Vanessa Shank v. Department of the Army

CourtMerit Systems Protection Board
DecidedApril 26, 2024
DocketCH-0432-17-0451-I-2
StatusUnpublished

This text of Vanessa Shank v. Department of the Army (Vanessa Shank v. Department of the Army) 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
Vanessa Shank v. Department of the Army, (Miss. 2024).

Opinion

UNITED STATES OF AMERICA MERIT SYSTEMS PROTECTION BOARD

VANESSA J. SHANK, DOCKET NUMBER Appellant, CH-0432-17-0451-I-2

v.

DEPARTMENT OF THE ARMY, DATE: April 26, 2024 Agency.

THIS ORDER IS NONPRECEDENTIAL 1

C. Mike Moulton , Esquire, Elizabethtown, Kentucky, for the appellant.

Glenn Houston Parrish , Esquire, Fort Knox, Kentucky, for the agency.

BEFORE

Cathy A. Harris, Chairman Raymond A. Limon, Vice Chairman

REMAND ORDER

The appellant has filed a petition for review of the initial decision, which sustained her removal for unacceptable performance under chapter 43. For the reasons discussed below, we GRANT the appellant’s petition for review, VACATE the initial decision, and REMAND the appeal to the regional office for further adjudication consistent with Santos v. National Aeronautics & Space Administration, 990 F.3d 1355 (Fed. Cir. 2021), and the guidance below.

1 A nonprecedential order is one that the Board has determined does not add significantly to the body of MSPB case law. Parties may cite nonprecedential orders, but such orders have no precedential value; the Board and administrative judges are not required to follow or distinguish them in any future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

The appellant most recently held the position of Physician at the agency’s Ireland Army Hospital in Fort Knox, Kentucky. Shank v. Department of the Army, MSPB Docket No. CH-0432-17-0451-I-1, Initial Appeal File (IAF), Tab 1 at 1, 12; Shank v. Department of the Army, MSPB Docket No. CH-0432-17-0451- I-2, Refiled Appeal File (RAF), Tab 25, Initial Decision (ID) at 1. 2 In October 2016, the agency rated her performance as failing. IAF, Tab 4 at 344-49. The associated performance appraisal explained that while she had largely met or exceeded other standards, the appellant consistently failed to meet one performance objective. Id. at 345-46. Specifically, the appellant failed to “[c]omplete all charting within 72 hrs of visit (codes correctly in accordance with ICD-10).” Id. at 346. As further explained in the initial decision, ICD-10 is an industry-wide diagnosis coding system. ID at 2-3; RAF, Tab 27, Hearing Transcript (HT1) at 34 (testimony of appellant’s supervisor). The associated performance objective was, in effect, both a timeliness and quality standard for the documentation of a patient visit. The appellant was not responsible for inputting a particular code; she was responsible for timely providing adequate information for purposes of follow-up care and reimbursement from the likes of Medicare or Tricare. ID at 2-3; HT1 at 13-19 (testimony of the appellant’s supervisor). Because of her failing performance rating, the agency placed the appellant on a performance improvement plan (PIP). IAF, Tab 4 at 351-52. The PIP singled out the aforementioned performance objective and recognized that the appellant had a backlog of incomplete/unclosed patient charts totaling 239. Id. at 351. In order to be minimally successful, the PIP indicated that the appellant was required to do two things—adhere to the charting requirement and eliminate her charting backlog. 3 Id. Rather than shrink over the next 5 weeks, the appellant’s backlog grew to a total of 620. Id. at 351, 356-61. Nevertheless, in 2 There are two docket numbers associated with this one appeal because the administrative judge dismissed the appeal without prejudice for automatic refiling at a later date to accommodate discovery delays. IAF, Tab 31 at 1-3. 3

the final days of her PIP, the appellant closed all of those open encounters, eliminating her backlog of incomplete charts. Id. at 362, 366. The agency initially informed the appellant that she had successfully completed the PIP. 4 Id. However, in doing so, the agency noted that it would conduct a peer review to determine the appropriateness of her work. Id. at 366. Following that peer review, the agency reversed course. Citing extensive deficiencies in her charting for patient encounters, the agency determined that the appellant had not successfully completed the PIP or achieved the required improvements. E.g., id. at 372-73. To illustrate, a physician found that of 60 randomly chosen charts, half contained poor documentation of diagnosis and treatment, id. at 400, and a nonphysician found that more than two-thirds of the 600+ charts reviewed did not contain adequate information for purposes of coding and reimbursement, id. at 380-81. In February 2017, the agency proposed the appellant’s removal for unacceptable performance. IAF, Tab 1 at 12-15. In short, the agency alleged that the appellant’s performance was unacceptable in the lone objective identified in the PIP—completion of all charting within 72 hours of a patient visit in accordance with ICD-10. Id. at 12-13. The agency later amended the proposal to

3 The specific language of the PIP described the required improvement as closing patient charts within 72 hours and completing all delinquent charts within the PIP period, but another bullet point provided as follows: “[f]ailure to close charts in 72 hours.” IAF, Tab 4 at 351. As the administrative judge recognized, it is apparent that this last bullet point was a typographical error or some other mistaken inclusion in the required improvement portion of the appellant’s PIP. ID at 10 n.9. 4 As the administrative judge also recognized, the date on the memorandum noting that the appellant closed out all of her patient encounters before the PIP’s end contains a typographical error, seemingly identifying both the incorrect day and year. See ID at 9 n.8; compare IAF, Tab 4 at 351 (original PIP documentation, indicating that the PIP would begin on October 31, 2016, and end on December 19, 2016), 361 (memo dated December 14, 2016, indicating that the appellant’s PIP had not yet ended and the appellant still had 620 open encounters), with id. at 362 (memo dated December 12, 2015, indicating that the appellant’s PIP had ended and she had no open encounters remaining), 366 (PIP final review certification, dated December 22, 2016). These discrepancies do not warrant a different outcome. 4

account for additional documentation and a change in the deciding official. Id. at 18-21. After the appellant responded, IAF, Tabs 14-18, 20, the deciding official sustained the appellant’s removal, which became effective June 13, 2017, IAF, Tab 1 at 23-26. This appeal followed. IAF, Tab 1. The administrative judge developed the record and held the requested hearing before sustaining the action. ID at 1-2. He found that the agency met its burden of proving the elements required in a chapter 43 performance case such as this. ID at 4-17. He further found that the appellant failed to prove the affirmative defenses she raised—disability discrimination, sex discrimination, reprisal for filing grievances, and harmful procedural error. ID at 17-32. The appellant has filed a petition for review. Shank v. Department of the Army, MSPB Docket No. CH-0432-17-0451-I-2, Petition for Review (PFR) File, Tab 1. The agency has filed a response and the appellant has replied. PFR File, Tabs 3-4.

The administrative judge properly found that the agency proved its chapter 43 removal action under pre- Santos law. At the time the initial decision was issued, the Board’s case law stated that, to prevail in an appeal of a performance-based removal under chapter 43, the agency must establish by substantial evidence 5 that: (1) the agency communicated to the appellant the performance standards and critical elements of her position; (2) the appellant’s performance standards are valid under 5 U.S.C.

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Vanessa Shank v. Department of the Army, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vanessa-shank-v-department-of-the-army-mspb-2024.