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(1)

Lawyers: What to Do

(or

NOT

Do) in Internal &

External Investigations

Presented by:

Kevin M. Wood, Esq. Strasburger & Price LLP

600 Congress Ave, Ste 1600 Austin, TX 78701-2974 (512) 499-3664 300 Convent St, Ste 900 San Antonio, TX 78205-3715 (210) 250-6073 kevin.wood@strasburger.com

AHLA Annual Meeting June 28, 2011

(2)

Who is the client?



Organization/corporation



Constituents of the organization



Officers



Directors



Shareholders



Employees



Unrepresented persons



Multiple-party representation

What type of entity is the

client?



Publicly Traded Company



Privately Held Company



Institution



Non-Profit



College or University



Religious Order

(3)

Reasons to Conduct an

Internal Investigation



Internal allegation of wrongdoing



Compliance issues (e.g., hotline)



Corporate monitor



Government investigation



Corporate integrity agreement



Industry-wide concern



Concern voiced by Board of Directors

Scope of the Investigation



What issues are being investigated?



Do you have a reasonable time frame to

complete the investigation?



Do you have sufficient resources to

conduct the investigation (especially in

the given time frame)?

(4)

How to

Avoid a Governmental

Investigation

Employee Reporting System

 Federal sentencing guidelines encourage the use of an anonymous or confidential reporting system  Employees need to be well informed of the system,

including:

 any limits on confidentiality

 an employee’s obligation to report suspected wrongdoing  the fact that the company will not retaliate against

employees for using the system

 System should be designed to encourage reporting  Better for employees to feel free to report than to

(5)

Compliance Plan

 The existence of an effective compliance plan has many benefits:

 Reduces the likelihood that the OIG or DOJ will undertake a criminal investigation/prosecution

 Reduces the culpability score in the event of successful prosecution

 Most importantly, helps to prevent, deter, and detect potential wrongdoing

Risk Assessments

 The organization should periodically assess the effectiveness of its compliance plan

 With results of assessment, the organization can effectively prioritize and modify its actions and allocate its resources

 The focus of such prioritization should be the

prevention and detection of improper conduct that is most likely to occur

(6)

Search Warrant Policy

 Writing a search warrant policy after the warrant has been executed is too late

 Policy should state that:

 Organization’s lawyers will be notified immediately  Management/compliance officials will be notified

immediately

 Privileged documents should be protected

 Employees should be trained to ensure that no action can be construed as obstruction of justice

 Sample policy in attached materials

Interview Policy

 Organization’s policy should balance between:

 Organization’s interest in appropriately advising employees about the issue of seeking counsel

versus

 Organization’s need to demonstrate to that it is cooperating with the investigation

 An effective policy should educate employees as to the voluntary nature of interviews and their legal rights, without mandating the employee’s decision  All effort must be taken to AVOID obstruction of

justice (or even the appearance thereof)

(7)

Document Retention Policy

 Historic documents may help or hurt in litigation  Balance must be found between:

 The need to memorialize important decisions, contracts, or events

versus

 The limit of resources to keep every document ever created

 Many organizations have excellently written, but

poorly implemented, document retention policies

 Now is the time to determine what has been maintained and whether it is time to retire those documents that have outlived their relevance  Discontinue document destruction policy if an

investigation begins

Privileged Documents

 Failure to treat privileged documents as confidential may jeopardize the attorney-client privilege

 Ensure that privileged documents are appropriately labeled and segregated

 Consider having a separate server or drive for the legal department’s documents to protect against inadvertent disclosures

(8)

Insurance Policies

 Be aware of types of coverage, coverage triggers, and coverage limitations (i.e., D&O, riders, etc.)  Will business interruption insurance cover the loss

of business that would occur in the event records are seized?

 Must an indictment be delivered before coverage for attorney’s fees begins for employees?

Business Interruption Plan

 Search warrants can interrupt a business as effectively as a flood or other force majeure

 Key is to have a plan to restore business operations as quickly as possible

 Offsite backup of critical IT systems can be critical if such an event occurs

(9)

Updated Contacts

 Locating the ideal attorney may take time, so take time now to find counsel before a search warrant executes, an investigation starts, or an allegation is made

 You (and the Organization) will want experienced counsel at your side immediately, including:

 Experienced healthcare regulatory counsel

 Criminal defense counsel, preferably with health care experience

 Take the time now to locate local attorneys who will have established relationships with local regulators or enforcement officials

How to Respond to a

Governmental

(10)

Call Your Attorney



A healthcare organization’s list of attorneys

should include:

 Experienced healthcare regulatory counsel  Experienced criminal defense counsel

(healthcare, investigation, and substantial trial experience preferred)

Monitor the Investigation

 Begin debriefing employees who were interviewed  Interviews should be conducted at the direction of

the Board and in coordination with counsel  Important to have the right attorney conduct the

debriefing interviews

 Interviews should be conducted to protect attorney-client privilege

 Communications should be clear about:  who the actual client is; and

 who counsel represents (most likely not the employee)  Beware of dissembling or pre-texting

(11)

AVOID Obstruction

 REMEMBER—“The cover-up is worse than the crime”

 More convictions arise from obstruction than from the underlying allegations

 General counsel and employees should focus on preservation of evidence, including

 Stopping the destruction of relevant documents under existing retention policies

 Reviewing email and electronic back-up processes  Assessing what has been (or is being) reported to the

authorities

Find the Relevant Policies

 This includes policies for:

 Search Warrant  Subpoena

 Civil Investigative Demand

 These policies should already be in place

 The relevant policy should be short and simple and should educate employees of their obligations  Remember that the investigator may ask to see the

policy as well as any communications to employees about it

(12)

Notify Employees & Third

Parties

 After debriefing initial witnesses, the organization will have a good idea as to the nature and scope of the investigation

 In all but rare cases, notification should be made to employees, possibly including a statement that the organization will cooperate

 Initial notice to employees should:

 Publish or republish the Company’s interview and search policies

 Instruct all employees to preserve evidence

 Inform employees of their obligations, but avoid even the appearance of obstruction with respect to their responses

Notify Employees & Third

Parties

 After initial notice is made to employees, notice should be made to key stakeholders

 Timing of notices will vary based on the specific circumstances

 The organization will need to speak with “one voice” and be ready to respond to press inquiries

immediately

 Depending on the circumstances, the organization may need consultants:

 Consultants should be retained by outside counsel, not the organization

 Retention of consultant should be done to maintain privilege and confidentiality

(13)

Fight or Cooperate?

 While a preliminary decision must be made, the process will evolve as the facts and applicable law develop during the investigation

 The initial decision, though, will materially affect subsequent decisions

 Most organizations find themselves compelled to cooperate due to a number of factors:

 Incentives for cooperation under federal sentencing guidelines

 DOJ policy on the prosecution of business entities  Collateral consequences of an indictment or conviction

Conduct an Internal

Investigation?

 Some investigation will be needed to determine facts, potential exposure, possible legal defenses, and resolution alternatives

 One end of this spectrum involves limitation by the defense team only to develop defense evidence  The other end involves engaging separate counsel

and forensic experts to conduct a formal investigation that will result in a formal report

 Often, in-house counsel must balance the need for information with the potential risk of a written report:

 Who gets the report?

 How will the report remain protected?  Will privilege be waived?

(14)

Offer Lawyer for Employee

Witnesses

 Natural reaction is to tell employees to agree to an interview and that there is no need for a lawyer  This fails to recognize the posture of the

investigation as well as the stress the interview process imposes on employees

 One option is to retain an attorney to be available for employees; however:

 Attorney should have specific experience serving in this type of role

 Attorney should also be well-versed in the pitfalls of joint representation to ensure appropriate and ethical

representation

 FOR EXAMPLE—Organization’s lawyer must make sure employees understand that she does not represent them

 It must be clear who the lawyer represents

Work the Case and Meet

with the Prosecutor

 Primary objective should be to persuade the prosecutor to decline prosecution of the organization and its officers and employees

 This requires counsel to work the case proactively to determine weaknesses in the underlying case and to develop defense evidence

 If prosecution appears unavoidable, then the lesser goal will be to minimize the charges brought and penalties imposed through:

 Cooperation

(15)

Keep a Focus on Running

the Business

 Executives must maintain focus on running the business, or defense of the case becomes moot  Executives will want to take an active role in setting

defense strategy, but should limit the executives involved to the smallest number practicable:

 Subcommittee of the Board;  Audit committee; or

 Select officers (i.e., CEO, COO, etc.)

 Continued focus on running the business must be an ongoing priority

 Continued operations must be accomplished within the parameters of the compliance plan

(16)

Additional Resources

 “Responding to Government Investigations,” William Michael, Jr., Mark D.

Larsen, ACCA InfoPAK, Sept. 2004.

 “Internal Investigations,” William Michael, Jr., Mark D. Larsen, ACCA InfoPAK,

Sept. 2004.

 John K. Villa, Corporate Counsel Guidelines, Chapter 5 (Overseeing

Corporate Criminal Investigations & Litigation), West & Association of Corporate Counsel.

 “The Disturbing Changes in the Federal Sentencing Guidelines: Easier on

Prosecutors, Tougher on Companies,” ACC Docket 23, no. 59 (May 2005): 116-125.

 Principles of Federal Prosecution of Business Organizations, memo from

Deputy Attorney General Paul J. McNulty to Heads of Department Components, United States Attorneys, Dec. 12, 2006,

http://www.usdoj.gov/dag/speeches/2006/mcnulty_memo.pdf.

 United States Sentencing Commission, Guidelines Manual, Chapter Eight –

Sentencing of Organizations (Nov. 2004): www.ussc.gov/guidelin.htm.

 Mark A. Srere, JD, Donna K. Thiel, JD & Aretha D. Davis, JD, See for

Yourself: A Health Care Provider’s Guide to Conducting Internal Investigations & Audits (2003).

(17)

Lawyers: What to Do

(or

NOT

Do) in Internal &

External Investigations

Presented by:

Kevin M. Wood, Esq. Strasburger & Price LLP

600 Congress Ave, Ste 1600 Austin, TX 78701-2974 (512) 499-3664 300 Convent St, Ste 900 San Antonio, TX 78205-3715 (210) 250-6073 kevin.wood@strasburger.com

AHLA Annual Meeting June 28, 2011

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