Welcome to the Brandon-Hart™
VA-BC® Vascular Access Ethics Library
Independent Ethics, Compliance, and Transparency Education Platform
The Brandon-Hart™ Ethics Library is an independent educational platform focused on ethics, transparency, regulatory awareness, and patient safety in vascular access and healthcare systems across the United States. Presented by the VA-BC® Association, is an Association For Vascular Access established since 2009, under the leadership of the VA-BC® Training Center, LLC.
Advancing Ethics, Transparency, and Clinical Standards in
Vascular Access Education and Practice
Ethics & Law
Antitrust laws (Sherman, Clayton)
Healthcare Compliance
Regulatory Oversight
Board Members
Clinical Practice & Patient Safety
Vascular Access Procedures
CLABSI and Infection Risks
Scope of Practice
Interpretation of Laws
Transparency & Reporting
Data Accuracy
Institutional Reporting
Oversight Gaps
Federal & State
"There is a methodical agenda to keep healthcare workers and patients ignorant of healthcare laws and policies. So that fraud, malpractice, and misrepresentation from boards benefiting from these agendas, of false interpretation of law, to achieve profits, appears normal.
These boards violate patient safety and licensing malpractice laws. It is the greatest deception and failure of fiduciary responsibility."
CLINICAL PRACTICE & PATIENT SAFETY
Advancing Traceable Non-Compliance Reports and Fiduciary Illegalities & Failures
BRANDON-HART™ developed the the "VASCULAR ACCESS RICO METER™" a proprietary framework designed to visualize ethics, compliance, reporting accuracy and regulatory oversight within vascular access and healthcare systems.
Is your state examining board, healthcare facility, association, following federal and state laws, or are they creating their own rules outside of legal authority, side deals with hospitals, other boards, companies,
putting your license, patients and healthcare facility at risk?
We may be able to help in our ethics library.
VA-BC® Training Center through licensed partnership, can analyze and provide full assessment reports on compliance. We are legal experts on vascular access documentation, procedures and protocols. In 2016, we initiated the CMS Regulation, Oversight, and Compliance for Vascular Access.
In 2026, we initiate the VASCULAR ACCESS RICO METER™ adding our legal assessments of examining boards, non-profit associations, state audit reports and the tabulation of injury cases to patients in the United States. As leading authorities within the industry of vascular access, we take these kinds of case studies very seriously.
The Brandon-Hart™ Vascular Access Ethics Meter™ is a conceptual educational framework designed to illustrate patterns of ethics, compliance, reporting integrity, and regulatory oversight within healthcare systems.
The Racketeer Influenced and Corrupt Organizations (RICO) Act is a United States federal law (codified at 18 U.S.C. §§ 1961–68) designed to address organized patterns of unlawful activity. This framework introduces a structured method for evaluating compliance, oversight behavior, and systemic risk within vascular access environments.
Brandon-Hart™ developed the Vascular Access RICO Meter™ after identifying patterns of concern within vascular access oversight, including potential misalignment between regulatory boards, healthcare organizations, and clinical practice standards. These patterns may impact licensing integrity, patient safety, and compliance with federal healthcare regulations.
BRANDON-HART™ VASCULAR ACCESS RICO METER™
Developed by VA-BC® Founders
National Education Experts On Violations of Policies & Vascular Access Procedures & Placement Education Experts
Josephine Brandon, NLPC
Teaching ethical intelligence, policies, and healthcare laws for public safety
William J. Hart, RN VA-BC®
Teaching vascular access, clinical placement, and decision-making in vascular access
Josephine Brandon, NLPC, and William J. Hart, RN, VA-BC®, are the founders of VA-BC® and Vascular Access Become Certified™, a nationally recognized vascular access education and training program established in 2009 and introduced to the marketplace in 2010.
They are the creators of the proprietary VA-BC® 7 Pillars of Vascular Access for Safest Placement™, a comprehensive, system-based training framework designed to elevate clinical performance, reduce risk, and achieve the Safest Ranking™ in vascular access procedures. Their work represents one of the most structured and advanced educational models in the field, built on real-world clinical application, compliance awareness, and patient safety outcomes.
Together, they have authored and published a series of vascular access curricula, training programs, and investigative healthcare resources developed within their proprietary seven-pillar system. Their credentialing model has been recognized as “the first truly elite vascular access credential®,” delivering a tiered pathway of proprietary pillar certifications, including VA-UNP™, VA-DSM™, VA-CP™, VA-DSS™, VA-HRK™, VA-CCD™, VA-LPA™, and VA-BC®. They are recognized for "We are not just creating credentials, we are creating a legacy standard.®
As founders of multiple vascular access companies in the United States, Brandon-Hart™ provide real-time, boots-on-the-ground consulting, training, certification, and clinical assessments across hospitals, acute care settings, long-term care facilities, skilled nursing, post-acute environments, rehabilitation centers, pharmacies, and infusion providers.
They are also the developers of proprietary vascular access software, credentialing systems, and clinical intelligence tools designed to support healthcare organizations, clinicians, and administrators in advancing safety, accountability, and measurable outcomes in vascular access practice.
JOSEPHINE BRANDON, NLPC - SPEAKER & NATIONAL EXPERT
CO-FOUNDER OF VA-BC® AND VASCULAR ACCESS BECOME CERTIFIED™
SPEAKING TOPICS:
VASCULAR ACCESS ADMINISTRATION, SCOPE OF CARE VIOLATIONS
CMS & INSURANCE BILLING FRAUD-NONPROFIT FRAUD-BOARDS PROFITING FROM MISINFORMATION
ADDRESSING HOSPITAL POLICY VIOLATORS AND INJURY COMPLAINTS
WILLIAM J. HART, RN VA-BC® - SPEAKER & NATIONAL EXPERT
CO-FOUNDER OF VA-BC® AND VASCULAR ACCESS BECOME CERTIFIED™
SPEAKING TOPICS:
VASCULAR ACCESS ADMINISTRATION, SCOPE OF CARE VIOLATIONS
CMS & INSURANCE BILLING FRAUD-NONPROFIT FRAUD-BOARDS PROFITING FROM MISINFORMATION
ADDRESSING HOSPITAL POLICY VIOLATORS AND INJURY COMPLAINTS
Our Mission To Educate Lawyers, Healthcare Workers & Patients On Malpractice & Dangers Happening In Vascular Access Industry
OUT OF SCOPE LICENSE INJURIES
WE WANT JUSTICE FOR VIOLATIONS
Could This Be RICO
along with Anti-Trust Violations?
Revealing Injuries, Death, Widespread CMS Vascular Access Insurance Billing Fraud and Misrepresented to Patients, WHICH DEFRAUDS PATIENTS, HEALTHCARE LICENSING AND THE PUBLIC AND SAFETY STANDARDS.
ATTACHED TO
Non-Profit Organizations (Associations and Hospitals) Working Together, OF WHICH THEY ALL FINANCIALLY BENEFIT TOGETHER
ATTACHED TO
False Representation of Accreditation When It's ACTUALLY A Paid Membership Association, OF WHICH THEY FINANCIALLY BENEFIT AND REFUSED TO INVESTIGATE CLAIMS
ATTACHED TO
Multi-Disciplinary Board Certifications For Profits, OF WHICH THEY FINANCIALLY BENEFITED AND WITHOUT LEGAL CORPORATE STRUCTURE AND WITH HAVING STATE AND FEDERAL REVOKES
ATTACHED TO
Respiratory Examining Board Members In Violation, Illegally Operating-Authorizing, Outside of Federal and State Law Jurisdiction, OF WHICH BOARD MEMBERS OR POLITICAL PARTIES FINANCIALLY BENEFITTED
BRANDON-HART™ known as Josephine Brandon and William J. Hart are founders of
VA-BC® and VASCULAR ACCESS BECOME CERTIFIED™ in vascular access industry.
Josephine Brandon, William J. Hart, VA-BC® Training Center, and Phoenix Vascular Access® filed a lawsuit in 2025 against AVA and VACC for trademark infringement, confusion and non-profit fraud.
BRANDON-HART™ Ethics Library, leads the nation in having whistleblowers come forward expressing massive concerns with fraud at hospitals and license malpractice within vascular access patient care.
BRANDON-HART™ Ethics Library, addresses national facts with CLABSI metrics being inaccurate, multi-disciplinary board certifications in vascular access being illegally distributed and used with fraud billing across hospitals committing billing fraud.
BRANDON-HART™ Ethics Library, reveals how non-profit vascular access organizations that stated their mission was to protect and serve the public, were actually lining their pockets for profits that appear to violate federal, state and anti-trust laws. These organizations were never benefiting members or patients, but actually executives and attorneys at the top who control the dialogue of interpretation of law to general public and obtained the benefit of funding.
BRANDON-HART™ Ethics Library, reveals how boards paid Attorneys and CPA's of nonprofit organizations to confuse the public from actual interpretation of scope of care laws, claiming they were malignant in ethics, committed malpractice and participated in one of the largest misinformation tactics destroying the integrity of vascular access placement, metrics and patient safety standards.
BRANDON-HART™ Ethics Library, reveals how nurses and doctors were petrified of losing their jobs, forced to train out of scope licensed or lose their jobs and then getting fired anyway after they fulfilled the fraudulent hospital policy.
BRANDON-HART™ Ethics Library, reveals how Institute of Credentialing Excellence and their NCCA is in violation of USPTO laws and intentionally negated obligatory fiduciary responsibilities. Along with AVA and VACC, they were reported to the National Fraud Enforcement Division together with the Federal Bureau Investigation and the Federal Trade Commission for issues of violations within the framework of RICO and anti-trust laws.
BRANDON-HART™ Ethics Library, reveals how state and federal health departments receive a high volume of complaints annually, with numbers exceeding 100,000 for specific sectors such as long-term care facilities. Complaints against health agencies have grown significantly, increasing by 69% over a recent five-year period.
BRANDON-HART™ Ethics Library, reveals:
Key Complaint Statistics
Nursing Homes and Hospitals: State-run inspection agencies received more than 107,000 complaints regarding health care facilities last year.
Federal Health Agency Complaints: Americans filed over 51,000 complaints against health agencies, a number that grew 69% over the last five years.
Hospitals Specifically: More than 14,500 complaints were lodged against hospitals in fiscal 2024, representing a 79% increase since 2019.
HIPAA Privacy Violations: The federal Office for Civil Rights investigates thousands of complaints yearly regarding health information privacy, with 34,077 received in 2021.
Long-Term Care Backlog: In Arizona, approximately 56% of the 4,958 long-term care facility complaints received in 2017 and 2018 remained open and uninvestigated as of June 2019. These numbers increased dramatically after 2020.
High-Priority Complaints: A 2022 follow-up report found that 73% of 156 high-priority complaints in Arizona did not have on-site investigations initiated within the required 10 working days.
Increasing Volume: CMS reports that the number of complaints requiring investigation across all regulated settings has grown over 31% since fiscal 2019.
38 states failed to meet federal nursing home recertification goals in 2024 due to high complaint numbers.
Hospitals in the United States have been implicated in various forms of policy abuse, ranging from illegal scope of care placement of vascular access medical lines, billing fraud, abuse of nurses and healthcare workers under administrative rules, and aggressive collection tactics to failing to meet charity care requirements, resulting in billions of dollars in annual financial impacts.
These practices often involve non-profit institutions prioritizing revenue over patient care and failing to meet the community benefit standards necessary for their tax-exempt status.
TRANSPARENCY AND SYSTEM AWARENESS
Trends In Public Misinformation & Failed Fiduciary Responsibilities To The American Public & Licensed Professionals
Respiratory Therapists SHOULD NOT be placing vascular access medical lines in patients. That is the federal and state law.
According to our research, the Arizona Examining Board and North Carolina Respiratory Board, which have absolutely no credible history in clinical or regulatory compliance, were performing outside of legal authority and were induced to agree to Hospital executives who approached them to have the Hospitals create their own policy without regulation, oversight and without federal and state approval.
All these board members went outside of their legal duties, outside of the law and jurisdictions to approve OUT OF LICENSE SCOPE VASCULAR ACCESS MEDICAL LINE PLACMENTS and our position is that we want lawyers representing patients, to hold these respiratory boards, including the National Association for Respiratory Therapists, AVA Association For Vascular Access and VACC Vascular Access Certification Corporation, and Hospitals accountable for any and all CLABSI infections, patient injuries and patient deaths in those states where lines were performed by out of scope licenses. We want them to demand all vascular access documentation and see who it was performed under and billed under. Because of out of scope billing is illegal.
These organizations MUST remove our trademark on all papers and platforms as no authority or license permission was ever authorized.
These organizations must provide legal provisions to all test takers and all hospitals using any "multi-disciplinary board certification" that the board certification they attained does not meet federal and state law for scope of care and it does not meet federal and state laws for placement and it was never authorized to use any VA-BC® credential of ours.
THE MISINFORMATION AND CONFUSION MUST END
These organizations financially benefited from the illegal application of these multi-board certifications without regulatory oversight and the law requires they hold themselves to fiduciary responsibility.
These examining boards and the associations collaborated on an agenda of replacing nursing, methodically all profiting and benefiting from "multi-disciplinary board certifications" outside of scope care, and going outside the law. They had a fiduciary responsibility to flat out and say, that is out of our decision making capabilities, vascular access medical lines placements requires federal and state approval within the license of federal and state laws, but they all operated illegally for financial benefits and manipulated systems, interpretations of law to the public, administrations, and to patients and irresponsibly permitted telling patients they were Vascular Access Specialist, when they legally were not.
We have seen patient with injuries, lines that were not placed correctly and patients who have claimed they were in the worst terrible pain with having lines placed at hospitals where respiratory therapists were placing lines. We want these hospitals and cases investigated and want to see how they billed the patients insurance company for that procedure by an out of scope license for the benefit of a hospital profit and CEO bonus money.
These organizations below IN RED have been reported and are under investigation for misinformation to the public and what we believe and define as "they failed fiduciary responsibility" provided misinformation to the public and licensed professionals, and and collaborated for financial benefits that hurt us, license professionals and the public.
These are our position statements made public in our federal lawsuit against AVA and VACC and to Federal Trade Commission, Federal Bureau Investigation and National Fraud Investigations of Non-Profit Organizations.
ARIZONA RESPIRATORY BOARD
HAS FAILED ETHICAL TRANSPARENCY
FAILED FIDUCIARY RESPONSIBLITY
The Arizona Respiratory Care Examining Board is under active scrutiny and investigation. State audit reports have identified findings associated with potential harm, while ongoing difficulties in obtaining public records raise serious concerns regarding transparency. Evidence further suggests that board-level actions with infiltration of additional funds to specific board members, may have illegally enabled hospitals to implement vascular access policies outside their lawful authority. These combined factors represent a significant concern for regulatory compliance, governance, and public safety. We see this as dangerous to patients, licensing, and malpractice."
NORTH CAROLINA RESPIRATORY BOARD HAS FAILED ETHICAL TRANSPARENCY
FAILED FIDUCIARY RESPONSIBLITY
North Carolina Respiratory Care Examining Board is under scrutiny active investigation. State audit reports have identified findings associated with financial assessments with no oversight whatsover in it's history of reports online in evaluation of regulatory decisions, scope-of-practice interpretations, or patient safety implications.
In plain English - no one is auditing what they are actually allowing clinicians to do. Their positions statement clearly states that respiratory therapists are not a taught vascular access and yet they compromised their role as examiners to allow hospitals to create rules outside federal and state laws. We see this as dangerous to patients, licensing and malpractice."
NATIONAL ASSOCIATION FOR RESPIRATORY THERAPISTS HAS FAILED ETHICAL TRANSPARENCY
FAILED FIDUCIARY RESPONSIBLITY
The National Association for Respiratory Therapists failed to provide any legal document that proved that respiratory therapists have the legal ability to place vascular access medical lines, other than offering a permission statement. Their position statement completely misleads the public comparing arterial lines within respiratory care to vascular access medical lines which are not the same thing and they absolutely know this, but the general public does not. We see this position statement as dangerous to patients, licensing and malpractice."
AVA ASSOCIATION FOR VASCULAR ACCESS
NON-PROFIT FAILED TRANSPARENCY
FINANCIALLY BENEFITED FROM MULTI-DISCIPLINARY BOARD CERTIFICATIONS THAT WERE NOT LEGALLY BINDING WHICH HOSPITALS USED TO FRAUDULENTLY BILL CMS AND INSURANCE COMPANIES FOR VASCULAR ACCESS PROCEDURES
AVA ORGANIZATION WAS REVOKED BY FEDERAL, NEVER TOLD THE PUBLIC AND COMMITED CORPORATE FRAUD
AVA DENIES ANY ASSOCIATION WITH VASCULAR ACCESS CERTIFICATION CORPORATION
FAILING FIDUCIARY RESPONSIBILITIES
VACC VASCULAR ACCESS CERTIFICATION CORPORATION
NON-PROFIT FAILED TRANSPARENCY
FINANCIALLY BENEFITED FROM MULTI-DISCIPLINARY BOARD CERTIFICATIONS THAT WERE NOT LEGALLY BINDING WHICH HOSPITALS USED TO FRAUDULENTLY BILL CMS AND INSURANCE COMPANIES FOR VASCULAR ACCESS PROCEDURES
VACC ISSUED THOUSANDS OF CERTIFICATES WHILE BEING REVOKED AND OUT OF CORPORATE JURISDICTION TO DO BUSINESS.
VACC DENIES AVA IS ASSOCIATED WITH THEM DESPITE HAVING PRESIDENT OF VACC BOARD NOW ON AVA BOARD.
FAILING FIDUCIARY RESPONSIBLITIES
Institute of Credentialing Excellence
NCCA
FINANCIALLY BENEFITED FROM MULTI-DISCIPLINARY BOARD CERTIFICATIONS THAT WERE NOT LEGALLY BINDING WHICH HOSPITALS USED TO FRAUDULENTLY BILL CMS AND INSURANCE COMPANIES FOR VASCULAR ACCESS PROCEDURES
MISREPRESENTED TO THE PUBLIC
NCCA ACCREDITATION WAS NOT A FEDERAL PROGRAM
NCCA WAS ALSO A MEMBERSHIP BASED ASSOCIATION, NOT AN INDEPENDENT AUTHORITY, FAILING USPTO CERTIFICATION RULES
COLLABORATED WITH VACC AND AVA ORGANIZATION WHILE REVOKED BY FEDERAL, NEVER TOLD THE PUBLIC, NEVER INVESTIGATED COMPLAINTS REGARDING TRADEMARK INFRINGEMENT, AND CORPORATE FRAUD
FAILING FIDUCIARY RESPONSIBILITIES
