Doe v. Alexian Brothers Behavioral Health Hospital

2019 IL App (1st) 180955
CourtAppellate Court of Illinois
DecidedJuly 26, 2019
Docket1-18-0955
StatusUnpublished
Cited by1 cases

This text of 2019 IL App (1st) 180955 (Doe v. Alexian Brothers Behavioral Health Hospital) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Doe v. Alexian Brothers Behavioral Health Hospital, 2019 IL App (1st) 180955 (Ill. Ct. App. 2019).

Opinion

2019 IL App (1st) 180955

SIXTH DIVISION JULY 26, 2019

No. 1-18-0955

JANE DOE, ) Appeal from the ) Circuit Court of Plaintiff-Appellant, ) Cook County. ) v. ) No. 14 L 3610 ) ALEXIAN BROTHERS BEHAVIORAL HEALTH ) HOSPITAL, ) Honorable ) Mary R. Minella, Defendant-Appellee. ) Judge Presiding.

JUSTICE CUNNINGHAM delivered the judgment of the court, with opinion. Presiding Justice Delort and Justice Connors concurred in the judgment and opinion.

OPINION

¶1 The plaintiff-appellant, by the pseudonym Jane Doe (the plaintiff), filed the instant action

against the defendant-appellee, Alexian Brothers Behavioral Health Hospital (the hospital) in the

circuit court of Cook County. The plaintiff’s complaint sought damages for alleged emotional

injuries she suffered after a former employee of the hospital mailed the plaintiff a harassing

letter. Following a jury verdict in favor of the plaintiff, the trial court determined that the verdict

was inconsistent with the jury’s answer to a special interrogatory. The trial court then entered

judgment in favor of the hospital on the basis that the special interrogatory was controlling. The

plaintiff now appeals, arguing that the special interrogatory should never have been submitted to

the jury. For the following reasons, we reverse the judgment of the circuit court of Cook County

and remand the case for a new trial. 1-18-0955

¶2 BACKGROUND

¶3 The hospital is a health care provider that operates an outpatient psychiatric clinic in

Hoffman Estates, Illinois. The plaintiff received treatment from the hospital over the course of

several years for her mental health issues, mainly related to sexual abuse that she suffered as a

child.

¶4 Michelle Morrison, 1 the hospital’s former employee who sent the letter in question to the

plaintiff, was a senior account representative in the hospital’s billing department from 2005 to

2010. Morrison worked directly with various insurance companies to resolve patient billing

issues related to treatment received by patients of the hospital. Morrison’s duties included

requesting copies of patients’ mental health records, as required by insurers, in order to provide

the insurance companies with information needed regarding treatment rendered to their insureds.

This information was used to obtain payment. On July 28, 2010, the hospital discovered that

Morrison was using the hospital’s computer system for personal Internet searches unrelated to

her work. As a result of this, the hospital terminated her employment.

¶5 Four months after Morrison’s termination, Chris Novak, who was then the hospital’s

practice administrator, received an anonymous letter containing only the word “liar.” The word’s

individual letters had been cut from magazines and pasted onto stationery bearing the hospital’s

letterhead. Novak brought the letter to the attention of the hospital’s risk manager, who

recommended filing a police report, which Novak did.

¶6 Over the next year and a half, several of the hospital’s patients received disturbing,

anonymous letters, always on stationery bearing the hospital’s letterhead. The letters referenced

private information from the patients’ mental health records retained by the hospital. The letters

1 Morrison is not a party to this appeal.

-2- 1-18-0955

were of a vile and shocking personal nature.

¶7 The plaintiff was the fourth known patient to receive one of these anonymous, shocking

letters. The letter sent to the plaintiff made disturbing references to the sexual abuse that she had

suffered as a child, as well as to her mental health issues and treatments.

¶8 After each patient received an anonymous letter, they notified the hospital, which in turn

notified the police. Eventually, the police determined that Morrison was the author of all the

anonymous letters and arrested her. Morrison was eventually convicted of three counts of felony

forgery. Morrison later testified via deposition regarding her activity while she was employed by

the hospital. Among other things, she claimed to have taken 50 patient records home while she

was employed by the hospital.

¶9 The plaintiff subsequently filed the complaint in the instant action. The plaintiff’s

complaint was originally filed against both the hospital and Morrison. However, the plaintiff

dismissed Morrison as a party and filed an amended complaint against only the hospital. The

amended complaint alleged five claims against the hospital: (1) institutional negligence,

(2) willful and wanton institutional conduct, (3) negligent supervision, (4) negligent infliction of

emotional distress, and (5) violation of the Mental Health and Developmental Disabilities

Confidentiality Act (740 ILCS 110/1 et seq. (West 2014)). The plaintiff’s complaint averred:

“The outrageous content of [Morrison’s letter] has severely and adversely impacted the health

and well-being of [the plaintiff], directly and proximately causing her to suffer extreme

emotional and psychological trauma, and severely aggravating her mental health conditions,

requiring extensive further mental health treatment.”

¶ 10 The hospital denied the material allegations of the plaintiff’s complaint and pleaded sole

proximate cause as an affirmative defense based on the “criminal conduct” of Morrison. The

-3- 1-18-0955

hospital also filed a counter-claim for contribution against Morrison and sought apportionment of

fault between itself and Morrison, pursuant to section 2-1117 of the Code of Civil Procedure (the

Code) (735 ILCS 5/2-1117 (West 2014)), thus making Morrison a third-party defendant in the

lawsuit.

¶ 11 A jury trial commenced. The plaintiff argued that the hospital allowed Morrison to

request and obtain patient records that were more than the “minimum necessary” to complete her

tasks related to billing, in accordance with the Health Insurance Portability and Accountability

Act of 1996 (HIPAA) (Pub. L. No. 104-191, 110 Stat. 1936 (codified as amended in scattered

sections of 29 U.S.C. and 42 U.S.C.)). See 45 C.F.R. § 164.502(b) (2014) (“[w]hen using or ***

when requesting protected health information ***, a covered entity or business associate must

make reasonable efforts to limit protected health information to the minimum necessary to

accomplish the intended purpose of the use, disclosure, or request”). The plaintiff argued that the

hospital failed to properly monitor the amount of records Morrison requested, failed to supervise

her use of the records, and failed to properly train her.

¶ 12 The hospital’s defense theory was that Morrison was the sole proximate cause of the

plaintiff’s injuries based on her rogue behavior and criminal conduct. The hospital presented

several witnesses, including Morrison’s former supervisor and the hospital’s administrative

expert, who all testified that Morrison completed the hospital’s privacy and confidentiality

training, completed 72 separate HIPAA continuing education modules during her employment,

and signed the hospital’s confidentiality statement.

¶ 13 Morrison initially testified 2 in her deposition that her supervisor allowed her to take some

2 Morrison did not testify at the trial.

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Related

Doe v. Alexian Brothers Behavioral Health Hospital
2019 IL App (1st) 180955 (Appellate Court of Illinois, 2021)

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2019 IL App (1st) 180955, Counsel Stack Legal Research, https://law.counselstack.com/opinion/doe-v-alexian-brothers-behavioral-health-hospital-illappct-2019.