Lori L Drumm v. Department of Veterans Affairs

CourtMerit Systems Protection Board
DecidedOctober 28, 2024
DocketCH-1221-18-0158-W-1
StatusUnpublished

This text of Lori L Drumm v. Department of Veterans Affairs (Lori L Drumm 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
Lori L Drumm v. Department of Veterans Affairs, (Miss. 2024).

Opinion

UNITED STATES OF AMERICA MERIT SYSTEMS PROTECTION BOARD

LORI LEE DRUMM, DOCKET NUMBER Appellant, CH-1221-18-0158-W-1

v.

DEPARTMENT OF VETERANS DATE: October 28, 2024 AFFAIRS, Agency.

THIS FINAL ORDER IS NONPRECEDENTIAL 1

Stephen Goldenzweig , Esquire, Houston, Texas, for the appellant.

Chadwick C. Duran , Esquire, and Danielle Kalivoda , Esquire, Indianapolis, Indiana, for the agency.

Nicholas E. Kennedy , Akron, Ohio, for the agency.

BEFORE

Cathy A. Harris, Chairman Raymond A. Limon, Vice Chairman Henry J. Kerner, Member*

*Member Kerner recused himself and did not participate in the adjudication of this appeal.

1 A nonprecedential order is one that the Board has determined does not add significantly to the body of MSPB case law. Parties may cite nonprecedential orders, but such orders have no precedential value; the Board and administrative judges are not required to follow or distinguish them in any future decisions.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

FINAL ORDER

The agency has filed a petition for review and the appellant has filed a cross petition for review of the initial decision, which granted in part and denied in part the appellant’s request for corrective action in connection with her individual right of action (IRA) appeal. For the reasons discussed below, we GRANT the agency’s petition for review and reverse the administrative judge’s granting of corrective action regarding the agency’s suspension of the appellant’s privileges. We DENY the appellant’s cross petition for review. The appellant’s request for corrective action is denied as to all matters.

BACKGROUND The essential facts in this appeal are set forth below and are largely drawn from the administrative judge’s thorough initial decision. The parties do not challenge these essential facts. During the 2-year period relevant to this appeal, the appellant encumbered the position of Associate Chief of Staff at the Veterans Affairs Northern Indiana Health Care System (VANIHCS). Her first-level supervisor was the VANIHCS Chief of Staff (COS), and her second-level supervisor was the VANIHCS Director. In her position, the appellant served as the first-line supervisor of primary care physicians, many of whom were in remote Indiana sites. As a collateral duty, she also served as Opioid Safety Initiative (OSI) Co-Champion. Shortly after the appellant was appointed to her position, she began to be concerned about the number of patients at the facility who were being prescribed opioids on a long-term basis. Because of the dangers inherent in that situation, the appellant favored gradually reducing opioid dosage levels with a view toward patients becoming opioid free. As a result, the primary care providers she supervised increased the “tapering” and suspension of patient opioid prescriptions by employing other methods of pain control. 3

The focus at the facility on reducing patient opioid levels attracted congressional scrutiny and media attention. Patients who were dissatisfied let their opinions be known through surveys that reflected poorly on VANIHCS and complaints to patient advocates, members of Congress, and high-level agency management. The appellant raised to VANIHCS her concerns that executive leadership appeared to care more about patient satisfaction and positive feedback than the clinical judgment of the treating providers and that non-providers were improperly influencing health care provider decisions concerning opioid prescriptions. Initial Appeal File (IAF), Tab 8 at 47-51. Subsequently, two members of the House Committee on Veterans’ Affairs wrote to the Veterans’ Affairs Secretary concerning a number of matters, including an allegation that the appellant was tapering veterans from their opioid medication without contacting or examining them, but rather based only on chart review, and they requested that the agency’s Office of Medical Inspector (OMI) conduct an investigation, which it did. IAF, Tab 12 at 436-37. The investigation found that six veterans experienced changes in their medication without any communication from the appellant, in violation of Indiana law, adopted as VANIHCS medical center policy, which requires face-to-face meetings every 2 months for patients whose opioid regimen is changed. Id. at 278-305. OMI recommended that VANIHCS determine the appropriate educational, administrative, or disciplinary accountability for the appellant’s noncompliance with state law and medical center policy. Id. at 285. The House Veterans Affairs Committee wrote to the Secretary of Department of Veterans Affairs inquiring how VANIHCS had addressed the findings regarding the appellant, specifically, what administrative actions it took against her, whether her practice privileges had been or would be suspended, and whether she would be reported to the state licensing authority. Id. at 431. On May 26, 2017, based on the recommendation of the COS, the VANIHCS Director suspended the appellant’s privileges pending a 4

comprehensive review of allegations that she failed to “implement opioid safety initiatives with Veterans in a safe and ethical manner.” IAF, Tab 12 at 348. That investigation included a review of the records of all the appellant’s patients during the period in question to determine whether any veterans had been harmed due to the appellant’s actions, but no such harm was found. Hearing Transcript (HT) at 239, 242 (testimony of COS). Thereafter, the Professional Standards Board (PSB) unanimously recommended that the appellant’s privileges be reinstated, and they were, effective June 23, 2017. Id. at 329, 346. The appellant filed a whistleblower reprisal complaint with the Office of Special Counsel (OSC). IAF, Tab 1 at 27-40. She listed a number of protected disclosures she had made to the COS and/or the VANIHCS Director regarding the opioid prescription situation at the facility that, she alleged, reflected a significant threat to public health and safety and a violation of law. Id. She also raised a number of personnel actions she claimed the agency had taken against her based on the disclosures, including the suspension of her privileges and her concurrent removal as OSI Co-Champion. Id. The appellant subsequently amended her complaint to include a proposed reprimand she had received for failure to follow medical center policy related to opioid prescriptions that was subsequently reduced to a letter of counseling. Id. at 23-24, 41-72; IAF, Tab 12 at 18. On September 14, 2017, the appellant notified the COS that she intended to retire effective October 6, 2017, and she did so. IAF, Tab 12 at 15, 17. She also notified OSC of her retirement and alleged that it was involuntary. IAF, Tab 1 at 73. After OSC issued a closure letter, IAF, Tab 1 at 74, the appellant filed an appeal with the Board that included the same alleged protected disclosures and personnel actions described in her OSC complaint as amended. IAF, Tab 1. She requested a hearing. Id. at 2. After holding the appellant’s requested hearing, the administrative judge issued an initial decision granting in part and denying in part the appellant’s 5

request for corrective action. IAF, Tab 41, Initial Decision (ID) at 2, 55.

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Lori L Drumm v. Department of Veterans Affairs, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lori-l-drumm-v-department-of-veterans-affairs-mspb-2024.