Kristen

We do have subject matter experts that we contract with to help us determine violations when needed. We also have rules relating to billing and medical records, which we will look at when determining any violations. My response to that email was, thank you. From what I read in this email, TDLR is not required to report criminal activity that has been found in complaints, question mark.

Also, are subject matter experts only licensed midwives? Then I stated that seems very strange, such as in my case, I had severe preeclampsia and other high-risk conditions in my pregnancy. Licensed midwives specialized in low-risk pregnancy are not trained to assess high-risk conditions. Therefore, they are not experts. They are not experts in prenatal pathology.

Also, are subject matter experts only licensed midwives? Then I stated that seems very strange, such as in my case, I had severe preeclampsia and other high-risk conditions in my pregnancy. Licensed midwives specialized in low-risk pregnancy are not trained to assess high-risk conditions. Therefore, they are not experts. They are not experts in prenatal pathology.

Also, are subject matter experts only licensed midwives? Then I stated that seems very strange, such as in my case, I had severe preeclampsia and other high-risk conditions in my pregnancy. Licensed midwives specialized in low-risk pregnancy are not trained to assess high-risk conditions. Therefore, they are not experts. They are not experts in prenatal pathology.

Is TDLR qualified to assess these medical intricacies of maternal and neonatal health? I understand TDLR's purview is to oversee licensing policies, but there is so much at stake in these complaints. My prosecutor's response to that was, based on the limited authority that our agency has, we do not have a requirement to report suspected criminal activity.

Is TDLR qualified to assess these medical intricacies of maternal and neonatal health? I understand TDLR's purview is to oversee licensing policies, but there is so much at stake in these complaints. My prosecutor's response to that was, based on the limited authority that our agency has, we do not have a requirement to report suspected criminal activity.

Is TDLR qualified to assess these medical intricacies of maternal and neonatal health? I understand TDLR's purview is to oversee licensing policies, but there is so much at stake in these complaints. My prosecutor's response to that was, based on the limited authority that our agency has, we do not have a requirement to report suspected criminal activity.

However, there is nothing that prohibits you from being able to file a complaint to law enforcement. you are welcome to share that TDLR has an open administrative case as well. We use subject matter experts that are licensed by TDLR as it would be improper to use medical experts with greater education than our licensees.

However, there is nothing that prohibits you from being able to file a complaint to law enforcement. you are welcome to share that TDLR has an open administrative case as well. We use subject matter experts that are licensed by TDLR as it would be improper to use medical experts with greater education than our licensees.

However, there is nothing that prohibits you from being able to file a complaint to law enforcement. you are welcome to share that TDLR has an open administrative case as well. We use subject matter experts that are licensed by TDLR as it would be improper to use medical experts with greater education than our licensees.

We prefer the case to be reviewed by someone with the same expertise and training as our licensees to properly evaluate the standard of care and whether it was violated in this case.

We prefer the case to be reviewed by someone with the same expertise and training as our licensees to properly evaluate the standard of care and whether it was violated in this case.

We prefer the case to be reviewed by someone with the same expertise and training as our licensees to properly evaluate the standard of care and whether it was violated in this case.

TDLR licensed experts know the applicable laws and rules from the administrative licensing side, whereas using an expert that has a different regulatory agency with different rules and laws than ours would be inappropriate. So it is another licensed midwife who are overseeing these cases. I'll tell you why it doesn't make sense. You have people who do not specialize in

TDLR licensed experts know the applicable laws and rules from the administrative licensing side, whereas using an expert that has a different regulatory agency with different rules and laws than ours would be inappropriate. So it is another licensed midwife who are overseeing these cases. I'll tell you why it doesn't make sense. You have people who do not specialize in

TDLR licensed experts know the applicable laws and rules from the administrative licensing side, whereas using an expert that has a different regulatory agency with different rules and laws than ours would be inappropriate. So it is another licensed midwife who are overseeing these cases. I'll tell you why it doesn't make sense. You have people who do not specialize in

who are not trained or educated in the pathology of these abnormalities associated with maternal or fetal health. Reviewing these cases, reviewing these charts that are often incomplete. My charts are not complete. People who were charting were leaving out symptoms. Even my BP was different in a couple of cases.

who are not trained or educated in the pathology of these abnormalities associated with maternal or fetal health. Reviewing these cases, reviewing these charts that are often incomplete. My charts are not complete. People who were charting were leaving out symptoms. Even my BP was different in a couple of cases.

who are not trained or educated in the pathology of these abnormalities associated with maternal or fetal health. Reviewing these cases, reviewing these charts that are often incomplete. My charts are not complete. People who were charting were leaving out symptoms. Even my BP was different in a couple of cases.

And I think it's important to note that per NARM, the North American Registry of Midwives, they state that every midwife has to come up with their own guidelines for their practice. So of these contracted expert witnesses, you have people who by and large have their own standards. There is no standard that they're both looking at together and going, ooh, that is preeclampsia.