ࡱ>  8bjbj 4~0JJldMnKMMMMMMMMMMMMM$:OQqMqMM KMKMn9;p : 7MM0M/:R?R@;R;8"qMqMMRJ j: WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE Board Meeting Minutes (Amended) January 25, 2019 The West Virginia Board of Osteopathic Medicine met on Friday, January 25, 2019, in the 405 Capitol Street Board Conference Room. President, Robert Whitler, called the business meeting to order at 1:00 PM. Members Present: Staff Members Present: Robert Whitler, President Diana Shepard Executive Director Jimmy Adams, D.O. Vice President Jonathan Osborne Board Counsel Michael Muscari, D.O. Physician Member Andy Tanner, D.O. Physician Member Absent: Tiffany Thymius, D.O. Physician Member Sharon Rowe, Public Member Heather Jones, PA-C - Physician Assistant Member Also invited to attend todays meeting were: Harold Tabaie, D.O. John Tabit, D.O. Tom Susman, TSG Consulting P. Bradley Hall, M.D., WVMPHP Minutes: The minutes of the November 2, 2018 Board meeting and the November 13, 2018 Board Conference Call were presented and approved. (Adams/Jones) Reports: Licensed Physicians as of January 17, 2019: 1293 Total Physicians: 996 - In state 297 - Out of state 16 Newly Licensed Physicians Since Last Meeting 91 1st Year Educational Permits (from 7/1/18 thru 6/30/19): 5 - PGY 1 at Access Health 10 PGY 1 at Bluefield Regional 4 PGY 1 at Camden Clark 20 PGY 1 at CAMC 8 PGY 1 at Greenbrier Valley 13- PGY 1 at Marshall University (Cabell/Huntington) 0 - PGY 1 from Marietta Memorial 0 - PGY 1 from Millcreek Community Hospital 2 - PGY 1 at Mon General/Cornerstone 10 PGY 1 at Ohio Valley Medical Center 2 PGY 1 at United Hospital Center 1 PGY 1 at Wheeling Hospital 61 PGY 1 at WVU 133 Educational Permit Renewals (from 7/1/18 thru 6/30/19): 3 - Access Health 7 Bluefield Regional 1 - Camden Clark 46 CAMC 8 Greenbrier Valley 21 Marshall University (Cabell/Huntington) 0 - Marietta Memorial Hospital 0 Millcreek Community Hospital 8 Mon General/Cornerstone 18 - Ohio Valley Medical Center 6 - United Hospital Center 4 Wheeling Hospital 11 - WVU -2- 266 Physician Assistants 234 - Prescriptive Writing Privileges 40 - DOs supervise 2 PAs 12 - DOs supervise 3 PAs 7 - DOs supervise 4 PAs 4 - DOs supervise 5+ PAs 6 Physician Assistants Licensed Without Supervising Physicians 56 Corporations 55 PLLCs Balance in State Depository Account as of 12/31/2018: $289,274.32 Beginning Balance as of 7/01/2018: $404,111.72 Total Receipts as of 12/31/2018: $333,237.87 Total Disbursements as of 12/31/2018: $490,296.82 Fines Deposited in State Treasury as of 12/31/2018: $ 9,500.00 Purchasing Card Report Purchases for October November 2018 Monthly Line Item Statements October 2018 through December 2018 All financial reports were reviewed and approved as presented. (Tanner/Muscari) OLD BUSINESS: Monthly/Quarterly Practitioner Reports: Brandon Cestaric, D.O. Freddie Persinger, D.O. Jeffery DeBord, D.O. Chad Poage, D.O. Robert Fanning, D.O. Lucy Shamblin, D.O. Robert Hogan, D.O. Michael Richmond, D.O. Jeffrey Mullin, D.O. Lucy Shamblin, D.O. Jeffrey Murillo, D.O. Jason Smith, D.O. Patrick ODonnell, D.O. Craig Swann, D.O. Carlos Valladares, D.O. Notification has been received for Robert Fanning, D.O. and Patrick ODonnell, D.O. that they have successfully completed their PHP requirements as outlined in their Consent Orders. A motion was made and unanimously carried to terminate the Consent Order of Robert Fanning, D.O. (Adams/Muscari) A motion was made and unanimously carried to terminate the Consent Order of Patrick ODonnell, D.O. (Muscari/Thymius) Reports From Supervising Physicians: Reports were received from the Supervising Physicians for Jane Kelley-Tallman, D.O. and Brian McDevitt, D.O. as required in their Consent Orders. Both physicians were reported in compliance. NEW BUSINESS: Executive Director Report: 1) Ad Hoc Committee on Regulatory Issues: The meeting of the Ad Hoc Committee meeting with the West Virginia Board of Medicine scheduled for January 4, 2019, was postponed. The meeting will be rescheduled at a later date. 2) Osteopathic Growing Profession: An article in The DO reported the number of DOs have more than tripled nationally since 1990. It also noted that 65% of all DOs in active practice were under the age of 45 with women comprising 41% of the active practices. 3) Survey on PDMP Utilization: Marshall University is conducting a survey as part of their WV SPF-RX Program designed to examine perceptions, attitudes and knowledge about prescription drug misuse and related contributing factors in West Virginia. The Board supported this survey being made available on the Board Website to invite licensees to participate. -3- 4) FSMB Annual Meeting Scholarships: The Board has received scholarship applications for the Voting Delegate and the Executive Director for the 2019 Annual Meeting of the FSMB being held in Fort Worth. A motion was made and unanimously carried to select Jimmy Adams, D.O. as the voting delegate for 2019 and Diana Shepard, CMBE, to attend as the Board Executive under the FSMB scholarships. Board Counsel will be attending with registration and expenses covered by the Board. (Thymius/Jones) 5) Post Audit Report Chapter 30 Boards: The results of an audit of all Chapter 30 Boards from 2016 through 2018 was conducted by the Post Audit Division of the Legislative Auditors. This audit was performed to identify those Chapter 30 Boards who maintain more than 2 years of their annual budget in reserves. HB 2510 has been introduced to insure that when the special fund of any board accumulates to an amount which exceeds twice the annual budget or $10,000 (whichever is greater) the State Treasurer is required to transfer the excess funds to the General Revenue Fund. Since the bill reflects the funds will be accounted for at the end of the fiscal year, and that is when most boards have just completed their license renewals to replenish their funds, the West Virginia Board of Osteopathic Medicine requests this sweeping of funds be conducted under a cost accounting system as opposed to the current cash accounting system. Legislative Issues: 1) Proposed changes to Telemedicine Statute: Tom Susman, TSG, addressed the Board and explained the purpose of the draft bill being considered to allow for immediate administration of a controlled substance via via telemedicine to a hospital inpatient. The purpose of this bill is to provide coverage in an Intensive Care Unit through a telemedicine provider who is contracted with the hospital facility and has clinical privileges through the hospital credentialing program. A motion was made and passed with one negative vote. (Thymius/Jones) 2) Current Proposed Legislation: The Board reviewed a list of several House and Senate Bills being proposed for healthcare issues. Other than the telemedicine bill referenced above, no action was recommended on any other currently proposed legislation. The Board moved into Executive Session at 2:30 PM with the Executive Director and Board Counsel present. (Adams/Thymius) The Board moved back into Public Session at 3:30 PM. (Adams/Muscari) REPORT FROM THE COMPLAINT COMMITTEE: Recommend Consent Orders: 2018-08; 2018-19; 2018-17; 2018-18 and 2018-15 Status Reports Received: 2018-25 Full Board Review: 2018-20 Consent With Report of Unlicensed Practice to Prosecuting Attorney: 2018-07 (Mr. Whitler and Dr. Tanner Recused) Recommend Dismissal: 2018-23 and 2018-30 New Complaints: 1) PA dismissed from Bluefield Regional Medical Center. Now practicing with an osteopathic physician. Allegation that PA does not practice by the rules. 2019-01 2) Six malpractice settlements reported for over $2,000,000 within one month. 2019-02 -4- Following the report of the January Complaint Committee, the entire report of the committee with all recommendations were voted on and approved by the full Board: (Muscari/Thymius) A) Complaints for Dismissal: 2018-23; 2018-20 and 2018-30 B) Consents with Reprimand/Fine: 2018-08; 2018-19; 2018-17; 2018-18 and 2018-15 C) Consent with Reprimand/Notice 2018-07 (Mr. Whitler and Dr. Tanner were recused of Ineligibility for Licensure and from any discussion or vote on this complaint.) With a Report to Prosecutor on Practicing Without a License: D) New Complaints: 2019-01 PA with hospital action against privileges 2019-02 Physician with six malpractice settlements in one month Malpractice Reports: Ten (10) malpractice reports were reviewed with no further action required. Harold Tabaie, D.O.: Dr. Tabaie has applied for reinstatement of his WV license and has reported he has a Consent Order with the California Board for standard of care issues. The Board requested an NPDB report be requested to see if any details, not reported by Dr. Tabaie, have surfaced. Felix Brizuela, D.O.: Due to his felony conviction following the January trial on distribution of controlled substance outside the bounds of a professional medical practice, per W.Va. Code 30-14-11(a), the license of Dr. Brizuela is revoked. (Adams/Jones) Jeffrey Kent Bates, D.O.: Following the hearing of August 24, 2018 and the receipt of the Hearing Examiners recommendation for revocation, a motion was made and unanimously passed to Revoke the license of Dr. Bates. (Adams/Thymius) John Tabit, D.O.: A motion was made and unanimously passed to modify the current Consent Order to require Dr. Tabit to enroll and participate in the Effective Coping and Communication Skills program sponsored by the University of Virginia Health Systems. A modification of the National Practitioner Data Bank report will be made to reflect an allegation of Disruptive Conduct. (Adams/Tanner) Dr. Thymius recused herself from voting. CSMP Reports: Reports were received on two osteopathic physicians who fell out in 4 of the 5 criteria established by the Controlled Substance Monitoring Program. The Executive Director requested additional information from the CSMP to determine what type of practice each of these physicians were involved in and one of the physicians, while reported as Family Medicine, was working in Hospice Care. The Board requested the Board Staff develop a policy for triaging these cases so that unnecessary complaints will not be opened. In the interim, a letter of concern will be mailed to each physician reported by the CSMP with a response required. Dr. Brad Hall, President of the West Virginia Medical Professional Health Program, provided updated statistics and information on the WVMPHP and how his program works with both medical licensing boards in West Virginia. He expressed his appreciation to the Board for the collaborative way the board works with the PHP and he answered questions posed by board members. The Board moved back into Executive Session at 4:05 PM with the Executive Director and Board Counsel excused for Board review of 2018 Board Staff Performance Evaluations. (Adams/Thymius) The Board moved back into Public Session at 4:20 PM. (Adams/Muscari) -5- Following Board reviews of staff performance evaluations, the following recommendations in salary adjustments were recommended and approved. Jonathan Osborne, Board Counsel: 5% Increase in Base Salary Diana Shepard, Executive Director: 5% Increase in Base Salary with a $5,000 merit increase. NEXT COMPLAINT COMMITTEE MEETING: The next meeting of the Complaint Committee will be held in the month of March with the specific date to be determined. NEXT BOARD MEETING: A meeting will be called following the license renewal period if if there are licensing issues that require immediate attention. ADJOURNMENT: The meeting was adjourned at 4:30 PM. 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