Dr. Richard Hill; License # 0101058825
Nature of Complaint:
The physician stated that he began using Roxicet and Oxycontin to self-medicate for pain related to the physician's diabetic neuropathy and it eventually got out of control and the physician became addicted.
The physician is unfit for the performance of his professional obligations and duties because of substance abuse. The physician on 04-29-2009 admitted to a Virginia Department of Health Professions investigator that from approximately 2006 through approximately December 2008 the physician self-medicated with and abused Roxicet and Oxycontin. The physician told the DHP investigator on 04-29-2009 that he last abused Roxicet or Oxycontin in February 2009. The physician on 05-01-2009 provided a urine drug screen sample which tested positive for oxycodone and oxymorphone on 05-15-2009. The physician on 05-21-2009 entered treatment for substance abuse.
The physician admittted that beginning in 2006 he fraudulently obtained Roxicet and/or Oxycontin by diverting those medications for his personal and unauthorized use from prescriptions the physician wrote and authorized for a family member. The physician also admitted that beginning in approximately June 2008 through approximately November 2008 pursuant to an agreement the physician initiated with Patient A, fraudulently obtained Roxicet and/or Oxycontin by writing and authorizing prescriptions for those controlled substances in the name of Patient A who purchased those medications with money provided by the physician and returned the controlled substances to the physician for his personal and unauthorized use.
The physician admitted that in November 2008 the physician paid a total of approximately $10,000.00 to Patients A and B to remain silent about the physician's illegal and unethical conduct regarding prescription writing.
The physician failed to manage the treatment of Patients A and B within acceptable standards. The physician provided samples of antidepressants and prescribed amphetamines, benzodiazepines, and opioids to Patient A from approximately June 2008 through November 2008 and to Patient B from approximately August 2008 through November 2008. The physician failed to consistently document many of those prescriptions in Patients A and B medical records; failed to require Patients A and B present for an office visit prior to the physician's prescribing controlled substances; and failed to perform and/or document adequate evaluations, assessments, diagnoses or physical findings prior to prescribing. The physician from approximately July 2008 through November 2008 prescribed Adderall for Patient A who exhibited drug seeking behavior or who the physician knew or should have known was abusing or had become addicted to or dependent upon Adderall.
The physician admitted that he agreed to treat a professional colleague for chronic pain. The physician from approximately January 2007 through approximately April 2009 on various and diverse occasions prescribed Dilaudid, Oxycontin, Adderall, Xanax, Valium, Ativan, and Xyrem Oral Solution for Patient C. The physician failed to obtain and/or document a complete patient history prior to prescribing those controlled substances. The physician did not request or obtain treatment records including prior diagnostic studies and/or tests directly from the patient's prior treating physicians. The physician prescribed controlled substances including opioids, benzodiazepines, amphetamines, and Xyrem to the patient without first performing and/or documenting a proper physical examination, evaluation or assessment, and without documenting the presence of one or more recognized medical indications for the use of those controlled substances. The physician failed to document any of the prescriptions the physician wrote and/or authorized for the patient during 2007 and 2009 and failed to document many of the prescriptions the physician wrote and/or authorized for the patient during 2008. The physician failed to make and/or document making an appropriate referral of the patient to a pain management specialist.
The physician reported a sobriety date of 05-21-2009. The Virginia Health Practitioners Monitoring Program case manager reported that the physician has been a participant in HPMP since May 2009 and that he signed a recovery monitoring contract on 10-02-2009. All reports from the physician's monitors indicate no further concerns of impairment and all screens have been negative. The HPMP believes that the physician is competent and safe to continue to practice.
The physician shall continue to fully comply with the terms of his HPMP contract(s) until the physician successfully completes the Program. The physician has been issued a Reprimand and the physician's license shall be subject to the following terms and conditions:
- The physician within twelve months shall submit satisfactory proof to the Board verifying completion of fifteen hours of board approved continuing medical education in medical recordkeeping.
- The physician within twelve months shall submit satisfactory proof to the board verifying completion of twelve hours of board approved continuing medical education in the proper prescribing of controlled substances.
March 28, 2011-Terms Terminated
The physician has complied with the terms of the 03-15-2010 Order. The Virginia Board of Medicine has terminated the terms placed on the physician's license. The physician currently has a full and unrestricted license in the State of Virginia.