Board

OFFICERS, CONSULTANTS, RECORDS, DECLARATORY ORDERS, ADVISORY RULINGS, SUBPOENAS, AND SCREENING PANELS. (1) The Board, shall elect annually from its members the following officers: (a) Chairman - who shall preside at all Board meetings, and appoint committees. (b) Secretary - who in the absence of the chairperson shall preside at Board meetings and who, along with the Board’s Unit Director, shall be responsible for correspondence from the Board and execution of all official documents requiring the seal of the Board to be affixed. (2) The Board shall select consultants who, along with each individual member of the Board, may serve as consultants to the Division and who are vested with the authority to do the following acts: GENERAL RULES AND REGULATIONS GOVERNING CHAPTER 1330-01 RESPIRATORY CARE PRACTITIONERS (a) Review complaints and recommend whether and under what type disciplinary actions should be instituted as the result of complaints received or investigations conducted by the Division. (b) Recommend whether and under what terms a complaint, case or disciplinary action might be settled. Any matter proposed for settlement must be subsequently reviewed, evaluated and ratified by the full Board before it becomes effective. (c) Review and approve all types of applications for issuance of a temporary authorization pursuant to T.C.A. § 63-27-116(c)(1), subject to subsequent ratification by the Board before full licensure, renewal, or reinstatement can issue. (d) Undertake any other matter authorized by a majority vote of the Board. (3) Records and Complaints (a) All requests, applications, notices, other communications and correspondence shall be directed to the Board office. Any requests or inquiries requiring a Board decision or official Board action, except documents relating to disciplinary actions or hearing requests, must be received fourteen (14) days prior to a scheduled Board meeting. Requests or inquiries not timely received will be retained in the Board office and presented at the next Board meeting. (b) All records of the Board, except those made confidential by law, are open for inspection and examination, under the supervision of an employee of the Division at the Board office during normal business hours. (c) Copies of public records shall be provided to any person upon payment of a fee. (d) All complaints should be directed to the Division’s Investigations Section. (4) Declaratory Orders - The Board adopts, as if fully set out herein, Rule 1200-10-01-.11, of the Division of Health Related Boards and as it may from time to time be amended, as its rule governing the declaratory order process. All declaratory order petitions involving statutes, rules or orders within the jurisdiction of the Board shall be addressed by the Board pursuant to that rule and not by the Division. Declaratory Order Petition forms can be obtained from the Board’s administrative office. (5) Subpoenas (a) Purpose - Although this rule applies to persons and entities other than respiratory care practitioners, it is the Board’s intent as to respiratory care practitioners that they be free to comprehensively treat and document treatment of their patients without fear that the treatment or its documentation will be unduly subjected to scrutiny outside the profession. Consequently, balancing that intent against the interest of the public and patients to be protected against substandard care and activities requires that persons seeking to subpoena such information and/or materials must comply with the substance and procedures of these rules. It is the intent of the Board that the subpoena power outlined herein shall be strictly construed. Such power shall not be used by the Division or Board investigators to seek other incriminating evidence against respiratory care practitioners when the Division or Board does not have a complaint or basis to pursue such an investigation. Thus, unless the Division or its investigators have previously considered, discovered, or GENERAL RULES AND REGULATIONS GOVERNING CHAPTER 1330-01 RESPIRATORY CARE PRACTITIONERS otherwise received a complaint from either the public or a governmental entity, no subpoena as contemplated herein shall issue. (b) Definitions - As used in this chapter of rules the following words shall have the meanings ascribed to them: 1. Probable Cause (i) For Investigative Subpoenas - Shall mean that probable cause, as defined by case law at the time of request for subpoena issuance is made, exists that a violation of the Respiratory Care Practitioner Act or rules promulgated pursuant thereto has occurred or is occurring and that it is more probable than not that the person(s), or item(s) to be subpoenaed possess or contain evidence which is more probable than not relevant to the conduct constituting the violation. (ii) The utilization of the probable cause evidentiary burden in proceedings pursuant to this rule shall not in any way, nor should it be construed in any way to establish a more restrictive burden of proof than the existing preponderance of the evidence in any civil disciplinary action which may involve the person(s) or items that are the subject of the subpoena. 2. Presiding Officer - For investigative subpoenas shall mean the Board chair. (c) Procedures 1. Investigative Subpoenas (i) Investigative Subpoenas are available only for issuance to the authorized representatives of the Tennessee Department of Health, its investigators and its legal staff. (ii) An applicant for such a subpoena must either orally or in writing notify the Board’s Unit Director of the intention to seek issuance of a subpoena. That notification must include the following: (I) The time frame in which issuance is required so the matter can be timely scheduled; and (II) A particular description of the material or documents sought, which must relate directly to an ongoing investigation or contested case, and shall, in the instance of documentary materials, be limited to the records of the patient or patients whose complaint, complaints, or records are being considered by the Division or Board, although in no event shall such subpoena be broadly drafted to provide investigative access to medical records of other patients who are not referenced in a complaint received from an individual or governmental entity, or who have not otherwise sought relief, review, or Board consideration of a respiratory care practitioner’s conduct, act, or omission; and (III) Whether the proceedings for the issuance is to be conducted by physical appearance or electronic means; and GENERAL RULES AND REGULATIONS GOVERNING CHAPTER 1330-01 RESPIRATORY CARE PRACTITIONERS (IV) The name and address of the person for whom the subpoena is being sought or who has possession of the item(s) being subpoenaed. (iii) The Board’s Unit Director shall cause to have the following done: (I) In as timely a manner as possible arrange for the Board chair to preside and determine if the subpoena should be issued; and (II) Establish a date, time and place for the proceedings to be conducted and notify the applicant and the court reporter; and (III) Maintain a complete record of the proceedings including an audio tape in such a manner as to: I. Preserve a verbatim record of the proceeding; and II. Prevent the presiding officer from being allowed to participate in any manner in any disciplinary action of any kind, formal or informal, which involves either the person or the documents or records for which the subpoena was issued. (iv) The Proceedings (I) The applicant shall do the following: I. Provide for the attendance of all persons whose testimony is to be relied upon to establish probable cause; and II. Produce and make part of the record copies of all documents to be utilized to establish probable cause; and III. Obtain, complete and provide to the presiding officer a subpoena which specifies the following: A. The name and address of the person for whom the subpoena is being sought or who has possession of the item(s) being subpoenaed; and B. The location of the materials, documents or reports for which production pursuant to the subpoena is sought, if that location is known; and C. A brief, particular description of any materials, documents or items to be produced pursuant to the subpoena; and D. The date, time and place for compliance with the subpoena. IV. Provide the presiding officer testimony and/or documentary evidence which in good faith the applicant believes is sufficient to establish that probable cause exists for issuance of the subpoena as well as sufficient proof that all other reasonably GENERAL RULES AND REGULATIONS GOVERNING CHAPTER 1330-01 RESPIRATORY CARE PRACTITIONERS available alternative means of securing the materials, documents or items have been unsuccessful. (II) The presiding officer shall do the following: I. Commence the proceedings and swear all necessary witnesses; and II. Hear and maintain the confidentiality of the evidence, if any, presented at the proceedings; and III. Control the manner and extent of inquiry during the proceedings and be allowed to question any witness who testifies; and IV. Determine, based solely on the evidence presented in the proceedings, whether probable cause exists and, if so, issue the subpoena for the person(s) or items specifically found to be relevant to the inquiry; and V. Sign the subpoena as ordered to be issued; and VI. Not participate in any way in any other proceeding whether formal or informal which involves the matters, items or person(s) which are the subject of the subpoena. This does not preclude the presiding officer from presiding at further proceedings for issuance of subpoenas in the matter. 2. Post-Notice of Charges Subpoenas - If the subpoena is sought for a contested case being heard with an Administrative Law Judge from the Secretary of State’s office presiding, the procedure in part 1330-01-.19(6)(c)1. shall not apply and all such post-notice of charges subpoenas should be obtained from the office of the Administrative Procedures Division of the Office of the Secretary of State pursuant to the Uniform Administrative Procedures Act and rules promulgated pursuant thereto. (d) Subpoena Forms 1. All subpoena shall be issued on forms approved by the Board chair. 2. The subpoena forms may be obtained by contacting the Board’s Administrative Office. (e) Subpoena Service - Any method of service of subpoenas authorized by the Tennessee Rules of Civil Procedure or the rules of the Tennessee Department of State, Administrative Procedures Division may be utilized to serve subpoenas pursuant to this rule. (6) Screening Panels - The Board adopts, as if fully set out herein, Rule 1200-10-01-.13, of the Division of Health Related Boards and as it may from time to time be amended, as its rule governing the screening panel process. (7) Reconsiderations and Stays - The Board authorizes the member who chaired the Board for a contested case to be the agency member to make the decisions authorized pursuant to Rule 1360-04-01-.18 regarding petitions for reconsiderations and stays in that case. GENERAL RULES AND REGULATIONS GOVERNING CHAPTER 1330-01 RESPIRATORY CARE PRACTITIONERS