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Brett Snodgrass

Mishler v. State Bd. of Med. Examiners, 849 P. 2d 291 - Nev: Supreme Court 1993 - Googl... - 0 views

scholar.google.com/scholar_case

HCQIA healthcare quality improvement act Court of Appeals court appeal appeals healthcare hospital google scholar supreme court state med professional regulation healthcare regulation Board of Registration for the Healing Arts medical license Board of Med

shared by Brett Snodgrass on 19 Oct 15 - Cached
  • Dr. Alan J. Mishler
  • After a brief association with the neurosurgeon in Reno, Dr. Mishler, appalled at the neurosurgeon's standards of practice and his billing procedures, refused to work with him any longer.
  • Dr. Mishler
  • ...32 more annotations...
  • the Chairman of the Department of Neurosurgery at Washoe Medical Center (WMC)
  • brought his concerns to the attention of
  • Governor
  • an investigator
  • he Board
  • the Board obstructed Dr. Mishler's access to the records.
  • WMC did not renew Dr. Mishler's hospital privileges.
  • As a result, Dr. Mishler could not obtain work elsewhere
  • Board denied him access to the evidence (X-rays and radiographs)
  • none of the experts had an opportunity to review the X-rays
  • When WMC initiated the hostile chart review against Dr. Mishler
  • First, the Board's timing is suspect because it initiated proceedings against Dr. Mishler five years after he treated the patients in question, when the Board knew that WMC had a five-year retention policy
  • According to the uncontroverted evidence, Dr. Mishler's colleagues, in retaliation against him for his candor
  • the Board's failure to retain the records relevant to the license revocation proceedings against Dr. Mishler demonstrates a significant degree of discovery abuse
  • Board knew that Dr. Mishler had declared bankruptcy and could not afford counse
  • Fifth, the merits of the allegations against Dr. Mishler were inadequately addressed because neither he nor any of the witnesses had the opportunity to view the X-rays and diagnostic films.
  • similar abuses
  • Dr. Mishler's surgeries were successful, the symptoms vanished,
  • The sole purpose of the power to revoke a physician's license is to protect the public.
  • Boswell held that a doctor's harsh criticism of other doctors did not warrant revocation of his license
  • the discipline was unwarranted.
  • The Board's power was not exercised for the proper and commendable purpose of protecting 297*297 the public from incompetent and negligent physician
  • Instead, the Board wielded its power to ruin the career of an outspoken physician while simultaneously protecting a possibly negligent or incompetent practitioner who had questionable billing procedures.
  • only one
  • subsequently found to be unjustified,
  • Board
  • limit the evidence
  • obstruct Dr. Mishler's access to evidence,
  • violated the same policy
  • The Board knew that Dr. Mishler was so impoverished that he had declared bankruptcy, and that he could ill afford to hire counse
  • In short, we conclude that the Board's actions and the proceedings against Dr. Mishler constituted a disturbing abuse of its power
  • reverse the disciplinary order of the Board in its entirety and dismiss all proceedings against Dr. Mishler with prejudice
  • Brett Snodgrass on 19 Oct 15
     
    too painful to read. torture of physicans for reporting bad doctors.
Brett Snodgrass

Dr Social - 02-1491 HA - MBRHA - Pharmacology Incompetence - 0 views

drsocial.org/...02-1491-ha-mbrha-pharmacolog

social pharmacology incompetence healthcare regulation professional regulation Board of Registration for the Healing Arts medical license Board of Medical Examiners Board of Examiners in Medicine Antitrust patient safety Missouri Board of Registration for

shared by Brett Snodgrass on 21 Jul 15 - Cached
  • Brett Snodgrass on 21 Jul 15
     
    Accurate medical knowledge is a key to safe and effective patient care. Comments are made on Case 02-1491 HA, and then the full case is presented.
Brett Snodgrass

Mishler v. State Bd. of Med. Examiners, 849 P. 2d 291 - Nev: Supreme Court 1993 - Googl... - 0 views

scholar.google.com/scholar_case

healthcare regulation Nevada medical license phyisician medical regulation state board medical examiners professional regulation Board of Examiners in Medicine Antitrust Board of Medical Examiners patient safety Board of Registration for the Healing Arts

shared by Brett Snodgrass on 28 Oct 15 - Cached
  • While the Board withheld documents from Dr. Mishler on the expressed basis of its policy of confidentiality, it violated that policy when it forwarded confidential material, including the transcripts of Dr. Mishler's conversations with an investigator, to Dr. Mishler's neurosurgical colleagues.
  • Finally, even though the Board had the right to obtain the records and Dr. Mishler did not, the Board attempted to shift the burden for the preservation of evidence to Dr. Mishler.
  • In short, we conclude that the Board's actions and the proceedings against Dr. Mishler constituted a disturbing abuse of its power.
  • ...5 more annotations...
  • Therefore, we reverse the disciplinary order of the Board in its entirety and dismiss all proceedings against Dr. Mishler with prejudice.
  • The Board's power was not exercised for the proper and commendable purpose of protecting 297*297 the public from incompetent and negligent physicians. Instead, the Board wielded its power to ruin the career of an outspoken physician while simultaneously protecting a possibly negligent or incompetent practitioner who had questionable billing procedures.
  • Also, while the Board used its own rules of confidentiality as an excuse to obstruct Dr. Mishler's access to evidence, it violated the same policy with respect to Dr. Mishler's confidential reports.
  • Despite the absence of this evidence—office records, X-rays, and diagnostic films— at the hearing,
  • the Board disciplined Dr. Mishler.
  • Brett Snodgrass on 28 Oct 15
     
    The Nevada state medical board demonstrated egregious abuse of its power and placed patient safety at risk in doing so.
Brett Snodgrass

Clinical peer review - Wikipedia, the free encyclopedia - 0 views

en.wikipedia.org/...Clinical_peer_review

medical license quality physicians physician licensure healthcare regulation professional regulation Board of Registration for the Healing Arts medical license Board of Medical Examiners Board of Examiners in Medicine Antitrust patient safety medical boar

shared by Brett Snodgrass on 23 Feb 16 - Cached
  • Sham peer review i
  • "incompetent peer review
  • Missouri Board of Registration for the Healing Arts
  • ...2 more annotations...
  • Missouri state medical board
  • mistakenly concluded that the cardiologist was repeatedly negligent and was a danger to the safety of the public.
  • Brett Snodgrass on 23 Feb 16
     
    This article provides insight into the quality of medical regulation by a state medical board.
Brett Snodgrass

Novel Insight into the Quality of Assessment of Physicians | Open Access | OMICS Intern... - 0 views

www.esciencecentral.org/...ysicians-2375-4273-1000153.php

state medical board medical board state medical board medical regulation healthcare open access physicians

shared by Brett Snodgrass on 12 Feb 16 - No Cached
  • Brett Snodgrass on 12 Feb 16
     
    This study about medical regulation in Missouri details the numerous errors in evaluating the care provided by Dr. Antoine Adem. The state medical board tried to discipline the cardiologist's medical license for allegedly providing negligent and unsafe patient care. Unfortunately, what this article highlights, is that it was not Dr. Adem who failed ot use his skills and knowledge in the duties of the profession, but it was the members of the Missouri Board of Registration for the Healing Arts who failed to demonstrate competent medical knowledge and sufficient skills to properly evaluate the medical care provided by their licensees. If a physician on the medical board is unable to evaluate the care provided by a licensee, then they may pose a danger to the public due to their incompetence and, at the very least, should be second-guessed.
Brett Snodgrass

Mishler v. State Bd. of Med. Examiners, 849 P. 2d 291 - Nev: Supreme Court 1993 - 0 views

scholar.google.com/scholar_case

healthcare regulation professional regulation Board of Registration for the Healing Arts medical license Board of Medical Examiners Board of Examiners in Medicine patient safety Arizona medical board AZ healthcare quality improvement act HCQIA Court of Ap

shared by Brett Snodgrass on 21 Oct 15 - Cached
  • When we look beyond the label of the discipline given to Dr. Mishler to the true nature of the facts, we conclude that the discipline was unwarranted. The Board's power was not exercised for the proper and commendable purpose of protecting 297*297 the public from incompetent and negligent physicians. Instead, the Board wielded its power to ruin the career of an outspoken physician while simultaneously protecting a possibly negligent or incompetent practitioner who had questionable billing procedures.
  • In short, we conclude that the Board's actions and the proceedings against Dr. Mishler constituted a disturbing abuse of its power.
  • Therefore, we reverse the disciplinary order of the Board in its entirety and dismiss all proceedings against Dr. Mishler with prejudice.
  • Brett Snodgrass on 21 Oct 15
     
    In 1993, the Arizona Supreme Court overturned all the of the AZ Medical Board's claims v. Dr. Mishler with prejudice. The Board's actions against Dr. Mishler constituted a disturbing abuse of its power.
Brett Snodgrass

Yes, It Is Time to Rethink Postgraduate Training Requirement... : Academic Medicine - 0 views

journals.lww.com/..._Postgraduate_Training.15.aspx

medical license quality physicians physician licensure healthcare regulation professional regulation Board of Registration for the Healing Arts medical license Board of Medical Examiners Board of Examiners in Medicine Antitrust patient safety time postgra

shared by Brett Snodgrass on 25 Feb 16 - Cached
  • it demonstrates that for those reported to medical boards, the peer review process disciplines those with less training or the inability to qualify for or pass certification requirements.
  • Brett Snodgrass on 25 Feb 16
     
    This article provides insight into the quality of medical regulation by a state medical board.
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