ࡱ>  7bjbj 4~/JJlldNnMMMMMMM$OR N NNGGGMGMGGno;g> 1{w< M4N0dN<4S*4S@g>4Sg>hhJGe<6 N N*dN4SJ j: WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE Board Meeting Minutes January 27, 2017 The West Virginia Board of Osteopathic Medicine met on Friday, January 27, 2017, in Conference Room 227 at The Embassy Suites in conjunction with the WVSOM Mid-Winter meeting. President, Ernest Miller, Jr., D.O., called the business meeting to order at 1:05 PM. Members Present: Staff Members Present: Ernest Miller, Jr., D.O. President Jonathan T. Osborne, 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 Jimmy Adams, D.O. Physician Member Heather Jones, PA-C - Physician Assistant Member Sharon Rowe - Citizen Member Also attending todays meeting were: John Asuquo, D.O.; James Blume, D.O.; Brandon Cestaric, D.O. and Brian McDevitt, D.O. Minutes: The minutes of the November 4, 2016, Board meeting were presented and approved. (Whitler/Adams) Reports: Licensed Physicians as of January 19, 2017: 1264 Total Physicians: 980 - In state 284 - Out of state 8 Newly Licensed Physicians Since Last Meeting 88 1st Year Educational Permits (from 7/1/16 thru 6/30/17): 2 - PGY 1 at Access Health 6 PGY 1 at Bluefield Regional 7 PGY 1 at Camden Clark 22 PGY 1 at CAMC 9 PGY 1 at Greenbrier Valley 16- 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 7 PGY 1 at WVU 98 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 11 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 246 Physician Assistants 153 - Prescriptive Writing Privileges 33 - DOs supervise 2 PAs 12 - DOs supervise 3 PAs 6 - DOs supervise 4 PAs 2 - DOs supervise 5+ PAs 9 Physician Assistants Licensed Without Supervising Physicians 56 Corporations 74 PLLCs Balance in State Depository Account as of 12/31/2016: $335,503.72 Beginning Balance as of 12/01/2016: $361,719.02 Total Receipts as of 12/31/2016: $ 81,552.80 Total Disbursements as of 12/31/2016: $221,324.32 Fines Deposited in State Treasury as of 12/31/2016: $5,000.00 Purchasing Card Report Purchases for October through December 2016 Monthly Line Item Statements October through December 2016 Motion made and unanimously approved to accept the statistical and financial reports. (Rubin/ Whitler). OLD BUSINESS: Monthly/Quarterly Practitioner Reports: Steven Craft, D.O.: Quarterly report from psychiatrist received. Brandon Cestaric, D.O.: Just released last Friday from extended inpatient treatment. Jeffery DeBord, D.O.: WVMPHP quarterly report indicates compliance. Bruce Gorby, D.O.: WVMPHP reports Dr. Gorby has remained in compliance. Jeffrey Murillo, D.O.: WVMPHP quarterly report indicates compliance. Michael Richmond, D.O. Reports from WVMPHP and Virginia PHP report full compliance. Terry Thomas, D.O. WVMPHP reports full compliance with last quarterly reporting period. Carlos Valadares, D.O.: New licensee reported in full compliance with WVMPHP as required by Consent Order. Bi-Annual Statistical Reports were also provided by WVMPHP. NEW BUSINESS: Executive Director Report: 1) Implementation of Uniform Application: The Executive Director announced the full implementation of the Uniform Application as of January 9, 2017. Now osteopathic physicians have the option of completing a U/A with the WV application or just submitting the WV application. 2) Preparation of Licensing Database for IMLCC: A dedicated computer has been purchased through the grant received from the FSMB Foundation for IMLC implementation. It has been installed in preparation for receiving criminal background checks for the Interstate Medical Licensure Compact and all office staff have been vetted to receive criminal background reports. Once Legislative Rules are approved during the 2017 legislative session to enforce Lynettes Law, passed by the 2016 WV Legislature, all new licensees will be required to complete criminal background checks. -2- 3) FSMB Annual Meeting 2017: The FSMB Annual Meeting will be held in Fort Worth, Texas, April 20 22, 2017. Scholarships have been received for the Board President, Executive Director and Public Member, Sharon Rowe. The Executive Director requested funds to send the Licensure Analyst to this years meeting and she was given approval for up to $1,800 total expenditures. 4) Results of 2016 CME Audit: A total of 463 license renewals were received during the 2016 renewal period. A random audit of 54 applications reported a compliance rate of 94%. Three physicians were unable to produce certificates for the reported CME for which board-issued complaints will be filed. 5) Health Care Highlights Subscription: The Board approved an annual subscription to Health Care Highlights on legislative updates. The cost of the yearly subscription is $125. 6) Board Staff Performance Evaluations 2016: The Executive Director provided copies of the 2016 performance evaluations conducted for the Administrative Assistant, Licensure Analyst and Legal Counsel. The evaluation of the Executive Director was conducted by the Board as she was excused from the meeting. A 5% salary increase was recommended for the Licensure Analyst for her added responsibilities for the complaint process. 7) 2017 Board Elections: President Miller appointed Sharon Rowe to chair the Nominations Committee with a report to be provided for elections at the next meeting of the Board. 8) Civil Case Summary: A summary of the three civil suits filed against the Board and the Executive Director by three disciplined physicians, was presented for the Boards review. One case has been postponed while criminal proceedings are pending and another appeal has been postponed until November 2017. The remaining have been resolved. The Board moved into Executive Session at 3:20 PM with the Executive Director and Board Counsel present. (Whitler/Rowe) Motion was made to move back into Public Session at 4:00 PM. (Whitler/Muscari) REPORT FROM THE COMPLAINT COMMITTEE: Dismissal: The Committee recommends dismissal of the following complaints: 2016-34; 2016-19; 2016-30; and 2016-33; 2016-01; 2016-25 (with letters of concern) Refer to Full Board: As both Complaint Committee members have a contractual relationship with the same institution by which the respondent is employed, these complaints are referred to the full board for further action: 2016-29; 2016-23 Consent Order: The Complaint Committee has proposed terms for a Consent Order while undergoing treatment. 2016-27 Summary The Complaint Committee recommends summary suspension. Suspension: 2016-18 -3- Prepare Statement The Complaint Committee proposes Statement of Charges be prepared of Charges and Set and case set for hearing. For Hearing: 2016-20 New Complaints: The Committee recommended the opening of the following new complaints: 2017-01: Resident worked on expired ED Permit 7-2016 thru 12-2016 2017-02: Resident worked on expired ED Permit 7-2016 thru 12-2016 2017-03: Hospital reprimand and requirement of additional training 2017-04: Clinic report of possible HIPAA and narcotics violations Needing Additional The following cases were reviewed and required additional action Follow Up: before a recommendation can be made to the Board: 2016-28: Request medical records from all providers; 2016-31: Request medical records and autopsy reports; 2016-22: Obtain copy of original malpractice report; 2016-26: Request more detailed answers by the physician to specific allegations; STATUS REPORTS: The Complaint Committee also received updates on the status of the following cases: 2006-39; 2015-10; 2016-02; 2016-32. Following the report of the January Complaint Committee, the following actions were voted on and approved by the full Board: A) Complaints for Dismissal: 2016-34; 2016-19 and 2016-30 (Rubin/Jones) B) Complaints for Dismissal: 2016-29 and 2016-23 (Rowe/Muscari) Dr. Rubin and Mr. Whitler recused themselves from voting on these dismissals as they are contracted with the same employer. C) Complaints for Dismissal with 2016-33; 2016-01 and 2016-25 (Rubin/Jones) Letter of Concern: D) Complaint With Consent Order 2016-27 (Rubin/Muscari) for Suspension While Undergoing Medical Treatment: E) Complaint With Consent Order 2016-18 (Rubin/Rowe) for Suspension for Six Months: F) Complaint for Hearing and 2016-20 (Rubin/Jones) Statement of Charges: G) New Complaints: 2017-01; 2017-02; 2017-03 and 2017-04 (Rubin/Jones) Mr. Whitler recused himself from voting as he sits on a board of the employing facility. H) New Complaints from CME 2017-05; 2017-06 and 2017-07 (Jones/Muscari) Audit 2016: Malpractice Reports: Six (6) malpractice reports were reviewed with no further action required. Bruce Gorby, D.O.: A request has been received by Dr. Gorby with letters of recommendation from his employer and WVMPHP, to be released from his probation and required participation with the PHP. Board approved Dr. Gorbys request. (Rowe/Adams) -4- James Blume, D.O.: After review of the Hearing Examiners Finding of Fact, Conclusion of Law and Recommendation, the Board unanimously agreed with the hearing examiners recommendation and voted to revoke Dr. Blumes license. (Adams/Rowe) Maury Witkoff, D.O.: The Board Office had received an anonymous complaint on Dr. Witkoff s prescribing practices and the Board requested some information on the doctors practice. Dr. Witkoff did provide information regarding his practice but, based on his response, the Board referred the issue back to the Complaint Committee for further review and possible new complaint. John Asuquo, D.O.: Applicant was referred to full board following discrepancies during his interview process. He applied to the Georgia Board of Medicine for a license but was required to complete a clinical assessment course for competency. Motion was made and unanimously passed to request the Georgia application files and offer the same restriction to the doctor for a WV license. (Rubin/Rowe) Brian McDevitt, D.O.: Dr. McDevitt has passed the Comvex as required by his Consent Order for reinstatement of license. He must now submit an application for reinstatement with the knowledge that the license will continue to be restricted with no controlled substance prescribing for at least two years. (Adams/Muscari) The Board moved back into Executive Session at 4:10 PM, to review staff evaluations, with the Executive Director and Board Counsel being excused. (Muscari/Rowe) Motion was made to move back into Public Session at 4:20 PM. (Rowe/Muscari) A 5% salary increase was recommended for the Licensure Analyst for her added responsibilities in the complaint process. (Rowe/Muscari) ADJOURNMENT: The meeting was adjourned at 4:25 PM. (Muscari/Jones) Respectfully submitted,  Arthur Rubin, D. O. 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