ࡱ>  }1bjbj[[ 4p99})JJ\\(JnIIIIIII$KHNIIIIIn69[^7 II0(J7N@N@9N9IIG@(JNJ j: WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE Board Meeting Minutes August 9, 2017 The West Virginia Board of Osteopathic Medicine met on Wednesday, August 9, 2017, in the Conference Room at the Board Office on 405 Capitol Street, Charleston, West Virginia. President, Ernest Miller, Jr., D.O., called the business meeting to order at 9:08 AM. 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. and three interview candidates for Board Counsel position. Minutes: The minutes of the May 15, 2017, Board meeting were presented and approved. (Rubin/Adams) Reports: Licensed Physicians as of August 1, 2017: 1200 Total Physicians: 947 - In state 253 - Out of state 42 Newly Licensed Physicians Since Last Meeting 82 1st Year Educational Permits (from 7/1/17 thru 6/30/18): 4 - PGY 1 at Access Health 2 PGY 1 at Bluefield Regional 6 PGY 1 at Camden Clark 17 PGY 1 at CAMC 8 PGY 1 at Greenbrier Valley 13- PGY 1 at Marshall University (Cabell/Huntington) 0 - PGY 1 from Marietta Memorial 5- PGY 1 from Millcreek Community Hospital 4 - PGY 1 at Mon General/Cornerstone 8 PGY 1 at Ohio Valley Medical Center 2 PGY 1 at United Hospital Center 2 PGY 1 at Wheeling Hospital 11 PGY 1 at WVU 136 Educational Permit Renewals (from 7/1/17 thru 6/30/18): 4 - Access Health 10 Bluefield Regional 10 Camden Clark 42 CAMC 7 Greenbrier Valley 24 Marshall University (Cabell/Huntington) 0 - Marietta Memorial Hospital 0 Millcreek Community Hospital 5 Mon General/Cornerstone 16 - Ohio Valley Medical Center 6 - United Hospital Center 3 Wheeling Hospital 9 - WVU 240 Physician Assistants 185 - Prescriptive Writing Privileges 34 - DOs supervise 2 PAs 10 - DOs supervise 3 PAs 6 - DOs supervise 4 PAs 1 - DOs supervise 5+ PAs 6 Physician Assistants Licensed Without Supervising Physicians 54 Corporations 65 PLLCs Balance in State Depository Account as of 7/31/2017: $421,311.01 Beginning Balance as of 7/1/2017: $421,311.01 Total Receipts as of 7/31/2017: $ 17,874.50 Total Disbursements as of 7/31/2017: $ 36,312.43 Fines Deposited in State Treasury as of 7/31/2017: -0- Purchasing Card Report Purchases for April through June 2017 Monthly Line Item Statements April through July 2017 The statistical and financial reports were approved as presented. OLD BUSINESS: Monthly/Quarterly Practitioner Reports: Steven Craft, D.O.: Quarterly report from psychiatrist received. Brandon Cestaric, D.O.: Compliant with WVMPHP. Second complaint to be discussed in Executive Session. Jeffery DeBord, D.O.: WVMPHP quarterly report indicates compliance. Jeffrey Murillo, D.O.: WVMPHP quarterly report indicates compliance. Michael Richmond, D.O. Reports from WVMPHP and Virginia PHP report full compliance. Craig Swann, D.O.: In full compliance. Has requested stay of his six month suspension. Terry Thomas, D.O. WVMPHP reports full compliance. Carlos Valadares, D.O.: WVMPHP reports full compliance. Participation updates were also provided by WVMPHP. The Board moved into Executive Session at 9:30 AM with the Executive Director present to conduct interviews for the Board Counsel position. At 10:25 the current Counsel was invited back into the Executive Session. (Adams/Rubin) Motion was made to move back into Public Session at 11:18 AM. (Whitler/Muscari) NEW BUSINESS: Executive Director Report: 1) Medical Cannabis Board: DHHR announced the appointments to the Medical Cannabis Board. The Osteopathic Profession was not represented. Motion was made, and passed, to send a letter to Dr. Gupta recognizing the appointments without osteopathic representation and offering osteopathic assistance should a vacancy occur or if an osteopathic specialist could assist in the boards work. A carbon copy of the letter will be forwarded to Senator Takubo. (Adams/Rubin) 2) NPDB Compliance Report 2017: The Board received notification of their 100% compliance with timely reporting. The review examined state licensing board adverse actions taken between January 2014 and December 2015. 3) FSMB Board Attorney Workshop: The FSMB is sponsoring their annual Board Attorney Workshop in San Diego, November 8-9, 2017. The Board approved payment of travel and expenses for our Board Counsel to attend this workshop, (Rubin/Rowe) 4) Annual Review of Safety and Confidentiality Polices: A report on the annual safety inspection conducted in the Board Office was presented for review along with the safety policy. The Confidentiality Policy was reviewed with each Board Member signing a new annual confidentiality agreement. Both policies were approved as presented. (Muscari/Adams) At 11:45 AM Dawn Morton-Rias, Ed.D., PA-C and President/CEO of NCCPA, presented a review of Physician Assistant Practice Patterns and Certification. She reviewed national practice patterns and provided a breakdown on the utilization of PAs in West Virginia. Legislative Issues: Following the passage of SB 1014 during the Special Session of the 2017 Legislature, 24 CSR 02 required revisions to meet the changes made to the licensing of Physician Assistants. Changes approved included: (Jones/Whitler) 1) Replacement of the term, supervising/supervisor with collaborating/collaboration. 2) Termination of NCCPA certification requirement for license renewal but, NCCPA recertification would meet 97 of the 100 hours for continuing education credit for renewal. 3) Authority to sign death certificates and other medical certification forms if allowed by Practice Agreement. 4) Authority to prescribe 30 day supply of Schedule III controlled substances without refill. 5) Authority to independently bill for services as per Practice Agreement. The Board moved back into Executive Session at 12:30 PM with the Executive Director and Board Counsel present. (Rowe/Whitler) Motion was made to move back into Public Session at 1:05 PM. (Whitler/Muscari) REPORT FROM THE COMPLAINT COMMITTEE: Status Reports Received: 2015-10; 2015-11; 2015-15; 2016-02; 2016-05; 2016-31; 2016-32; 2017-04; 2017-23; 2017-24. (Mr. Whitler was recused from discussions of 2017-04 and 2017-23) Recommend for Dismissal: 2017-10; 2017-11; 2017-12; 2017-13; 2017-16; 2017-17; 2017-19; 2017-21; 2017-22; 2015-10; 2016-02; 2016-32. Full Board Review: 2017-14; 2017-18 Prepare Statement of Charges 2016-26; 2017-03 and Prepare for Hearing: New Complaints: 2017-25: - Board received complaint of physician being escorted off hospital premises. After inquiry to hospital, Board learned that physician has agreed not to see patients during investigation. 2017-26: - Osteopathic physician received reprimand from Idaho State Board of Medicine for prescribing testosterone to Idaho patients via email and telephone without first registering with Idaho Board of Pharmacy and DEA. Complaints Requiring Additional Follow Up: 2017-18 and 2017-20 - Need to request additional medical records. Following the report of the July Complaint Committee, the following actions were voted on and approved by the full Board: A) Complaints for Dismissal: 2017-10; 2017-11; 2017-12; 2017-13; 2017-16; 2017-17; 2017-19; 2017-21; 2017-22; 2016-02; 2016-32. (Rowe/Whitler) B) Complaints For Statement of Charges and Hearing: 2016-26 and 2017-03 (Rowe/Adams) C) Extension of Suspension: 2017-14 (Adams/Jones) for Six Months With During the investigation, evidence was found against Automatic Revocation a Nurse Practitioner writing a prescription for a controlled Upon Another Breech of substance with no patient record. Will be reported to Consent Agreement. Nursing Board. D) Request Office Notes: 2017-20 and 2017-18 (Dr. Rubin recused from meeting discussion and vote.) E) New Complaints: 2017-25; 2017-26; 2017-27; 2017-28; 2017-29; 2017-30; 2017-31 and 2017-32. (Adams/Rowe) Malpractice Reports: Three (3) malpractice reports were reviewed with no further action required. John Asuquo, D.O.: Applicant reported he had withdrawn his application in Georgia and a letter from the Georgia Board documented his withdrawal was accepted. Dr. Asuquo was granted a license to practice in West Virginia. (Rubin/Muscari) The Board moved back into Executive Session at 1:15 PM, to review board counsel candidates with Board Counsel being excused. (Whitler/Rowe) Motion was made to move back into Public Session at 1:20 PM. (Rowe/Muscari) Board Counsel Position: Mr. Jonathan Osborne was selected to serve the WV Board of Osteopathic Medicine as our employed attorney. The Executive Director will begin the process for an internal departmental transfer from the Attorney Generals Office. No change in salary at present time. (Rubin/Whitler) Craig Swann, D.O.: Dr. Swann has submitted a request to lift his six month suspension. Letters of support for Dr. Swanns return to work were received by Dr. Brad Hall, WVMPHP and Cathy Rasnake, Dr. Swanns counselor. The Board lifted the suspension as of September 1, 2017 and requested an agreement to require Dr. Swann to continue with the PHP. (Rubin/Adams) Next Meeting: The next, regularly scheduled meeting of the Board will be held on November 3, 2017, at 9:00 AM at The Greenbrier, in conjunction with the WVOMA Annual Fall Meeting. ADJOURNMENT: The meeting was adjourned at 1:25 PM. (Whitler/Rowe) Respectfully submitted,  Arthur Rubin, D. O. 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