Latest Information About Ohio Laws and Regulations (as of February 2012)
Scope of Practice - Ohio Revised Code
- Anti-Fee Discrimination Provision
- APMA State Reference Manual - Part A Scope of Practice Provisions (April 2006)
- Definition of Foot - Please follow the link to the Ohio Administrative Code 4731-20-01
- External Fixation
On June 11, 2009 the State Medical Board of Ohio approved the Scope of Practice Committee's determination that an Ohio podiatric physician who has successfully completed appropriate training may use and place external fixation apparatus for the relief of foot and ankle pathologies or to surgically correct and immobilize the ankle when the procedure is medically appropriate.
- Hyperbaric Oxygen Chamber Therapy
The hyperbaric chamber creates possible medical complications that are beyond the scope of practice of podiatric medicine and surgery. For example, there is an increased risk of complicaitons involving the otologic, pulmonary , nad certral nervous systems. Accordingly, a podiatrist may not supervise the rendering of hyperbaric oxygen therapy.
- Health & Physicals in Ambulatory Surgical Centers
- Hospital Privileges and Medical Staff Provision
ORC on Hospital Admitting Priviledges - Legislative Bill: http://www.legislature.state.oh.us/bills.cfm?ID=125_HB_189
- Laser Treatment for Hands
The State Medical Board of Ohio determined that an Ohio podiatric phyiscian who has successfully completed appropriate training may, as medically appropriate, provide treatment of fingernail fungus in podiatric patients and for treatment of scars on the hand when the etiology is not associated with trauma.
- Medication Reconciliation
The State Medical Board of Ohio affirmed that a podiatric physician does not exceed the podiatric scope of practice by continuing a previously prescribed medication for a medical condition that is not within the podiatric scope of practice. Medication reconciliation does not equate to prescribing or ordering medication. Whether the surgery is inpatient or outpatient, medication reconciliation ensures that all medication previously prescribed for the patient are carried through to the next transition point.
- Medical and Physician Assistant Information
Medical Assistants are not a licensed/regulated profession in Ohio, so there are no standards in place for training, education or scope of practice for this profession. Physician Assistants, on the other hand, are regulated by the Medical Board with educational standards, training requirements, a required national certification examination, and scope of practice defined in Ohio statute and rule in Chapter 4730. A medical assistant cannot practice as a Physician Assistant, please click here for definitions of Delegation of Medical Tasks and click here for a letter from the state medical board outlining medical assistants activities.
- Peroneal Nerve Decompression Procedure
The State Medical Board of Ohio affirmed that "an Ohio podiatric physician who has successfully completed appropriate training may perform peroneal nerve decompression for the relief of foot and ankle pathologies, such as diabetic neuropathy, when the procedure is medically appropriate." (September 12, 2007)
- Pneumatic Compression Devices
The State Medical Board of Ohio affirmed that "Consistent with these earlier responses, a podiatric physician may provide acute treatment for a venous stasis ulcer associated with chronic venous insufficiency appearing below the knee. A podiatric physician may also treat the post-operative secondary lymphedema associated with a foot or ankle procedure. Finally, a podiatric physician may prescribe a pneumatic compression device for the treatment of the local manifestations of secondary lymphedema or chronic venous insufficiency with venous stasis ulcers so long as the patient is referred for appropriate medical management for the primary medical condition. (September 19, 2011)
- Prompt Payment Provision
- Split Thickness Skin Grafts
The State Medical Board of Ohio affirmed that "an appropriately trained podiatric physician may perform split thickness skin grafts whereby skin is harvested from the anterior thigh for grafting to an area below the knee when the procedure is medically appropriate for the treatment of foot and ankle pathologies." (September 12, 2007)
- Surgical Procedures
The State Medical Board of Ohio clarified that the performance of tibial or fibular osteotomy, total ankle replacement, and bone callus distraction of the foot and ankle are within the scope of practice of an Ohio podiatric physician when the podiatric physician can demonstrate adequate education, training, and experience needed to conform to minimal standards of care and holds privileges to perform the procedure at a Joint Commission accredited hospital, Ohio licensed ambulatory surgical center, or approved college of podiatric medicine and surgery.
- Venous Leg Ulcers
The State Medical Board of Ohio affirmed that "The required expertise to provide wound care is not dependent upon the site or etiology of the would as the same knowledge and skills are required whether the site is above or below the ankle and no matter the etiology. For this reason it is clear that the medical services a podiatric physician may perform include, as medically appropriate, the treatment of foot and ankle pathologies through would care services applied to wounds that are located below the knee distally".
- Witholding Patient Records and How Much to Charge - 2013 Medical Records Copy Costs
Visit Other Ohio Laws and Regulations Links: