1st Edition
Healthcare Crime Investigating Abuse, Fraud, and Homicide by Caregivers
Acknowledgments
Introduction
Healthcare Trends, Stressors, and Workplace Violence
Stressors of Healthcare and Workplace Violence
When Healthcare Professionals Are the Abused
When Healthcare Professionals Are the Abusers
Breaking Professional Boundaries
References
Patient Privacy and Exploitation
Exploitation via Photography
Exploitation via Cell Phone Photos
Exploitation via Internet Improprieties
Exploitation via Medical Records Snooping
The Impact of Patient Privacy Breaches
Is Patient Privacy a Fallacy?
References
Abuse and Assault
How Patients Are Abused by Healthcare Providers
Who Is Abused: Victimized Patient Populations
Disabled Patients
Psychiatric Patients
Elderly Patients
Who Are the Abusers: The Victimizers
Physicians
Psychiatrists
Dentists
Pediatricians
Nursing Assistants and Aides
Reporting, Regulating, and Prosecuting Abuse
References
Fraud and Theft
Extent and Impact of Medical Fraud
Healthcare’s Complexity Encourages Fraud Perpetrators of Fraud Individuals Organized Criminal Groups Victims of Fraud Investigations and Antifraud Programs Crime and Punishment, Deterrence and Prosecution The Future and Recommendations for Fighting Fraud Four Faces of Fraud Fraud 1: White-Coat Crime: The Medical Criminals Fraud 2: Financial Abuse of Vulnerable Populations A Word about Home Healthcare Fraud 3: Medical Identity Theft Fraud 4: Substance Abuse and Drug Diversion Physicians Nurses Substitution Forgery Partial Administration References
Suspicious Death and Homicide
Healthcare Serial Killers: An Overview
The Medical Murder Hall of Shame
Physicians
Harold Shipman
Michael Swango
Nurses
Beverly Allitt
Richard Angelo
Charles Cullen
Robert Diaz
Vickie Dawn Jackson
Kristen Gilbert
Gwendolyn Graham and Catherine Wood
Genene Jones
Orville Lynn Majors
Filipina Narciso and Leonora Perez
Terri Rachals
Mary Rose Robaczynski
Kimberly Saenz
Richard Williams
Allied Healthcare Providers
Donald Harvey
Efren Saldivar
The Mechanics of Medical Murder
The Victims: Why They Are Marked for Murder
The Methods of Their Madness: How They Kill
The Methods of Their Madness: When They Kill
The Methods of Their Madness: Where They Kill
The Methods of Their Madness: Why They Kill
Factitious Disorders and Healthcare Professionals
Detection of Medical Murder: Suspicious Deaths and Mortality Patterns
The Importance of the Index of Suspicion
Red Flags Associated with Medical Murder
References
Investigations, Sanctions, and Discipline
Healthcare Crime Investigations in the Digital Age
Obstacles to Investigations
Prosecution of Medical Malfeasance: Moving from Criminal to Civil
Evasion of Detection by Health Professionals
Elder Justice Act
Nursing Home Transparency and Improvement Act
Patient Safety and Abuse Prevention Act
Discipline of Problematic Healthcare Professionals
Physician Discipline
Nurse Discipline
The Role of the Medical Boards
Sanctions and Legal Action
The Role of Healthcare Security
The Role of Healthcare Human Resources
What Is Happening with Medical Murder Now?
References
Prevention Strategies and the Future of Healthcare Crime
Strategy 1: Admit Healthcare System Failures
Strategy 2: Address the Shortcomings in the Healthcare System
Strategy 3: Investigate Problems in Healthcare Working Conditions
Strategy 4: Establish Accountability
Pressure from Within for Accountability
Pressure from Outside for Accountability
Strategy 5: Embrace Quality Improvement
Strategy 6: Reduce Risk for Intentional Harm
Strategy 7: Educate Healthcare Providers
Strategy 8: Address Healthcare Professionals’ Stressors Strategy 9: Legislate Change Strategy 10: Address Major Anomalies Strategy 11: Remove Barriers to Reform Strategy 12: Create New Opportunities for Dialogue References Index
Biography
Kelly M. Pyrek






