September 20, 2018 Protecting The FSMB: At Your Service ... · The FSMB: At Your Service Lisa A....

© 2018 Federation of State Medical Boards

The FSMB: At Your Service

Lisa A. Robin, MLAChief Advocacy Officer

Utah Physicians and Surgeons Licensing BoardUtah Osteopathic Physicians and Surgeons Licensing BoardSeptember 20, 2018

Michael D. Zanolli, MDBoard Member, Federation of State Medical Boards

Protecting Advocating Serving

2 © 2018 Federation of State Medical Boards

FSMB Vision and Mission 2015-2020

VisionThe FSMB is an innovative leader, helping state medical boards shape the future of medical regulation by protecting the public and promoting quality health care.

MissionThe FSMB serves as the voice for state medical boards, supporting them through education, assessment, research and advocacy while providing services and initiatives that promote patient safety, quality health care and regulatory best practices.


Greetings from the FSMB Board of Directors


Special Committees

House of Delegates

Member Boards

Board of Directors

Audit, Finance, Editorial, Education, Ethics &

Professionalism Committees

Bylaws and Nominating Committees

Reference and Rules Committees

FSMB Organizational Chart


Opportunities for Participation

• Elected Positions for Board of Directors and Nominating Committee

− For more information, see “Become a Leader” and “Leadership FAQ” at http://www.fsmb.org/about-fsmb

• Appointments to Other Committees/Workgroups

− For more information, see “FSMB Committees” at http://www.fsmb.org/about-fsmb

• USMLE

− Contact David Johnson at [email protected]


Assessment Offerings from FSMB

SPEX®Special Purpose Examination Plus collaborator arrangements with physician assessment programs, e.g., CPEP, PACE, Albany, Drexel, Univ. of Florida, Texas A&M, LifeGuard


Questions / Discussion

Disciplinary Alerts Sent to SMBs: 15,147

2017 Service Volumes


Federation Credentials Verification Service (FCVS)

• Primary Source and Physician Provided Information Verification

• Processes Certified by NCQA

• Permanent Credentials Repository for 220,000+ Physicians

• Promotes License Portability


FCVS…from Paper to Digital (2013 – 2018)

70%Reduction in verificationcycle time

(96 days to 28 days)

Focus on moving 3rd

parties away from paper

Improved internal

workflow and reporting

Results Achieved


Uniform Application for State Licensure (UA)

1. CORE: Basic questions of state’s license application

2. Addendum: State-board specific questions which helps maintain autonomy

3. Uniform Application for PAs currently adopted by 5 SMBs and 2 more are in process

StandardUA Core

State Specific UA Addendum

Standardized online application currently used by 27 State Medical Boards.


Physician Data Center • Central repository for disciplinary

sanctions, licensure information and specialty board certification data for physicians and physician assistants

• Data Sources– State Medical Boards

– Department of Defense (DOD)

– Office of Inspector General (OIG)

– International Licensing Authorities

– American Board of Medical Specialties (ABMS)

– American Osteopathic Association (AOA)

– CMS—National Provider Identifier (NPI)


DocInfo


• Annual Meeting• April 25-27, 2019 (Fort Worth, TX)

• Board Attorney Workshops• November 8-9, 2018 (Austin, TX)

• AI Summit• November 14, 2018 (Washington, DC)

• New Executives Orientation

• Monthly Roundtable

• Online Programs ‒ The Role of State Medical Boards

‒ Understanding and Navigating the Medical Licensing Process

Education


• Journal of Medical Regulation

• FSMB Annual Report

• Newsline and eNews

• Regulatory Trends and Actions

• Website – www.fsmb.org

• Advocacy Newsletter

• Twitter – @TheFSMB

Communications via Multiple Channels for Multiple Audiences


Online Resources for Quick ComparisonKey topics/issues such as:

•CME requirements

•Telemedicine

•Medical marijuana

•Expert witness

•Criminal background checks

•Prescription drug monitoring programs

Available at http://www.fsmb.org/advocacy/key-issues/


Workgroups Active in 2018 – 2019

• Workgroup on Board Education Service & Training (BEST): identify, study, develop and make available resources to support the roles and responsibilities associated with service on a state medical or osteopathic board

• Workgroup on Education About Medical Regulation: study and develop methods and delivery models that would best educate medical students and residents on medical licensing and regulation

• Workgroup on Sexual Boundary Violations: identify and evaluate barriers to reporting sexual boundary and harassment violations to state medical boards


Policies Adopted in April 2018

• Regenerative and Stem Cell Therapies

• Prescription Drug Monitoring Programs

• Guidelines for the Structure and Function of a State Medical and Osteopathic Board

• Physician Wellness and Burnout

Available at http://www.fsmb.org/advocacy/policies/


Federal Legislation and Policy

• Responding to the Opioid Epidemic

• Telemedicine

• Occupational Licensing

• Medical Education and Training

‒ Funding

‒ Affirmative Action


Responding to the Opioid Epidemic

• HHS Pain Management Best Practices Inter-Agency Task Force‒ Authorized Comprehensive Addiction Recovery

Act of 2016

• DEA ‒ Nationwide educational conferences

• DOJ‒ Expanded enforcement against physicians under

investigation


Legislative Response• Passage of an opioid legislative package in the 115th Congress

remains unclear

• Senate “minibus” legislation included additional funding for combating the epidemic, but policy priorities to be included in comprehensive opioid legislation are still being debated

• A bill signed by the President would have to move quickly given the limited Congressional scheduled

• Proposals under consideration include:

‒ Additional grants to states for treatment and prevention

‒ Funding research for alternatives to opioids for treating chronic pain

‒ Increased efforts to detect illicit drugs shipped into the United States

‒ Military Health System efforts toward opioid management


Trends in Telemedicine

• Congress pushes telemedicine as a significant component to combat the opioid crisis

• Federal budget passed in February expands use of telemedicine (stroke and kidney dialysis patients)

• CMS Proposed Rule looks to create additional uses for technology-based services within the Physician Fee Schedule

• All private health plans, Medicare, state Medicaid and VA cover some e-visits


Occupational Licensing Board Antitrust Damages Relief and Reform Act of 2018 (H.R. 6515)• Result of efforts led by FSMB and the Professional

Licensing Coalition and the Office of Rep. Mike Conaway (R-TX)

• Seeks to protect board members and staff from personal liability and treble antitrust damages for actions they may take as part of their service on boards to protect the public

• Requires that boards meet certain criteria to be eligible for relief

• Includes a GAO study to look at other issues in the occupational licensing reform arena


State Responses to NC Dental v. FTC

• Over 30 state have sought individual solutions to the unsettled issues in NC Dental

• Actions Include:

‒ Indemnifying Boards

‒ Adding additional levels of oversight/supervision

‒ Changing Board Composition

• 14 State AG’s have issued statements on the case to clarify state policy


State Legislative Proposals to Watch in 2019

• Interstate Medical Licensure Compact

• Compacts (other health professions)

• Telemedicine

• Active Supervision/Board Oversight/Licensing Reform

• Responding to the Opioid Epidemic

• Marijuana


Website features: Legislative Summaries &State ComparisonsLegislative Summaries:

• Compiles all bills being tracked• Auto-updates• Can be sorted by state

State Comparisons:• State-by-state overview• Includes citations or other details

How to access the features:1.Visit fsmb.org/advocacy2.Click the “Key Issues By State”3.Two Options:

a) Click “[Key Issue] Legislative Summary”

b) Click “[Key Issue] By State”


Advocacy Updates from Washington, D.C.

FSMB Advocacy Network News

Want to subscribe?‒ Send an email request to [email protected]

Monthly e-newsletter provides state and federal legislative tracking and news analysis

Periodic Advocacy Alerts on breaking issues pertinent to state medical boards

September 20, 2018 Protecting The FSMB: At Your Service ... · The FSMB: At Your Service Lisa A....

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