DiBlasi, DO v. Guthrie/Robert Packer Hospital

CourtDistrict Court, M.D. Pennsylvania
DecidedSeptember 29, 2025
Docket4:23-cv-01136
StatusUnknown

This text of DiBlasi, DO v. Guthrie/Robert Packer Hospital (DiBlasi, DO v. Guthrie/Robert Packer Hospital) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DiBlasi, DO v. Guthrie/Robert Packer Hospital, (M.D. Pa. 2025).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF PENNSYLVANIA CLAUDIA R. DIBLASI, DO,

Plaintiff, CIVIL ACTION NO. 4:23-CV-1136

v. (MEHALCHICK, J.)

GUTHRIE/ROBERT PACKER HOSPITAL, et al., Defendants.

MEMORANDUM Plaintiff Dr. Claudia R. DiBlasi, DO (“DiBlasi”) initiated this action by filing a complaint on July 7, 2023, against Defendants Guthrie/Robert Packer Hospital (“Robert Packer Hospital”) and Guthrie Medical Group, P.C. (“Guthrie”) (together, “Defendants”). (Doc. 1). Before the Court is Defendants’ motion for summary judgment. (Doc. 24). For the reasons provided herein, Defendants’ motion will be GRANTED. (Doc. 24). I. BACKGROUND AND PROCEDURAL HISTORY The following background is taken from the parties’ statements of material facts and responses thereto.1 (Doc. 25; Doc. 31). DiBlasi is a Doctor of Osteopathic Medicine who earned her doctorate from the Touro College of Osteopathic Medicine in Middletown, New York in 2019. (Doc. 25, ¶ 23; Doc. 31, at 16). Guthrie is a regional healthcare provider which owns Robert Packer Hospital, a teaching hospital in Sayre, Pennsylvania. (Doc. 25, ¶ 24; Doc.

1 Pursuant to Local Rule 56.1, the Court accepts as true all undisputed material facts supported by the record. Where the record evinces a disputed fact, the Court will take notice. The facts have been taken in the light most favorable to the non-moving party with respect to the motion. 31, at 16). Guthrie offers several medical residency programs at Robert Packer Hospital which allow medical school graduates to train in specific medical specialties and practice areas. (Doc. 25, ¶¶ 25-26; Doc. 31, 16-17). The parties agree that Guthrie did not offer an anesthesiology residency program in 2019. (Doc. 25, ¶ 54; Doc. 31, at 22).

The parties generally agree that applicants to medical residency programs typically apply to residencies through the National Resident Matching Program (“NRMP”) in which applicants submit their applications through the NRMP, residency program directors interview applicants, program directors rank the candidates they interviewed, candidates rank the residency programs they applied for, and the NRMP matches candidates with programs. (Doc. 25, ¶¶ 30-34; Doc. 31, at 17). DiBlasi asserts that newly established residency programs do not use the NRMP and instead, applicants contact program directors to apply directly to the programs. (Doc. 31, at 17). If a residency program does not fill all available positions after the NMRP concludes, it may interview individuals who did not match with a residency program to fill its remaining positions. (Doc. 25, ¶ 36; Doc. 31, at 17). This process is known

as the Supplemental Application Opportunity Program (“SOAP”). (Doc. 25, ¶ 36; Doc. 31, at 17). Teaching hospitals receive federal funding for their residency programs from the Center for Medicare and Medicaid Services (“CMS”). (Doc. 25, ¶ 40, Doc. 31, at 18). These payments take the form of direct graduate medical education (“DGME”) payments and indirect medical education (“IME”) payments. (Doc. 25, ¶ 40, Doc. 31, at 18). The parties dispute how DGME payments are calculated. (Doc. 25, ¶¶ 41-49; Doc. 31, at 18-21). According to Defendants, DGME funding is determined by a formula which considers the number of full-time equivalent (“FTE”) residents in a residency program with some FTE 2 residents being weighted more heavily than others. (Doc. 25, ¶¶ 41-44). Defendants assert that each type of residency program has a minimum set number of years it takes to complete the residency, and a resident who requires more years to complete their residency than the minimum number of years is weighted less heavily when calculating funding. (Doc. 25, ¶¶ 45-

47). Defendants contend that if a resident transfers residency programs, the years they spent in their previous residency program count towards the total number of years they need to complete their new residency program. (Doc. 25, ¶¶ 45-49). If a resident completes one year of a residency and transfers into a residency program which requires three minimum years to complete, under the DGME funding formula that resident is weighted less heavily because they need four years to complete a three-year minimum residency. (Doc. 25, ¶¶ 45-49). Defendants conclude that because of this, residents transferring programs could result in teaching hospitals losing funding. (Doc. 25, ¶¶ 45-49). According to DiBlasi, Defendants oversimplify how DGME funding is calculated. (Doc. 31, at 18-21). DiBlasi asserts that DGME funding is not based on the time it will take individual residents to complete their

residency, but rather a rolling average of all residents in all programs. (Doc. 31, at 19). DiBlasi contends that an individual resident requiring more than the minimum number of years to complete their residency would not lead to a teaching hospital losing funding. (Doc. 31, at 18-21). In 2019, DiBlasi entered the NRMP but did not match with a residency. (Doc. 25, ¶¶ 50, 62; Doc. 31, at 22-23). After the 2019 NRMP concluded, Guthrie had an open position in its Family Medicine Residency Program which was operated by program director Dr. Donald Phykitt (“Phykitt”). (Doc. 25, ¶ 65; Doc. 31, at 23). DiBlasi applied and interviewed for a position in Guthrie’s Family Medicine Residency Program during the 2019 SOAP process 3 and Defendants offered her a position which she accepted some time before July 1, 2019. (Doc. 25, ¶¶ 68, 70, 72; Doc. 31, at 23-24). DiBlasi notes that she was forty-nine years old at the time she began her residency. (Doc. 31, at 71). In 2019, Guthrie decided to create an anesthesiology residency program. (Doc. 25, ¶¶

107, 178-79; Doc. 31, at 28, 42). In the spring of 2019, Dr. Burdett Porter (“Porter”), Guthrie’s Anesthesiology Residency Program’s program director, began the process of obtaining accreditation for the program from the Accreditation Counsel for Graduate Medical Education (“ACGME”). (Doc. 25, ¶¶ 178-79; Doc. 31, at 42).When a teaching hospital opens a new residency program, the residency program participates in the NRMP if the program receives its accreditation within the time period in which residents match with programs, but if the new program receives its accreditation after the deadline for residency matches ends, the program director may hire the program’s first complement of residents outside of the NRMP. (Doc. 25, ¶¶ 109-10, Doc. 31, at 29). A new program may also accept residents who transfer from another residency program and the ACGME requires programs to maintain

certain policies regarding resident transfers. (Doc. 25, ¶¶ 111-12; Doc. 31, at 29). In October 2019, DiBlasi exchanged emails with Porter regarding her interest in transferring into Guthrie’s Anesthesiology Residency Program once it received accreditation. (Doc. 25, ¶¶ 181-82, Doc. 31, at 42). Porter discussed the financial implications of a Guthrie resident transferring programs with Dale Johnson (“Johnson”), Guthrie’s Director of Medical Education/Associate Vice President for Medical Education. (Doc. 25, ¶ 186; Doc. 31, at 43). According to Defendants, Johnson provided Porter with background information as to what factors should be considered when accepting a transfer resident and informed Porter that Guthrie discouraged accepting transfers resident if doing so would reduce Robert Packer 4 Hospital’s funding. (Doc. 25, ¶¶ 187-88). Defendants also assert that Porter believes that residents will not receive CMS funding for any years of training beyond the minimum number of years it takes to complete their residency. (Doc. 25, ¶ 189). DiBlasi asserts that there is no evidence Johnson provided Porter with this background information or that Johnson was

involved in vetting and approving resident transfers. (Doc. 31, at 43-44).

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