Staff Report with Final Results: State Board of Dental Examiners Page: 14
90 p.View a full description of this report.
Extracted Text
The following text was automatically extracted from the image on this page using optical character recognition software:
June 2017
Reviewing work
of appointed
experts slows
case resolution
for little practical
result.Sunset Advisory Commission
stakeholders earlier in the rulemaking process, the board gave an appearance
that it had already determined its course of action and was not concerned
with the effect of its policies and regulations on stakeholders. In February
2015, agency staff put a process in place for stakeholders to provide input
on proposed rules earlier, in their formative stages, where they can raise
potential problem areas or identify blind spots that can result without such
a broad perspective. This new process offers promise, but must continue
to focus the board's rulemaking efforts and ensure that they best serve its
public safety mission.
" Effcct on casc resolution. Involvement in the case resolution processes
reflects the difficulty dentist board members have had accepting the
board's diminished role. Through the board's Quality Control Committee,
these members revisit standard of care complaint cases recommended for
dismissal by expert panel reviewers. While the review of dismissed cases is
within the board's purview, having a standing committee expressly created
to review the work of its appointed experts slows down the resolution of
enforcement cases for little practical result, as detailed in the textbox, Quality
Control Committee Case Review. Of the 10 cases returned to the expert
panel from the Quality Control Committee, only three have resulted in
additional action - requiring nondisciplinary remedial plans. Ultimately,
the committee reflects the dentist.members' antipathy for its own dental
review panel, whose members the dentist board members pointedly refuse
to call expert reviewers, despite the designation in law.7
Quality Control Committee Case Review
September 2014-February 2016
" 290 - Number of cases reviewed
" 7-8 - Weeks, on average, cases wait for committee review
" 10- Cases returned to expert review panel for additional examination
" 6.7 - Months, on average, added to case resolution for re-reviewed cases
" 2- Cases dismissed following committee initiated re-review
" 3 - Cases closed by remedial plan following committee initiated re-review
" 5 - Cases pending action following committee initiated re-reviewThrough informal settlement conferences, board members and agency staff
seek to resolve complaints without going to contested case hearings at the
State Office of Administrative Hearings. Most settlement conferences
are attended by dentist members to clarify technical issues and questions.
However some dentist board members question the findings of their own
expert review panel that was designed to provide specific expertise regarding
the specialty of the dentist subject to the complaint. Such freelancing
has the effect of revisiting the facts of the case and revising the agency's
position, which is not the role of board members at the conferences. It
can also result in less consistent and potentially unfair outcomes for those
State Board of Dental Examiners Staff Report with Final Results
Issue 1I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
II
I
I
Upcoming Pages
Here’s what’s next.
Search Inside
This report can be searched. Note: Results may vary based on the legibility of text within the document.
Tools / Downloads
Get a copy of this page or view the extracted text.
Citing and Sharing
Basic information for referencing this web page. We also provide extended guidance on usage rights, references, copying or embedding.
Reference the current page of this Report.
Allensworth, Anne; Davis, Julie; Roberson, Dawn & Walraven, Joe. Staff Report with Final Results: State Board of Dental Examiners, report, June 2017; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1033191/m1/46/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.