A case involving an individual provider’s arrest or a
conviction involving alcohol abuse (DWI/public intoxication) or drugs
(possession, diversion, theft, trafficking) will likely result in a number of
negative, possibly detrimental, career consequences because of the repercussive
effect on the provider’s professional license and employability.
First, the provider may be required to enroll
in the Impaired Nurses Program (IPN) (for nurses only) or the Professionals
Resource Network (PRN) (for all other licensed health professionals). The provider may face an action to revoke,
suspend, or take other action against the clinical privileges and medical staff
membership of those licensed providers who have such in a hospital, ambulatory
surgical center, skilled nursing facility, or staff model HMO or clinic.
A report of the arrest or conviction to the
National Practitioner Data Base (NPDB) (formerly the Healthcare Integrity and Protection Data Bank or HIPDB) will
be made and remain there for 50 years. A
report will also be made to and included in the Department of Health (DOH)
profile that is available to the public online, to remain for at least 10
years. Any other states or jurisdictions
in which the provider has a license will also initiate action against him or
her in that jurisdiction. The Office of Inspector General (OIG) of Department
of Health and Human Services (HHS) will take action to exclude the provider
from the Medicare Program.
The provider will consequently be placed on the List
of Excluded Individuals and Entities (LEIE) maintained by the HHS OIG. The provider will also be automatically
debarred and prohibited from participating in any capacity in any federal
contracting and placed on the U.S. General Services Administration’s (GSA’s)
debarment list. If the provider is
certified by a professional health organization, an action will likely be
initiated to revoke that certification by the organization. Third party payors, including private health
insurance companies, will terminate the professional’s contract.
Regardless of any of the above, any licensed facility
licensed (hospitals, skilled nursing facilities (SNFs), public health clinics,
public health clinics, group homes for the developmentally disabled, etc.) that
are required to perform background screenings on their employees will learn
that the professional is disqualified from employment.
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