A NY State Department of Health Cover-up?

A September 16th letter from the New York State Department of Health might lead some to think the DOH has no problem awarding several million dollars to a neurobehavioral project headed by a man who continues to misrepresent his credentials to those he serves. Timothy J. Feeney continues to represent himself as  Dr. Timothy J. Feeney or Timothy J. Feeney PhD when he is no more a doctor than Felix the Cat is.

Feeney presents himself to brain injury survivors and their families as having a PhD and master’s degrees when he doesn’t. He did get bogus degrees from a diploma mill located in Hawaii and California in the 1990s before moving its operation to Norfolk Island off the coast of Australia in 1998. Greenwich University, not to be confused with the prestigious University of Greenwich in England, was a non-accredited diploma mill that graces numerous diploma mill lists on the net. It closed its doors in 2003.

Despite the fact Feeney himself says the DOH new all along about his degrees, he has, for nearly 15 years now,  headed up the Neurobehavioral Resource Project for New York State’s Traumatic Brain Injury Waiver. The NRB is arguably the most powerful influence over the TBI Waiver, a Medicaid program designed to provide services to brain injury survivors across the state.   While there is no argument that the TBI Waiver is needed because it affords many with brain injuries the chance to live in the community, there is also no argument that those who live with brain injuries, their loved ones, and the hard working companies that provide waiver services,  have a right to expect people to be who they say they are.

Letters to DOH employee Patricia Greene-Gumson along with a second letter to Deputy DOH Commissioner Mark Kissinger raising the issue of Feeney’s false claims and calling for an investigation not only into Feeney and his conduct but into who wrote the three contracts that don’t require the head of the project to have so much as a master’s degree. The two letters resulted in the September 16th one-page response from a Lydia Kosinski , Assistant Director for the Division of Home and Community Based Services. In her letter Kosinski says  the DOH was more concerned with work experience than college degrees when it chose the director of the NRP. While Feeney’s resume does not reveal much experience with brain injury in the first place, the question of his misrepresenting himself still lingers and was left untouched in the letter.

While I will try to hold to the belief that the DOH  is not the villain here, the Kosinski letter has begun to loosen my grasp.

One thing is for sure, if Feeney’s contract, which expires the 30th of this month, is renewed, there will be every reason to conclude that the DOH is more supportive of the disingenuous Feeney than it is of those us who live with brain injuries..

It is flat out tragic when you get the message that asking people to be who they say they are is asking too much.

 

It’s Nothing Personal

It seems some think my exposing a contract employee with the New York State Department of Health (DOH) for not having the college degrees he says  he has is something personal on my part. Wrong. Defining my action as something personal is a well-worn way of derailing advocates in the first place. Since the facts work against you, let’s say the advocate is on some personal vendetta and, if not a personal vendetta, off their rocker.

I am not off my rocker, at least not today (smile folks, there is nearly always room for humor), but my actions regarding Timothy J. Feeney are nothing personal.  In fact, it would be interesting to learn what, specifically, makes some think it is personal.  In other words, say it out loud folks, so we can all hear. Don’t be shy.

The facts of the matter are rather straightforward. Timothy J. Feeney presents himself as Dr. Feeney or Timothy J. Feeney PhD. He is neither. By his own admission, both his masters and his doctorate were issued by the now defunct Greenwich University, not to be confused with the prestigious University of Greenwich in England. Greenwich University was a non-accredited school, a diploma mill, that operated out of California and Hawaii in the 1990s before moving to Norfolk Island off the coast of Australia in 1998. Greenwich degrees are not recognized as valid anywhere in the United States, much less planet earth. Greenwich closed its doors in 2003.

Now to the question of why should this be a concern to all New Yorkers. First and foremost, when you are receiving health care in any form, you have a right to assume those providing the care are who they say they are. Moreover, if someone is going to make his or her living off of hard-earned taxpayer dollars, taxpayers have a right to assume they are who they say they are. This is not the case when it comes to Mr. Feeney. To make matters even worse, Mr. Feeney, in an unsolicited e-mail to readers of one of my blogs, said the DOH knew all along about the source of his bogus degrees.

Mr. Feeney is nearing the end of his third five-year contract with the state’s DOH as head of the Neurobehavioral Project which is arguably the most powerful influence over the implementation of the state’s Traumatic Brain Injury (TBI) Medicaid Waiver Program, in itself, a laudable presence.  The waiver provides services to brain injury survivors living in the community. However, it is anyone’s guess how many health care providers have had their doors closed by Mr. Feeney or had their ability to admit people into their program put on hold by Mr. Feeney and his staff. Moreover, one must ask how many survivors of brain injury have been denied waiver services or discharged from waiver services under the direction of Mr. Feeney, all under the pretense that he is, in fact, Dr. Feeney or, Timothy J. Feeney, PhD. Can you imagine being the mother or father of a child with brain injury and you acquiesce to Mr. Feeney’s directives only to find out later he misrepresented himself to you?

Then, of course, we come to the question of state taxpayer dollars. Several million dollars in state tax dollars have been earmarked for Mr. Feeney and his small staff over the years. His last contract alone provided for nearly $2 million in state tax dollars for salary and expenses.

Recently I sent a letter to DOH employee Patricia Greene-Gumson who, along with DOH employee Bruce Rosen, have been the two DOH employees closest to Mr. Feeney over the years, asking her to investigate the situation and to investigate why none of Mr. Feeney’s contracts require the head of the Neurobehavioral Project to have so much as a masters degree,  a fact that would lead some to suspect the contract of being jerry-rigged.  The letter was copied to Deputy DOH Commissioner Mark Kissinger, Ms. Gumson’s supervisor, and the Inspector General.

Feeney’s contract expires this September 30th. My hope is the DOH will not make the same mistake four contracts in a row.

Here’s the thing. When you live with a brain injury, as I do, or you are the mother or father of someone with a brain injury, or the husband or wife or sister or brother of someone with a brain injury, you have a right to expect those who are there to help you to be who they say they are. Anything short of that is unacceptable.

 

We Are Not Children, We Are Not Slaves: Living With a Brain Injury – Part II

It would be understandable but inaccurate to blame the New York State Department of Health for the existence of problematic companies that provide services under the state’s Traumatic Brain Injury Waiver. The DOH does not have unlimited resources in staff or funding.  Over the years I’ve had largely positive experiences with the DOH. There are people there who care deeply about those who live with brain injuries. I do not for a second envy the unwieldy and baffling bureaucracy they are asked to negotiate daily.

Historically, the waiver is new. It only came about here in 1995 and 14 years in existence does not a perfect program make. I think all would agree the waiver is a work in progress and so it should be, always. I think the DOH understands this and I applaud them for their efforts. Yes, there are issues and problems, but is this not the case with all new things?

One of the tools the DOH does not have – but deserves – is enough people to thoroughly survey and expect the companies that provide waiver services. Again, this is not because the DOH does not want to keep track of things. Budget realities and  skewed priorities (not of the DOH waiver staff’s making) get in the way. Moreover, the reimbursement rates the companies are paid for providing waivers services are so low they would be laughable were the results not so tragic. And the tragedy  on this front is at least twofold. Because of the low reimbursement rates these companies are hard pressed to stay afloat (some do not), and those of us who live with brain injury are saddled with so many hours of programming every week  fatigue takes over and puts us at risk in a very real way.

Consider this for a moment. When the brain is damaged, no matter the cause, there is now less brain doing the work. It’s as if you had a car with a six-cylinder engine and one of the cylinders blows out leaving the engine operating on five cylinders. The car still runs, but the engine is working harder. And so it is with brain injury. We still function but our brains are working harder, so fatigue is a major, major problem. When some of these companies pile on the hours of programming, the toll it takes on those of us with injuries is brutal.

Some companies load up on programming hours because they honestly,  but mistakenly, feel it is effective, others load up on  programming hours because they are all about making money and only see those of us with brain injuries as a way of doing just that. The hell with the damage it does. There’s plenty of us to go around. Keep in mind,  something like 1.5 million Americans suffer a brain injury every year.

– to be continued