Director of Health Affairs Policy Planning v. Freedom of Information Commission

977 A.2d 148, 293 Conn. 164, 2009 Conn. LEXIS 293
CourtSupreme Court of Connecticut
DecidedAugust 25, 2009
DocketSC 18286
StatusPublished
Cited by16 cases

This text of 977 A.2d 148 (Director of Health Affairs Policy Planning v. Freedom of Information Commission) is published on Counsel Stack Legal Research, covering Supreme Court of Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Director of Health Affairs Policy Planning v. Freedom of Information Commission, 977 A.2d 148, 293 Conn. 164, 2009 Conn. LEXIS 293 (Colo. 2009).

Opinions

Opinion

McLACHLAN, J.

The dispositive issue in this appeal is whether certain records held by the plaintiff, the director of health affairs policy planning for the University of Connecticut Health Center,1 are exempt from disclosure under the freedom of information act (act), General Statutes § 1-200 et seq., pursuant to General Statutes § 19a-17b (d), which protects peer review proceedings from discoveiy and introduction into evidence in a civil action.2 The defendant, the freedom of information commission (commission), appeals from the judgment of the trial court; sustaining the plaintiffs appeal [166]*166from the final decision of the commission.3 On appeal, the commission claims that the trial court improperly concluded that the requested records were exempt from disclosure pursuant to § 19a-17b. The commission also claims that the trial court improperly concluded that four of the requested records were exempt from disclosure pursuant to § 60.13 (a) of title 45 of the Code of Federal Regulations.4 Because we conclude that § 19a-17b is inapplicable to commission proceedings, and, therefore, that 45 C.F.R. § 60.13 is also inapplicable, we reverse the judgment of the trial court.

The final decision of the commission sets forth the following relevant facts and procedure. The complainant, Louis J. Russo, a former patient of Jacob Zamstein, a physician, requested in writing records pertaining to the plaintiffs decision not to renew Zamstein’s clinical privileges. In response, the plaintiff produced minutes of four meetings of the clinical affairs subcommittee of the University of Connecticut Health Center board of directors, but declined to produce the remainder of the requested records, which the plaintiff claimed comprised the credentialing file created by the clinical affairs subcommittee and the credentials committee. The complainant then filed a complaint with the commission seeking disclosure of the records pursuant to the act. Following a hearing on the matter, the commis[167]*167sion concluded that the plaintiff is a public agency within the meaning of § 1-200 (1) (A); the requested records are public records within the meaning of General Statutes §§ 1-210 (a) and 1-212 (a);5 the clinical affairs subcommittee and the credentials committee are medical review committees within the meaning of § 19a-17b (a) (4); and the requested records concern peer review.6 The commission also concluded, however, that § 19a-17b (d) is applicable only to “civil actions” and not to proceedings before the commission seeking disclosure pursuant to the act. Therefore, the commission concluded that § 19a-17b (d) does not provide an exemption to mandatory disclosure pursuant to §§ 1-210 (a) and 1-212 (a). The commission also rejected the plaintiffs claim that four of the requested records— labeled IC-2006-098-20 through IC-2006-098-23 and IC-2006-098-33—were exempt from disclosure pursuant to 45 C.F.R. § 60.13 (a). In rejecting the plaintiffs claim, the commission relied on the last sentence of 45 C.F.R. § 60.13 (a), which provides: “Nothing in this paragraph shall prevent the disclosure of information by a party which is authorized under applicable [s]tate law to make such disclosure.” Reasoning that the act authorized the plaintiff to make the disclosure, the commission concluded that 45 C.F.R. § 60.13 (a) did not provide [168]*168an. exemption to the act.7 Accordingly, the commission ordered the plaintiff to provide the complainant with copies of the requested records, with the exception of three records that the commission had determined were exempt from disclosure under § 1-210 (b) (10) because those records constituted requests for legal advice and responses thereto.

The plaintiff appealed from the decision of the commission to the trial court, which sustained the appeal, concluding that § 19a-17b (d) constituted an exemption to disclosure under the act. In its analysis, the trial court relied heavily on the public policy reasons underlying the peer review privilege,8 namely, “to encourage frank, uninhibited discussion, debate and criticism by the peers of a health care provider” during peer review proceedings, and, by encouraging that level of candor, to improve the quality of patient care. Commissioner of Health Services v. Kadish, 17 Conn. App. 577, 582, 554 A.2d 1097 (O’Connell, J., dissenting), cert. denied, 212 Conn. 806, 563 A.2d 1355 (1989). That purpose, according to the trial court, would be undermined by the disclosure of the records to the complainant. The court also focused on the provision in § 19a-17b (d) that peer review material “ ‘shall not be subject to discovery,’ ” and concluded that allowing discovery of such material in the context of the act would have a [169]*169chilling effect on the peer review process. Finally, the court concluded that proceedings of the commission pursuant to the act constitute civil actions for purposes of § 19a-17b (d). The court based its conclusion on the fact that proceedings pursuant to the act are instituted by the filing of a complaint; the commission is authorized to conduct hearings and hear testimony; and the proceedings are governed by various “procedural formalities commonly associated with an action in court.” The trial court also concluded that the four records determined by the commission to pertain to information from the national practitioner data bank (data bank) were exempt from disclosure. The trial court reasoned that the information from the data bank was provided solely for the purpose of peer review, and that disclosure to the complainant would violate the requirement of 45 C.F.R. § 60.13 (a) that entities that receive information from the data bank must “use it solely with respect to the purpose for which it was provided.” Accordingly, the court rendered judgment sustaining the plaintiffs appeal. This appeal followed.

The plaintiff claims that § 19a-17b (d) provides a statutory exemption to mandatory disclosure under the act. The commission contends that § 19a-17b (d) is inapplicable to the act because proceedings pursuant to the act do not constitute civil actions within the meaning of § 19a-17b (d). We agree with the commission.

Section 19a-17b (d) provides in relevant part: “The proceedings of a medical review committee conducting a peer review shall not be subject to discovery or introduction into evidence in any civil action for or against a health care provider arising out of the matters which are subject to evaluation and review by such committee, and no person who was in attendance at a meeting of such committee shall be permitted or required to testify in any such civil action as to the content of such proceedings . . . .” In order to interpret this language to [170]

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Bluebook (online)
977 A.2d 148, 293 Conn. 164, 2009 Conn. LEXIS 293, Counsel Stack Legal Research, https://law.counselstack.com/opinion/director-of-health-affairs-policy-planning-v-freedom-of-information-conn-2009.