Bailey, C. v. Penn Med.

Superior Court of Pennsylvania·Decided October 26, 2021·No. 1481 EDA 2020·Unpublished

Opinion

J-S02037-21

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37

CARRIE BAILEY : IN THE SUPERIOR COURT OF : PENNSYLVANIA Appellant : : : v. : : : HOSPITAL OF THE UNIVERSITY OF : No. 1481 EDA 2020 PENNSYLVANIA :

Appeal from the Order Entered June 25, 2020 In the Court of Common Pleas of Philadelphia County Civil Division at No(s): No. 191103241

BEFORE: BENDER, P.J.E., KUNSELMAN, J., and NICHOLS, J.

MEMORANDUM BY BENDER, P.J.E.: FILED OCTOBER 26, 2021

Appellant, Carrie Bailey, appeals from the trial court’s June 25, 2020

order entering judgment in favor of Appellee, Hospital of the University of

Pennsylvania (“Hospital”), and against Ms. Bailey, after it had granted

Hospital’s motion for judgment on the pleadings. We affirm.

Ms. Bailey sued Hospital for negligence and negligent hiring following

the purported mishandling of her medical records. She alleged, inter alia,

that, on or around June 25, 2019, her results from a June 20, 2019 blood test

were sent to a doctor she did not know and had not authorized to receive such

information. See Amended Complaint, 1/6/20, at ¶¶ 4, 8. Further, she

averred that she and her own doctor “were unable to access the said record

until after July 3, 2019 — nearly 2 weeks after the tests were taken and more

than 8 days after their unauthorized release.” Id. at ¶ 28. J-S02037-21

In support of her negligence claim against Hospital, Ms. Bailey

specifically alleged the following: 35. [Ms. Bailey] and [Hospital] are doctor and patient and thus stand in a special relationship to each other.

36. [Hospital] has a common law duty (or the court should impose one) to safeguard and protect [Ms. Bailey’s] health care [sic] information and to make [her] healthcare information accessible to [Ms. Bailey] and her doctor and [Hospital’s] failure to do so amounted to ordinary negligence.

37. Electronic record collection and cyber hacking pose an increasing huge [sic] risk on society that private and confidential healthcare information will be exposed and negatively affect a growing number of Americans.

38. The consequences of imposing such a duty of care upon [Hospital] will be limited, and not broad-based, and will advance society’s goal of ensuring confidentialit6y [sic] of medical records and enhance confidence in patients that their private information will be protected and not viewed by unauthorized persons. Imposing such a duty of care will also lead to a limited burden on [Hospital], as opposed to the extensive harm that will result from not imposing a duty.

39. It is also sound public policy to take all reasonable steps to safeguard health care [sic] information of patients from careless, reckless and reprehensible exposure and it will promote the privacy goal of [the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”)1]; and the privacy goal of 28 Pa. Code § 115.27[,] which states:

“All records shall be treated as confidential. Only authori8zed [sic] personnel shall have access to the records. The written authorization of the patient shall be presented

____________________________________________

1 Pub. L. No. 104-191, 110 Stat. 1936 (codified as amended in scattered sections of 18, 26, 29, and 42 U.S.C.). HIPAA “provides for monetary fines and various terms of imprisonment for the wrongful disclosure of individually identifiable health information.” Lykes v. Yates, 77 A.3d 27, 31 (Pa. Super. 2013) (citation omitted).

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and then maintained in the original records as authority for release of medical information outside the hospital[.”2]

40. In transmitting [Ms. Bailey’s] medical information to an unauthorized doctor whom [Ms. Bailey] does not know, [Hospital] deviated from the standard of care that a reasonable man of ordinary prudence would have exercised.

41. [Hospital’s] lack of care in sending [Ms. Bailey’s] medical records to an unauthorized person amounted to negligence and proximately caused the following physical injury to [Ms. Bailey,] causing [her] to spend and have to continue ot [sic] spend larges [sic] sums of money to alleviate:

a. [Ms. Bailey] suffered an increase in her hypertension;

b. [Ms. Bailey’s] doctor prescribed an increase in [her] blood pressure medicine;

c. [Ms. Bailey’s] doctor referred her to a heart doctor;

d. [Ms. Bailey] has poor sleep;

e. [Ms. Bailey] have had [sic] a decrease in exercise;

f. [Ms. Bailey] has gained weight;

g. [Ms. Bailey] has experience [sic] more fatigue and stress[,] resulting in poor blood pressure;

h. At the direction of her doctor, [Ms. Bailey] had to changed [sic] her diet[.]

2 Violations of Section 115.27 are remedied through 28 Pa. Code § 51.41,

which provides: (a) When appropriate, the Department [of Health and Human Services] will work with the health care facility to rectify a violation of this part.

(b) A health care facility that violates this part may be subject to sanctions by the Department, which include: [various penalties].

(c) A person who violates this part may be subject to a civil penalty, not to exceed $500 per day.

-3- J-S02037-21

42. It is foreseeable that the above severe physical harm may result from the careless release of healthcare information to the wrong person, even if that person is a doctor and causing a protracted period to pass before a person could gain access to her own medical records.

Amended Complaint at ¶¶ 35-42.

Additionally, in support of her negligent hiring claim, Ms. Bailey averred

the following: 43. [Hospital] has a duty (or one should be imposed by the court) to exercise reasonable care in hiring competent employees to handle [Ms. Bailey’s] records and to treat [Ms. Bailey] with professionalism and respect.

44. This duty arises from the special relationship that exists between [Ms. Bailey] and [Hospital] as doctor and patient.

45. The incompetent placing of [Ms. Bailey’s] medical records in their wrong file, and sending of those records to an authorized [sic] doctor and not to [Ms. Bailey] would have been averted or avoided along with the injury to [Ms. Bailey] if such a duty would have been followed or been court imposed.

46. [Hospital] has an important role of social utility in providing healthcare services to the community and providing competent staffing in furtherance of those services.

47. This social utility is seriously undermined by the admission that staff placed another patient’s records in [Ms. Bailey’s] file, sent [her] records to an unauthorized person and treated [Ms. Bailey] with hostility when [she] tried to get a hard copy of her record.

48. The nature of the risk imposed involve mix-ups in patients’ records and barriers in patients’ ability to receive their records and the foreseeable harm to [Ms. Bailey] involve [sic] a worsening of [her] already precarious health condition and problems with her blood pressure and heart from a delay in her doctor[’s] being able to consult her record and added stress from the rude and unprofessional treatment of employees.

49. There is virtually no negative consequences of imposing such a duty on [Hospital] and the public interest in quality healthcare

-4- J-S02037-21

and improving the handling of medical records and patient-doctor communication will be greatly enhanced by imposing such a duty.

50. [Hospital] has breached this duty in hiring employees who “miss-scanned” and placed someone else’s record in [Ms. Bailey’s] medical file, in sending that file to an unauthorized person, in taking too long to correct the mistake and in treating [Ms.

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