Dialogue Volume 15, Issue 3 2019 - Page 55

DISCIPLINE SUMMARIES psychiatrist with an established practice in Ontario since 1991. Physicians may only charge patients for services that are not covered in the OHIP Schedule of Benefits for Physician Services under the Health Insurance Act, 1990. Psychotherapy provided by a psychiatrist is a covered service and extra billing is not allowed. If the excessive fees as outlined in the expert report had been block fees, the Committee agrees with the expert opinion that it is hard to imagine what uninsured services could have been that costly. It is clear to the Committee that Dr. Chadda was billing these patients extra for insured services. In addition to this conduct being disgraceful, dishonourable, and unprofessional, it also posed a risk of compromising patient access to care. In addition, the two patient complaints and the s.75a investigation revealed that this was a widely repeated practice of Dr. Chadda’s, specifically charging a supplemental fee for patient appointments. Timely Receipts and Record Transfer It is unclear to the Committee why it took seven weeks for Dr. Chadda to transfer Patient A’s records to her new psychiatrist. It is clear, however, that this was unprofessional and placed her patient at risk of substandard care as the new physician may have been lacking vital information for appropriate treatment. Patient B was only a patient of Dr. Chadda’s for a few months. She, too, was charged additional fees. However, she did not receive receipts. She should have received receipts for her payments at the time of service. There is no justification for withholding re- ceipts upon request. In addition to providing medi- cal services to patients, it is a physician’s responsibil- ity to provide timely administrative functions such as record transfer and receipt for payments. ORDER The Discipline Committee ordered: a six-month suspension; terms, conditions and limitations on Dr. Chadda’s certificate of registration which include completion of an ethics course; and monitoring of her billing practices for a period of 12 months. Dr. Chadda was also ordered to pay hearing costs of $6,000. For complete details of the Order, please see the full decision at www.cpso.on.ca. Select Find a Doctor and enter the doctor’s name. At the conclusion of the hearing, Dr. Chadda waived her right to an appeal and the Committee administered the public reprimand. DR. ALLEN PHILLIP DENYS PRACTICE LOCATION: Windsor AREA OF PRACTICE: Respirology, Sleep Medicine HEARING INFORMATION: Agreed Statement of Facts and Admission; Joint Submission on Penalty On May 13, 2019, the Discipline Committee found that Dr. Denys committed an act of professional mis- conduct in that, he failed to maintain the standard of practice of the profession in his care of patients; and he engaged in acts or omissions relevant to the prac- tice of medicine that would be regarded by members as disgraceful, dishonourable or unprofessional. Failure to Maintain the Standard of Practice The College retained a respirologist who practises both sleep medicine and respirology to opine on Dr. Denys’ care and treatment of patients at the Windsor Sleep Disorders Clinic. The expert conducted a re- view of 50 patient charts of patients from the Wind- sor Sleep Disorders Clinic, along with those patients’ OHIP data, and interviewed Dr. Denys. The expert noted that in almost every chart re- viewed, patients were booked for a pulmonary func- tion test immediately upon referral to the Windsor Sleep Disorders Clinic. He opined that there was no clinical indication for such testing evident on the face of the referral nor had the patient been evaluated in person by Dr. Denys. In addition, although rou- tine pulmonary function tests were booked on almost all patients, the expert opined that the results of such testing were not addressed in the consultation reports to the referring physicians nor were abnormalities identified or treatments recommended. In addition, the expert opined that there were other significant areas of concern with Dr. Denys’ sleep ISSUE 3, 2019 DIALOGUE 55