[{"_1":2,"_87":-5,"_88":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},"mediaId",6115937,"mediaKeyId","2735472-a3b0587d64c8117860235f760dd85705","parentId",2735472,"title","Executive committee recommends full board approve licensure for Dr. Gorisco to cover Gulf operations","audioSeconds",2000,"startMs",1963000,"endMs",3963000,"viewUrl","/Search/View?dp=1&key=2735472-a3b0587d64c8117860235f760dd85705&start=1963&end=3963","thumbnailUrl","https://assets.pipeline.soar.com/2735472-a3b0587d64c8117860235f760dd85705/thumbnail_1963000.jpg","articleUrl","/articles/6115937/Mississippi/Executive-committee-recommends-full-board-approve-licensure-for-Dr-Gorisco-to-cover-Gulf-operations","mediaUrl","https://secure.pipeline.soar.com/6115937-6f9956f71abf2cd5c46e705efefa36b0/orig.mp4?Expires=1771199357&Signature=IcWPJGf83ZHe-1CuvthkGPGoEl3p1tnFlTRrOjZ2CltMKLH4p10HGi4x6vEWwpsBnb21gj3iMp94dTSUyGbYg8zm8i75mkhvDHd0CAkCRDFnY~sOrgn3BTX21K54UcqN~zcgdU~MLNkjfAJkjITyXssAj1Xo-YCFKhomMNohiCDG7gnaL-Jibuv4PJAx4mkHBzt4PXEiZGmY3-0lS6S0vJCSd21y1wY2k8t8oDLPyc81xhQeZA377BfmnAiBZH9HDylkrxAtwlbUcXLgnVUrWDPuekPnWtKipY3wAxbBh0AQMwVe5p2r2goP7eDSYcpSPdGjC~3yPB5KySPmkGn2ZQ__&Key-Pair-Id=KUT5TJCACFTXG","author","","date","2025-03-21T03:12:33Z","article","The State Board of Medical Licensure executive committee recommended that the full board approve the licensure application of Dr. Gorisco, following an executive‑session review. Dr. Gorisco asked for licensure in Mississippi to legally provide medical management when drill ships or other operations under International SOS enter Mississippi state waters.

Dr. Gorisco told the committee he was one of the first board‑certified emergency physicians in Louisiana and practiced at Ochsner for nearly 40 years. He said he now provides remote medical support for International SOS, managing care for companies including SpaceX, NASA and offshore oil and gas operations. \"I have a response center staffed by two licensed nurse practitioners,\" Dr. Gorisco said, describing a model in which ship medics escalate to a nurse practitioner and cases are then managed by him remotely.

Committee members asked for clarification about current certification and how often state licensure would be required. Ken Lippincott, an executive committee member, asked about Dr. Gorisco's recertification history and test performance. Dr. Gorisco said he had not completed recertification in 2020, described personal and pandemic‑related interruptions, and told the committee he had taken the SPEX exam three times in the past 18 months, scoring 74 out of 75 on his most recent attempt. Executive director Ken Cleveland raised the question of board eligibility and the available pathways to measure competency; Dr. Gorisco said he had not yet explored whether he remained board‑eligible.

After questions, a motion was made and seconded to enter executive session to consider the application. The committee entered executive session, then returned to open session and directed that the committee recommend approval of Dr. Gorisco's application to the full board. Committee members thanked Dr. Gorisco and noted the economic importance of Gulf operations and the need for consistent care for offshore workers.

Clarifying details from the committee record: Dr. Gorisco said he primarily practices remotely and does not maintain an in‑state private practice; he cited occasional medevacs into Mississippi trauma or burn centers as the principal reliance for state licensure. He said he holds licensure in multiple other states (he estimated 20–25), and that his current remote role requires state licenses when operations enter state waters.

The committee's action is a recommendation; the full board will receive the committee's recommendation and take final action on Dr. Gorisco's licensure application.","mediaType","Video","parentTitle","Executive Committee Meeting","oneSentenceSummary","The executive committee recommended that the full State Board of Medical Licensure approve Dr. Gorisco's application for licensure after discussing his remote teleemergency role supporting offshore drill ships and entering executive session to consider the matter.","taxTitle","State Board of Medical Licensure, Agencies, Organizations, Executive, Mississippi","taxId",31004,"location","Mississippi","headline","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},6115939,"Executive committee backs exemptions for remote-monitoring provider Cadence, recommends full board approval",1715,244000,1959000,"/Search/View?dp=1&key=2735472-a3b0587d64c8117860235f760dd85705&start=244&end=1959","https://assets.pipeline.soar.com/2735472-a3b0587d64c8117860235f760dd85705/thumbnail_244000.jpg","/articles/6115939/Mississippi/Executive-committee-backs-exemptions-for-remote-monitoring-provider-Cadence-recommends-full-board-approval","https://secure.pipeline.soar.com/6115939-fa1443f45fc2c5a6082dc8f5bc540c6b/orig.mp4?Expires=1771199357&Signature=F9pztpTiuq2lPoo~mbTgQ-t5oUDps-7JGOuvfPnnvq1Z-5U9He118WBF~QVCTWWbDERaBkCExFlG~CzFxp1prD~JWykSXiaVfOS9qCReeYDegDKS0DqmeEKQT3Pt1Xddck0wGyV~M9KXWG6osskcmEnVD-LIONDP-hygFG8iz9L8QXfaBhw9rYDJkP7wWAzcx2hym1AOnG44e24-jvLsg57vk8gkonjcFZAO83GV7wX~MC3vpRJddCTp4XhXydW7y05MJSXfap32MyI6eQVyYZq4ViTqvQiZvqAWMbBgncYRXuOu8hdFbEVx34t1SzOIrleRkLfSAC~OU8IesEYzuQ__&Key-Pair-Id=KUT5TJCACFTXG","The State Board of Medical Licensure executive committee voted to recommend that the full board approve exemptions to the board's 20/80 rule and 75-mile rule for Dr. Theodore Feldman and Dr. Randall Kernow, allow the addition of nurse practitioners submitted with the request, permit referrals outside the Merit Health system, and authorize supervising up to eight advanced practice providers.

The recommendation came after a Zoom appearance by Dr. Theodore Feldman, who described Cadence, the remote patient monitoring company he represents, and asked that Dr. Kernow be added under the same exemptions previously granted to Feldman in May 2023. \"We have now been operating as an RPM company which has nurse practitioner care delivery, a tech platform, and the remote monitoring capabilities of blood pressure cuffs, scales, and glucose monitors to manage diabetes, hypertension, congestive heart failure,\" Dr. Theodore Feldman said.

The request, presented by Feldman and by counsel Brian Higgins, asked the board to broaden prior exemptions so that Cadence may add an additional nurse practitioner, name Dr. Kernow as medical director, accept referrals from physicians outside Merit Health, and permit supervising up to eight APPs. \"We do not supplant Mississippi‑based and licensed physicians,\" Brian Higgins told the committee, saying Cadence operates only when a Mississippi‑licensed physician orders its services.

Committee members questioned scope and oversight. Dr. Owens, serving as presiding officer for the meeting, explained why he preferred hearing from licensees first: \"This board is really focused on protection of the public, but we do that through regulation of licensees,\" he said. Dr. Randall Kernow told the committee he is a board‑certified internist who serves as Cadence's medical director and that he currently provides clinical support and quality oversight rather than maintaining a full‑time private patient panel.

Cadence representatives provided usage and outcome data. The company reported monitoring 1,672 Mississippi patients at four Merit Health sites referred by 37 Mississippi‑licensed physicians; they said Cadence has served more than 40,000 patients nationally and operates in about 25 states. Feldman and Kernow cited published results they said show reduced hospital admissions and improved chronic disease control, including a company‑reported 27 percent reduction in hospital admissions across more than 6,000 patients and blood‑pressure control meeting national guidelines for roughly 70 percent of hypertensive patients in their reported sample.

After a motion by Dr. Joiner and a second from Dr. Ken Lippincott, the committee voted by voice to recommend approval. The committee's action is advisory to the full board; committee members said the recommendation will be transmitted to the full board for final action.

Clarifying details recorded at the meeting include: Cadence's Mississippi patient count of 1,672 across four Merit Health sites referred by 37 providers; company claim of serving more than 40,000 patients nationwide; reported average patient age of 74; and prior exemptions granted to Dr. Feldman in May 2023. The paperwork before the committee did not include the full, written submission for multiple APRNs, and committee members asked that written details be provided to the full board.

The full board will receive the committee's recommendation at a subsequent meeting, where members will vote on the exemptions and supervisory limits.","The State Board of Medical Licensure executive committee recommended that the full board grant waivers to allow cardiologist Theodore Feldman and medical director Randall Kernow to supervise remote patient monitoring across Mississippi, expand referrals beyond Merit Health, and add nurse practitioners and up to eight advanced practice providers.","actionData","errors"]

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Executive committee recommends full board approve licensure for Dr. Gorisco to cover Gulf operations

Executive committee backs exemptions for remote-monitoring provider Cadence, recommends full board approval