Remember Tomah VA? Director of 'Candy Land' VA facility fired in wake of over-prescription reports

SPC Jan Allbright, M.Sc., R.S. — Thu, 03 Sep 2015 09:15:54 -0400

The director of the Tomah VA Medical Center in Wisconsin was fired Wednesday, becoming the second top official to be axed in the wake of reports of over-medication practices blamed for the death of at least one veteran.

Acting director John Rohrer sent an email to employees Wednesday morning stating only that Mario Desanctis “is no longer employed” by the VA.

The VA did not immediately say whether say whether Desanctis was fired or quit, but a spokesperson for U.S. Rep. Ron Kind said the congressman was informed that Desanctis had been “let go.”

Desanctis, an Air Force veteran who took over leadership of the center in 2012, is the second VA official to depart since the nonprofit Center for Investigative Reporting published a report in January detailing high levels of opioid prescription at the Tomah VA — which patients dubbed the hospital “Candy Land” because physicians there dispensed prescription painkillers so freely — and a pervasive culture of intimidation and retaliation against employees who spoke out.

Last month, the VA’s inspector general ruled that deficiencies in care led to the death last year of patient Jason Simcakoski. The investigation found that psychiatrists did not discuss the hazards of a synthetic opiate prescribed to the 35-year-old Marine Corps vet and did not have anti-overdose medicine on hand.

In the wake of the inspector general report, Rohrer announced that one of the physicians who attended to Simcakoski had been fired.

Desanctis was reassigned in the wake of the CIR report, as were chief of staff Dr. David Houlihan and a nurse practitioner who were among the top opiate prescribers in the VA’s Great Lakes network, which serves more than 220,000 veterans in three states.

Tomah VA spokesman Matthew Gowan said Desanctis had been serving as an administrator for the Great Lakes network. Desanctis could not be reached for comment.

The CIR reported that Desanctis received an $8,025 bonus in 2013 during an OIG investigation that found troubling levels of opioid prescription but “no conclusive evidence” of criminal wrongdoing.

Kind faulted Desanctis for not alerting him to the investigation in 2014 when he asked whether there were any problems at the facility. Kind was not immediately available for comment Wednesday.

Gowan said the search for a new director would begin immediately.

Citing staff shortages, the Tomah VA announced last week it would temporarily close its inpatient psychiatric unit, halt psychiatric admissions to a residential treatment center and permanently curtailing urgent care hours.

http://www.stripes.com/news/veterans/director-of-candy-land-va-facility-fired-in-wake-of-over-prescription-reports-1.365999

Response by SCPO David Lockwood made Sep 3 at 2015 9:45 AM

SCPO David Lockwood — Thu, 03 Sep 2015 09:45:40 -0400

Wonder what these people are thinking? ANd to top it off receives a bonus, was this for being stupid?

Response by LCDR Rabbah Rona Matlow made Sep 3 at 2015 10:13 AM

LCDR Rabbah Rona Matlow — Thu, 03 Sep 2015 10:13:41 -0400

Opiates can and do lead to respiratory arrest and death in some cases. Still, the opposite problem now exists - patients have been cut off cold turkey from their painkillers due to the backlash. This creates a more hazardous situation, as I've noted elsewhere, when patients turn to Heroin and other street drugs just to survive unbearable pain...

Response by 1stSgt Private RallyPoint Member made Sep 3 at 2015 10:56 AM

1stSgt Private RallyPoint Member — Thu, 03 Sep 2015 10:56:30 -0400

I am glad that the Madison Wi VA Hospital/Clinic does not reflect what was happening at the Tomah clinic.. The staff that takes care of me in awesome. For those of you in the Madison area, my Primary Care Doctor is Dr Mary Fieder and I have zero complaints.