Khurshid Muhammad v. Department of Veterans Affairs

CourtMerit Systems Protection Board
DecidedFebruary 21, 2023
DocketDE-1221-15-0371-W-2
StatusUnpublished

This text of Khurshid Muhammad v. Department of Veterans Affairs (Khurshid Muhammad v. Department of Veterans Affairs) is published on Counsel Stack Legal Research, covering Merit Systems Protection Board primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Khurshid Muhammad v. Department of Veterans Affairs, (Miss. 2023).

Opinion

UNITED STATES OF AMERICA MERIT SYSTEMS PROTECTION BOARD

KHURSHID KHAN MUHAMMAD, DOCKET NUMBERS Appellant, DE-1221-15-0371-W-2 DE-1221-16-0182-W-1 v.

DEPARTMENT OF VETERANS AFFAIRS, DATE: February 21, 2023 Agency.

THIS ORDER IS NONPRECEDENTIAL 1

Khurshid Khan Muhammad, Artesia, California, pro se.

Tanya Burton, Bay Pines, Florida, for the agency.

BEFORE

Cathy A. Harris, Vice Chairman Raymond A. Limon, Member Tristan L. Leavitt, Member

REMAND ORDER

¶1 The appellant has filed a petition for review of the initial decision, which denied his requests for corrective action in these joined individual right of action (IRA) appeals. For the reasons discussed below, we GRANT the appellant’s petition for review, AFFIRM the administrative judge’s findings denying

1 A nonprecedential order is one that the Board has determined does not add significantly to the body of MSPB case law. Parties may cite nonprecedential orders, but such orders have no precedential value; the Board and administrative judges are not required to follow or distinguish them in any future decisions. In contrast, a precedential decision issued as an Opinion and Order has been identified by the Board as significantly contributing to the Board’s case law. See 5 C.F.R. § 1201.117(c). 2

corrective action concerning the alleged termination of his appointment, denial of work, and termination of his clinical privileges, and REMAND the appeals to the Denver Field Office for further adjudication regarding the appellant’s request for corrective action concerning the alleged threat to terminate his appointment.

BACKGROUND ¶2 The appellant filed a timely IRA appeal alleging that the agency retaliated against him for protected whistleblowing disclosures by threatening to terminate and then terminating his appointment in November 2014. Muhammad v. Department of Veterans Affairs, MSPB Docket No. DE-1221-15-0371-W-1, Initial Appeal File (0371 IAF), Tab 1. The appellant later filed a second IRA appeal alleging that the agency retaliated against him for protected whistleblowing disclosures when it terminated his clinical privileges and refused to assign him work. Muhammad v. Department of Veterans Affairs, MSPB Docket No. DE-1221-16-0182-W-1, Initial Appeal File (0182 IAF), Tab 1. The administrative judge joined the two appeals. Muhammad v. Department of Veterans Affairs, MSPB Docket No. DE-1221-15-0371-W-2, Refiled Appeal File (0371 RAF), Tab 3; 0182 IAF, Tab 7. ¶3 The first appeal arose from the appellant’s October 20, 2014 appointment as a Fee Basis Physician at the New Mexico Veterans Affairs Healthcare System in Albuquerque, New Mexico. 0371 IAF, Tab 1 at 11; 0371 RAF, Tab 43 at 4. The appointment covered the period from October 20, 2014, through September 30, 2015, and provided that the appellant would receive $80.00 per patient visit. 2

2 Under 38 U.S.C. § 7405(a)(2)(A), the agency is authorized to employ medical providers on a fee basis. See 38 U.S.C. § 7401(1). The agency hires permanent, temporary, and “fee basis” physicians. Hearing Compact Disc (testimony of Executive Director, Primary Care Operations). Permanent staff physicians may be either full -time or part-time. Id. Locum tenens physicians are salaried staff physicians hired under temporary appointments and deployed to sites where the agency needs additional physicians. Id. Fee Basis Physicians are also temporary appointees, but they receive a set fee per visit or procedure rather than a salary and benefits. Id. Fee Basis Physicians 3

0371 RAF, Tab 43 at 4. The appointment letter listed a maximum utilization limit of $300,000 per year but stated that neither the agency nor the appellant was obligated to reach that limit. Id. ¶4 Before any physician begins employment at an agency facility, the agency’s credentialing department must check his or her credentials and issue clinical privileges. Hearing Compact Disc (HCD) (testimony of credentialing Program Specialist). The credentialing department is also responsible for terminating clinical privileges for physicians who no longer work at the facility. Id. When a physician departs the facility, the agency conducts an exit interview, in which it documents the reason for the departure. Id. If a physician has been terminated for cause, the agency may be required to report such information to the appropriate state licensing board. Id. ¶5 For purposes of workload management, the agency typically assigns patients to panels. HCD (testimony of Associate Chief of Staff). Each panel is assigned to a physician, who serves as a point of contact for those patients. Id. When a physician leaves the facility, his patients are assigned to another physician. Id. Thus, existing panels may be divided among multiple physicians. Id. Agency physicians assigned a panel of patients are responsible for handling “view alerts” for those patients. Id. View alerts are electronic notifications and reports on a wide variety of events, including test and laboratory results and prescription refill requests. Id. Some view alerts may be urgent and require immediate action. Id. ¶6 The appellant began seeing patients on October 27, 2014. 0182 IAF, Tab 5 at 33; 0371 RAF, Tab 48 at 9. At some point during his first week, the agency assigned him a panel of 1,195 patients. 0182 IAF, Tab 1 at 8; 0371 RAF, Tab 48

are not paid for any administrative time or for duties that do not involve patient visits or procedures. Id. 4

at 9. On November 4, 2014, the Associate Chief of Staff for Ambulatory Care 3 at the facility sent him the following email message: I am working on re-arranging and re-distributing the panel you are covering. Would you have any interest i[n] continuing to work [Monday-Friday] for a short period of time, until I can get this done? If not, let me know what your ideal schedule is. Thx. 0182 IAF, Tab 5 at 23. The appellant alleged that he spoke with the Associate Chief of Staff by telephone later that day, in which he raised a patient safety issue regarding the assigned patient panel and he refused to participate in the unsafe medical practice of treating patients without seeing them. 0182 IAF, Tab 1 at 5. He claimed that she became angry and threatened to terminate his appointment. Id. at 5, 10-11, 15, 23; 0371 IAF, Tab 1 at 5, 11, 13-14; 0371 RAF, Tab 24 at 6. The appellant later sent an email message responding to her earlier email, indicating that he was unable to work full-time because of personal and family commitments. 0182 IAF, Tab 5 at 21-22. He offered to work 5 days per week on a temporary basis, but he enumerated several reasons why he should not be assigned a full panel of patients at that time. Id. ¶7 Specifically, the appellant explained that he did not want to receive a panel of patients because, given the temporary nature of his assignment, such patients would not have continuity of care. Id. at 21. He expressed concern that he would be “bombarded” with view alerts for patients he did not know and would not be able to see in the near future. Id. He also explained that any work he did involving patients he had not seen would be unremunerated because he was only paid for actual patient visits. Id. at 21-22. Finally, he indicated that he was already spending more than the 30 minutes typically allotted for each patient because he was generally seeing “older and very hi[gh] acuity patients that have not been seen for a while” and suffered from multiple medical conditions.

3 The Associate Chief of Staff was in acting status when the eve nts in this appeal transpired.

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Khurshid Muhammad v. Department of Veterans Affairs, Counsel Stack Legal Research, https://law.counselstack.com/opinion/khurshid-muhammad-v-department-of-veterans-affairs-mspb-2023.