Pierre, South Dakota
September 29, 2011
Dr. Donn Fahrendorf called the meeting to order at 8:00 a.m. with board members Dr. Mark Bledsoe, Dr. Jeff Kramer, Dr. Jerrid Goebel and Jim Lawler present. Also attending the meeting was Marcia Walter, Executive Director.
M/S Bledsoe/Goebel to approve minutes of the June 3-4, 2011 board meeting
Passed, no opposition.
Marcia Walter presented the treasurer’s report. The state account currently has a balance of $167,369.38. State is currently in the 2012 fiscal year, which runs from July 1, 2011 through June 30, 2012. Renewals will be mailed first part of November. With no additions or corrections, the board accepted the treasurer’s report as printed.
M/S Goebel/Kramer to go into executive session at 8:10 a.m. to discussion investigative issues
Passed, no opposition.
M/S Kramer/Bledsoe to come out of executive session at 8:45 a.m.
Passed, no opposition.
M/S Goebel/Kramer to approve #11/08, #04/09 and #03/11
Passed, no opposition.
M/S Kramer/Goebel to approve consent agreement between Dr. Josh Biberdorf, his legal representative and the
board investigators and legal representative
Voice vote requested by Jim Lawler
Voice approval: Dr. Kramer, Dr. Goebel, Jim Lawler, Dr. Fahrendorf; Dr. Bledsoe abstained
Passed, no opposition. Dr. Fahrendorf then signed the final order for submission.
Peer Review – nothing to report; no cases being reviewed at this time. Discussion was
held regarding updating rules regarding peer review committee member qualifications.
M/S Bledsoe/Lawler to update qualifications of peer review committee to having held
license to practice for a period of 10 years versus five and to delete the requirement of
having previously served as a member of the board.
Passed, no opposition. Marcia will add to other proposed rules changes to made after the first of the year
Discussion was held regarding updating rules for disciplinary committee qualifications.
M/S Lawler/Goebel to update qualifications of disciplinary committee to having held
license to practice for a period of 10 years versus five and to delete the requirement of having
previously served as a member of the board or peer review and add term limits of three –
three year terms
Passed, no opposition. Marcia will add to other proposed rules changes to made after the first of the year
Discussion was held regarding updating rules for ethics committee qualifications.
M/S Kramer/Goebel to update qualifications of ethics committee to having held license to practice for a period of
10 years versus five and to delete the requirement of having previously served as a member
of the board or peer review and add term limits of three – three year terms
Passed, no opposition. Marcia will add to other proposed rules changes to made after the first of the year
The current ethics and disciplinary committee members were reviewed. Members on the committees need to qualify per current rules until new proposed rules are implemented.
M/S Lawler/Bledsoe to approve current members on both the disciplinary and ethics committee.
Passed, no opposition.
The board discussed various topics for mandated hours for the 2012/2013 education cycle. Consensus was that it is still very important to have sexual boundary hours as well as ethics/fraud hours due to scenarios that have presented themselves over the year. The board would rather be proactive than reactive. There also seems to be an increase in communicable disease issues which may warrant some education.
M/S Kramer/Goebel to mandate 2 hours of communicable disease every other education cycle
Passed, no opposition.
M/S Bledsoe/Goebel to approve 2 hours of communicable disease and 2 hours of sexual boundaries for the
2012/2013 education cycle
Passed, no opposition.
M/S Bledsoe/Kramer to approve 8 hours of acupuncture education for the 2012/2013 education cycle for those
certified to perform acupuncture
Passed, no opposition.
Dr. Fahrendorf entertained a motion to table board elections to end of meeting
Passed, no opposition.
M/S Goebel/Bledsoe to approve special requests for chiropractic assistant continuing education
Passed, no opposition.
A request was received to review documentation as it correlates with electronic health records. Notes still need to be situationally specific regardless of what type of records are being used. It too early in the process to render any opinion but the board will continue to monitor the issue. No action taken at this time. The board will also be looking into obtaining other sources of documentation guidelines since Olson’s is obsolete.
The issue of informed consent came before the board. Texas is working on informed consent specific to condition. Discussion was held if the board should mandate informed consent or not. Both sides can be seen. Marcia shared a patient bill of rights that was recommended by FCLB attorney.
M/S Lawler/Bledsoe to table further discussion regarding informed consent until the December meeting
Passed, no opposition. Board attorney will be asked to review information also.
Discussion regarding use of hyperbaric chambers was tabled until the December meeting because information requested was not received. It was noted that if a procedure or technique is not covered by insurance the patient would need to sign a waiver indicating it is experimental and may not be covered. Sample patient waiver form is available at the board office.
A request was received for review of discount medical plans in particular the DMPO offered by Chirohealthusa.
M/S Bledsoe/Goebel DMPO violates our rules regarding advertising discounted service as well as contracts therefore is not acceptable in South Dakota
Passed, no opposition.
Dr. Kramer & Dr. Fahrendorf gave updates on district FCLB meeting in Montana. Some discussion topics referenced complaint that has been filed against CCE; discussion regarding CA certifications; other states like our ethics/disciplinary committee setup; discussed location of future district meetings and the fact that some place more centrally located would be more economical; number of students at chiropractic schools has dropped some but not significant. Many other items were discussed and it proved once again to be a very informative meeting.
M/S Bledsoe/Goebel to accept the 2012 meeting dates of March 10; June 2; September 28/29 and December 1
Passed, no opposition.
M/S Kramer/Goebel to approve Dr. Bledsoe and Dr. Fahrendorf to participate in Part IV testing in Bloomington, MN November 11-13, 2011
Passed, no opposition.
M/S Bledsoe/Goebel to approve radiographic certification for Lindsay Arhart
Passed, no opposition.
M/S Goebel/Bledsoe approve preceptor application from Dustin Ingalls with Dr. Jayson Snyder
Passed, no opposition.
Dr. Fahrendorf called to recess the board meeting to administer new doctor matriculation at 1:00 p.m. - reconvened board meeting following matriculation at 2:45 p.m.
M/S Lawler/Goebel to approve matriculants 91101, 91102, 91103, 91104, 91105, 91106, 91107 and 91108 pending completion of their files
Passed, no opposition
Dr. Fahrendorf opened the floor for election of officers.
M/S Kramer/Goebel nominated Dr. Bledsoe for President to begin at the close of the current meeting
With no further nominations, Dr. Fahrendorf closed nominations and a unanimous ballot was cast for Dr. Bledsoe as President.
M/S Bledsoe/Goebel nominated Dr. Kramer for Vice-President
With no further nominations, Dr. Fahrendorf closed nominations and a unanimous ballot was cast for Dr. Kramer as Vice-President.
M/S Kramer/Bledsoe nominated Dr. Goebel for Secretary/Treasurer
With no further nominations, Dr. Fahrendorf closed nominations and a unanimous ballot was cast for Dr. Goebel as Secretary/Treasurer.
Additional board members consist of Dr. Fahrendorf and Jim Lawler, lay member.
Marcia Walter continues to serve as Executive Director.
With no further business,
M/S Goebel/Kramer to adjourn at 3:15 p.m.
Passed, no opposition.