The Meeting Summary provides brief descriptions of selected actions taken by the NC Medical Board during its most recent meeting or hearing. Actions are listed by committee, where applicable.
For a full account of the Board’s proceedings please check the meeting minutes, which are posted approximately two months after the meeting date. You can subscribe to our Meeting Minutes RSS feed to be notified when the minutes are posted.
Summary of the Board Meeting held March 14-15, 2018
Advanced Practice Practitioner and Allied Health Committee
PA and NP rule changes – The Board submitted rule changes to the NC Rules Review Commission related to: 1. Defining “consultation” between a PA and/or NP and his or her supervising physician for the purpose of complying with certain provisions of the STOP Act of 2017; 2. Clarifying that prescriptions for controlled substances need to comply with Federal and State regulations; and 3. Changing NP investigative criteria regarding the NC Board of Nursing’s Safe Opioid Prescribing Initiative to be consistent with criteria established for physicians and PAs.
Perfusionist Advisory Committee – The Board approved plans to publish a notice seeking applicants for an LP member to serve the Perfusionist Advisory Committee. The LP currently serving is unable to complete her term.
Midwifery Joint Committee – The Board appointed Jason Hildebrand, MD, to the open physician position on the Midwifery Joint Committee.
Controlled Substances CME Planning Committee
Option to record live opioid panel discussion session for posting online – NCMB and Wake AHEC are pursuing the option of recording an upcoming two-hour opioid panel discussion session, which could then be posted online to allow prescribers who were not able to attend the event to obtain CME credit.
Board to adopt additional opioids investigative criteria – The Board voted to adopt rule changes to create 21 NCAC 32Y .0101(c) REPORTING CRITERIA DHHS/CSRS, which will expand NCMB’s Safe Opioid Prescribing Initiative. Generally, the criteria will identify prescribers whose practices exhibit multiple characteristics that may be indicative of substandard prescribing NCMB staff worked with NC DHHS/NC CSRS to test proposed criteria. The test run identified 22 prescribers. Each prescriber met three or more of the six criteria stated in the proposed rule, with a minimum of five patients for each criterion.
The six criteria proposed in the rule are as follows:
(1) At least 25 percent of the prescriber’s patients receiving opioids reside at least 100 miles from the prescriber’s practice location;
(2) The prescriber has more than 25 percent of patients receiving the same opioids and benzodiazepine combination;
(3) The prescriber had 75 percent of patients receiving opioids self-pay for the prescriptions;
(4) The prescriber has 90 percent or more of patients in a three month period that receive an opioid prescription that overlaps for at least one week;
(5) More than 50 percent of the prescriber’s patients receive opioid doses of 100 MME or greater per day excluding office based treatment medications;
(6) The prescriber has at least 25 percent of who use two or more pharmacies within a three month period to obtain opioids regardless of the prescriber.
Guidelines for allowing license applicants to withdraw – The Board voted to revise its policy regarding withdrawals to routinely allow applicants to withdraw license applications following an adverse licensing decision by the Board (e.g. to issue a license with a private letter of concerns, fine or public action) unless the Board expressly states, “Do not allow withdrawal” in the licensing Board action. This will replace the current practice of requiring applicants to request the ability to withdraw on a case-by-case basis. The Board has traditionally not allowed withdrawal in situations when the Board determines there is a good reason to make the adverse licensing Board Action public. For example, when it is established without question that an applicant lied on his or her application, the applicant is not permitted to withdraw.
2017 Annual Report – The Board received a presentation on the 2017 NCMB Annual Report. The report is available online and in hard copy, by request.
Online resource pages for licensees and the public – The Board received information about the Communications Department’s use of online resource pages to group information on specific topics to better assist licensees and the public. Dedicated resource pages have been created on opioid prescribing, the STOP Act, the controlled substances CME requirement, PA resources and, most recently, nonopioid pain relief options for acute pain. The latter was developed to inform the public about alternatives to opioids.
Position on Departures from or Closings of Medical Practices revised – The Board approved revisions to the Board’s position statement on Departures from or Closures of Medical Practices that clarify Board expectations for licensees.