Wednesday, June 25, 2014

Thinking of Becoming a Medi-Spa Medical Director? Proceed with Caution!


Thinking of Becoming a Medi-Spa Medical Director? Proceed with Caution!
Frequently, physicians agree to act as the medical director for “medi-spas” without giving much thought to what responsibilities go along with the position. Jumping into a medical -directorship without doing your due diligence and making an informed decision can find you facing investigations from state or federal regulatory boards of agencies.
If you are contemplating becoming a medi-spa medical director, remember these facts:
-While, the administration of cosmetic substances and performance of treatments with medical grade lasers may be delegated to medical assistants or licensed nurses, a licensed physician, PA or APN MUST see a patient prior to ordering/prescribing the administration or dispensing of a cosmetic substance or the performance of a procedure.
-You are responsible for the supervision and training of individuals providing care to patients. Unlicensed individuals are considered medical assistants; the terms medical aesthetician and laser technician do not exist in Nevada law. If a PA or APN is on staff, you should ideally be acting as their supervising/collaborating physician.
-You may not practice outside the scope of your training or experience or supervise others who are performing acts outside that scope. It you do not have the proper experience and training, you may not be involved with a medical –spa.
-Ensure that only drugs that you have approved are ordered and are properly stored. Be aware of how drugs are ordered and how much is ordered. A Nevada dispensing registration for the location is required if any drug is dispensed.
-Purely aesthetic treatments must be provided by licensed aestheticians. Be aware that the Nevada State Board of Cosmetology has specific requirements for locations providing aesthetic treatments.
-All agreements to act as a medical director of a medical spa should be in writing and should be reviewed by a health care attorney prior to execution.
State licensing and regulatory boards have taken disciplinary action against physicians for their involvement in medi-spas; disciplinary action that can have far reaching consequences for you and your practice.
If you are contemplating becoming involved with a medical spa, we highly suggest talking with an attorney well versed in health care law. Nutile Pitz & Associates has attorneys who are experience in the pitfalls of medical spas and can assist you in making informed and careful decisions about medical spa involvement.

Dealing with a Licensing Board


Dealing with a Licensing Board
Most licensed professionals do not give much thought to their professional licensing board, except perhaps briefly during licensure renewal. However, licensees should understand that boards not only have an impact on the regulation of the industry, but a formal board action can have a profound effect on a licensee’s practice. Below are some brief tips for licensees with respect to dealing with a licensing board:
-Respond promptly to board correspondence. If your licensing board is contacting you, typically it requires some action or response on your part in a limited period of time.  Failure to respond appropriately and timely may result in adverse consequences to your license. Do not panic if your licensing board informs you that you are under investigation. Most boards are legally required to investigate some or all complaints filed against its licensees.  Seeking legal advice immediately upon such notification can help the process go much smoother. While the majority of cases will resolve quickly, working cooperatively with the board through your attorney can help you avoid delays and potential pitfalls during the investigative process. It will also help you during the disciplinary process should a complaint proceed to a more formal level.
-Read your board’s newsletter or e-mails. Professional licensing boards often have regular newsletters and/or e-mail blasts to keep their licensees informed of important information – e.g., changes in regulations or practice decisions. Failure to give these at least a cursory review may result in you missing important information for your practice.
-Personally verify all information for license applications/renewals. While office managers or credentialing organizations may assist in the processing of your licensure renewal, you bear the ultimate responsibility of ensuring that your initial or renewal application is complete and accurate. Omissions or misrepresentations, regardless of whether they are intentional, may result in an investigation and in some cases, discipline against your license.
-Always remember that your board is ultimately there for the purpose of protecting the public and not to protect you, the licensee.
Nutile Pitz & Associates has attorneys who can help you through any interaction with your professional licensing board. Contact us today for more information on how to deal with any current Board issues, or how to best avoid potential future issues.