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Investigations Department

Investigations Department. Curt Ellis Director. Mission Statement Investigations Department. To protect the public by investigating all complaints in a fair and objective manner and accurately documenting and reporting the findings to the NCMB. Tracking the Investigative Process.

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Investigations Department

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  1. Investigations Department Curt Ellis Director

  2. Mission Statement Investigations Department To protect the public by investigating all complaints in a fair and objective manner and accurately documenting and reporting the findings to the NCMB.

  3. Tracking the Investigative Process • Comparison of Elements NC CJS and NCMB • Organization • Origin of Complaints-Sources of Information • Investigative Issues • Investigative Process • Compliance Program • Registration-Disciplinary/Impairment Questions • Statistics • Initiatives and Goals

  4. Comparison of Elements: NC Criminal Justice System and NCMB

  5. Organization

  6. Curt Ellis Raleigh, NC 919 326-1100 Loy Ingold Concord, NC 704 721-7981 Bruce Jarvis Marion, NC 828 724-1850 Don Pittman Raleigh, NC 919 326-1100 Mike Wilson Madison, NC 336 949-3389 Van Parker Fayetteville, NC 910 480-2228 Rick Sims Louisburg, NC 919 496-6988 David Allen Jacksonville, NC 910 577-4577 Lee Allen Gastonia, NC 704-601-6203 Bob Ayala Asheville, NC 910 457-4322 Therese Dembroski Chocowinity, NC 252 948-2581

  7. Investigator Duties and Responsibilities • Interview Complainants, Licensees, Patients, Medical Professionals, and Other Witnesses • Examine Records of Licensees, Complainants, and Patients • Obtain Evidence • Obtain Drug Screens • Obtain Voluntary Surrenders from Licensees • Serve Orders to Produce • Perform Physician Extender Checks • Confer with Medical Director • Monitor Licensees for Compliance • Report Writing • Testify before the Board

  8. Introduction of Support Staff • Jenny Olmstead - Supervisor, Investigative Support • Barbara Rodrigues - Investigative Coordinator

  9. Investigative Support • Open cases and forward supporting documentation • Forward licensees’ NCMB histories • Organize correspondence and other information from outside sources • Organize ROI’s, II Summaries, attachments for II and Investigative Committee • Incorporate Atty. Recommendations with ROI’s for Investigative Committee

  10. Support Staff Duties and Responsibilities • Investigative Committee • Informal Interviews • North Carolina Physicians Health Program • Out of State Actions

  11. Investigative Committee • Prepare Investigative Reports for Board Review • Copy Reports to Attorneys for their Recommendations • Prepare Medical Records for Submission to Medical Director • Attend Investigative Meeting and Record Events • Prepare Final Investigative Committee Report • Prepare Correspondence to Licensees regarding Committee Board Actions

  12. Informal Interviews • Finalize Investigator’s Informal Interview Summaries • Schedule and Coordinate Informal Interviews Each Month • Prepare Report of Recommended Board Actions from each Interview Group • Prepare Correspondence to Licensees regarding Board Actions • Add Credentials to Database for Temporary and Full Licenses • Prepare Informal Interview Report

  13. North Carolina Physicians Health Program • Investigations Department—Conduit between the NCMB and NCPHP • Attend NCPHP Committee Meetings and report to full Board • Forward anonymity breaks to Director of Investigations

  14. Out-of-State Actions • Examine Disciplinary Actions Reported by the Federation of State Medical Boards • Request Documents from the Federation or other Medical Boards • Summarize out of state Consent Orders • Forward All Information to the Legal Division for their Recommendation • Prepare Reports for Investigative Committee

  15. Origin of Complaints and Sources of Information

  16. Investigative Sources for 2005

  17. Investigative Issues

  18. Investigative Issues for 2005

  19. Investigative Process

  20. Receive Complaints/Information • Assign and Initiate Investigation • Develop Leads/Conduct Investigation • Prepare Investigative Report • Confer with Legal Department for Recommendations • Refer to Investigative Committee • Investigative Committee Recommends Board Action • Full Board Review • Board Finalizes Action • Board Actions Processed by Investigative Department

  21. Compliance Program

  22. Compliance Process • Compliance cases are the result of Board Actions (non public), Consent Orders, or Board Orders. • Case Assignments to Field Investigators - average of 16 cases per Investigator • Investigator Monitors – Gathers Information – Reports Compliance • Drug Screens • Prescription Logs • Informal Interviews • Monthly-Quarterly Reports • NCPHP Reports • CME • Respond to inquiries • Audits to Assure Compliance

  23. Registration DISCIPLINARY / IMPAIRMENT QUESTIONS

  24. Six Disciplinary Impairment Questions Red Flag Questions: Since you last registered with the NC Medical Board: • Have you had any action taken against you by any licensing board, hospital, medical staff or any other medical or regulatory organization? • Have you been denied a license, denied the privilege of taking a license examination, or withdrawn a license application? • Have you engaged in the excessive use of alcohol or prescription drugs, or the use of illegal drugs, or received any therapy or treatment for alcohol or drug use? (If you are an anonymous participant in the NC Physicians Health Program and are in compliance with your contract, you may answer “No” to this question.) • Have you been charged with (arrested, indicted or arraigned), convicted of, or pled guilty or nolo contendere (no contest) to a crime? • Have you become aware of any medical, surgical, or psychiatric condition that could possibly impair or limit your ability to practice medicine safely? (Examples of medical conditions might include problems with vision, speech, hearing, memory, or mobility.) • Has there been a medical malpractice judgement, settlement or award affecting or involving you (regardless of whether the judgment, settlement or award was made in your name)? If yes, please include patient name and amount of payment.

  25. Statistics

  26. Investigations Total Cases for 2005: 331 Total Cases for 2004: 272 Total Cases for 2003: 301 Total Cases for 2002: 319 Total Cases for 2001: 333 Current Open Cases: 182 Out-of-State Actions Total Cases for 2005: 255 Total Cases for 2004: 332 Total Cases for 2003: 233 Total Cases for 2002: 190 Total Cases for 2001: 84 Current Open Cases: 186

  27. Yearly Totals Total Cases for 2005: 667 Total Cases for 2004: 655 Total Cases for 2003: 585 Total Cases for 2002: 596 Total Cases for 2001: 417 Current Open Cases: 452 Compliance • Total Cases for 2005: 81 • Total Cases for 2004: 51 • Total Cases for 2003: 51 • From 8/2/2002-12/31/2002: 87 • Current Open Cases: 84

  28. Initiatives and Goals

  29. Investigators developing and opening cases with supervisory approval • New Investigative Procedures Manual • Streamline ROI’s to ensure they are complete, concise and cohesive • Implementation of a new drug screening program • Implementation of random PA and NP audits • Continuation of CME compliance monitoring

  30. Questions

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