Professional Documents
Culture Documents
Sheriffs Office
Alamance County Health Department
Investigation
ACHD Investigation
On Monday June 23rd, 2008 the SBI initiated an
investigation into allegations that employees of the
Alamance County Health Department specifically Dr.
Kathleen Shapley-Quinn and Nurse Karen Saxer were
knowingly and willingly falsifying patient medical
records.
Sheriff Terry S. Johnson sought the assistance of the
SBI, at the request of County Manager, David Smith.
This request, made by County Manager David Smith
was based on concerns brought to his attention by
Commissioner William Lashley, and Board of Health
Chairman Keith Whited.
Allegations
At the request of some patients, Alamance
County Health Department provided work
notes and prescriptions in alias names.
Providing these services would assist illegal
aliens with maintaining assumed or stolen
identities, which may be a violation of state, or
federal law. (Identity Theft, Fraud, etc.)
Interviews
Interviews were conducted with the nursing administration and
nursing staff.
The staff was divided with some believing the practice of writing
work notes (utilizing aliases) to suspected illegal aliens was wrong
and therefore they refused to do so. Subsequently they reported
feeling pressured or feared repercussions.
Others, particularly Shapely-Quinn and Saxer believed the
guidance they had sought and received was vague at best, but
believed their actions did not violate the law and they were
providing care for their patients. Furthermore, according to
them, an illegal alien can not be refused medical care.
Dr. Shapley-Quinn Correspondence
During the course of this investigation, Dr. Shapley-
Quinn stated that she had sought various legal
guidance.
Investigators obtained a court order (search warrant) to
allow for review of Dr. Shapley-Quinns email
correspondence (specific to the County email).
Of the thousands of emails that were reviewed, several
were found to be relevant to issues regarding the
specific focus of this investigation.
Dr. Shapley Quinn Correspondence
This Correspondence was sent from Jill D. Moore,
M.P.H., J.D. UNC Institute of Government, to Dr.
Shapley-Quinn on May 21, 2007.
Dr. Shapley Quinn Correspondence
This Correspondence was with Jill D. Moore, M.P.H.,
J.D. UNC Institute of Government
Dr. Shapley Quinn Correspondence
This Correspondence was with Clyde Albright,
Alamance County Attorney.
Interviews (Cont.)
On more than one occasion Nurse Karen Saxer at the
direction of Dr. Shapley-Quinn prepared or made
health related employer work notes for patients under
alias names, knowing that the names on the documents
were in fact not the birth name or legal name of the
patient.
As a result of interviews, five specific individuals were
identified.
This investigation remained specifically limited to these
5 individuals.
Maria Sanchez
One of the five persons of interest.
What:
The opportunity to register to vote or update voter
registration while applying for benefits, renewing
benefits, or reporting a change of address at one of the
above programs.
Where:
At any agency office that administers services or
benefits under one of the programs listed above.
National Voter Registration Act
Public Assistance Applicant Registration
Why:
Its the law. The purpose of the law is to make the voter
registration process more accessible to all eligible voters.
How:
Agency staff must offer the applicant the opportunity to register
to vote, and the necessary form. Staff are required to provide the
same level of assistance in completion of the voter registration
form as would be offered in the completion of agency forms.
Completed voter registration forms must be transmitted within
five business days to the County Board of Elections.
National Voter Registration Act
Public Assistance Applicant Registration