What to do about concern r/t previous provider

[DD214_DOC]

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So, I'm in a bit of a dilemma. I inherited a panel from another provider who has since relocated to another facility within the same system.

I have a lot of concerns about how this person was practicing. I'm not getting into details, but I'm learning more and more it was more than just goofy medication choices. I'm quite certain she was not providing any informed consent, she was not asking pts how they are doing but was actually telling them they are doing well and then documenting that, would ignore the kids/teen and talk only with parents every session and never meet with them individually, improperly dx things and then treating them inappropriately, and probably not really meeting standard of care without mitigating circumstances (like starting dexedrine and abilify simultaneously in a 4yo with ADHD without any explanation why). She was letting serious side effects from the meds she inappropriately prescribed go without addressing them (one 10yo on abilify had an LDL that trended up for months; last one was almost 200 and it was never addressed and there was no rationale for why he was kept on the medication)

I honestly feel like she's a potential danger to patients and a liability for the facility she's at now. I'm not sure how to approach this. Does this stuff get reported to her licensing board and they investigate?

 

[MacDonaldTriad]

The devil is in the details of your evidence. If you have uncovered a physician who is cutting corners and doing a weak job in general, this will become a Pollyanna fist fight from which nothing good can come. It is also not that rare or hard to find examples of. You will risk becoming embroiled in an expensive civics lesson that will possibly back fire into counter law suits and all kinds of ugliness. If she has clearly crossed a line with rock solid evidence of below standards of care practice, then you are obligated to report this. There are formal channels, and less formal ways to expose this wrong doing. If you discuss this with your administration, don’t be surprised by the algebra that looks at her cost and her revenue. A practice manager will only see ethics when it spells clear liability and financial risk. The state on the other hand will start a chain of events that will investigate with a weak microscope that is looking for massive wrong doing and will tolerate lots of minor wrong doing.

 

[DD214_DOC]

The devil is in the details of your evidence. If you have uncovered a physician who is cutting corners and doing a weak job in general, this will become a Pollyanna fist fight from which nothing good can come. It is also not that rare or hard to find examples of. You will risk becoming embroiled in an expensive civics lesson that will possibly back fire into counter law suits and all kinds of ugliness. If she has clearly crossed a line with rock solid evidence of below standards of care practice, then you are obligated to report this. There are formal channels, and less formal ways to expose this wrong doing. If you discuss this with your administration, don’t be surprised by the algebra that looks at her cost and her revenue. A practice manager will only see ethics when it spells clear liability and financial risk. The state on the other hand will start a chain of events that will investigate with a weak microscope that is looking for massive wrong doing and will tolerate lots of minor wrong doing.

Well, I'm not sure. What would constitute, "rock solid evidence"? Nobody (well, maybe a couple people i've met) would document things to incriminate themselves. I guess I just leave it alone and sulk.

 

[MacDonaldTriad]

It is hard to underestimate the standard of care out there.

 

[F0nzie]

Well, I'm not sure. What would constitute, "rock solid evidence"? Nobody (well, maybe a couple people i've met) would document things to incriminate themselves. I guess I just leave it alone and sulk.

You could... but it's fun to talk about. There is a lot of good content out there.

 

[notlucid]

There is also difference in documentation and quality of care. Though there are some things which are so far out like the op mentioned which are not standard of care, illogical and without any rationale for experimental treatment.