Texas Medical Board

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Texas Medical Board

• Irvin Zeitler Jr, D.O.
• President
• Mari Robinson, JD Alan T. Moore, M.D.
• Executive Director Medical Director

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Mission Statement

• Our mission is to protect and enhance the
  publics health, safety and welfare by
  establishing and maintaining standards of
  excellence used in regulating the practice of
  medicine and ensuring quality health care for the
  citizens of Texas through licensure, discipline
  and education.

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Licensee Demographics
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Licensure Application Growth
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Average Days to License
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Complaints Received FY 99-08
6923
6514
6090
6038
5164
5211
4942
4648
4427
3585
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Complaints by Source - FY 08
TMB category includes registrations responses,
CME audits, medical malpractice reviews,
newspaper items, and board discovered violations.
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COMPLAINT CATEGORIES

• Standard of Care
• Unprofessional Conduct Boundary Anger
  Management etc.
• Impairment
• Administrative Fast Track

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STANDARD OF CARE COMPLAINTS BY SPECIALTY
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RATIO OF STANDARD OF CARE COMPLAINTS TO SPECIALTY
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Fast Track Resolution

• Streamlined communications
• Resolved in 60-90 days (current av. 67 days)
• Distinction made in newsletter for these cases
• Improved efficiency allows resources to be
  concentrated on standard of care, unprofessional
  conduct and impairment cases

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COMPLAINTS FY 08

• 
  5 of Complaints Order
• 
  

Total Complaints 6,514
Non-Jurisdictional 1929 (30)
Jurisdictional 4585 (70)
1st chance to respond
Jurisdictional Filed 2725 (60)
Jurisdictional Not Filed 1860 (40)
2nd chance to respond
Dismissed During Investigation 1905 (70)
Dismissed During Internal Review 300 (10)
3rd 4th chances to respond
ISC 520 (20)
Dismissed During ISC 170 (33)
5th 6th chances to respond
Orders 350 (67)
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Jurisdictional Complaints Filed

• 70 75 deal with standard of care.
• Senate Bill 104 became law in 2003. This law
  requires all standard of care cases to be
  reviewed by at least two expert panelists.
• The expert panelists are Board Certified, engaged
  in the active practice of medicine in Texas,
  practice in the same or similar area as the
  physician being investigated.
• Two panelists must agree that the physicians
  care either met or did not meet the standard of
  care.

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TMB RULE CHANGE

• All Expert Panelists will be asked to watch a
  tutorial describing the duties and
  responsibilities of a panelist.
• All Expert Panelists must pass an examination
  based on the tutorial.
• Upon passing the exam, the panelist will receive
  1 hour of Category I Ethics CME.
• Each panelist will receive a maximum of 6 hours
  of Category I CME credit per year for the work
  they do in serving as a panelist.

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BOARD ORDER CATEGORIES

• Standard of Care
• Unprofessional Conduct Boundary Anger
  Management etc.
• Impairment
• Administrative Fast Track