American Federation of Government Employees, Local 1941, Afl-Cio v. Federal Labor Relations Authority

837 F.2d 495, 267 U.S. App. D.C. 72, 127 L.R.R.M. (BNA) 2347, 1988 U.S. App. LEXIS 586, 1988 WL 2517
CourtCourt of Appeals for the D.C. Circuit
DecidedJanuary 19, 1988
Docket87-1076
StatusPublished
Cited by15 cases

This text of 837 F.2d 495 (American Federation of Government Employees, Local 1941, Afl-Cio v. Federal Labor Relations Authority) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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American Federation of Government Employees, Local 1941, Afl-Cio v. Federal Labor Relations Authority, 837 F.2d 495, 267 U.S. App. D.C. 72, 127 L.R.R.M. (BNA) 2347, 1988 U.S. App. LEXIS 586, 1988 WL 2517 (D.C. Cir. 1988).

Opinions

Opinion for the Court filed by District Judge GESELL.

Dissenting opinion filed by Circuit Judge STARR.

GESELL, District Judge:

This is a Petition for Review of an Order of the Federal Labor Relations Authority (“FLRA”).1 The Authority, by divided opinion, held that the credentials committee of an Army hospital about to conduct a hearing to consider adverse information relating to the medical procedures and proficiency of a certified ophthalmologist employed at the hospital did not commit an unfair labor practice when it refused the employee’s request to have his union representative with him at the hearing. We have jurisdiction to review under 5 U.S.C. § 7123(a), and having determined the challenged Order was contrary to the requirements of 5 U.S.C. § 7114(a)(2)(B), reverse.

Background

The underlying facts are largely stipulated and none is in dispute. Administration of medical practitioners at Noble Army Hospital, Fort McClellan, Alabama, is guided by the provisions of Army Regulation (“AR”) 40-66, entitled Medical Record and Quality Assurance Administration. The Regulation outlines, among other things, a procedural system for convening a credentials committee to review and act upon information regarding the lack of professional conduct, substandard medical practice, or incompetence of any physician detrimental to patient health or safety.

A meeting of the committee may be called by the chairperson of the committee, the hospital commander, or the chief of the department to which the practitioner is assigned. The committee consists of management officials, supervisors and chiefs of various medical departments. The credentials committee has authority to recommend to the commander modifications or withdrawal of clinical privileges. When adverse recommendations of the committee are forwarded to the commander, who has final authority, he may place limits on the practitioner’s medical services or terminate his employment. In addition, the commander in his discretion may summarily suspend or limit a practitioner’s clinical privileges pending inquiry by the committee.

Once convened, the credentials committee is authorized to conduct investigations or appoint an officer to investigate if more information is needed. The committee then reviews the adverse information gathered to determine whether or not to take action. If the committee determines action should be taken, then it may either initiate summary action to suspend or reduce clinical privileges, or a hearing committee may be called to review the adverse information prior to final recommendation.

When it is determined that information warrants convening a hearing committee, the Army regulation requires that the practitioner under investigation be notified of the hearing. The practitioner is then entitled, although not required, to attend the hearing. If the practitioner chooses to attend he has the right to present evidence, call witnesses, cross-examine witnesses and consult his legal counsel, although legal counsel may not actively participate in the [497]*497hearing process. When he appears he is also subject to examination. After the hearing is conducted, the hearing committee determines its recommendations by majority vote and forwards them to the commander with a summarized record, findings and recommendations. The commander then has final authority to decide whether to limit or suspend clinical privileges. The practitioner is also provided with a record of the proceedings and may appeal from the commander to higher headquarters within 10 workdays of the commander’s final decision.

Dr. Hanna, an ophthalmologist employed at Noble Army Hospital, came under review through this process. In late September 1984, during an ongoing audit of Dr. Hanna’s inpatient and outpatient medical records, Colonel Hood, the commander at the hospital, advised him orally to stop treating patients. Dr. Hanna did not perform surgery at Noble Army Hospital after August 3, 1984, and did not work between September 10, 1984 and November 20, 1984.

On October 1, 1984, the hospital scheduled a meeting of its credentials committee to review the preliminary findings of the audit. The auditing ophthalmologist reported the following conclusions: Dr. Hanna had used outdated treatment techniques; he had rendered poor medical care in general; and the majority of case records audited contained deficient evaluation and documentation. As a result of these preliminary determinations, the committee decided to continue suspension of Dr. Hanna’s surgical privileges and scheduled a meeting of the hearing committee on October 17 to make a final recommendation to the commander.

On October 3, Dr. Hanna was notified of the committee’s scheduled review hearing and of the specific allegation brought against him. Dr. Hanna indicated he would attend with his lawyer and asked to have a representative of his union, American Federation of Government Employees, Local 1941, AFL-CIO (“AFGE”), petitioner here, attend with him. His request to be accompanied by his union representative was denied. The hearing went forward.

The hearing committee consisted of management officials and military officers who were supervisors and chiefs of various hospital departments, as well as the ophthalmologist who had conducted the audit. At the hearing on October 17, 1984, Dr. Hanna cross-examined the physician who had conducted the unfavorable audit. He also made an opening statement, testified, called witnesses on his own behalf, and answered the hearing committee’s questions. The next day the hearing committee issued its findings, recommended that Dr. Hanna’s privileges be restricted, and commented on various aspects of his deficiencies, while acknowledging Dr. Hanna had partially rebutted some of the allegations brought against him.

On December 12, 1984, Colonel Hood adopted the committee’s recommendations and advised Dr. Hanna that he had the right to appeal to the Health Services Command and ultimately to the Office of the Surgeon General of the Army. Dr. Hanna did not appeal. He resigned in January 1985, and died later the same year.2

Dr. Hanna’s union, AFGE, the petitioner here, is the exclusive representative of medical practitioners at the Noble Army Hospital. Alleging that the hospital’s rejection of Dr. Hanna’s request to have a representative of that union with him at the hearing committee meeting constituted an unfair labor practice under the Federal Service Labor-Management Relations Statute, 5 U.S.C. §§ 7116(a)(1), -(8), 7114(a)(2)(B) (1982 and Supp. Ill 1985), AFGE complained to the Authority but was denied relief. The resulting Order of the [498]*498Authority now comes before this Court for review.

Discussion

The standard for judicial review of FLRA orders is prescribed by the Administrative Procedure Act, 5 U.S.C. § 706. See 5 U.S.C. § 7123(c).

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837 F.2d 495, 267 U.S. App. D.C. 72, 127 L.R.R.M. (BNA) 2347, 1988 U.S. App. LEXIS 586, 1988 WL 2517, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-federation-of-government-employees-local-1941-afl-cio-v-federal-cadc-1988.