Christina K. Collins v. Tennessee Department of Health

CourtCourt of Appeals of Tennessee
DecidedNovember 27, 2023
DocketE2022-01501-COA-R3-CV
StatusPublished

This text of Christina K. Collins v. Tennessee Department of Health (Christina K. Collins v. Tennessee Department of Health) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Christina K. Collins v. Tennessee Department of Health, (Tenn. Ct. App. 2023).

Opinion

11/27/2023 IN THE COURT OF APPEALS OF TENNESSEE AT KNOXVILLE August 16, 2023 Session

CHRISTINA K. COLLINS v. TENNESSEE DEPARTMENT OF HEALTH ET AL.

Appeal from the Chancery Court for Knox County No. 204630-2 Richard B. Armstrong, Jr., Chancellor ___________________________________

No. E2022-01501-COA-R3-CV ___________________________________

In the Chancery Court for Knox County (“the Trial Court”), Christina K. Collins sought judicial review of a disciplinary order entered against her by the Tennessee Board of Nursing (“the Board”). Finding that Ms. Collins’s petition for judicial review was untimely, the Trial Court determined that it lacked subject matter jurisdiction over the matter and dismissed her petition. Ms. Collins has appealed the Trial Court’s order of dismissal. Discerning no reversible error, we affirm.

Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Chancery Court Affirmed; Case Remanded

D. MICHAEL SWINEY, C.J., delivered the opinion of the court, in which JOHN W. MCCLARTY and KRISTI M. DAVIS, JJ., joined.

Eric C. Vinsant, Birmingham, Alabama, for the appellant, Christina K. Collins.

Jonathan Skrmetti, Attorney General and Reporter; Andrée Sophia Blumstein, Solicitor General; Sara Sedgwick, Senior Assistant Attorney General; and Reed Smith, Assistant Attorney General, for the appellee, Tennessee Department of Health, Division of Health Related Boards and Tennessee Board of Nursing. OPINION

Background

In 2016, the Tennessee Department of Health (“the Department”) initiated a disciplinary action against Ms. Collins, a registered nurse (“RN”) and an advanced practice registered nurse (“APRN”), for over-prescribing controlled substances in her treatment of eleven patients from 2011 through 2012. A panel of the Board, being “authorized to discipline licensed nurses for violations of its nursing rules,” adjudicated the matter with the assistance of an administrative law judge (“ALJ”). Tenn. Dep’t of Health v. Collins, No. M2019-01306-COA-R3-CV, 2020 WL 6940702, at *1 (Tenn. Ct. App. Nov. 25, 2020).

As described in this Court’s previous opinion addressing Ms. Collins’s first appeal (“Collins I”), the Department alleged that:

Ms. Collins “use[d] an APRN license and DEA registration to essentially act as a wholesaler to drug dealers, abusers, and addicts.” The State claimed that Ms. Collins violated provisions of the Board’s rules and regulations by overprescribing controlled substances, narcotics, and other medications in amounts and/or for durations not medically necessary, advisable, or justified for a diagnosed condition and without appropriate record-keeping or documentation of the medical rationale for her prescribing habits.

Id. Although the Board found that Ms. Collins was guilty of violating Tennessee’s nursing rules, one member conducted her own research, observed that her findings had “changed her mind,” and shared her findings with the other panel members during the panel’s deliberations. Id. As a result, in an order entered in 2018 (“2018 Order”), the Board imposed a more lenient sanction than that sought by the Department. Id.

As detailed in Collins I,

After the panel members completed their review, the Board ruled that it could not “[f]ind by a preponderance of the evidence that [Ms. Collins’s] prescribing to the Patients fell below the standard of care of an ordinary and prudent [APRN] practicing in the area of pain management in 2011 and 2012.” It did find that Ms. Collins’s “documentation fell below what this Board believes is called for by the Rules of the Board of Nursing, particularly in light of the complexity of the treatments provided to the Patients.” The final order required two years of probation plus civil penalties, costs, and additional education.

-2- Id. at *4. Both Ms. Collins and the Department filed petitions for judicial review of the Board’s decision to the Davidson County Chancery Court (“Davidson County Court”). The Department challenged the Board’s use of extrinsic materials during its deliberations.

At that stage of the proceedings, Ms. Collins claimed that the Department lacked standing to challenge the Board’s decision and did not constitute an aggrieved party under Tenn. Code Ann. § 4-5-322(a)(2). Tenn. Code Ann. § 4-5-322(a) (West May 18, 2021 to current) provides:

(1) A person who is aggrieved by a final decision in a contested case is entitled to judicial review under this chapter, which shall be the only available method of judicial review. A preliminary, procedural or intermediate agency action or ruling is immediately reviewable if review of the final agency decision would not provide an adequate remedy.

(2) A state agency is considered to be an aggrieved person for the purpose of judicial review when the order is from a board, commission or other entity independent of the aggrieved agency. In such instances, judicial review under this chapter is permitted upon the request of the agency head and the approval of the attorney general and reporter.

(Emphasis added.) The Davidson County Court rejected Ms. Collins’s argument, concluding:

It is settled law that the State Petitioners have standing to bring this action under Tenn. Code Ann. § 4-5-322(a)(2). The Division [of Health Related Boards] and the Department are sufficiently independent of the Board and sufficiently aggrieved within the meaning of the statute to have standing in Chancery Court. See Tennessee Dep’t of Health v. Odle, No. 01A01-9207-CH-00267, 1993 WL 21976, at *4 (Tenn. Ct. App. Feb. 3, 1993). Moreover, the Division and the Department are independent of the Board because they are superior agencies. See id. Therefore, although the statute precludes the Board from challenging its own decision, the Division and the Department have standing, and the State Petitioners are aggrieved parties under Tenn. Code Ann. § 4-5-322(a)(2). See id.

The Davidson County Court further determined that certain procedural errors, including the introduction of extrinsic prejudicial information, had constituted an abuse of discretion and accordingly reversed the Board’s decision and remanded for a new contested hearing to be heard by a different panel of the Board. Ms. Collins appealed to this Court, and this Court affirmed the Davidson County Court in Collins I, although the issue of standing was not explicitly raised by Ms. Collins or addressed by this Court.

-3- On remand, the new panel of the Board conducted a contested hearing on several dates in January and February 2022. The Board entered a “Final Order” on March 2, 2022 (“March 2022 Order”). The Board found that Ms. Collins’s treatment of certain patients was below the standard of care due to her over-prescription of controlled substances which it deemed had been “dangerous to the health of her patients and promoted a culture of addiction and possible diversion of controlled substances.” The Board consequently found that Ms. Collins was “unfit or incompetent by reason of negligence, habits or other cause” in violation of Tenn. Code Ann. § 63-7-115(a)(1)(C); “guilty of unprofessional conduct” in violation of Tenn. Code Ann. § 63-7-115

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Bluebook (online)
Christina K. Collins v. Tennessee Department of Health, Counsel Stack Legal Research, https://law.counselstack.com/opinion/christina-k-collins-v-tennessee-department-of-health-tennctapp-2023.