ALBERT SNEIJ, M.D., LICENSE NO. 34499, APPELLANT,
v.
DEPARTMENT OF PROFESSIONAL REGULATION, BOARD OF MEDICAL EXAMINERS, APPELLEE
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Dr. Albert Sneij appealed an administrative order finding him guilty of multiple counts of professional misconduct. The court affirmed findings that he failed to keep appropriate medical records but reversed the Board's findings on 32 other counts of misconduct, concluding there was insufficient evidence to support those charges.
The court affirmed the Board's findings on counts 8 and 12 (record-keeping violations), finding substantial, competent evidence supported those findings. The court reversed the Board's findings on counts 1-7, 9-11, and 13-33, concluding the evidence was woefully insufficient to establish those charges. The court held that the Board lacked authority to summarily reject the hearing examiner's findings when supported by competent, substantial evidence.
[1] Substantial, competent evidence is required to support findings in an administrative order.
[2] A hearing examiner's findings, when based on competent, substantial evidence, cannot be rejected by a reviewing board.
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Join FLexlaw to unlock all legal intelligence“the Petitioner failed to establish by clear and convincing evidence that the Respondent, in his care and treatment of the eight patients named in the Administrative Complaint, inappropriately prescribed controlled substances or prescribed excessive amounts of controlled substances, made deceptive or untrue or fraudulent representations in the practice of medicine or employed a trick or scheme in the practice of medicine, or prescribed controlled substances without good faith and outside the course of his professional practice.”
The hearing examiner's finding that the charges regarding inappropriate prescribing and fraudulent conduct were not proven by the required standard of evidence.
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Join FLexlaw to unlock all legal intelligenceDr. Sneij was charged with 33 counts of professional misconduct including inappropriate prescription of controlled substances and making fraudulent re…
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PER CURIAM.
The final administrative order under review is affirmed insofar as it finds that the respondent Dr. Albert Sneij was guilty of failing to keep appropriate medical records as charged in counts 8 and 12 of the admin istrative complaint. Plainly, substantial, competent evidence was adduced before the hearing examiner below to support the Board’s findings thereon. § 120.68(10), Fla.Stat. (1983).
The final administrative order under review is reversed, however, insofar as it finds that the respondent Dr. Albert Sneij was guilty of committing the acts of professional misconduct charged in counts 1-7, 9-11, 13-33 of the administrative complaint. We conclude that there was no substantial, competent evidence adduced before the hearing examiner below to support the Board’s findings thereon. § 120.-68(10), Fla.Stat. (1983). Indeed, the hearing examiner below found that these counts had not been proven due to the paucity of evidence presented thereon. The hearing examiner concluded the following in her recommended order:
“In the instant case, the Petitioner failed to establish by clear and convincing evidence that the Respondent, in his care and treatment of the eight patients named in the Administrative Complaint, inappropriately prescribed controlled substances or prescribed excessive amounts of controlled substances, made deceptive or untrue or fraudulent representations in the practice of medicine or employed a trick or scheme in the practice of medicine, or prescribed controlled substances without good faith and outside the course of his professional practice. The Petitioner did establish by clear and convincing evidence, violations of Section 458.331(l)(n), Florida Statutes, in that the Respondent failed to keep written medical records justifying the course of treatment of John Marsden and Carol Rosen, as alleged at Counts 8 and 12 of the Administrative Complaint.”
A doctor testified at the hearing below that he had examined Dr. Sneij’s prescriptions and medical records on eight patients. These records, without dispute, were sparse and inadequate. Based on these records, as well as an investigative file, he concluded that the records kept by Dr. Sneij did not justify the heavy dosages of dilaudid prescribed for these patients by Dr. Sneij. This witness did not talk to any of the patients involved nor did these patients testify at the hearing. Dr. Sneij also testified at the hearing and admitted that his medical records were poorly kept. He denied any other wrongdoing, however, although his memory of the patients involved was somewhat shaky. No other witnesses testified at the hearing. Plainly, this evidence was woefully insufficient to establish any of the charges against Dr. Sneij, save for the record-keeping violations. See Walker v. Florida State Board of Optometry, 322 So. 2d 612 (Fla. 3d DCA 1975).
Beyond that, the law is clear that the Board was not free to reject the hearing examiner’s findings when, as here, these findings were based on competent, substantial evidence. This being so, the Board had no authority, in any event, to reject summarily the hearing examiner’s findings and to substitute its own findings therefor. Kimball v. Hawkins, 364 So. 2d 463 (Fla.1978); § 120.57(l)(b)(9), Fla.Stat. (1981).
Inasmuch as we are upsetting some of the essential findings of the administrative order under review, we are compelled to reverse the penalty imposed which was based, in part, on these findings, see § 120.68(10), Fla.Stat. (1983), and remand the cause to the Florida Board of Medical Examiners with directions to (1) modify the order under review so as to accept the hearing examiner's findings and (2) impose a new penalty on Dr. Sneij based solely on the record-keeping violations committed herein.
Affirmed in part; reversed in part and remanded.
SCHWARTZ, Chief Judge
(specially concurring).
While I do not disagree with the majority’s assessment of the evidence, I think it inappropriate for this court even to engage in such an exercise. I would base the conclusion to reverse solely on the ground that since the findings of the hearing offi cer, whose function it is to make these determinations, are supported by substantial competent evidence, the agency improperly set them aside. Section 120.57(l)(b)(9), Florida Statutes (1981); Kimball v. Hawkins, 364 So. 2d 463 (Fla.1978).
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Cohn v. Dep't of Prof'l Reg., 477 So. 2d 1039 (Fla. 3d DCA 1985)…ot be sustained. Heifetz v. Department of Business Regulation, 475 So. 2d 1277 (Fla. 1st DCA 1985); Purvis, supra; Johnston v. Department of Professional Regulation, 456 So. 2d 939 (Fla. 1st DCA 1984); Sneij v. Department of Professional Regulation, 454 So. 2d 795 (Fla. 3d DCA 1984). For the same reason, the Board’s attempt below to make such a finding ab initio in the absence of any determination by the hearing officer on this point must likewise fall. Indeed, there is no authority for any agency to make an…
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Purvis v. Dep't of Prof'l Reg., 461 So. 2d 134 (Fla. 1st DCA 1984)…of negligence and incompetence, we vacate the Board’s order and remand with directions to dismiss the charges against appellant with prejudice. Johnston v. Department of Professional Regulation, supra; Sneij v. Department of Professional Regulation, 454 So. 2d 795 (Fla. 3d DCA1984). Dr. Purvis has also moved for an award of attorney’s fees and costs pursuant to section 120.57(l)(b)9, Florida Statutes. As in Johnston v. Department of Professional Regulation, supra, we conclude that, under the circumstances sh…
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B.B. v. Dep't of Health & Rehabilitative Servs., 542 So. 2d 1362 (Fla. 3d DCA 1989)…t substantial evidence was presented which would support the hearing officer’s conclusions.” South Fla. Water Management Dist. v. Caluwe, 459 So. 2d 390, 394 (Fla. 4th DCA 1984) (citations omitted); see also Sneij v. Department of Professional Reg., 454 So. 2d 795 (Fla. 3d DCA 1984) (where hearing examiner’s findings based on competent substantial evidence, agency had no authority to reject examiner’s findings and substitute its own findings). Where issues “are determinable by ordinary methods of proof throu…
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Join FLexlaw to unlock all legal intelligenceAuthorities Cited
- Kimball v. Hawkins, 364 So. 2d 463 (Fla. 1978)
- Edwards v. State, 322 So. 2d 612 (Fla. 1st DCA 1975)
- Walker v. Fla. State Bd. OF Optometry, 322 So. 2d 612 (Fla. 3d DCA 1975)