ࡱ>  \7bjbjxx 4v\/     dZF8EEEEEEE$GDJE E  Fuuu  EuEuun47Y' 5 E*F0ZF5J1"J@7J 70haJu<6EES"ZFJ : WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE Board Meeting Minutes July 14, 2016 The West Virginia Board of Osteopathic Medicine met on Thursday, July 14, 2016, in the fourth floor conference room at the Boards Charleston office. Vice President, Robert Whitler, called the business meeting to order at 10:20 AM. Dr. Miller, President arrived at 10:30 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 Leslie Holinsworth, D.O. Aaron Bailey, PA Heather Jones, PA-C - Physician Assistant Member Donald Kiser, D.O. Joshua Baker, PA Sharon Rowe - Citizen Member Carlos Valladares, D.O. Continuing Education: Kelli Talbott, Deputy Attorney General, provided an informal question and answer session with Board Members concerning several medical/legal issues. Recent Supreme Court Case decisions were reviewed and discusses. Minutes: The minutes of the January 29, 2016 Board meeting were presented along with Conference Call Board Meetings for March 9, 2016 and June 8, 2016. A typographical error was corrected on the June 8th Conference Call Minutes and all were approved with the June meeting amendment. (Adams/Muscari) Reports: Licensed Physicians as of July 5, 2016: 1210 Total Physicians: 944 - In state 266 - Out of state 52 Newly Licensed Physicians Since Last Meeting 75 1st Year Educational Permits (from 7/1/16 thru 6/30/17): 2 - PGY 1 at Access Health 5 PGY 1 at Bluefield Regional 7 PGY 1 at Camden Clark 17 PGY 1 at CAMC 9 PGY 1 at Greenbrier Valley 14- PGY 1 at Marshall University (Cabell/Huntington) 0 - PGY 1 from Marietta Memorial 2- PGY 1 from Millcreek Community Hospital 4 - PGY 1 at Mon General/Cornerstone 9 PGY 1 at Ohio Valley Medical Center 2 PGY 1 at United Hospital Center 2 PGY 1 at Wheeling Hospital 4 PGY 1 at WVU -1- 96 Educational Permit Renewals (from 7/1/16 thru 6/30/17): 0 - Access Health 13 Bluefield Regional 11 Camden Clark 36 CAMC 2 Greenbrier Valley 9 Marshall University (Cabell/Huntington) 0 - Marietta Memorial Hospital 1 Millcreek Community Hospital 3 Mon General/Cornerstone 13 - Ohio Valley Medical Center 5 - United Hospital Center 1 Wheeling Hospital 2 - WVU 222 Physician Assistants 173 - Prescriptive Writing Privileges 32 - DOs supervise 2 PAs 14 - DOs supervise 3 PAs 2 - DOs supervise 4 PAs 2 - DOs supervise 5+ PAs 6 Physician Assistants Licensed Without Supervising Physicians 58 Corporations (12 Not Yet Renewed) 86 PLLCs (25 Not Yet Renewed) Balance in State Depository Account as of 6/30/2016: $467,267.59 Beginning Balance as of 07/01/15: $480,290.11 Total Receipts as of 6/30/2016: $415,727.51 Total Disbursements as of 6/30/2016: $420,342.38 Fines Deposited in State Treasury as of 6/30/2016: $1,000.00 Purchasing Card Report Purchases for January through May 2016 Monthly Line Item Statements January through June 2016 Financial reports were approved as presented. (Whitler/Rubin) OLD BUSINESS: Monthly/Quarterly Practitioner Reports: Steven Craft, D.O.: Under Consent Order to provide quarterly reports from treating Psychiatrist. In compliance. Jeffery DeBord, D.O.: Voluntary WVMPHP participant with relapse. New Consent Order being prepared to mirror CRCA agreement. 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. Terry Thomas, D.O. WVMPHP reports full compliance with last quarterly reporting period. Also received updated DEA MOA Annual Statistical Report and Activities Report were provided by WVMPHP. President Miller recessed the meeting for lunch at 12:25 PM and reconvened the meeting at 1:00 PM -2- NEW BUSINESS: Executive Director Report: 1) WV Supreme Court Decision on Fisher Appeal: A memorandum decision by the West Virginia State Supreme Court was received on the appeal filed by Philip Fisher, D.O. The Board was upheld by the Court on every decision. 2) Nominations for APRN Advisory Council: Three names have been submitted by the Board in support of their appointment to the APRN Advisory Council. To date, the Governor has not made any osteopathic appointments. 3) Implementation of Assessment Fee for PCIF: The Board Office has implemented the collection and payment interfaces for the Legislatively mandated $125 Assessment Fee for the Patient Care Injury Fund. Collection began on July 1, 2016 for any new physician licensee or renewal. 4) Mental Health Concerns with Telemedicine Bill: Concerns have been raised by the psychiatric community regarding the prescribing restrictions of controlled substances through the telemedicine approach. To address this issue, the Executive Director of the WV Board of Osteopathic Medicine was asked to approach the WV Board of Medicine about coordinating the writing of legislative rules and hopefully rectify any legitimate concerns. 5) National Defense Authorization Act for FY 2017: S. 2943 has been introduced in the US Congress which re-defines where the practice of medicine occurs. This bill identifies medicine as occurring where the physician is rather than where the patient is located. Motion was made and unanimously approved to send a letter to Senators Manchin and Capito regarding the Boards concern with Section 705 (d), Location of Care. (Rubin/Whitler) 6) CPEP Offering Osteopathic Multiple Choice Testing: An official announcement was sent from CPEP verifying that the COMVEX is now a component of their Competency Assessment or Reentry Evaluation for Osteopathic physicians coming through their program. 7) Approval for Implementation of Uniform Application: As the Board has been discussing utilization of the FSMB Uniform Application, a grant covering the cost of implementation has been received from the FSMB. A motion was made and approved to proceed with the U/A implementation. (Rowe/Whitler) 8) Consumer Report Ranking of State Board Websites: The Informed Patient Institute conducted a survey and ranking of all state medical and osteopathic board websites in 2015 for Consumer Reports. Of the 63 boards surveyed, California had the highest rating of 84 compared to the lowest rating of 6. West Virginia Board of Osteopathic Medicine was rated at 38..The areas of deficiency, as reported through this survey, were for documentation of Hospital Disciplinary Actions, Federal Disciplinary Actions, Malpractice Payouts and Convictions. 9) WV Auditors P-Card Audit: Results of the Auditors Purchase Card Audit for the period July 2013 through September 2014 were presented. All seven discrepancies were discussed with the Board Members and all corrective actions have been implemented. 10) CSMP Report of Non-Registrations: On March 7, 2016, the Board Office received a report from Michael L. Goff, Administrator of the CSMP, listing 23 osteopathic physicians who had written over 1,000 prescriptions but had not registered with the CSMP as required by law. The Executive Director sent letters and followed up on all 23 physicians who are now all registered with the CSMP. -3- LEGISLATIVE UPDATE: 1) Proposed Rule Changes for Registration, Licensure and Conduct Constituting Professional Misconduct for Registered Professional Nurses was presented for informational purposes even though the 30 day comment period has ended. 2) Proposed Rule Changes on Prescriptive Authority for Nurses in Advanced Practice: This rule, too, was presented for informational purposes. The 30 day comment period has been surpassed. 3) Proposed Rule Changes to 24 CSR 01: Revisions are being proposed to be in concert with the legislative changes made through HB 4463, HB 4334, HB 4340 and SB 602. While opening the Rule, the Board chose to include several procedure clean ups and eliminate temporary licenses, licensing by reciprocity and the requirement of moral character references for all licensees. 24 CSR 01 will be filed with the Legislative Review Committee and the WV Secretary of State by the deadline of July 22, 2016. Motion was made to accept the revisions as discussed and unanimously approved. (Whitler/Adams) 4) Proposed Rule Changes to 24 CSR 02: The addition of criminal background checks will be added to the licensing requirements for Physician Assistants. This rule will also be submitted to Legislative Rule Committee and Secretary of States offices by July 22, 2016. Motion was made to accept the revisions as discussed and unanimously approved. (Rubin/Whitler) The Board moved into Executive Session at 2:10 PM with the Executive Director and Board Counsel present. (Whitler/Adams) Motion was made to move back into Public Session at 2:50 PM. (Rubin/Adams) REPORTS FROM THE COMPLAINT COMMITTEE: Cases Reviewed By Complaint Committee on May 19, 2016: 2015-47; 2016-07; 2016-03; 2015-21; 2015-38; 2016-02; 2016-04; 2016-01; 2015-11; 2016-05; 2016-06 and 2014-14. Recommended For Dismissal: 2016-07; 2016-03 and 2016-06. Recommended for Dismissal With Letter of Concern: 2016-04 Recommended Statement of Charges: 2016-05 Recommended New Complaints: 2016-11 Following the May report of the Complaint Committee, the following actions were voted on and approved by the full Board: (Rubin/Adams) A) Complaints for Dismissal: 2016-07; 2016-03 and 2016-06 B) Complaint for Dismissal with Letter of Concern: 2016-04 C) Complaint Requiring Statement of Charges: 2016-05 (Failure to Successfully Pass CME Audit) D) New Complaints: 2016-11 and 2016-13 Malpractice Reports: Fourteen (14) malpractice reports were received since the last board meeting. They were individually reviewed with one report requiring further action. Complaint 2016-13 was initiated by the Board for failure to report malpractice case on two renewal applications. (Rubin/Adams) -4- Carlos Valladares, D.O.: Motion made and approved to issue license under a Consent Order for continued PHP involvement and reporting either from the Pennsylvania PHP or through the WVMPHP. (Rubin/Jones) Leslie Holinsworth, D.O.: Application is complete and all questions appropriately answered by the applicant. License approved. (Rubin/Adams) Donald Kiser, D.O.: Prior to submission of an application for reinstatement, Dr. Kiser is requested to provide a status report from his licensing board in Ohio. (Rubin/Adams) Aaron Bailey, PA-C: License approved with Consent Order for six (6) months supervision. (Rubin/Adams) Joshua Baker, PA-C: Complaint 2016-14, Practicing without a license for a part time position totaling 26 hours of scheduled work time. Motion made and passed to file a reprimand with payment of reinstatement fees. (Rubin/Adams) Timothy Peasak, D.O.: Complaint 2016-15, Allowing physician assistant to practice without a license. Motion made to open a new complaint. (Rubin/Jones) Adjournment: The Board will need to have a meeting in August/September to deal with results of upcoming hearings. A conference call may be held in place of a face-to-face meeting. Motion was made to adjourn at 3:05 PM and passed. (Muscari/Jones) Respectfully submitted,  Arthur Rubin, D. O. 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