ࡱ> )` <bjbjUU 4??4))))8*dBd*****+++ccccccc$8ehgc4++44c**cm<m<m<4**cm<4cm<m<nX[** ,[)k5Y }cDd0BdY`h8`h@[`h[+}. m<0Q2+++cc9z+++Bd4444$h)$h) WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE Board Meeting Minutes November 1, 2013 The West Virginia Board of Osteopathic Medicine met on Friday, November 1, 2013, at The Greenbrier, White Sulphur Springs, West Virginia. President, Ernest Miller, D.O., called the meeting to order at 1:35 PM. Members Present: Staff Members Present: Ernest Miller, Jr., D.O. President Jennifer Akers, Esq. Board Counsel Arthur Rubin, D.O., Secretary Diana Shepard Executive Director Robert Whitler, Vice President Joseph Schreiber, D.O. Physician Member Elizabeth Blatt, Ph.D. Citizen Member Michael Muscari, D.O. Physician Member Members Excused: Attendees: Heather Jones, PA-C Leslie Abigail Winters, D.O. James Timothy Kohari, D.O. Nicholas Vance, WV Association of PAs Minutes: The minutes of the following meetings were presented for review and approved as presented. April 8, 2013 - April 26, 2013 - July 25, 2013 - September 24, 2013 (Whitler/Schreiber) Reports: Licensed Physicians as of October 28, 2013: 1152 Total Physicians: 858 - In state 294 - Out of state 22 Newly Licensed Physicians 72 1st Year Educational Permits (from 7/1/13 thru 6/30/14): 4 - PGY 1 at Access Health 8 PGY 1 at Bluefield Regional 7 PGY 1 at Camden Clark 21 PGY 1 at CAMC 5 PGY 1 at Greenbrier Valley 1 PGY 1 at Marietta Memorial 4 - PGY 1 at Marshall University (Cabell/Huntington) 3 - PGY 1 at Mon General/Cornerstone 2 - PGY 1 at Our Lady of Bellefonte 8 PGY 1 at Ohio Valley Medical Center 3 PGY 1 at United Hospital Center 6 PGY 1 at WVU 70 - Educational Permit Renewals: 1 Access Health 15 Bluefield Regional 8 Camden Clark 16 CAMC 8 Marshall University (Cabell/Huntington) 15 - Ohio Valley Medical Center 1 United Hospital Center 6 WVU 212 Physician Assistants 164 - Prescriptive Writing Privileges 29 - DOs supervise 2 PAs 16 - DOs supervise 3 PAs 1 - DOs supervise 4 PAs -2- 56 Corporations 75 PLLCs Balance in State Depository Account as of September 30, 2013 - $391,004.88 Beginning Balance as of July 1, 2013 - 373,493.53 Total Receipts as of September 30, 2013 - 79,704.25 Total Disbursements as of September 30, 2013 - 62,192.90 Fines Deposited in State Treasury as of 9/30/2013 - 5,000.00 Purchasing Card Report Purchases for July thru September 2013 Monthly Line Item Statements July thru September 2013 Motion passed to approve the statistical and financial reports as presented. (Schreiber/Whitler) OLD BUSINESS: Monthly/Quarterly Practitioner Reports: Joseph Freeman, D.O.: Written confirmation received from the Ohio Medical Board confirming Dr. Freemans compliance with the PHP during the last quarter. Bruce Gorby, D.O. Since his recent relapse and revised CRCA, Dr. Gorby has remained in full compliance. Terry Thomas, D.O. WVMPHP confirmed Dr. Thomas is in full compliance with his CRCA for the months of July, August, September and October. Quarterly reports will be accepted after one year of probation has been completed. Bi-annual statistical reports were provided by WVMPHP. James Timothy Kohari, D.O.: Dr. Kohari addressed the Board regarding his 2013 license renewal. Dr. Kohari currently practices in Kentucky but has maintained his WV license since 1989. He missed the 2013 renewal deadline and requested that, because of the change in notification regarding renewals, an extension be granted to exceed the 90 day grace period of September 30, 2013. Because out of state licensees were not sent a reminder postcard like in-state licensees prior to the September 30th deadline, and because the process for renewal had changed in 2013 to online renewals, a motion was made for this year only, to send a postcard informing out of state licensees that they have twenty-one (21) days from date of mailing, to renew licenses without going through the reinstatement process. (Schreiber/Whitler) Dr. Blatt voted against the motion. NEW BUSINESS: Executive Director Report: CMBI Certification: Michael Kidd has renewed his CMBI certification. The current certification is valid for five years. CMBE Certification: Upon completion of her fifth year as a Board Executive, Diana Shepard will have met all requirements for certification as a Medical Board Executive with the FSMB and AIM. She attended the JAFEI session in October and the Board approved payment of the $300 registration fee. (Whitler/Rubin) -3- Meeting with Attorney General: The Executive Director was requested to meet with Attorney General, Patrick Morrissey, on October 16th to discuss salary/hours and overhead for the current Board Counsel, Jennifer Akers. The Attorney Generals Office is recommending changes in how Chapter 30 Boards receive and pay for services provided by their appointed AGs. Ms. Akers salary increase has been approved by the AG but changes in overhead are forthcoming. AIM Board Elections: Ms. Shepard was re-elected to serve as Southern Regional Rep for Administrators in Medicine at the E/S Regional meeting. She was recently approached about running for the Vice-President position, but wanted input from the Board before agreeing to run. Because of current staffing issues within the Board Office, the Executive Director may not have the time to give to another national office at this time. WV Auditors Conference: Auditors Conference is scheduled for December 3, 2013, at the Marriott in Charleston. All Board members are required to attend one Auditors Conference during their term on the Board. The registration deadline is November 18th. Intern Interviews: The Board will conduct interviews for first year interns wanting to apply for a license in 2014. The interviews will be held at the Embassy Suites on February 1, 2014, at 10:00 AM. Uniform Application: FSMB has requested the WV Board of Osteopathic Medicine consider the use of the Uniform Application. With the additional $50 fee involved, it would require a change in the Boards license fees, which cannot be requested at this time. WV Attorney Generals WV Attorney Generals Office has requested input from medical Inquiry into NC FTC Issue: licensing boards regarding the AG addressing the Fourth Circuit decision on the FTC case against the North Carolina Dental Board. While the NC Board is a private, non-governmental agency, the WV Board of Osteopathic Medicine requests the AGs Office to address this issue as it may pertain to state licensing boards. (Schreiber/Rubin) Legislative Issues: PA Legislative Rules: The WV Board of Medicine is currently working on a revision to the Scope of Practice for their licensed Physician Assistants.. Two changes in the proposed code changes which cause concern are as follows: 1) Allopathic physician assistants will be granted prescriptive privileges at the time of licensure; 2) Only allopathic physicians will be authorized to serve as backup physicians for licensed PAs; The WV Board of Osteopathic Medicine will request clarification of these two issues from the WV Board of Medicine with a copy to the Governor. -4- The Board will request assistance from the WV Association of Physician Assistants in revising formulary, privilege request list and prescription pad requirements. APRN Scope of Practice: The Office of the Legislative Auditor has received a Sunrise application for the expansion of the scope of practice of Advanced Practice Registered Nurses and has requested input from the medical licensing boards. Upon review of the application the WV Board of Osteopathic Medicine will respond with the following: 1) Sending an letter in opposition to the request; 2) Affirming the team approach to medicine; 3) Notifying the Legislative Auditor that the WV Board of Osteopathic Medicine currently has no record of which DOs have collaborative agreements with APRNs and have never had that information to determine if there have been any contract issues. Pharmacy Interns Giving Immunizations: The WV Board of Pharmacy is proposing Legislative Rule changes which include the following revisions: 1) Adding meningococcal and HPV vaccines for Pharmacy administration; 2) Allowing pharmacy interns to administer the vaccines permitted by code. The WV Board of Osteopathic Medicine will notify the WV Board of Pharmacy of the following concerns: 1) Under 15-12-1.1, under Scope the wording states that rules for pharmacists and pharmacy interns licensed in West Virginia. Needs to be changed as pharmacy interns are not licensed. 2) The age restrictions for meningococcal and HPV do not make them as effective. 3) The emergency response plan should be the same standard for all pharmacists and noted in the rule; 4) 15-12-6.4 should include notification of WV Board of Health and the PCP when known. Licensing Issues: Med Express Assignments: Two (2) Osteopathic Physicians were submitted for approval to work at Med Express locations across the state of West Virginia: Lawrence Scalzo, D.O. and John D. Cook, D.O. Edwin Morris, D.O.: Entered into a Consent Agreement with 6 month probation during which time he was to complete a prescribing course and a medical ethics course approved by the Board. He had completed the 3 hour pain prescribing CME required of all WV licensees and sent a letter requesting his probation be lifted. Motion was made to lift the probation of Dr. Morris upon a signed letter documenting successful completion of a medical ethics course and a prescribing course of greater duration than the three hour general requirement. (Rubin/Blatt) -5- The Board moved into Executive Session at 3:50 PM with the Executive Director and Board Counsel present. (Rubin/Muscari) Motion was made to move back into Open Session at 4:30 PM. (Whitler/Muscari) Reports Received From the Complaint Committee: Cases Reviewed By Complaint Committee on September 12, 2013: 2013-21; 2013-22; 2013-28; 2013-29; 2013-24; 2013-27; 2013-26; 2013-18; 2013-23; 2013-19; 2013-20; 2013-25; 2010-25; 2012-24; 2013-06 and 2013-09. Cases Reviewed By Complaint Committee on October 23, 2013: 2013-32; 2013-37; 2013-08; 2013-34; 2013-31; 2013-12; 2013-13; 2012-02; 2013-16; 2010-25; 2013-35 and 2013-09. Following the reports of the Complaint Committee, the following actions were taken by the Board: A) Complaints for Dismissal: 2013-21; 2013-22; 2013-28; 2013-29; 2013-24; 2013-27; 2013-26; 2013-18; 2013-23; 2013-32; 2013-37; 2013-08; 2013-34; 2013-31; 2013-12; 2013-13 and 2013-11. (Rubin/Schreiber) B) Dismiss Without Prejudice: Complaint 2012-02 (Rubin/Schreiber) C) New Complaint: Complaint 2013-41 (Rubin/Muscari) D) Complaint 2010-25: A Consent Agreement was presented to the physician which prohibits him from prescribing controlled substances during his probation. The physician asked to Board to allow him to write some schedule 2 and 3 drugs. The Board moved to NOT amend the Consent Agreement and continue to prohibit all controlled substances during the three (3) year probation. (Rubin/Whitler) E) Complaint 2013-09: The physician allowed her license to lapse during the investigation of this complaint. An application for renewal was received 8/28/13. Motion to dismiss the complaint without prejudice at last meeting. Now motion is made to deny license renewal until the following has been completed: (Rubin/Schreiber) 1) Must obtain a mental health evaluation; 2) Must obtain a cognitive evaluation; 3) Must attend a prescribing class as approved by the Board. Medical Malpractice Reports: Five (5) individual cases were reviewed with no further action required. Meeting was adjourned at 4:45 PM with the next Board meeting to be held January 31, 2014 in conjunction with the Mid-Winter Conference at the Embassy Suites in Charleston, with first year intern interviews conducted at 10:00 AM on Saturday, February 1, 2014. Interim conference calls may be needed at the conclusion of upcoming hearings. (Whitler/Muscari) Respectfully submitted,  Arthur Rubin, D. O. 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