAAAOJ j: WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE Board Meeting Minutes November 6, 2015 The West Virginia Board of Osteopathic Medicine met on Friday, November 6, 2015, in the Jackson Room at The Greenbrier in White Sulphur Springs, West Virginia in conjunction with the West Virginia Osteopathic Medicine Association Annual Meeting. President, Ernest Miller, D.O. called the business meeting to order at 9:05 AM. Members Present: Staff Members Present: Ernest Miller, Jr., D.O. President Jennifer Akers, Esq. Board Counsel Arthur Rubin, D.O. - Secretary Diana Shepard, CMBE Executive Director Robert Whitler, Vice President/Citizen Member Michael Muscari, D.O. Physician Member Attendees: Jimmy Adams, D.O. Physician Member Bill ONeill, CPEP Heather Jones, PA-C - Physician Assistant Member William Willis, D.O. Sharon Rowe - Citizen Member Tyson Bubnar, PA-C Erin Townley, PA-C (Student) Minutes: The minutes of the September 17, 2015, Board meeting were approved as presented, (Rubin/Rowe) along with the Conference Call minutes of a meeting held on September 29, 2015 (Rubin/Rowe) and October 26, 2015. (Rubin/Adams). Bill ONeill MBA, from The Center for Personalized Education for Physicians (CPEP), provided the educational session for the November meeting. He provided a historical summary of the services provided by CPEP at the Denver and Raleigh offices. He outlined how the clinical assessments were developed and how they are used in determining a physicians ability to provide a high standard of care to their patients. Reports: Licensed Physicians as of November 1, 2015: 1224 Total Physicians: 936 - In state 288 - Out of state 4 Newly Licensed Physicians Since Last Meeting 64 1st Year Educational Permits (from 7/1/15 thru 6/30/16): 0 - PGY 1 at Access Health 7 PGY 1 at Bluefield Regional 6 PGY 1 at Camden Clark 18 PGY 1 at CAMC 5 PGY 1 at Greenbrier Valley 8 - PGY 1 at Marshall University (Cabell/Huntington) 2 - PGY 1 from Marietta Memorial 1 - PGY 1 from Millcreek Community Hospital 3 - PGY 1 at Mon General/Cornerstone 9 PGY 1 at Ohio Valley Medical Center 2 PGY 1 at United Hospital Center 1 PGY 1 at Wheeling Hospital 2 PGY 1 at WVU -2- 91 Educational Permit Renewals (from 7/1/15 thru 6/30/16): 2 - Access Health 18 Bluefield Regional 8 Camden Clark 28 CAMC 3 Greenbrier Valley 8 Marshall University (Cabell/Huntington) 1 - Marietta Memorial Hospital 2 Mon General 13 - Ohio Valley Medical Center 3 - United Hospital Center 5 - WVU 223 Physician Assistants 174 - Prescriptive Writing Privileges 32 - DOs supervise 2 PAs 15 - DOs supervise 3 PAs 3 - DOs supervise 4 PAs 0 - DOs supervise 5+ PAs 60 Corporations 80 PLLCs Balance in State Depository Account as of 9/30/2015: $487,035.40 Beginning Balance as of 09/01/15: $503,239.93 Total Receipts as of 9/30/2015: $ 82,123.33 Total Disbursements as of 9/30/2015: $ 75,378.04 Fines Deposited in State Treasury as of 9/30/2015: -0- Purchasing Card Report Purchases for August and September 2015 Monthly Line Item Statements August and September 2015 Financial reports were approved as presented. (Rubin/Adams) OLD BUSINESS: Monthly/Quarterly Practitioner Reports: Bruce Gorby, D.O. WVMPHP reports Dr. Gorby has remained in compliance. Michael Richmond, D.O. WVMPHP reports Dr. Richmond remains in full compliance with his CRCA. He has also received his DEA back for prescribing of controlled substances. Terry Thomas, D.O. WVMPHP reports full compliance with last quarterly reporting period. NEW BUSINESS: Executive Director Report: 1) State Auditors Annual Chapter 30 Board Seminar: The Annual State Auditors Conference will be held at the Charleston Marriott on Tuesday, December 1, 2015 -3- 2) Legislative Rules Committee Decision on Vyvanse Rules: Shire Pharmaceutical Company, through their representative, Chris Hall, have asked the Legislative Rules Committee to recommend the Board of Osteopathic Medicine change 24 CSR 01-18.1.dd to allow the use of Vyvanse in the treatment of Binge Eating Disorder. According to W.Va. Code 29A-3-16(b), the Legislative Rule-Making Committee, after reviewing a boards legislative rule, shall make recommendations to an agency or board, who promulgated the rule, and to the Joint Commission on Government and Finance. This is still under review by the joint chairs of the Rules Committee. 3) Telemedicine Bill in 2016: Some changes have been recommended by the West Virginia Board of Medicine and, as this is a joint bill being entered by both boards, a review is needed by the Osteopathic Board members. Draft changes were provided and will be reviewed by members to be finalized during the 2016 legislative session. The Board Office has received calls from licensed psychiatrists regarding the new telemedicine guidelines which were included in the fall newsletter. Those physicians have been encouraged to write the board members and to contact the Osteopathic Medical Association regarding their prescribing concerns via telemedicine. 4) Office Phone System: Quotes were provided for a new four-phone system with intercom and conferencing capabilities. The Executive Director was authorized to purchase the best system not to exceed $1,000. 5) Office Security System: Quotes were provided for a front door security system to allow staff to identify visitors before unlocking the door and authorizing entrance. Members also expressed interest in an alert system to contact building management if assistance is needed. The Executive Director was authorized to purchase a security system and have it and the telephones installed. 6) Report on First Inaugural Meeting of the Interstate Medical Licensing Compact Commission: First meeting of the Compact Commission occurred on October 27-28th in Chicago, Illinois. Bylaws were approved, officers were elected and a committee structure was identified, assigned and given a charge for the next meeting. That meeting will be held in Salt Lake City, Utah on December 18, 2015. A timetable for the first issued compact license has been set for July 1, 2016. Each member state should be looking at what they will need to implement that process. To date, all that is needed would be a dedicated computer for processing the criminal background checks. Ms. Shepard was also elected Secretary for the Commission. 7) FSMB Scholarships for Public Members at 2016 Annual Meeting: The Federation of State Medical Boards is offering 12 scholarships worth $1,800 for public members who have served for less than two years or never attended an FSMB annual meeting. Public member Rowe may be interested in going in 2016. 8) FSMB Nominations: Dr. Miller expressed interest in running for the FSMB Board of Directors in 2016 and Dr. Adams expressed interest in serving on the Professional Licensing Committee. It was moved and seconded to support the nomination of Dr. Miller and the appointment of Dr. Adams and was unanimously approved. (Rowe/Whitler) The Board moved into Executive Session at 10:20 AM with the Executive Director and Board Counsel present. (Rubin/Whitler) Dr. Michael Muscari exited the meeting during case discussions in Executive Session. During the discussion of Personnel Issues, the Executive Director and Board Counsel were asked to exit the room. Motion was made to move back into Public Session at 11:30 AM. (Rubin/Whitler) -4- Report From the Complaint Committee: Cases Reviewed By Complaint Committee on October 22, 2015: Reviewed: 2014-16; 2015-39; 2015-43; 2015-37; 2015-09; 2015-40; 2015-10; 2015-21; 2015-38; 2015-11; 2015-15; 2015-12; 2015-13; 2015-14; 2014-29; 2015-34; 2015-35; 2015-33; 2015-41; 2015-42 and 2015-31. Recommended for Dismissal: 2014-16; 2015-39; 2015-40; 2014-29; 2015-34; 2015-35; 2015-33; 2015-41; 2015-42 and 2015-31. Recommended Probable Cause: 2015-15 Recommended Consent Orders: 2015-43 Following the report of the Complaint Committee, the following actions were taken by the Board: A) Complaints for Dismissal: 2014-16; 2015-39; 2015-40; 2014-29; 2015-34; 2015-35; 2015-33; 2015-41; 2015-42; 2015-31. (Rubin/Rowe) B) Additional Complaints for Dismissal: 2015-09; 2015-12; 2015-13 and 2015-14. Dr. Muscari recused himself from voting on dismissals. (Rubin/Rowe) Members of the Complaint Committee stated these complaints were taken very seriously and thoroughly reviewed by an osteopathic physician, board certified in pain management.. All patients had multiple co-morbidities and were not pain patients only. B) Complaint With Probable Cause Hearing: 2015-15 (Rubin/Rowe) C) Consent Order: 2015-43 Order should include receipt of a report on the continued use of prescribed psychiatric medications and monitoring of progress by personal psychiatrist (Rubin/Adams) Malpractice Reports: Two (2) malpractice reports were received since the last board meeting. They were individually reviewed with no further action required. The Board was notified by an insurance carrier of a physicians termination as a participating provider due to malpractice history. Only one settlement has been reported to the Board. No further action necessary. Personnel Issues: Board members reviewed the complaint process within the Board Office and made some recommendations for corrective action. A flagging system has been implemented to alert board staff when a six month and twelve month follow up is required. Also, the Executive Director and Board Counsel have been asked to complete a spreadsheet of all complaints and document where the investigation is being led at each weekly meeting. This report is to be presented at each meeting of the Board. The Board discussed ways to be better prepared for each board meeting by receiving appropriate information via secured means. Ms. Akers was asked to send information via email with a secured pin number or other means to only give access to board members. -5- The Board moved into Executive Session at 11:45 AM with the Executive Director and Board Counsel present. (Rubin/Whitler) The Board moved back into Public Session at 11:55 AM. (Rubin/Whitler) William Willis, D.O.: License is currently suspended. Motion made and approved requesting primary source court documents regarding resolution of felony charge and also a referral to West Virginia Medical Professional Health Program for an assessment. (Whitler/Adams) Tyson Bubnar, PA-C: Mr. Bubnar was approved for full, unrestricted license. (Adams/Jones) Next regularly scheduled meeting will be held at The Embassy Suites in conjunction with the WVSOM Mid-Winter Meeting. Date and time to be determined. Meeting was adjourned at 12:15 PM. (Rowe/Adams) Respectfully submitted,  Arthur Rubin, D. O. 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