Chapman v. Health & Hospitals Corp.

7 Misc. 3d 933
CourtNew York Supreme Court
DecidedMarch 24, 2005
StatusPublished
Cited by2 cases

This text of 7 Misc. 3d 933 (Chapman v. Health & Hospitals Corp.) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Chapman v. Health & Hospitals Corp., 7 Misc. 3d 933 (N.Y. Super. Ct. 2005).

Opinion

[934]*934OPINION OF THE COURT

Jane S. Solomon, J.

Petitioner, a nurse, seeks to compel respondents Health and Hospitals Corporations and Woodhull Medical & Mental Health Center (hospital) to produce material sought in a subpoena that was served in connection with an administrative disciplinary hearing. The petition is granted in part as follows.

As a preliminary matter, this special proceeding is brought under CPLR 3102 (c), which provides for preaction disclosure and for disclosure in aid of arbitration. No preaction disclosure is involved in this proceeding, and the disciplinary hearing is not an arbitration. However, the hospital made no objection to petitioner’s reliance on the rule. The relief sought is not obtainable by other means, and respondents have addressed petitioner’s demand on its merit. Since petitioner seeks redress regarding a formal, adversarial nonjudicial proceeding, similar in some respects to an arbitration, the underlying policy of CPLR 3102 (c) to lend the power of the court promoting an open and fair proceeding applies. Therefore, the court will consider the petition.

The hospital employed petitioner as a registered nurse in its labor and delivery unit (LDU). She was on duty October 12, 2003. The hospital terminated petitioner’s employment after it learned of irregularities in the way certain medication was administered and handled. In connection with that termination, the parties now are engaged in hearings at the Office of Labor Relations, in which petitioner is attempting to challenge her termination by proving that she did not engage in misconduct. If petitioner does not prevail at this hearing, it is likely that she will lose not only her job, but her license and livelihood as well.

Central to the hearing is a factual issue regarding whether she (1) failed to properly handle a narcotic medication (morphine sulphate) in disregard of established hospital policies and procedures, (2) took possession of three ampules of morphine without authorization, and (3) failed to endorse a patient identified as patient MR# 976651. (The parties do not explain what it means to endorse a patient, but it appears that the allegation is that she was improperly medicated.) Petitioner claims that she did not engage in any misconduct, and with respect to the mishandling of medication, she claims that other hospital staff were on duty at the time who may be responsible.

The parties’ submissions do not explain how the hospital determined that patient MR# 976651 was improperly medicated, [935]*935but there apparently is no dispute that she is the patient whose medical treatment is a basis for petitioner’s termination.

In an effort to evaluate the hospital’s proffered reason for refusing to permit petitioner access to that patient’s records, my court attorney requested on my behalf that the hospital’s attorney provide the court with a redacted copy of any consent forms executed by the patient. The hospital’s attorney advised that there were two consent forms, one executed on February 17, 2003 in connection with a prior admission, and one that the hospital’s attorney orally represents was executed at the time of the admission in question. The first is in English; the second is not. The first contains a consent to receive treatment, but is silent regarding the use of confidential information. The second appears to be a Spanish language translation of the first. It is dated October 25, 2003. If the representation of the hospital’s attorney is accurate that the patient signed the second consent form when she was admitted to the hospital for the treatment at issue, then she may not have been admitted until nearly two weeks after the underlying incident.

Petitioner was accompanied by a union representative at step I and step II administrative hearings, previously held by the Office of Labor Relations. The hospital refused petitioner’s demands that it provide certain records, including the records relied upon by the hospital in terminating her employment. Petitioner is now represented by counsel, who served a subpoena duces tecum on the hospital in connection with step III hearings now underway.

The subpoena demands seven categories of items: (1) assignment sheets reflecting any assignment given to petitioner on October 11 and 12, 2003; (2) a list of staff on duty in the LDU on those days, including the names of students; (3) and (4) the narcotics sheets for those days; (5) a list of names, medical information and the names of treating physicians for all adult female patients and their infants in the LDU on those days; (6) a copy of all policies in effect at the time regarding the infusion pump, code nurse, circulation nurse, narcotics count and students; and (7) a copy of the incident report. The hospital did not respond.

Petitioner is seeking all the material demanded in the subpoena, except that she has narrowed her demand regarding patients’ medical information. She now seeks the records of only one patient, identified as patient MR# 976651, whom the hospital claims as a basis for its action. (See, affirmation in opposition of Olimpio Russo, Esq. 1i 8.)

[936]*936In response to this petition, the hospital has agreed to produce the requested assignment sheets, narcotics sheets, copies of policies and the incident report to the extent the material was not already produced. It claims that some of this material is subject to redaction “if warranted” to protect privileged, confidential and “non-relevant” information, such as patients’ names and “medical information.” (Russo affirmation 1i 10.) The scope of redaction, if any, shall be addressed below.

With respect to petitioner’s demand for records showing who was on duty in the LDU on the dates in question, the hospital argues that “without the appropriate showing of relevancy it can be deemed as a potentially harassment tactic.” (Russo affirmation U 7.) The material is relevant as a record of potential witnesses, and with respect to petitioner’s defense that someone else is responsible for the manner in which morphine was administered or accounted for. Therefore, it must be produced.

In refusing to produce the records of patient MR# 976651, the hospital argues that it is prohibited from producing any patient records under the Health Insurance Portability and Accountability Act of 1996 ([HIPAA] 42 USC § 1320d-l et seq.), absent a HIPAA-compliant authorization from the patient. Neither party meaningfully addresses HIPAA in their submissions.

The hospital argues that HIPAA § 1177 (b) (3) (also codified as 42 USC § 1320d-6 [b] [3]) provides for criminal penalties to any person who discloses individually identifiable health information to another person. The portion of the statute cited by the hospital reads as follows:

“§ 1320d-6. Wrongful disclosure of individually identifiable health information
“(a) Offense. A person who knowingly and in violation of this part [42 USC § 1320d et seq.]—
“(1) uses or causes to be used a unique health identifier;
“(2) obtains individually identifiable health information relating to an individual; or
“(3) discloses individually identifiable health information to another person, shall be punished as provided in subsection (b) of this section.
“(b) Penalties. A person described in subsection (a) of this section shall— . . .

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Cite This Page — Counsel Stack

Bluebook (online)
7 Misc. 3d 933, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chapman-v-health-hospitals-corp-nysupct-2005.