Allegheny Health Network v. Brader, E.

2025 Pa. Super. 269
CourtSuperior Court of Pennsylvania
DecidedDecember 2, 2025
Docket1164 WDA 2024
StatusPublished

This text of 2025 Pa. Super. 269 (Allegheny Health Network v. Brader, E.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allegheny Health Network v. Brader, E., 2025 Pa. Super. 269 (Pa. Ct. App. 2025).

Opinion

J-A13036-25

2025 PA Super 269

ERIC BRADER, M.D. : IN THE SUPERIOR COURT OF : PENNSYLVANIA : v. : : : ALLEGHENY HEALTH NETWORK AND : AHN MEDICAL GROUP : : No. 1164 WDA 2024 Appellants :

Appeal from the Order Entered May 20, 2024 In the Court of Common Pleas of Allegheny County Civil Division at No(s): GD-17-012756

BEFORE: BOWES, J., OLSON, J., and BENDER, P.J.E.

OPINION BY BENDER, P.J.E.: FILED: December 2, 2025

Appellants, Allegheny Health Network (“AHN”) and AHN Medical Group

(“Medical Group”), appeal from the trial court’s May 20, 2024 order denying

their motion for summary judgment against Appellee, Eric Brader, M.D. Upon

review, we reverse.

Background

In 2014, Dr. Brader — an emergency physician — became an employee

of Medical Group and worked in the emergency department of Allegheny

General Hospital. Amended Complaint, 2/6/18, at ¶ 5; Appellants’ Brief at

11.1 In addition, he also performed administrative services as EMS Medical ____________________________________________

1 Briefly, as it is not germane to the issues before us on appeal, the record

indicates that Medical Group employs physicians and other personnel who ultimately provide services at hospitals. See Amended Complaint at ¶ 2 (stating that Medical Group “employs and provides hospitals with emergency physicians”); Medical Group’s Answer and New Matter, 5/18/18, at ¶ 2 (Footnote Continued Next Page) J-A13036-25

Director, Director of Emergency Ultrasound, Associate Fellowship Director,

and Core Faculty for Allegheny General Hospital. Amended Complaint at ¶ 6;

see also id. at Exhibit 1; Appellants’ Appendix, 2/21/24, at Exhibit I

(“MacLeod Declaration”) at Exhibit B at 21. Dr. Brader alleged that, while

employed in this capacity, emergency physicians were not permitted to speak

directly with attending specialists and were instead required to communicate

with them through residents. Amended Complaint at ¶ 7.

On the evening of June 6, 2014, into the early hours of June 7, 2014,

Dr. Brader treated a patient in the emergency department, and said that he

advised orthopedic surgical residents before the end of his shift that the

patient needed to be admitted to the hospital and required surgical

intervention. Id. at ¶¶ 8-9; Appellants’ Appendix at Exhibit B (“Brader Dep.

1”) at 78-80; Dr. Brader’s Brief in Opposition, 3/25/24, at Exhibit 1 (“Brader

____________________________________________

(conveying that Medical Group “employs physicians, physician assistants, nurse practitioners, and other personnel and employees, whom it leases to various companies that have contracted … with [Medical Group] to provide emergency medicine services at hospitals”); AHN’s Answer and New Matter, 5/22/18, at ¶ 2 (same). AHN is a health network with seven hospitals, including Allegheny General Hospital. Amended Complaint at ¶ 3; Medical Group’s Answer and New Matter at ¶ 3; AHN’s Answer and New Matter at ¶ 3. The record indicates that the parties agreed below that Medical Group employed Dr. Brader, but disputed whether AHN also employed him; however, that issue is not raised before us in this appeal, and we need not resolve whether AHN also employed Dr. Brader to dispose of the issues raised herein. See Amended Complaint at ¶¶ 2-3; Medical Group’s Answer and New Matter at ¶¶ 2-3; AHN’s Answer and New Matter at ¶¶ 2-3.

-2- J-A13036-25

Dep. 2”) at 75-77.2 On June 9, 2014, Dr. Brader said he dictated his note

about having seen the patient, remarking that the case was discussed with

orthopedic service and that they would admit the patient and determine the

need for operative therapy. Brader Dep. 2 at 77-78.

After finishing his dictation on June 9, 2014, Dr. Brader stated that he

did not think about the patient again, as he assumed the patient was admitted

and treated. Brader Dep. 2 at 80-81. However, after Dr. Brader’s shift had

ended and unbeknownst to him, the patient was not admitted and instead

sent home. Brader Dep. 2 at 85. As a result, Dr. Brader relayed that the

patient did not receive surgery for several days and ultimately suffered

permanent disability. Id.; Amended Complaint at ¶ 15.

Dr. Brader said he first learned about what had happened to the patient

on November 14, 2014, after the patient filed a lawsuit against him. Brader

Dep. 2 at 87-88. That same day, he said he spoke with Kathy Sikora, a nurse

manager of the emergency department and member of the patient safety

committee at Allegheny General Hospital, about sending an email to hospital

administration about the dangerous situation created for patients through

policies where emergency physicians cannot talk to attending physicians

directly, but have to “go through” their residents, who are intimidated from ____________________________________________

2 The parties each cited to portions of Dr. Brader’s June 27, 2019 deposition

in their summary judgment filings below. To indicate where the deposition can be found in the record, we refer to the portions of the deposition included in Appellants’ appendix in support of their motion for summary judgment as “Brader Dep. 1,” and to the portions attached to Dr. Brader’s brief in opposition as “Brader Dep. 2.”

-3- J-A13036-25

calling attending physicians at night. Brader Dep. 2 at 90-93. Dr. Brader

described this practice as “resident shielding” whereby “residents are

permitted to avoid calling attending physicians to admit patients on the orders

of emergency room physicians because[,] inter alia, the residents at night do

not want to awaken the attending admitting physicians.” Dr. Brader’s Brief at

2 (citations omitted). He claimed it was an ongoing and rampant problem.

Brader Dep. 2 at 83-84, 93.

According to Dr. Brader, Ms. Sikora agreed he should send an email to

report the issue. Brader Dep. 2 at 91-92. A few days later, on November 18,

2014, Dr. Brader sent an email about the issue to the medical director of the

emergency department and others. See Appellants’ Appendix at Exhibit E.

Therein, among other things, he complained that the patient’s situation “is a

classic case of consulting subspeciality residents run amok, enabled by

consulting specialty program attendings who wish them to be able to override

the emergency department attending, so that inconvenient cases can be

avoided and the liability thrown back on the emergency department

attending[.]” Id. at 1 (unnumbered).

Dr. Bruce MacLeod — Medical Group’s director and AHN’s president of

emergency medicine management at the time — said that Dr. Brader’s email

damaged Dr. Brader’s working relationship with hospital administration and

impacted the emergency department’s morale. MacLeod Declaration at ¶¶ 3,

5. Consequently, on November 23, 2014, Dr. MacLeod stated that he initiated

the process for Dr. Brader to obtain credentials at AHN’s Canonsburg Hospital

-4- J-A13036-25

for a temporary assignment at that facility. Id. at ¶ 6. Dr. MacLeod said that

Dr. Brader began working shifts at Canonsburg Hospital in January 2015, while

maintaining his clinical status at Allegheny General Hospital. Id. at ¶ 8. Dr.

Brader, however, did not wish to work at Canonsburg Hospital, which Dr.

Brader alleged was a less desirable practice compared to Allegheny General

Hospital. See Dr. Brader’s Reply to New Matter, 6/7/18, at ¶ 55.

Later, in September 2015, Appellants decided to eliminate Dr. Brader’s

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