In what is becoming well settled law, the U.S. District Court for the District of Massachusetts ruled that a medical resident is entitled to seek production of the evaluations and records of other residents as part of a federal discrimination claim, regardless of the confidentiality rules of state peer review statutes.
Credentialing and Peer Review
Physician Avoids HCQIA Presumption of Immunity
The presumption of immunity granted by the Health Care Quality Improvement Act (HCQIA) in peer review disputes is always a significant hurdle for physicians. In Zawislak v. Memorial Hermann Hospital System (which some readers may recognize from the excess benefit and physician recruitment IRS issues involving the hospital in the late 1990s), the hospital suspended Dr.
Attorneys’ Fees Awarded in Failed Peer Review Dispute Pursuant to State Law
In Crow v. Penrose-St. Francis Healthcare System, a Colorado Appeals Court awarded attorneys’ fees to a hospital that successfully defended the claim by a physician seeking damages for breach of contract and torte claims.
The Colorado Rules of Civil Procedures authorized an award of attorneys’ fees when a trial court dismissed an action under…
US DC of Massachusetts Orders Production of Performance Evaluations to Medical Resident
In Gargiulo v. Baystate Health, Inc., Dr. Debra Gargiulo alleged that she was discriminated against on the basis of her age and disability by Baystate Health in violation of both federal and state law. As part of her claim, the plaintiff sought production of numerous documents relating to her records, evaluations and reports, as well…
Lack of Adverse Final Outcome Not Necessarily a Valid Peer Review Defense
In Georgopoulos v. Humility of Mary Health Partners Inc., Dr. Georgopoulos was placed upon a six month surgical proctoring requirement because of extended operating times and excessive use of blood products. In addition to many procedural defenses, Dr. Georgopoulos’s primary substantive defense is that his patient survival and freedom from major cardiac events…
Physician Cannot Revoke Settlement Agreement
Bissada v. Arkansas Children’s Hospital (the “Hospital”) presents an atypical peer review case. The Eighth Circuit Court of Appeals affirmed summary judgment entered on behalf of the Hospital by the District Court on the basis of the existence of a Settlement Agreement, instead of relying upon the usual HCQIA peer review immunity protections.
Dr. Bissada practiced…
Credentialing Injunction Settled for $4,000,000
On January 21, 2009 I posted an article describing the preliminary injunction obtained by Jesse Cole, M.D. against St. James Healthcare in Montana, pursuant to which Dr. Cole’s clinical privileges were reinstated. For more information, see the website describing the final settlement in that case in which St. James Healthcare paid $4,000,000 to settle the
Physician’s Clinical Privileges Suspended for Long History of Disruptive Conduct
The memorable lesson of Sternberg v. Nanticoke Memorial Hospital is that the Delaware Supreme Court upheld a grant of summary judgment to the hospital on the basis of immunity under the Health Care Quality Improvement Act (HCQIA), despite:
· The physician was admittedly a competent orthopaedic surgeon; and
· There had been no…
Wyoming Supreme Court Permits Termination of Disruptive Surgeon
Defining and disciplining disruptive physicians has been a difficult problem for hospital administration and the medical staff for quite some time now, long enough for the Joint Commission to actually require leadership standard LD.3.10 beginning in 2009. Medical staffs have frequently been torn between protecting their members, who are frequently high performing physicians, while maintaining appropriate…
Medical Staff and Employment Issues Collide Again
The Mississippi State Appeals Court affirmed a summary judgment decision by a Mississippi State Court in the case of C. Jake Lambert, Jr. M.D. v. Baptist Memorial Hospital-North Mississippi, Inc. and Baptist Memorial Health Services, Inc. Dr. Lambert was a medical staff member of Baptist Memorial Hospital (Hospital) and an employee of Baptist Memorial…