COLORADO Department of Regulatory Agencies Drv.sir:m or Prolcssrou~ and Occt•p.,trons

COLORADO MEDICAL BOARD FULL BOARD MINUTES

February 16, 201 7 9:00a.m.

A Full Board meeting of the Colorado Medical Board was held Thursday, February 16, 2017, at 1560 Broadway, Conference Room 1250-C, Denver, Colorado at 9:06 a.m. The meeting was noticed in accordance with Division policy. Present for all or part of the meeting were Dr. Frankel-President; Dr. Baldwin- VicePresident; Mr. Berson; Dr. Bianchi, Dr. Groce; Dr. Higuchi; Dr. Jazaeri; Dr. Lefkowits; Ms. Mixon; Dr. Moll; Mr. Sanchez; and Ms. Schulman. The meeting was conducted by Dr. Frankel. Also in attendance for all or part of the meeting were Deputy Director of Programs and Legal Affairs and Interim Program Director; Karen McGovern, Ashley Moller, Senior Assistant Attorney General; and Jamie Groen, Licensing Program Manager. MINUTES A motion was made, seconded, and carried to approve the minutes of the November 17, 2016 meeting.

PRESENTATIONS/APPEARANCES Colorado Physician Health Program (CPHP) Rev. Robert Lievers, Chair, and Dr. William Wright, Vice-Chair CPHP Board of Directors addressed the Board and presented information regarding the history of the Colorado SafeHaven provision and physician wellness. Sarah Early, Psy.D, Executive Director, CPHP presented the Second Quarter Report to the Board and discussed CPHP's activities within the community and with the Federation of State Physician Health Programs. A motion was made, seconded and carried to accept the Report. Rulemaking At 10:00 a.m., the Colorado Medical Board began the Rulemaking Hearing. Dr. Frankel presented an overview of proposed Rule 800- rules regarding the delegation and supervision of medical services to unlicensed health care providers. The Rulemaking was noticed in accordance with the Administrative Procedure Act. Public comment was received from 10:00 AM to 10:20 AM in regards to Rule 800. After due consideration of all information available to the Board, a motion was made, seconded and carried to adopt Board Rule 800, as proposed.

Full Board Minutes OPEN MEETING February 16th, 2017 Page 2 Policy The Board reviewed and revised Board Policy 40-6: Guidelines for Treatment of the

Terminally Ill. After due consideration, a motion was made seconded and carried to refer the matter

to the Policy Workgroup. REPORTS President's Report Dr. Frankel updated the Board regarding the CPHP workgroup and the Policy workgroup and thanked the Board for the opportunity to serve as its new President. No action required or taken. Deputy Director's Report Karen McGovern, Deputy Director of Programs & Legal Affairs, advised the Board of the hiring of a new Program Director and that she would remain as Interim Program Director for the Board during the onboarding of the new Program Director. Ms. McGovern also provided an update of pending legislation relevant to the Medical Board. No action was required or taken. Program Director's Report McGovern, Interim Program Director, provided an update on the implementation of the HB16-1047- Interstate Medical Licensure Compact (IMLC), She discussed the current issues with the background checks required by the IMLC. Karen

Ms. McGovern presented Dr. Groce with a service plaque and thanked him for his years of dedicated service to the Board, the Division, and the Department in upholding its mission of public protection. No action was required or taken. NPATCH Representative Report Jo Donlin, Director of Regulatory Outreach and Education and Program Director for NPATCH, provided the Board with an update regarding NPATCH's plan to investigate peer assistance needs of the Division. No action was required or taken. Office of the Attorney General Report Ashley Klein, Senior Assistant Attorney General, updated the Board on the status of the Assistant Attorney General's office, presenting statistical data regarding workload and attorney assignments. No action was required or taken.

Full Board Minutes OPEN MEETING February 16th, 2017 Page 3

NEW BUSINESS Legislative Updates See Deputy Director report.

Quarterly Newsletter The Board discussed content for the March 2017 Quarterly Newsletter.

Rule 400 Supervision Discussion The Board discussed Rule 400-Rules and Regulations Regarding The Licensure Of And Practice By Physician Assistants. After due consideration, a motion was made seconded and carried to direct staff to engage stakeholders regarding the request to reduce supervision requirements for physician assistants and report back to Board in May.

OLD BUSINESS Interstate Medical Licensure Compact (IMLC) The Board reviewed the current and proposed rules of the IMLC. Board Rule 280 requires revision to ensure notice to licensees regarding IMLC mandated suspensions as well as proposed revisions to Policy Nos. 20-15, 20-20, 30-10, and proposed new Policy Nos. 20-21 and 30-11 require revision to ensure Board compliance with the IMLC. After due consideration, a motion was made seconded and carried to open rulemaking for rule 280 for the following month. Another motion was made seconded and carried to refer the policies to the policy workgroup for review and necessary revision.

WORKGROUPS Policy Workgroup The Policy Workgroup convened at 2:17p.m. in conference room 1250-A. The meeting was noticed in accordance with Division Policy. Present for the meeting were: Dr. Baldwin, Dr. Lefkowits, Mr. Sanchez, Dr. Jazaeri, Ashley Klein, and Jamie Groen. The Workgroup reviewed and revised Policy 40-6, 20-15, 20-20, 30-10, and proposed new Policy Nos. 20-21 and 30-11. CPHP Workgroup The CPHP Workgroup convened at 2:17p.m. in conference room 1250-C. The meeting was noticed in accordance with Division Policy. Present for the meeting were: Dr. Frankel, Dr. Groce, Mr. Berson and Karen McGovern. The Workgroup convened to discuss the Colorado Physician Health Program's Safe Haven reporting parameters and residency reporting issues. The workgroup approved

Full Board Minutes OPEN MEETING February 16th, 2017 Page4

the proposed Memorandum of Understanding for SafeHaven (MOU) as presented. The workgroup authorized Karen McGovern and Dr. Frankel to negotiate non-substantive language revisions with CPHP leadership. The workgroup directed Dr. Frankel to send correspondence to the CPHP Board of Directors welcoming collaboration and noting a deadline for entering the MOU of March 15, 2017.

ADJOURNMENT There being no further business, the meeting of the full Board was adjourned at 2:17 p.m., the CPHP Workgroup Policy adjourned a 3:40p.m. and the Policy Workgroup adjourned at 3:55p.m. These Minutes were approved by the Board on this 181h day of May, 2017.