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Timeline shows investigation of alleged pain meds overdosing at Mount Carmel

10 Investigates has assembled the most comprehensive timeline of the Mount Carmel patient overdose scandal.

10 Investigates has assembled the most comprehensive timeline of the Mount Carmel patient overdose scandal:

June 2013 – Dr. William Husel applies to work at Mount Carmel Health System.

September 2013 – Dr. William Husel is granted credentials to work as a critical care intensivist. Sources have raised questions about if Husel met the hospital’s own criteria to work as in the intensive care unit as an intensivist. They point to the hospital’s own documents that show you must be an MD or DO; have a residency in internal medicine; a fellowship in critical care; and be eligible to take the board exam in internal medicine. Husel met just two of the four requirements because he had a residency in anesthesiology. The hospital has disputed this claim, saying Husel met the qualifications for appointment as a critical care specialist and that its bylaws trump any conflict that may have existed with his application for clinical privileges. The sources allege the hospital was negligent in its credentialing process.

September 2014 – Patient suspected of receiving excessive dose of fentanyl dies at Mount Carmel West Hospital. The attorneys representing this person have confirmed the date but have not released the person’s identity.

March 1, 2015 – Patient Jan Thomas dies at Mount Carmel West Hospital. Her medical records show she received 800 micrograms of fentanyl. Her family’s attorney, David Shroyer, and son Chris Thomas, told reporters that Jan Thomas had a previous hospital stay prior to being taken to Mount Carmel West on February 28, 2015. She died on March 1, 2015. Shroyer says she was given a lethal dose of fentanyl as she was being removed from a ventilator.

May 10, 2015 – Joanne Bellisari, 71, an auxiliary nun was given 1,000 microgram push of fentanyl through her IV, her medical records show. Her attorneys allege in their wrongful death lawsuit that Bellisari was given a “grossly inappropriate dose.” The attorneys allege, as they have in other patient lawsuits, that Mount Carmel’s electronic medical records failed to flag or alert Joanne Bellisari’s medical providers that such an order appeared to be in error. Alternatively, the complaint read, “this excessive dose of fentanyl was flagged and/or alerted by the system as inappropriate, but Defendants ignored the alerts because the order was intended to hasten the termination of Joanne Bellisari’s life.”

October 9, 2017 – Six patients are alleged to have died between Oct. 9, 2017 and Dec. 11, 2017, including two separate sets of patients who died during the same shifts, attorneys allege.

Timothy Fitzpatrick and Beverlee Schirtzinger were the two patients identified by their attorneys who both died on October 9, 2017.

December 10, 2017 – Patient Larry Brigner dies at Mount Carmel West Hospital. A lawsuit filed says he received 500 micrograms of fentanyl.

December 11, 2017 – Janet Kavanaugh dies at Mount Carmel West Hospital after her attorneys allege that she was given 1,000 micrograms of fentanyl through her IV. The attorneys allege that both Kavanaugh and Brigner died on the same overnight shift.

April 1, 2018 – Jeremia “Sue” Hodge died at Mount Carmel West Hospital. Her attorneys allege in a wrongful death lawsuit that she went from the cath lab to the ICU. Her sons had a conversation with Dr. Husel about her health and the family made a decision to withdraw life support. She was given a dose of fentanyl believed to be in excess of 500 micrograms.

May 28, 2018 – Jim Allen received 1,000 micrograms of fentanyl, according to his medical records. He died the same day.

July 15, 2018 – 44-year old Troy Allison dies after his attorneys alleged that he was given 1,000 micrograms of fentanyl.

September 30, 2018 – Bonnie Austin dies at Mount Carmel West Hospital after her attorneys allege she was given 600 micrograms of fentanyl less than an hour before midnight. Her medical records show the order was not reviewed by another physician, nurse or pharmacist.

October 24, 2018 – James Nickolas Timmons, 39, dies after receiving 1,000 micrograms of fentanyl.

October 25, 2018 – Mount Carmel West says it received a “formal report” concerning an allegation about Dr. Husel’s patient care.

October 25, 2018 to Nov. 21, 2018 – Three more patients die

November 21, 2018 – Dr. Husel is removed from patient care.

November 26, 2018 – Dr. Husel was inexplicably re-credentialed and re-appointed to the active medical roster at the hospital.

December 4, 2018 – Memo goes out to Mount Carmel staffers expressing concerns that some employees didn’t live up to the hospital’s standards of care.

December 5, 2018 – Dr. William Husel is fired.

December 7, 2018 – Mount Carmel West President Sean McKibben and his wife call Dublin Police and the Delaware County Sheriff’s Office requesting escorts to their home, saying Husel was upset after being fired from the hospital. Husel made no threats following his termination, according to police records.

December 13, 2018 – Additional memo goes out to Mount Carmel staff

December 27, 2018 – Mount Carmel begins notifying patient families

January 14, 2019 – WBNS-TV’s 10 Investigates breaks story of patient deaths. First wrongful death lawsuit is filed. Hospital’s CEO and President Ed Lamb releases first of two video statements. Reached by phone, Dr. William Husel declines to comment and refers questions to his attorneys.

January 15, 2019 – Centers for Medicare and Medicaid begins process to start site survey through the Ohio Department of Health.

January 18, 2019 – CMS receives a report of substantial allegation survey conducted by the Ohio Department of Health at Mount Carmel West. CMS determines that Mount Carmel West was not in compliance with Medicare standards involving pharmaceutical services. “We have determined that the deficiencies are so serious that they constitute an immediate threat to patient health and safety.”

January 24, 2019 - CMS receives a report of substantial allegation survey conducted by the Ohio Department of Health at Mount Carmel St. Ann’s. CMS determines that Mount Carmel West was not in compliance with Medicare standards involving pharmaceutical services. “We have determined that the deficiencies are so serious that they constitute an immediate threat to patient health and safety.”

January 24, 2019 – Mount Carmel releases updated statement announcing that the number of patients believed to have received potentially fatal doses of fentanyl has increased from 27 to 34.

The hospital also released this: “We received a formal report on October 25, 2018, that related to Dr. Husel’s care. Based on what we learned about that report, we should have begun a more expedited process to investigate and consider immediate removal of Dr. Husel from patient care at that time. Dr. Husel was removed from patient care on November 21, 2018. We are aware of three patients who died between October 25 and November 21 after receiving excessive and potentially fatal doses of medication ordered by Dr. Husel. We are sorry for this tragedy, and we will continue to investigate how we responded to this report and whether there is any other information that should have led us to investigate sooner into Dr. Husel’s practices.

“We are investigating whether Dr. Husel ordered excessive doses of medication when there was still opportunity to explore if there were reversible causes of patients’ immediate conditions.”

January 25, 2019 – State medical board announces that it is suspending the medical license of Dr. William Husel. The Ohio Department of Medicaid suspends the provider agreement with Dr. William Husel, accusing him of fraud for billing Medicaid for “medically unnecessary procedures involving grossly inappropriate doses of fentanyl.”

January 30, 2019 – CMS sends letter to Mount Carmel West notifying the hospital that its Medicare and Medicaid funding will be terminated unless they submit an acceptable plan of correction.

February 1, 2019 – CMS sends letter to Mount Carmel St. Ann’s notifying the hospital that its Medicare and Medicaid funding will be terminated unless they submit an acceptable plan of correction.

February 4, 2019 – Mount Carmel employee speaks out regarding the scandal to 10 Investigates. He alleges that Dr. Husel is responsible for ordering the high doses, but that the hospital’s lack of training of staff and lax internal controls led to a “systemic failure.”

February 5, 2019 – Correspondence between Dr. Husel and state medical board show that he apologized for his 1996 misdemeanor conviction for improperly storing a destructive device or pipe bomb while attending college in West Virginia. He also admits in a 2013 addendum to his medical license application that he got caught up in the wrong crowd, broke into cars and that his arrest more than 20 years ago is not reflective of the person he is today. Husel wrote: “my passion is taking care of sick patients in the ICU. Please give me the opportunity to practice what I love doing.”

February 5, 2019 – Mount Carmel acknowledges it has sent its plan of correction to CMS. Its federal funding hangs in the balance on whether CMS will accept its plan. Pharmacy manager Janet Whittey tells the state pharmacy board that she is no longer employed at Mount Carmel. The hospital has not said if she was fired or quit.

February 6, 2019 – Law firm identifies Melissa Penix as the patient who died on Nov. 20, 2018. The law firm of Leeseberg & Valentine alleges that Penix’s death may have triggered the hospital’s internal investigation. Three patients died between Oct. 25, 2018 – when the hospital said it received a formal report with concerns about Husel’s patient care and Nov. 21, 2018 – when the hospital removed Husel from patient care.

*(A total of 28 wrongful death lawsuits are filed against Mount Carmel and Dr. Husel).

February 12, 2019 – The Centers for Medicare and Medicaid Services accepts plans of correction for Mount Carmel to fix its deficiencies. State health inspectors noted that Mount Carmel “failed to ensure that a system was in place to monitor and prevent large doses of medications” from being accessed via overrides from the hospital’s automated medication dispensing machines. Inspectors noted that inn 24 of the 27 patient cases it reviewed, Husel used an override to access the pain medications. The hospital announced it is changing policies – including capping doses of fentanyl and requiring that physicians and nurses get pharmacy approval before using medications during ventilator removals. Staffers were also being re-educated on what to look for and ask questions if they have concerns about dosing.

March 29, 2019 - Mount Carmel Health System President and CEO Ed Lamb defends the hospital in an impromptu interview with 10 Investigates. 10 Investigates reporter Bennett Haeberle was covering another news story in downtown Columbus when he encountered Lamb and asked him to address criticism that Mount Carmel could have addressed the patient overdosing scandal sooner.

Ed Lamb: “I think we've been very transparent. We want to make sure that we are doing everything we can to let the public know what's going on.”

10 Investigates: “Was the hospital aware before October?”

Ed Lamb: “We've been discovering things all along as we've been learning through the investigation.”

10 Investigates: “Was there any chance to remove (Husel) before October.

Ed Lamb: “Not before October, no.”

April 22, 2019 – Three wrongful death lawsuits filed by the families of the patients are settled.

May 7, 2019 – Two more wrongful death lawsuits are settled.

June 26, 2019 – A Franklin County magistrate denies a request by attorneys for Mount Carmel and Dr. William to pause civil lawsuits while Husel’s criminal trial is still pending

July 11, 2019 – Mount Carmel fires 23 employees for their roles in the patient overdose scandal and two executives – including CEO Ed Lamb and Chief Clinical Officer Richard Streck announce they would step down in July and September respectively.

July 18, 2019 – Mount Carmel announces that Michael Englehart will serve as interim chief executive officer.

July 31, 2019 – Attorneys for Mount Carmel and Dr. William Husel appeal judge’s decision to not halt the civil lawsuits from going forward while criminal case is still pending.

August 27, 2019 – Mount Carmel reaches $4.65 million settlement with family of patient – largest single payout in the lawsuits to date. The family of patient Rebecca Walls will receive $2.6 million as part of settlement. Attorneys representing Walls’ estate will retain $1.74 million.

August 27, 2019 – Mount Carmel has paid out $13 million to settle wrongful death lawsuits filed in wake of the patient overdose scandal. The family of Donald McClung will also receive a $4.65 million settlement from the hospital.

August 28, 2019 – A June 1, 2020 trial date was set for Dr. William Husel. During a court hearing, Husel is flanked by his two new defense attorneys – Diane Menashe and Jose Baez, who became famous for representing Florida mother Casey Anthony and late NFL star Aaron Hernandez in their criminal cases.

August 29, 2019 – Court documents uncovered by 10 Investigates show Dr. William Husel sues Mount Carmel's parent company, Trinity Health Corporation, in federal court in a dispute over the cost of covering his legal bills. Husel argues that Trinity should cover the cost of his criminal defense fees because he was acting in the scope of his employment. Trinity’s attorneys say that “murder cannot be insured.”

October 17, 2019 – Three pharmacists face potential fines, charges by the Ohio Board of Pharmacy for their alleged roles in the patient overdose scandal.

December 19, 2019 – Attorneys representing Husel file lawsuit on behalf of 10 former Mount Carmel employees who worked with Husel. The lawsuit alleges that Mount Carmel executives “panicked” when they learned about the high doses and fired employees who wouldn’t go along with the decision to fire Husel.

December 26, 2019 – Dr. William Husel’s legal defense team files a defamation lawsuit against Mount Carmel Health System, its parent company Trinity Health and former CEO Ed Lamb.

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