Allen Dunning v. War Memorial Hospital

534 F. App'x 326
CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 6, 2013
Docket12-2540
StatusUnpublished
Cited by6 cases

This text of 534 F. App'x 326 (Allen Dunning v. War Memorial Hospital) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allen Dunning v. War Memorial Hospital, 534 F. App'x 326 (6th Cir. 2013).

Opinion

OPINION

BERNICE B. DONALD, Circuit Judge.

Dr. Allen Dunning brought suit in federal court against the Chippewa County War Memorial Hospital (“the hospital”), challenging the hospital’s actions restricting Dunning’s privileges as a staff physician there under the Rehabilitation Act of 1973; Title III of the Americans with Disabilities Act; and the Michigan Persons with Disabilities Civil Rights Act. Dunning’s complaint also alleged breach of contract, violation of the Sherman Antitrust Act, and tortious interference with advantageous business relationships. After granting Dunning two extensions of time to respond to the hospital’s motion for summary judgment, the district court denied Dunning’s request for additional time and, without the benefit of briefing by Dunning’s counsel, granted the hospital summary judgment on the merits of all of Dunning’s claims. The court also awarded hospital attorneys’ fees and costs associated with the defense of certain claims, under the Health Care Quality Improvement Act. Dunning timely filed the present appeal, challenging the denial of his extension motion, the grant of summary judgment, and the award of fees and costs. For the following reasons, we AFFIRM the decision of the district court.

I.

A. Factual Background

At the time of the complaint, Allen Dunning, M.D. was a general surgeon at Chippewa County War Memorial Hospital. Over time, the hospital’s Medical Executive Committee (“the MEC”) developed concerns about certain aspects of Dr. Dunning’s medical practice, which it expressed *328 in a letter to Dunning dated October 21, 2009. The MEC placed Dunning under summary suspension, imposing restrictions on his surgical practice, including a ban on his accepting patients from the hospital’s emergency room. Soon thereafter, Dunning and the MEC entered into a memorandum of understanding, to be effective for ninety days while a peer review process was completed. Under this agreement, the previously imposed restrictions were modified and Dunning agreed to fully cooperate with the MEC’s review process.

Upon completion of outside review, the MEC recommended to the hospital board that certain restrictions on Dunning’s practice at the hospital be made permanent and that he be required to obtain an outside psychological evaluation and follow-up counseling. Apparently at Dunning’s request, the MEC scheduled a hearing on the matter for March 15, 16 and 18, 2010. According to the resulting Fair Hearing Panel Report, the hearing panel reviewed relevant documents and heard 22 hours of testimony from hospital staff and Dunning. Witnesses were called by counsel for both MEC and Dunning. Concluding that Dunning had “apparent obstacles to overcome in his relationships with many hospital personnel,” the panel recommended that Dunning obtain professional evaluation for the purpose of improving his interpersonal skills but that he be allowed to resume inpatient consultations and surgical interventions, subject to certain restrictions. The panel further recommended that, upon successful completion of its recommended transitional plan, Dunning’s surgical privileges be reinstated without restriction.

The hospital board reviewed the panel’s report and recommendations on June 4, 2010. The board decided that Dunning must “obtain professional evaluation at a facility, mutually agreed upon with the MEC, for the purpose of improving [his] interpersonal skills, improving relationships with nursing and ancillary staff, and to improve [his] ability to collaborate with [his] colleagues.” The board provided Dunning with two MEC recommended programs as options for completing the professional evaluation. Upon successful completion of the evaluation, Dunning would then be eligible to continue exercising his clinical privileges subject to certain restrictions. The board indicated that the MEC would subsequently conduct an ongoing evaluation to determine Dunning’s eligibility for reinstatement of unrestricted surgical privileges.

Although Dunning appealed the board’s decision, he nonetheless had the required evaluation done by a Dr. Siegel at one of the facilities approved by the hospital board. The board met on July 19, 2010 to consider Dunning’s appeal. Its sole focus was on the fairness of of the process followed by the MEC in its review of Dunning’s clinical privileges. The board found that the process and procedures had been fundamentally fair and, on that ground, the board upheld its adoption of the MEC’s recommendations and declared the recommendations effective immediately and Dunning’s administrative remedies exhausted. The board’s letter announcing its decision noted the following:

The Board is aware that you have already obtained a professional review consistent with the MEC’s recommendation. However, the Board is disappointed in your decision to not release the results of that evaluation to the MEC. Please recognize that the Board will consider broadening your clinical privileges only if the doubts concerning your practice and interrelationships are resolved. Those doubts cannot be resolved if relevant information is not made available for consideration.

*329 In a letter dated August 11, 2010, the board reminded Dunning that he needed to obtain and submit a professional evaluation prior to November 1, 2010, “so there is time to resolve concerns before your clinical privileges expire” on December 31. Dunning claims that he did not allow the submission to the MEC of Dr. Siegel’s evaluation because he “learned of irregularities in the examination process.” Instead, Dunning obtained an independent evaluation from Professor Phillip Margolis from the University of Michigan Hospital System and submitted the resulting report to the MEC in October 2010. The Margolis evaluation did not conform to the board’s requirement that the evaluation be from one of two MEC-approved facilities. The MEC notified Dunning in a letter dated December 21, 2010 that “[t]ime is running out and if you do not provide the report, or if you provide it without a reasonable time for the MEC to act on it, your privileges will lapse” on December 31, 2010.

B. Procedural Background

On December 30, 2010, one day before his privileges were to lapse, Dunning filed his initial complaint in district court. He filed an amended complaint on May 18, 2011. Dunning alleged that the hospital had discriminated against him because of his disabilities — a personality disorder and impaired hearing — in violation the Rehabilitation Act of 1973. He further alleged discrimination under Title III of the Americans with Disabilities Act and the Michigan Persons with Disabilities Civil Rights Act. He also asserted the following ancillary claims against the hospital: breach of contract and estoppel on grounds that the hospital had violated its own medical staff by-laws; violation of the Sherman Antitrust Act by reducing “competition among general surgeons in the relevant geographic market by excluding Plaintiff from that market”; and “tortious [interference] with advantageous business relatio[n]ships.”

On April 24, 2012, the hospital filed a motion to dismiss, and alternatively to reset the scheduled trial date of May 21, 2012 and associated dispositive motion deadlines, because of Plaintiffs failure to submit the required Fed.R.Civ.P.

Related

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Bluebook (online)
534 F. App'x 326, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allen-dunning-v-war-memorial-hospital-ca6-2013.