1. North Carolina Medical Board
North Carolina Association Medical Staff Services-
November 4th, 2016
Loy C. Ingold
NCMB-Investigations Manager-West Region
Welcome Group: Brief introduction of speakers. We appreciate the invitation to address this group and we hope to share some information that will be beneficial and useful in your practice of medicine.

2. Criminal Arrest Monitoring Program
NC Medical Board
Criminal Arrest Monitoring Program
2012-Current

3. Background
Prior to 2012:
Board relied on self-reporting of criminal arrest by licensee’s during annual renewal process
Reporting by Law Enforcement Agencies
On-line complaints
Media

4. NCGS 90-16(j)
         All persons licensed under this Article shall self- report to the Board within 30 days of arrest or indictment any of the following:
(1)        Any felony arrest or indictment.
(2)        Any arrest for driving while impaired or driving under the influence.
(3)        Any arrest or indictment for the possession, use, or sale of any controlled substance.

5. Problems that bring physicians to the attention of the Medical Board

6. Five Problem Areas
Alcohol/substance abuse/dependence and mental illness issues
Quality of care issues including inappropriate and/or excessive prescribing
Behavioral issues, including boundary violations, disruptive behavior and criminal arrests
Communication
Administrative issues (Required reporting)

7. Case - 1 Substance abuse-Drug Diversion
Greensboro PD/High Point PD referral on Nurse Practitioner (NP)
NP prescribed controlled substance to non-patient for Oxycodone in exchange for cocaine
Criminal arrest in Guilford Co. PWISD Opiates; Conspiracy to OCSBF- Convicted (2/2014)
Board Action: MD’s license was suspended indefinitely (3/2015)Joint Committee-NCBON

8. Case - 2 May 2016 Arrest of Richmond County MD on charges of
Sell & Deliver of Sch. II and IV Controlled Drugs
Three Counts of Sexual Battery of patient
Rockingham SO and NCSBI Joint Investigation
Voluntary Surrender of MD License May-2016
Criminal Charges pending Richmond County Court

9. Case-3 Heath Care Fraud/Standard of Care/Felony Arrest
Charlotte MD charged by DHHS/OIG/IRS with multiple federal felonies
MD failed to record adequate information in medical records to support certain surgical procedures for which MD billed
NCMB had evidence MD departed from the standard of care with diagnosis and surgical judgment of a patient. (Cont.)

10. Charlotte MD Case Suspension of MD license for 1 year in 2013
Federal arrest- Multiple Heath Care Fraud Charges & Tax Evasion (June 2014)
Public Board Consent Order for Indefinite Suspension of Medical License (5/2015)
MD sentenced in Federal Court- 18 months active with $1M plus fine 9/2015

11. Case- 4
November2015 Arrest of MD by Moore Co. SO and NCSBI 6 Felony counts of OBCSF ; 4 Felony counts of Conspiracy to OCBF and 2 felony counts of insurance fraud
Prior NCMB Reprimand (June-2015) Unprofessional Conduct
Self-prescribing to himself and family member (Sch.IV)
Criminal charges pending court in Moore County

12. Case- 5
Joint Investigation (Pitt Co. S/O, VA-OIG, NCMB) involving MD at VA Center in Greenville, NC
Authorizing C-II, C-III, and C-IV substances by MD to patient in an inappropriate relationship, resulting in felony charges by Pitt Co S/O
MD criminally charged 3/2015 for 7 counts of Felony OCSBF, along with patient. Pled guilty to 1 felony count w/1 year probation (deferred for 1 year)
Public Consent Order Jan/2016- Indefinite Suspension of Medical License

14. US ISS LLC
Contract Vendor for 24 hour monitoring of Administrative Office of Court arrest data in NC
Direct report to NCMB for all criminal arrest in NC
2015 New Case Source: 64 Cases
2016 New Case Source: 42 as of 10/11/2016
* Since Board Cases

15. Monitoring System Total Hits Based on all traffic and criminal arrests
2016 (to date) ,904 hits
27 Charges for Alcohol/Drug Offenses
34 Misdemeanor Charges
3 Felony Charges

16. How to find more information
PO Box | Raleigh, NC
Professional Resources
Laws – NC Medical Practice Act: Chapter 90 NCGS
Rules – NC Administrative Code: 21 NCAC
Position Statements
Disciplinary Guidelines

17. QQUESTIONS?