TMB Bulletin, December 2012 Page: 1
42 p.View a full description of this periodical.
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Prescriptive Delegation Waiver Requests
The board has authority to waive or modify any of the site or
supervision requirements for a physician delegating prescriptive
authority to advanced practice nurses or physician assistants. But
the board's rules state that the board may grant a waiver only ifit
determines good cause exists to grant a waiver.
So what factors does the board take into account?
Whether the existing prescriptive delegation requirements
cause an undue burden to the patient population (not only to the
requestor) without corresponding benefit to patient care.
The quality and viability of safeguards that are proposed to
ensure continued quality of patient care.
The quality and viability of safeguards that are proposed
to foster a collaborative practice between the physician and the
physician assistant or advanced practice nurse.
The requestor's type of primary practice and the type of
practice conducted at the site for which a waiver is requested,
including the populations served by the practices and duties as-
signed to mid-level practitioners.
Whether the proposed frequency and duration of time the
physician is on-site when the advanced practice nurse or physi-
cian assistant is present is sufficient for collaboration to occur,
taking into consideration the other ways the physician collabo-
rates with the advanced practice nurse or physician assistant at
other sites.
For more information, please visit the Prescriptive Delegation
Waiver Requests page on our website at http://www.tmb.state.tx.us/professionals/np/pdwreqs.php
Inside: Tick-borne disease awareness, Physician Health
Program fees lower in some circumstances, Neurosurgery
experts needed, and more.a $500 administrative fee and
may include that the physician
complete continuing medical
education and/or passage of the
Medical Jurisprudence Exam.Keep it friendly!
Let's say you and your partner
in medical practice decide to go
your separate ways. It's a less-
than-friendly split, and when
the departing physician requests
the contact information for his
patients, you're tempted to be
unhelpful.
Take the high road instead - Tex-
as Medical Board Rules require
it.
Board Rule 165.5(c), Prohibition
Against Interference, stipulates
that:
(1) Other licensed physi-
cians remaining in the practice
may not prevent the departing
physician from posting notice.
(2) A physician or physi-
cian group should not withhold
information from a departing
physician that is necessary for
notification of patients.
Physicians who violate this rule
may find themselves subject to
non-disciplinary remedial plans
or disciplinary orders.
The non-disciplinary reme-
dial plans require payment of~JiV}B EPiiiJ
1
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Texas Medical Board. TMB Bulletin, December 2012, periodical, December 2012; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1511169/m1/1/?q=Lamar+University: accessed June 1, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.