OREGON BOARD OF DENTISTRY MINUTES October 19, 2018 · 10/19/2018  · Dr. Daniel Blickenstaff gave...

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October 19, 2018 Board Meeting Page 1 of 24 OREGON BOARD OF DENTISTRY MINUTES October 19, 2018 MEMBERS PRESENT: Amy B. Fine, D.M.D., Vice President Yadira Martinez, R.D.H. Julie Ann Smith, D.D.S., M.D., M.C.R. Jose Javier, D.D.S. Alicia Riedman, R.D.H. Chip Dunn Jennifer Brixey STAFF PRESENT: Stephen Prisby, Executive Director Daniel Blickenstaff, D.D.S., Dental Director/ Chief Investigator Shane Rubio, Investigator Teresa Haynes, Office Manager (portion of meeting) Haley Robinson, Investigator (portion of meeting) Samantha VandeBerg, Office Specialist (portion of meeting) ALSO PRESENT: Lori Lindley, Sr. Assistant Attorney General VISITORS PRESENT: Heather Mobus, R.D.H., ODHA; Jen Lewis-Goff, ODA; Lisa Rowley, R.D.H., ODHA; Amy Coplen R.D.H., Pacific University; Mary Harrison, ODAA; Cassie Leone, ODA Call to Order: The meeting was called to order by the Vice President at 7:31 a.m. at the Board office; 1500 SW 1 st Ave., Suite 770, Portland, Oregon. MINUTES Dr. Smith moved and Dr. Javier seconded that the minutes of the August 24, 2018 Board Meeting be approved as presented. The motion passed unanimously. Dr. Javier moved and Mr. Dunn seconded that the minutes of the October 5, 2018 Special Teleconference Board Meeting be approved as presented. The motion passed unanimously. NEW BUSINESS ASSOCIATION REPORTS Oregon Dental Association Ms. Lewis-Goff recapped the three new legislative bills that the ODA is currently working on: adding immunizations into a dentist’s scope of practice; protecting the conversations between dentists and their patients, and increasing transparency regarding any mistakes made by the dentist; oral health screenings for new students entering the school system. Ms. Lewis-Goff reported two new items: a placeholder bill clarifying that the Board will accept the OSCE or something similar as a pathway for licensure; proposal for Board members and staff to review patient charts within the Dental Pilot Project #100 to alleviate concerns for patient safety. Ms. Lewis-Goff also reported that the ODA has

Transcript of OREGON BOARD OF DENTISTRY MINUTES October 19, 2018 · 10/19/2018  · Dr. Daniel Blickenstaff gave...

Page 1: OREGON BOARD OF DENTISTRY MINUTES October 19, 2018 · 10/19/2018  · Dr. Daniel Blickenstaff gave a Board Updates presentation to Exceptional Needs Dental Services in Tualatin on

October 19, 2018 Board Meeting Page 1 of 24

OREGON BOARD OF DENTISTRY MINUTES

October 19, 2018 MEMBERS PRESENT: Amy B. Fine, D.M.D., Vice President

Yadira Martinez, R.D.H. Julie Ann Smith, D.D.S., M.D., M.C.R. Jose Javier, D.D.S. Alicia Riedman, R.D.H. Chip Dunn Jennifer Brixey

STAFF PRESENT: Stephen Prisby, Executive Director

Daniel Blickenstaff, D.D.S., Dental Director/ Chief Investigator Shane Rubio, Investigator Teresa Haynes, Office Manager (portion of meeting) Haley Robinson, Investigator (portion of meeting) Samantha VandeBerg, Office Specialist (portion of meeting)

ALSO PRESENT: Lori Lindley, Sr. Assistant Attorney General VISITORS PRESENT: Heather Mobus, R.D.H., ODHA; Jen Lewis-Goff, ODA; Lisa Rowley,

R.D.H., ODHA; Amy Coplen R.D.H., Pacific University; Mary Harrison, ODAA; Cassie Leone, ODA

Call to Order: The meeting was called to order by the Vice President at 7:31 a.m. at the Board office; 1500 SW 1st Ave., Suite 770, Portland, Oregon. MINUTES Dr. Smith moved and Dr. Javier seconded that the minutes of the August 24, 2018 Board Meeting be approved as presented. The motion passed unanimously. Dr. Javier moved and Mr. Dunn seconded that the minutes of the October 5, 2018 Special Teleconference Board Meeting be approved as presented. The motion passed unanimously. NEW BUSINESS ASSOCIATION REPORTS Oregon Dental Association Ms. Lewis-Goff recapped the three new legislative bills that the ODA is currently working on: adding immunizations into a dentist’s scope of practice; protecting the conversations between dentists and their patients, and increasing transparency regarding any mistakes made by the dentist; oral health screenings for new students entering the school system. Ms. Lewis-Goff reported two new items: a placeholder bill clarifying that the Board will accept the OSCE or something similar as a pathway for licensure; proposal for Board members and staff to review patient charts within the Dental Pilot Project #100 to alleviate concerns for patient safety. Ms. Lewis-Goff also reported that the ODA has

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submitted a Letter of Concern to the Oregon Health Authority regarding Dental Pilot Project #100 outlining chart concerns by Dr. Schwindt. Oregon Dental Hygienists’ Association Ms. Rowley reported that she recently worked with the ODA on submitting a Letter of Concern to the OHA regarding patient safety issues with Dental Pilot Project #100. She also attended a rules hearing regarding the new rules for the Dental Pilot program Oregon Dental Assistants Association Ms. Harrison reported that the ODAA held their annual meeting the last weekend. She reported that she and Ms. Jorgensen are working on streamlining the pathways that assistants are required to go do to become a certified EFDA or EFODA. COMMITTEE AND LIAISON REPORTS WREB Liaison Report Dr. Fine reported that WREB held the Dental Exam Review Board last weekend, with representatives from multiple states present. Written notes will be released for Board members to review. AADB Liaison Report Nothing to report at this time. ADEX Liaison Report Nothing to report at this time. CDCA Liaison Report Dr. Fine announced that the annual CDCA meeting will be held in January, 2019. Dental Pilot Project #300 Dr. Fine reported that the application has been withdrawn and is no longer moving forward at this time. Ms. Rowley added that the application is being fine-tuned and will be resubmitted in the future. EXECUTIVE DIRECTOR’S REPORT Board Member & Staff Updates Governor Brown appointed and the Senate Interim Committee on Rules and Executive Appointments confirmed Ms. Jennifer Brixey as our new public Board Member on September 24th. Her term has an end date of April 6, 2020 (not a full four-year term), because statute dictates that Board members’ terms need to be staggered so no more than three Board Members’ terms end in a given year. Ms. Brixey is a Community Health Worker at the Native American Youth and Family Center in Portland. She is a tribal member of the Choctaw Nation of Oklahoma and a Portland Urban Native Community member. She lives in Portland and has two daughters. Board staff and Lori Lindley welcomed Ms. Brixey during her new board member orientation on October 8th. Dr. Daniel Blickenstaff assumed the role of Interim Dental Director/Chief Investigator effective October 1st with Dr. Paul Kleinstub’s retirement. The OBD thanks Dr. Blickenstaff for graciously agreeing to step into this new role. The OBD will be hosting a reception for Dr. Kleinstub on

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December 14th, immediately following that day’s Board Meeting. We invite anyone interested to attend as well, and pay their respects and well-wishes to Dr. Kleinstub. Shane Rubio is the OBD’s new Investigator, who started on October 1st. Shane comes to the OBD with over nine years of service as a Correctional Officer with the Oregon Department of Corrections. During his career there, he has held numerous out of class positions to include both AS 1 and AS 2 positions. OBD Budget Status Report Mr. Prisby presented the latest budget report for the 2017 - 2019 Biennium. This report, which is from July 1, 2017 through, August 31, 2018, shows revenue of $2,233,797.48 and expenditures of $1,692,268.94. Customer Service Survey Mr. Prisby referenced the legislatively mandated survey results from July 2018. Board and Staff Speaking Engagements Mr. Prisby gave a presentation regarding the OHA’s Dental Pilot Project #100 at the AADA Meeting in Chicago, Illinois on Thursday, September 20, 2018. Dr. Daniel Blickenstaff gave a Board Updates presentation to Exceptional Needs Dental Services in Tualatin on Friday, September 21. Lori Lindley led the Attorneys’ Round Table discussion at the AADB Meeting in Chicago, Illinois on Sunday, September 23. Dental Hygiene License Renewal The renewal period started on July 17th and ended September 30th. Mr. Prisby presented the following results, and also an example illustrating why Licensees should renew early and not wait until close to the expiration date.

• 2141 Renewals mailed • 1954 Renewed • 32 Retired • 0 Resigned • 2 Deceased • 155 Expired

Budget Information – Increase in PERS Contribution Rates Mr. Prisby referenced information from the Legislative Fiscal Office regarding PERS Contribution Rates for Agencies’ 2019-21 Budgets. Reliant Behavioral Health- HPSP One Year Performance Review Mr. Prisby referenced the Reliant Behavioral Health’s one-year performance review. HB 4016 authorized the participating Boards to contract for services directly with vendors instead of through the OHA. The Boards worked together and out of this work came Master Service Agreement #7532. The Medical Board was extremely helpful in lending their contracting specialist and additional resources on this.

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AADA & AADB Annual Meetings The American Association of Dental Administrators (AADA) & the American Association of Dental Boards (AADB) Annual Meetings were held September 20 - 23 in Chicago, Illinois. Dr. Underhill and Alicia Riedman, RDH, attended the AADB Meeting. Lori Lindley attended and presented as part of the Attorneys Roundtable as well. Mr. Prisby attended both meetings and colleagues from the AADA elected him to the executive committee as the new Secretary for the organization. This is one of four positions on the executive team, which usually leads to being named president of the organization. Mr. Prisby shared presentations from the meetings and you can see how relevant they are to our state. 2018 Annual Performance Progress Report Mr. Prisby attached the OBD’s 2018 Annual Performance Progress Report, which was submitted on September 28th to LFO and our DAS analyst as part of the 2019-2021 Budget process. OBD Website Redesign Plan Mr. Prisby and Ms. Haynes are attending weekly meetings in Salem as they work on the OBD’’s Website redesign project and at this time have met all required deadlines. They utilized a card sort program to gather input from our board members, staff, Licensees and other stakeholders as part of the process. Expanded Practice Dental Hygienists- Report The OBD is required to report on the reimbursement of services provided by expanded practice permit holder dental hygienists per ORS 680.210 Compilation of data on expanded practice dental hygienists; reports by health insurers; report to legislature; rules. This information was sent to the Legislature on August 29th. Governor Brown’s Health Care Agenda Mr. Prisby presented Governor Brown’s Health Care Agenda for the Board’s review. Charitable Fund Drive The State of Oregon Employees' Charitable Fund Drive is an annual, combined charitable giving campaign tailored to meet the needs and wishes of employees of the State of Oregon. The Charitable Fund Drive helps State employees create the future each of you wants to see become reality in Oregon. Whether you care about Oregon's animals, arts and culture, environment, equity and human rights, health, housing, families, or anything else - there is a nonprofit working for these ideals. Newsletter The OBD is planning to produce and distribute the next Newsletter in December to capture relevant news and updates that have occurred since the last Newsletter. UNFINISHED BUSINESS & RULES New Rules Effective January 1, 2019 The Board amended 19 rules and adopted one (1) new rule effective January 1, 2019.

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PDMP Registration Requirement, Effective July 1, 2018 Oregon Health Authority - Public Health Division - Chapter 333

Division 23 PRESCRIPTION DRUG MONITORING PROGRAM 333-023-0825 Practitioner Registration Requirements (1) A practitioner with an active United States Drug Enforcement Agency (DEA) registration to prescribe in Oregon must register with the Prescription Drug Monitoring Program in accordance with OAR 333-023- 0820(8) in order to have access to the Program’s electronic system. (2) A practitioner who becomes licensed on or after July 1, 2018, and who has an active DEA registration must register with the Program as specified in section (1) of this rule, within 30 calendar days of Oregon licensure or DEA registration, whichever is later. 333-023-0820(8) Information Access Practitioner, Pharmacist, Medical Director, Pharmacy Director, and Delegate Access. A practitioner, pharmacist, medical director, pharmacy director, or delegate who chooses to request access to the system shall apply for a user account as follows: (a) Complete and submit an application provided by the Authority that includes identifying information and credentials; and (b) Agree to terms and conditions of use of the system that defines the limits of access, allowable use of patient information, and penalties for misuse of the system.

CORRESPONDENCE Letter from Nancy L. Addy, DDS – American Academy of Dental Sleep Medicine Dr. Addy submitted a letter to the Board regarding Oral Appliance Therapy (OAT) for the treatment of obstructive sleep apnea. Email from the American Dental Association (ADA) – Commission on Dental Accreditation (CODA) to begin Specialty Terminology Action Plan At its February 2, 2018 meeting, CODA took action to remove the word ‘specialty’ from all CODA documentation, as well as its website, and instead refer to all advanced dental education disciplines as ‘advanced education programs’. OTHER ISSUES Pilot Project #100 Status Report from Dr. Brandon Schwindt Pilot Project #100: allows Dental Health Aide Therapists (DHAT), a new mid-level provider, to practice in tribal dental clinics. The project is sponsored by the NW Portland Area Indian Health Board and allows a DHAT to perform about 50 procedures ranging from placing sealants to performing simple extractions. The DHAT is trained in a two-year post-high school program in Alaska. Dr. Schwindt reported that there are serious concerns with Pilot Project #100. He continues

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to be greatly concerned by the standard of care patients are receiving as a part of this pilot project. He is equally concerned with Oregon Health Authority (OHA) and Legislative lack of understanding of the importance of these issues and their role in protecting the public. In his opinion, tribal members do not deserve lesser care than they would receive otherwise from a practitioner licensed by this Board. I will continue to advocate for patient safety throughout this process. Dr. Schwindt has asked the OHA to amend their definition of “Patient Harm” to reflect current dental standards. He will continue to voice concerns as needed and participate as able. He encourage the Board to stay informed and engaged on this issue. While he understands that the Board of Dentistry has no statutory authority in these projects, it is the Board’s role to protect the public when they go into a dental office. 2018 Cultural Competence Continuing Education (CCCE) Legislative Report Shelley Das, Equity and Policy Manager for the office of Equity and Inclusion submitted a memo thanking health care professional boards for providing the required information for the first biennial legislative report on cultural competence continuing education. Dental Licensure Objective Structured Clinical Examination (DLOSCE) update – Dr. David Carsten & Dr. David Waldschmidt Dr. Carsten and Dr. Waldschmidt submitted presentation materials regarding the DLOSCE. Definition of “BLS for Healthcare Providers” Effective 2015, the Dental Practice Act (DPA) requires that all licensees “maintain at a minimum a current BLS for Healthcare Providers certificate or its equivalent”. The term “BLS for Healthcare Providers” (also called Provider BLS, or BLS for Professional Rescuers) is borrowed from the American Heart Association and the American Red Cross, but the Dental Practice Act does not specifically refer to the either the American Heart Association or Red Cross standards. Board staff requests that the Board refer this to the Licensing, Standards and Competency Committee to consider defining BLS for Healthcare Provider, so that Board staff and licensees are able to determine if the course they take meets the requirements of the Board. Dr. Smith moved and Ms. Martinez seconded that the Board move the discussion of the definition of BLS for Healthcare Providers to the Licensing, Standards and Competency Committee for further review. The motion passed unanimously. Enrollment Requirements for Prescribing Providers – Oregon Health Authority (OHA) Rhonda Busek, director of provider services for the health systems division of the OHA, submitted a memo stating that the enrollment requirement for prescribing providers is delayed to November 13, 2018. Starting on that date, the OHA will require that all pharmacy claims include the National Provider Identifier (NPI) of an OHA-enrolled prescriber. Request for American Academy of Dental Hygiene (AADH) to be a Board Approved CE Provider Winnie Furnari, M.S., R.D.H. requests that the Board consider adding the AADH to its list of continuing education providers. The Board directed staff to correspond with Ms. Furnari and explain that the OBD does not approve CE providers for licensees mandatory continuing education.

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Request for Approval of Local Anesthesia Course – Purple Pen Seminars, INC. Vickie Kimbrough, R.D.H., M.B.A., a faculty member of Purple Pen Seminars, Inc., is requesting that the Board approve Purple Pen Seminars, INC’s continuing education program for local anesthesia. Dr. Smith moved and Ms. Martinez seconded that the Board approve the Purple Pen Seminars, INC. continuing education program for local anesthesia. The motion passed unanimously. Request for Approval of a Nitrous Oxide Course – Purple Pen Seminars, INC. The Board has received a request for approval of a Nitrous Oxide Course. The course would be provided so licensees of the Board could apply for and obtain a permit to administer nitrous oxide in accordance with OAR 818-026-0040(1) and OAR 818-035-0040(2). Dr. Smith moved and Ms. Martinez seconded that the Board approve the Purple Pen Seminars, INC. continuing education program for nitrous oxide. The motion passed unanimously. Request for Approval of Soft Reline Course – Travis J. Hunsaker, D.D.S. & Andrea Rivers, EFDA/EFODA The Board has received a request for approval of a Soft Reline Course. This course would be provided so the EFDA Dental Assistants could qualify to apply soft relines in accordance with OAR 818-042-0090 – Additional Functions of EFDAs. Ms. Martinez moved and Mr. Dunn seconded that the Board approve Dr. Hunsaker and Ms. Rivers’ soft reline course. The motion passed unanimously. Board Approval of Restorative Functions Examination – Washington State. Ms. Chaneux Chambers, a dental hygienist, has applied for a Restorative Functions Endorsement. Ms. Chambers requests that the Board approve Washington State’s Restorative Examination so that individuals who took Washington’s Restorative Examination can obtain their restorative endorsement. Ms. Martinez moved and Mr. Dunn seconded that the Board approve Washington State’s Restorative Examination as an approved examination for dental hygienists to obtain their Restorative Functions Endorsement. The motion passed unanimously. Notice of Rulemaking – Dental Pilot Projects Program The Oregon Health Authority (Authority), Public Health Division, Oral Health Program is proposing to permanently amend administrative rules in Chapter 333, Division 10 “Dental Pilot Projects” to clarify the rules so that applicants and approved projects can better understand the applicable requirements and possible consequences for failing to adhere to requirements. Due to reorganization and significant amount of revision to the current rule text, the Authority is proposing to repeal current administrative rules 333-010-0400 through 333-010-0470 and replace them with new rule language, administrative rules 333-010-0700 through 333-010-0820. Health Licensing Office (HLO) seeking Oregon Licensed Dentists and Denturists The HLO is seeking Licensed Oregon Denturists and Dentists interested in acting as subject matter experts to serve on the Qualification Committee to consult HLO staff during the review of requirements as specified in Oregon Revised Statutes and Oregon Administrative Rules as it related to qualifications for individuals to obtain licensure as a Denturist in Oregon.

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ARTICLES AND NEWS (no action necessary) Dr. Underhill article – Membership Matters, September 2018 AADB Executive Director’s July 2018 Report ADA News Article – Much Unknown about the Prevalence of Illegal Dentistry Moda Strikes Deal for $155 Million HPSP Newsletter – September 2018 License Portability Policy Paper Infection Control Consortium supports education to advance patient and provider safety New coalition calls for the modernization of the initial dental licensure process CDCA October 2018 Newsletter Coalition of Local Health Officials (CLHO) September 2018 Newsletter Call for nomination to CODA site visitor position

EXECUTIVE SESSION: The Board entered into Executive Session pursuant to ORS 192.606 (1)(2)(f), (h) and (k); ORS 676.165; ORS 676.175 (1), and ORS 679.320 to review records exempt from public disclosure, to review confidential investigatory materials and investigatory information, and to consult with counsel. PERSONAL APPEARANCES AND COMPLIANCE ISSUES Nothing to report at this time. OPEN SESSION: The Board returned to Open Session. CONSENT AGENDA

2019-0047, 2019-0048, 2019-0052, 2018-0061, 2019-0054 Ms. Martinez moved and Dr. Javier seconded that the Board close the matters with a finding of No Violation or No Further Action per the staff’s recommendation. The motion passed unanimously. 2018-0229 Ms. Martinez moved and Dr. Javier seconded that the Board close the matters with a finding of No Violation per the staff’s recommendation. The motion passed with Dr. Fine, Ms. Brixey, Dr. Javier, Ms. Martinez, Ms. Riedman and Mr. Dunn voting aye. Dr. Smith recused. COMPLETED CASES 2018-0155, 2009-0006, 2018-0238, 2018-0249, 2018-0042, 2018-0211 Ms. Martinez moved and Dr. Javier seconded that the Board close the matters with a finding of No Violation or No Further Action per the staff’s recommendation. The motion passed unanimously. 2018-0241, 2012-0032 Ms. Martinez moved and Dr. Javier seconded that the Board close the matters with a finding of No Violation or No Further Action per the staff’s recommendation. The motion passed with Dr. Fine, Ms. Brixey, Dr. Javier, Ms. Martinez, Ms. Riedman and Mr. Dunn voting aye. Dr. Smith recused.

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ANDERSON, DAVID B. D.D.S. 2013-0062 Dr. Smith moved and Ms. Riedman seconded that the Board issue a Notice of Proposed Disciplinary Action and offer the licensee a Consent Order in which the licensee would agree to be reprimanded, and to complete a 15 hour Board approved hands-on endodontics course incorporating treatment planning; a 15 hour Board approved hands-on crown & bridge course incorporating treatment planning; and a six hour Board approved radiographic interpretation course within nine months of the effective date of the Order. Within six months of completion of this training, Licensee will provide five endodontic cases and five crown & bridge cases for the Board’s review, of the Board’s choosing. The motion passed unanimously. 2018-0237 Ms. Brixey moved and Dr. Javier seconded that the Board close the matter with a STRONGLY WORDED Letter of Concern reminding Licensee to assure that he completes the required continuing education during the appropriate licensure period and to assure that his autoclaves are spore tested on a weekly basis. The motion passed unanimously. COUCH, KEITH H. D.M.D. 2018-0231 Dr. Smith moved and Dr. Javier seconded that the Board issue a Letter of Concern advising Licensee to review the clinical indications for administration of epinephrine (outside of local anesthesia), and the potential effects of epinephrine on a patient with cardiac issues. Advise Licensee to thoroughly review and document medical histories and perform medical consultation as indicated. The motion passed unanimously. DELONG, SHEPARD J. D.M.D. 2018-0269 Ms. Riedman moved and Mr. Dunn seconded that the Board issue a Notice of Proposed Disciplinary Action and offer Licensee a Consent Order incorporating a reprimand, a $5,000.00 civil penalty; perform 30 hours of Board approved community service; take a three hour continuing education course in record keeping within 30 days; take a three hour Board approved course in medical emergencies within 60 days; pass the Oregon Board of Dentistry Jurisprudence Exam within 30 days; and monthly submission of spore testing results for a period of one year from the effective date of this Order. The motion passed unanimously. ECHOLS, DONALD G. D.D.S. 2019-0006 Dr. Javier moved and Dr. Smith seconded that the Board issue a Notice of Proposed Disciplinary Action and offer Licensee a Consent Order incorporating a reprimand, an $18,000.00 civil penalty, with $9,000.00 of it stayed if the Licensee doesn’t miss any weeks of spore testing through December 2021, 120 hours of Board approved community service with 60 hours stayed if the Licensee doesn’t miss any weeks of spore testing through December 2021, monthly submission of spore testing results through December 2021, and passing the Oregon Board of Dentistry Jurisprudence Exam within 30 days of the effective date of this order. Within 30 days of the effective date of this order, Licensee will provide the Board a written plan for dealing with medical emergencies including referral to emergency department and proper follow-up with the emergency department and the patient. The motion passed unanimously. HILOU, LAUREN MARIE R.D.H. 2019-0035 Mr. Dunn moved and Dr. Smith seconded that the Board issue a Notice of Proposed Denial of License Application. The motion passed unanimously.

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2018-0233 Dr. Smith moved and Dr. Javier seconded that the Board close the matter with a Letter of Concern reminding the Licensee to assure that his autoclaves are spore tested on a weekly basis. The motion passed unanimously. 2019-0069 Ms. Riedman moved and Dr. Javier seconded that the Board close the matter with No Further Action, and issue Licensee an Oregon Dental Hygiene License. The motion passed unanimously. MORRIS, RAVEN J. R.D.H. 2018-0254 Ms. Brixey moved and Mr. Dunn seconded that the Board issue a Notice of Proposed Disciplinary Action and offer the Licensee a Consent Order in which the Licensee would agree to be reprimanded, to pay a $1,000 civil penalty, to complete ten hours of community service within 60 days and complete the balance of the 24 hours of continuing education for the licensure period 10/1/15 - to 9/30/17, within 60 days of the effective date of this Order. The motion passed unanimously. 2018-0221 Ms. Riedman moved and Dr. Javier seconded that the Board close the matter with a Letter of Concern reminding the Licensee to accurately answer all questions on dental renewal before submitting to the Board. The motion passed unanimously. 2018-0243 Ms. Martinez moved and Dr. Javier seconded that the Board close the matter with No Violation in regards to Respondent #1; No Violation in regards to Respondent #2; and No Violation in regards to Respondent #3. The motion passed unanimously. 2018-0252 Mr. Dunn moved and Ms. Riedman seconded that the Board close the matter with a Letter of Concern reminding Licensee to be aware of the continuing education requirements to maintain his licensure in the State of Oregon. The motion passed unanimously. VAN ORMAN, JEFFERY B. D.M.D. 2019-0028 & 2018-0215 Dr. Smith moved and Ms. Riedman seconded that the Board combine case 2019-0028 with case 2018-0215, and issue an Amended Notice of Proposed Disciplinary Action and offer Licensee a Consent Order incorporating a reprimand, pay a civil penalty of $4,000.00 within four months, to take a Board approved three-hour continuing education course in record keeping within 30 days, take a Board approved 15 hour hands-on course in preparing and seating indirect restorations within 90 days, take a Board approved six-hour course in radiographic interpretation within six months, and to take the Dental Ethics and Conduct course by Dentalbehavioralrescources.com within 90 days, to provide the Board with evidence that the unacceptable indirect restorations provided for patients SA, TC, MH, LJ, TJ, GM, MN, GO, JS, AT, MW, KA, JF, LL, MF, DH, JS, JS and GT-V have either been replaced at no charge to the patient, or had the fees paid to the Licensee for those restorations refunded to them within 90 days, perform 90 hours of Board approved community service within two years, to provide the Board with verification of completing the required continuing education for his next two licensure periods, to provide monthly submission of spore testing results for a period of one year from the effective date of this Order, and Licensee shall be subject to random chart reviews for a period of two years from the effective date of this Order. The motion passed unanimously.

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PREVIOUS CASES REQUIRING BOARD ACTION 2018-0270 Ms. Brixey moved and Dr. Smith seconded that the Board reaffirm the Board’s decision of August 24, 2018 and close the matter with No Further Action. The motion passed unanimously. BOLOURI, ALIREZA F. D.M.D. 2018-0091 Ms. Riedman moved and Dr. Javier seconded that the Board, for Respondent #1, offer the Licensee a Consent Order in which the Licensee would agree to be reprimanded, pay a $3,000.00 civil penalty, and complete the balance of the 40 hours of continuing education for the licensure period (4/1/16 - to 3/31/18, within 60 days, and to pass the Oregon Board of Dentistry Jurisprudence Exam within 30 days of the effective date of this Order. The motion passed unanimously. DOWLING, RICHARD C. D.M.D. 2018-0160 Dr. Javier moved and Mr. Dunn seconded that the Board issue a Final Default Order incorporating a reprimand. The motion passed unanimously. HENSHAW, ROBERT D.D.S. 2018-0194 Mr. Dunn moved and Dr. Smith seconded that the Board offer Licensee a Consent Order in which the Licensee would agree to be reprimanded, pay a $10,000.00 civil penalty, and monthly submission of spore testing results for a period of one year from the effective date of the Order. The motion passed unanimously. 2017-0085 Dr. Smith moved and Dr. Javier seconded that the Board accept Licensee’s retirement form and close the matter with No Further Action. The motion passed unanimously. JANOFF, DONALD E. D.D.S. 2018-0222 & 2019-0025 Dr. Javier moved and Dr. Smith seconded that the Board offer the Licensee a Consent Order whereby the Board dismisses the Order of Immediate Emergency Moderate Sedation Permit Suspension, & the Order of Immediate Emergency Dental License Suspension; incorporates a reprimand, a $19,000.00 civil penalty; perform 90 hours of Board approved community service under indirect supervision; refund patient LB $252.00; refund patient MO $335.50; refund patient TS $519.50; refund patient LT $348.70; refund patient MW $3,355.00; refund patient TB $335.50; take a Board approved continuing education course in Record Keeping within 30 days; pass the Oregon Board of Dentistry Jurisprudence Exam within 30 days; monthly submission of spore testing results for all autoclaves in all locations for a period of one year from the effective date of this Order; restricting Licensee to only practice in a group practice under indirect supervision of a Board approved licensee who holds a moderate sedation permit; this Board approved licensee shall supervise the administration of any level of sedation by Licensee; Licensee must keep all patient records on an electronic records platform until further order of the Board; Licensee shall be subject to random office inspections and chart reviews as long as Licensee holds a valid Oregon dental license. The motion passed unanimously. JERNIGAN, JILL E. R.D.H. 2018-0165 Ms. Brixey moved and Ms. Riedman seconded that the Board reaffirm the Board’s decision of 4/20/18 to issue a Notice of Proposed Denial of License Application and refer the case to hearing. The motion passed unanimously.

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2017-0180 Ms. Riedman moved and Dr. Javier seconded that the Board reaffirm the Board’s decision of December 15, 2017 to close the matter with a finding of no violation. The motion passed unanimously. 2014-0142 Dr. Javier moved and Mr. Dunn seconded that the Board advise the Licensee that the Board will not support release in March 2019. The motion passed unanimously. MILLARD, ROBERT BOYD JR. D.D.S. 2018-0115 Mr. Dunn moved and Dr. Smith seconded that the Board issue an Amended Notice of Proposed Disciplinary Action removing allegations two, three & five, and offer Licensee a Consent Order incorporating a reprimand, a refund to the patient of $4,800.00, and Licensee shall be restricted from restoring intraosseous implants without the indirect supervision of a Board approved mentor within a Board approved mentorship program until further notice of the Board. This Indirect supervision will consist of providing the mentor with the treatment plan for restoring the intraosseous implants, pre-restoration imaging, and post-restoration imaging. The motion passed unanimously. PHAM, JOHN D.D.S. 2017-0113 Dr. Smith moved and Dr. Javier seconded that the Board offer Licensee a Consent Order incorporating a reprimand; Licensee shall have a restriction to his Oregon dental license which shall also prohibit him from extracting impacted teeth of any type; Licensee shall also be prohibited from performing any of the other oral surgical procedures identified in the attached Exhibit A, except when performed under the direct supervision of an OAGD mentor approved by the Oregon Board of Dentistry until further order of the Board. This restriction on surgical procedures supersedes the restriction number nine in the Consent Order signed by Licensee on February 25, 2015 in Case No. 2014-0023. The rest of the Consent Order requirements signed in Case 2014-0023 remain in full effect; Should Licensee be found to have performed any of the oral surgical procedures identified in Exhibit A, or extraction of impacted teeth of any type in the State of Oregon without direct supervision of the approved OAGD mentor during the time this term is in effect, upon written request from the Oregon Board of Dentistry, Licensee shall immediately surrender his dental license for the State of Oregon. Licensee shall retain his rights to appeal his license surrender/revocation. This offer expires in 21 days of receipt of this order. The motion passed unanimously.

EXHIBIT A PROHIBITED PROCEDURES WITHOUT DIRECT SUPERVISION:

ENDODONTIC SURGERY:

Apicoectomy Root amputation Hemisection of tooth PERIODONTAL SURGERY: Clinical crown lengthening – hard tissue Osseous surgery Bone replacement graft IMPLANT SERVICES: Surgical placement of implant body: endosteal Second stage implant surgery Surgical placement of interim implant body for transitional prosthesis: endosteal implant

Surgical placement of mini implant

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Surgical placement: eposteal implant Surgical placement: transosteal implant Bone graft at time of implant placement

ORAL AND MAXILLOFACIAL SURGERY: Any procedure, other that the extraction of impacted teeth of any type, with a CDT code between D7000-D7999

2018-0151 Ms. Brixey moved and Dr. Javier seconded that the Board reaffirm the Board’s August 24, 2018 decision, and to close the matter with a finding of no violation. The motion passed unanimously.

STAFFORD, ROBERT D.D.S. 2018-0226 Ms. Riedman moved and Dr. Javier seconded that the Board deny the Licensee’s request and reaffirm the Board’s August 24, 2018 decision to issue a Notice of Proposed Disciplinary Action and offer the licensee a Consent Order in which the licensee would agree to be reprimanded and pay a $6,000.00 civil penalty. The motion passed unanimously.

2018-0082 Dr. Javier moved and Mr. Dunn seconded that the Board reaffirm the Board’s decision on June 22, 2018 and close the matter with No Further Action. The motion passed unanimously.

SUMMER, JOHN D. D.D.S. 2018-0062 Mr. Dunn moved and Dr. Smith seconded that the Board offer the Licensee a Consent Order in which the Licensee would agree to be reprimanded, to pay a $1,000.00 civil penalty, to successfully complete the “Dental Ethics and Conduct” continuing education course at DentalBehavioralResources.com within six months, and abide by any recommendations offered by the “Dental Ethics and Conduct” continuing education course, and to complete twenty hours of community service within six months of the effective date of the Order. The motion passed unanimously.

WEICHEL, ERWIN D.M.D. 2018-0206 Dr. Smith moved and Dr. Javier seconded that the Board deny the Licensee’s request and to reaffirm the Board’s 8/24/18 decision to issue a Notice of Proposed Disciplinary Action and offer the licensee a Consent Order in which the licensee would agree to be reprimanded and to pay a $5,000.00 civil penalty. The motion passed unanimously.

WEISSMAN, SHERYL K. D.D.S. 2016-0218 Ms. Brixey moved and Ms. Riedman seconded that the Board accept Licensee’s proposal and offer Licensee an Amended Consent Order incorporating a $2,000 civil penalty. The motion passed unanimously.

LICENSURE AND EXAMINATION

Reinstatement - Thomas F. Alexander, D.D.S. Mr. Dunn moved and Dr. Smith seconded that the Board reinstate the Dental license of Thomas F. Alexander, D.D.S. The motion passed unanimously.

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CONSULT WITH COUNSEL

Request for Investigative Summary – D7019 Dr. Smith moved and Ms. Riedman seconded that the Board deny the request for Investigative Summary concerning license D7019. The motion passed unanimously.

Request for Investigative Summary 2018-0232 Ms. Brixey moved and Dr. Smith seconded that the Board release the Investigative Summary for case 2018-0232 as requested. The motion passed with Dr. Fine, Ms. Brixey, Ms. Martinez, Ms. Riedman, Mr. Dunn and Dr. Smith voting aye. Dr. Javier recused.

Request for Investigative Summary 2017-0191 Dr. Javier moved and Dr. Smith seconded that the Board release the Investigative Summary for case 2017-0191 as requested. The motion passed unanimously.

Board Protocol Changes – Proposed Additions and Revisions The Board’s protocols originated about 18 years ago to standardize the details of particular disciplinary actions and reduce the wording necessary for Board motions. For example, the details for consent orders involving substance use disorder can be two or more pages long. The protocols also assist staff in recommending actions to the Board.

The Board last updated its protocols in June 2015. The writers prepared the attached draft of Board protocols for its consideration. This draft addresses concerns expressed about the level of disciplinary action in some areas, proposes additional protocol items, and cleans up language.

STANDARD PROTOCOLS FOR GENERAL CONSENT ORDERS

CIVIL PENALTIES

Licensee shall pay a $(XX) civil penalty in the form of a cashier’s, bank, or official check, made payable to the Oregon Board of Dentistry and delivered to the Board offices within (XX) days of the effective date of the Order.

NOTE: The Board will allow licensed dentists a 30-day payment period for each civil penalty increment of $2,500

NOTE: The Board will allow licensed dental hygienists a 30-day payment period for each civil penalty increment of $500

REFUND OR RESTITUTION PAYMENTS

Licensee shall pay $(XX) refund or restitution in the form of a cashier’s, bank, or official check made payable to patient (PATIENT INITIALS) and delivered to the Board offices within (XX) days of the effective date of the Order.

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NOTE: The Board will allow licensed dentists a 30-day payment period for each restitution increment of $2,500

REFUND: To restore money paid by patient for treatment

RESTITUTION: Money to repair unacceptable treatment

REIMBURSEMENT PAYMENTS

Licensee shall provide the Board with documentation verifying reimbursement payment made to (COMPANY NAME), the patient’s insurance carrier, within (XX) days of the effective date of the Order.

NOTE: The Board will allow licensed dentists a 30-day payment period for each reimbursement increment of $2,500

CONTINUING EDUCATION – BOARD ORDERED

Licensee shall successfully complete (XX) hours of (XX) (OPTIONS: Board pre- approved, hands-on, mentored), continuing education in the area of (XX) within (XX) (OPTIONS: years, months) of the effective date of the Order, unless the Board grants an extension, and advises the Licensee in writing. This ordered continuing education is in addition to the continuing education required for the licensure period(s) (XX) (ie. April 1, XXXX to March 31, XXXX). As soon as possible, Licensee shall submit documentation to the Board verifying completion of the Board ordered course.

COMMUNITY SERVICE

Licensee shall provide (XX) hours of Board approved community service in Oregon within (XX) (years, months) of the effective date of the Order, unless the Board grants an extension, and advises the Licensee in writing. The community service shall be pro bono, and shall involve the Licensee providing direct dental care to patients. As soon as possible, Licensee shall submit documentation to the Board verifying completion of the community service.

FALSE CERTIFICATION OR STATEMENTS ON DOCUMENTS OR RECORDINGS

Licensee shall pay a $(XX) civil penalty, complete ten hours of community service in

NOTE: The Board will allow three months to complete each increment of ten hours of community service.

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Oregon within three months and complete the balance of the (XX) (40, 36 or 24) hours of continuing education for the licensure period (ie. April 1, XXX to March 31, XXXX), within 60 days of the effective date of the Order. As soon as possible, Licensee shall submit documentation to the Board verifying completion of the continuing education.

FAILURE TO MEET CONTINUING EDUCATION STANDARDS

NOTE: If Licensee completes ≥75% of the required continuing education, it will result in a letter informing the Licensee to complete the remaining CE by the specified deadline. Licensee will have a 60-day grace period, from its due date, to complete the remaining CE.

FAILURE TO MAINTAIN HEALTH CARE PROVIDER BLS/CPR

NOTE: The civil penalties are $2,000 for dentists and $1,000 for dental hygienists

NOTE: If Licensee completes >25% and <75% of the required continuing education, the Board will request a letter of explanation, review extenuating circumstances, and audit an additional two year cycle. Discipline may be recommended after review of circumstances by the Board Evaluators.

NOTE: If Licensee completes ≤25% of the required continuing education, the Board will audit previous renewal cycles and recommend a reprimand and a civil penalty.

Licensee shall pay a $(XX) civil penalty in the form of a cashier's, bank, or official check made payable to the Oregon Board of Dentistry and delivered to the Board offices within 30 days of the effective date of the Order.

NOTE: Failure to maintain Health Care Provider BLS/CPR for one day to three months will result in a Letter of Concern.

NOTE: Failure to maintain Health Care Provider BLS/CPR for three months to six months will result in a reprimand.

NOTE: Failure to maintain Health Care Provider BLS/CPR for longer than six months will result a $500 (DENTIST) civil penalty or a $250 (DENTAL HYGIENIST) civil penalty

NOTE (ANESTHESIA PERMIT HOLDERS): Failure to maintain Health Care Provider BLS/CPR for longer than six months will result in a reprimand and a $1000 (DENTIST) civil penalty or a $500 (DENTAL HYGIENIST) civil penalty.

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FAILURE TO MAINTAIN ACLS/PALS

WORKING WITHOUT A CURRENT LICENSE

Licensee shall pay a $(XX) civil penalty in the form of a cashier’s, bank, or official check, made payable to the Oregon Board of Dentistry and delivered to the Board offices within (30) days of the effective date of the Order.

NOTE: A licensed dentist, who worked any number of days without a license will be issued a Notice of Proposed Disciplinary Action and offered a Consent Order incorporating a reprimand and a $2,000 civil penalty.

NOTE: A licensed dental hygienist who worked any number of days without a current license, will be issued a Notice of Proposed Disciplinary Action and offered a Consent Order incorporating a reprimand and civil penalty of $1,000.

ALLOWING A PERSON TO PERFORM DUTIES FOR WHICH THE PERSON IS NOT LICENSED OR CERTIFIED

Licensee shall pay a $(XX) civil penalty in the form of a cashier’s, bank, or official check, made payable to the Oregon Board of Dentistry and delivered to the Board offices within (XX) days of the effective date of the Order, unless the Board grants an extension, and advises the Licensee in writing.

NOTE: The Licensee will be charged $2,000 for the first offense and $4,000 for the second, and each subsequent offense.

Licensee shall pay a $(XX) civil penalty in the form of a cashier's, bank, or official check made payable to the Oregon Board of Dentistry and delivered to the Board offices within 30 days of the effective date of the Order.

NOTE: Failure to maintain ACLS/PALS for one day to three months will result in a Letter of Concern.

NOTE: Failure to maintain ACLS/PALS for longer than three months will result in a reprimand and a $1000 civil penalty.

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FAILURE TO CONDUCT WEEKLY BIOLOGICAL TESTING OF STERILIZATION DEVICES

Licensee shall pay a $ (XX) civil penalty in the form of a cashier’s, bank, or official check made payable to the Oregon Board of Dentistry and delivered to the Board offices within (XX) days of the effective date of the Order.

Licensee shall complete (XX) hours of Board approved community service within (XX) months of the effective date of the Order.

For a period of one year of the effective date of the Order, Licensee shall submit, by the fifteenth of each month, the results of the previous month’s weekly biological monitoring testing of sterilization devices. Periods of time Licensee is not practicing dentistry as a dentist in Oregon, shall not apply to reduction of the one-year requirement.

NOTE: Failure to do biological monitoring testing one to five times within a calendar year will result in a Letter of Concern.

NOTE: Failure to do biological monitoring testing six to ten times within a calendar year will result in the issuance of a Notice of Proposed Disciplinary Action and an offer of a Consent Order incorporating a reprimand.

NOTE: Failure to do biological monitoring testing 11 to 20 times within a calendar year will result in the issuance of a Notice and an offer of a Consent Order incorporating a reprimand, a $3,000 civil penalty, 20 hours of Board approved community service and monthly submission of spore testing results for a period of one year from the effective date of the Order.

NOTE: Failure to do biological monitoring testing more than 20 times within a calendar

FAILURE TO RESPOND WITHIN TEN DAYS TO A BOARD REQUEST FOR INFORMATION

Licensee shall pay a $(XX) civil penalty in the form of a cashier’s, bank, or official check, made payable to the Oregon Board of Dentistry and delivered to the Board offices within 30 days of the effective date of the Order, unless the Board grants an extension, and advises the Licensee in writing.

NOTE: The Board will issue a Notice of Proposed Disciplinary Action and offer a Consent Order, incorporating a reprimand and a $1,000 civil penalty, to a licensed dentist, who fails to respond within ten days to a Board request for information

NOTE: The Board will issue a Notice of Proposed Disciplinary Action and offer a Consent Order, incorporating a reprimand and a $500 civil penalty, to a licensed dental hygienist, who fails to respond within ten days to a Board request for information

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year will result in the issuance of a Notice and an offer of a Consent Order incorporating a reprimand, a $6,000 civil penalty, 40 hours of Board approved community service and monthly submission of spore testing results for a period of one year from the effective date of the Order.

Licensee shall, for an indefinite length of time, be subject to the following conditions of this Consent Order: Licensee shall voluntarily enter the State’s Health Professionals’ Services Program (HPSP) and abide by all of the terms and conditions established by the HPSP vendor, per Oregon law ORS 676. Licensee shall contact and initiate procedures to enter HPSP within one (1) business day of the effective date of this Order. Business days are defined as days Monday through Friday excluding holidays. I understand that failure to enroll in HPSP will result in notification to the Board. Licensee shall not apply for relief from these conditions within five years of the effective date of the Order, and then must do so in writing. Periods of time Licensee is not practicing dentistry as a dentist in Oregon, shall not apply to reduction of the five year requirement. Licensee shall not use alcohol, marijuana, illegal drugs, stimulants, narcotics, sedatives, or any other mind altering substances at any place or time unless prescribed by a licensed practitioner for a bona fide medical condition and upon prior notice to the Board and care providers, except that prior notice to the Board and care providers shall not be required in the case of a bona fide medical emergency. Licensee shall undergo an evaluation by a Board approved addictionologist or treatment center within 30 days of the effective date of the Order and make the written evaluation and treatment recommendations available to the Board. Licensee shall adhere to, participate in, and complete all aspects of any and all residential care programs, continuing care programs and recovery treatment plans recommended by Board approved care providers and arrange for a written copy of all plans, programs, and contracts to be provided to the Board within 30 days of the effective date of this Order. Licensee shall advise the Board, in writing, of any change or alteration to any residential care programs, continuing care programs, and recovery treatment plans 14 days before the change goes into effect. Licensee shall instruct all health care providers participating in the residential, continuing care, and recovery programs to respond promptly to any Oregon Board of Dentistry inquiry concerning Licensee’s compliance with the treatment plan and to immediately report to the Board, any positive test results or any substantial failure to fully participate in the programs by the Licensee. Licensee shall instruct the foregoing professionals to make written

STANDARD PROTOCOLS FOR CONSENT ORDERS RELATED TO DIAGNOSED SUBSTANCE USE DISORDER

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quarterly reports to the Board of Licensee’s progress and compliance with the treatment programs. Licensee shall waive any privilege with respect to any physical, psychiatric, or psychological evaluation or treatment in favor of the Board for the purposes of determining compliance with this Order, or the need to modify this Order, and shall execute any waiver or release upon request of the Board. Licensee shall submit to a Board approved, random, supervised, urinalysis, hair, or blood testing program, at Licensee’s expense, with the frequency of the testing to be determined by the Board, but initially at a minimum of 36 random tests per year. Licensee shall arrange for the results of all tests, both positive and negative, to be provided promptly to the Board. Licensee shall advise the Board, within 72 hours, of any alcohol, illegal or prescription drug, or mind altering substance related relapse, any positive urinalysis test result, or any substantial failure to participate in any recommended recovery program. Licensee shall personally appear before the Board, or its designated representative(s), at a frequency to be determined by the Board, but initially at a frequency of three times per year. Licensee shall, within three days, report the arrest for any misdemeanor or felony and, within three days, report the conviction for any misdemeanor or felony. Licensee shall assure that, at all times, the Board has the most current addresses and telephone numbers for residences and offices. IF APPROPRIATE – Licensee, agree to not order, store, inventory, audit, access, draw, administer, dispense, waste, or have unilateral access to any Scheduled controlled drugs for any clinic setting. Licensee shall immediately begin using pre-numbered triplicate prescription pads for prescribing controlled substances. Said prescription pads will be provided to the Licensee, at his/her expense, by the Board. Said prescriptions shall be used in their numeric order. Prior to the 15th day of each month, Licensee shall submit to the Board office, one copy of each triplicate prescription used during the previous month. The second copy to the triplicate set shall be maintained in the file of the patient for whom the prescription was written. In the event of a telephone prescription, Licensee shall submit two copies of the prescription to the Board monthly. In the event any prescription is not used, Licensee shall mark all three copies void and submit them to the Board monthly. Licensee shall maintain a dental practice environment in which nitrous oxide is not present or available for any purpose, or establish a Board approved plan to assure that Licensee does not have singular access to nitrous oxide. The Board must approve the proposed plan before implementation.

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Licensee shall immediately surrender his/her Drug Enforcement Administration Registration. STANDARD PROTOCOLS FOR CONSENT ORDERS SPECIFICALLY RELATED TO SEXUAL VIOLATIONS SEX RELATED VIOLATIONS Licensee shall, for an indefinite length of time, be subject to the following conditions of this Consent Order: Licensee shall not apply for relief from these conditions within five years of the effective date of the Order, and then must do so in writing. Periods of time Licensee is not practicing dentistry as a dentist in Oregon, shall not apply to reduction of the five year requirement. Licensee shall undergo an assessment by a Board approved evaluator, within 30 days of the effective date of the Order, and make the written evaluation and treatment recommendations available to the Board. Licensee shall adhere to, participate in, and complete all aspects of any and all residential care programs, continuing care programs and recovery treatment plans recommended by Board approved care providers and arrange for a written copy of all plans, programs, and contracts to be provided to the Board within 30 days of the effective date of the Order. Licensee shall advise the Board, in writing, of any change or alteration to any residential care programs, continuing care programs, and recovery treatment plans 14 days before the change goes into effect. Licensee shall instruct all health care providers participating in the residential, continuing care, and recovery programs to respond promptly to any Oregon Board of Dentistry inquiry concerning Licensee’s compliance with the treatment plan and to immediately report to the Board, any substantial failure to fully participate in the programs by the Licensee. Licensee shall instruct the foregoing professionals to make written quarterly reports to the Board of Licensee’s progress and compliance with the treatment programs. Licensee shall waive any privilege with respect to any physical, psychiatric, or psychological evaluation or treatment in favor of the Board for the purposes of determining compliance with this Order, or the need to modify this Order, and shall execute any waiver or release upon request of the Board. Licensee shall submit to a polygraph examination or plethysmograph examination, at Licensee’s expense, at the direction of the Board or a counseling provider. Licensee shall advise the Board, within 72 hours, of any substantial failure to participate in any recommended recovery program. Licensee shall personally appear before the Board, or its designated representative(s), at a frequency to be determined by the Board, but initially at a frequency of three times per

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year.

IF APPROPRIATE – Require Licensee to advise his/her dental staff or his/her employer of the terms of the Consent Order at least on an annual basis. Licensee shall provide the Board with documentation attesting that each dental staff member or employer reviewed the Consent Order. In the case of a Licensee adding a new employee, the Licensee shall advise the individual of the terms of the Consent Order on the first day of employment and shall provide the Board with documentation attesting to that advice. Ms. Riedman moved and Dr. Javier seconded that the Board adopt the protocol changes as presented, effective January 1, 2019. The motion passed unanimously.

RATIFICATION OF LICENSES Mr. Dunn moved and Dr. Javier seconded that the Board ratify the licenses listed in Tab 16. The motion passed unanimously. DENTAL HYGIENISTS H7700 COURTNEY PAIGE SLACK, R.D.H. 8/14/2018 H7701 CARRIE MICHELLE ROY, R.D.H. 8/14/2018 H7702 ALYSSA MILENE TOLES, R.D.H. 8/16/2018 H7703 BRANDY SUE COWEN, R.D.H. 8/16/2018 H7704 TERRY TAM, R.D.H. 8/16/2018 H7705 TIFFANY NICOLE FORBES, R.D.H. 8/16/2018 H7706 JENNY L. H. GALLEGO, R.D.H. 8/16/2018 H7707 KAREN DANIELLE TERRAZONE, R.D.H. 8/16/2018 H7708 LEXI M CHIN, R.D.H. 8/30/2018 H7709 AUBREY CUMMINGS, R.D.H. 8/30/2018 H7710 KATHLENE ALISEN HEIN, R.D.H. 8/30/2018 H7711 ELIZABETH RAE SCHUBERG, R.D.H. 8/30/2018 H7712 MEGAN ELIZABETH FOX, R.D.H. 8/30/2018 H7713 GRACE MEGUMI NODA, R.D.H. 8/30/2018 H7714 JAYNE SUVA WHEELER, R.D.H. 8/30/2018 H7715 ANGELA SHEVCHENKO, R.D.H. 8/30/2018 H7716 KELLY MICHELE RICE, R.D.H. 8/30/2018 H7717 CRISTA LIANA GASMEN ZUNIGA, R.D.H. 8/30/2018 H7718 RACHEL ANNE STEPHENS, R.D.H. 8/30/2018 H7719 CHRYSTEEN HUTCHINS, R.D.H. 9/10/2018 H7720 MYKAL ANN BARON, R.D.H. 9/13/2018 H7721 HANNAH JEAN HUNKER, R.D.H. 9/13/2018 H7722 AMANDA LUCIA SANCHEZ, R.D.H. 9/13/2018 H7723 MEGAN TAYLOR YOUNG, R.D.H. 9/13/2018 H7724 STEPHANIE JESUS ESPINO, R.D.H. 9/13/2018 H7725 MELODY SJOREN, R.D.H. 9/13/2018

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H7726 BREEANN MARIE ROJAS, R.D.H. 9/13/2018 H7727 KRISTEN WURL-KOTH, R.D.H. 9/13/2018 H7728 MELANIE LOUISE CLINE, R.D.H. 9/13/2018 H7729 RACHEL TAYLOR ROBELLI, R.D.H. 9/13/2018 H7730 MICHELLE KATHLEEN PRITCHARD, R.D.H. 9/13/2018 H7731 KRISTINA MORGAN, R.D.H. 9/13/2018 H7732 AMY KATHARINE YOUNG, R.D.H. 9/13/2018 H7733 TAMRA LEATHAM, R.D.H. 9/21/2018 H7734 KATHERINE ANNA LORTIE, R.D.H. 9/25/2018 H7735 KIRSTY ELISE SHERRELL, R.D.H. 9/25/2018 H7736 MELISSA ANN KYSAR, R.D.H. 9/25/2018 H7737 SABRINA LYNN DAVIS, R.D.H. 9/25/2018 H7738 KAYLEE ANNA HEPLER, R.D.H. 9/25/2018 H7739 SHELBY LYNN GAINFORTH, R.D.H. 9/25/2018 H7740 SHIREEN SHAKIR KAREEM, R.D.H. 9/25/2018 H7741 TINA HUYEN CHAU VAN, R.D.H. 9/25/2018 H7742 LYUBOV NIKOLAYEVNA KONOPATSKAYA,

R.D.H. 9/25/2018

H7743 TIEN TRUONG NGUYEN, R.D.H. 9/25/2018 H7744 OLGA KUZMICH, R.D.H. 9/25/2018 H7745 YVETTE HEY, R.D.H. 10/4/2018 H7746 MELISSA MARIE HARROLD, R.D.H. 10/4/2018

DENTISTS

D10893 WALEED ALMULLA, D.M.D. 8/16/2018 D10894 PETER D BRINK, D.M.D. 8/16/2018 D10895 CASEY DEAN CLINGAN, D.M.D. 8/16/2018 D10896 PAUL THOMAS KINGHORN, D.M.D. 8/16/2018 D10897 JEROME J LEE, D.D.S. 8/16/2018 D10898 VINCENT JOSEPH KIRSE, D.M.D. 8/16/2018 D10899 MARGARET MICHELLE ARWOOD, D.M.D. 8/16/2018 D10900 CATHERINE HANH THUY VU, D.D.S. 8/16/2018 D10901 BRYAN C WILLIAMS, D.M.D. 8/21/2018 D10902 PATRICK JAMISON FINN, D.D.S. 8/30/2018 D10903 DIANA R LEE, D.M.D. 8/30/2018 D10904 PHILIP J LA LANDE, D.M.D. 8/30/2018 D10905 JESSE ACHATZ, D.M.D. 8/30/2018 D10906 SAHAR JAFERIAN, D.M.D. 8/30/2018 D10907 AARON PATRICK MCCARLEY, D.M.D. 8/30/2018 D10908 DANIEL ALEJANDRO MESA, D.D.S. 8/30/2018 D10909 JORDAN ELIZABETH CROSS, D.M.D. 8/30/2018 D10910 KELSEY ELIZABETH CONE, D.M.D. 9/10/2018 D10911 DANIELLE PAIGE WINGROVE, D.D.S. 9/13/2018 D10912 ELISABETH MAUREEN GORMAN, D.M.D. 9/13/2018 D10913 ELIZABETH KATHRYN TOMCZYK, D.M.D. 9/13/2018 D10914 PRIYANKA JOSHI, D.D.S. 9/13/2018 D10915 TIM H CROSS, D.D.S. 9/13/2018

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October 19, 2018 Board Meeting Page 24 of 24

D10916 SUNG-YEOB PHILLIPS BAIK, D.D.S. 9/13/2018 D10917 KEYAN BOTSFORD, D.M.D. 9/13/2018 D10918 MATTHEW PAVLOVICH, D.D.S. 9/17/2018 D10919 KYLE S HANSEN, D.M.D. 9/25/2018 D10920 RILEY D CLARK, D.M.D. 9/25/2018 D10921 ANUOLUWAPO ANIMASHAUN, D.D.S. 9/25/2018 D10922 KATHERINE MARIE MCKITRICK, D.M.D. 9/25/2018 D10923 CHRISTIAN MALCOLM SNEAD, D.D.S. 9/25/2018 D10924 SOPHIE ROSE MORRELL DIEPENHEIM,

D.M.D. 9/25/2018

D10925 JENNIFER WILLIAMS BERGSTROM, D.D.S. 9/25/2018 D10926 CHRISTOPHER HANSEN, D.M.D. 9/25/2018 D10927 ROBERT MONGRAIN, D.M.D. 10/4/2018

DENTAL FACULTY LICENSES

DF0043 BRYAN THOMAS TERVO, D.D.S. 9/21/2018 DF0044 CARLOS A JURADO, 10/4/2018 DF0045 AKSHAY GOVIND, D.M.D. 10/4/2018

Announcement No announcements.

ADJOURNMENT

The meeting was adjourned at 2:13 p.m. Dr. Fine stated that the next Board Meeting would take place on December 14, 2018.

Gary Underhill, D.M.D. President

/S/