Duwel v. Charles Town General Hospital

339 F. Supp. 2d 745, 2004 U.S. Dist. LEXIS 20503, 2004 WL 2297622
CourtDistrict Court, N.D. West Virginia
DecidedSeptember 30, 2004
Docket3:02-cr-00035
StatusPublished

This text of 339 F. Supp. 2d 745 (Duwel v. Charles Town General Hospital) is published on Counsel Stack Legal Research, covering District Court, N.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Duwel v. Charles Town General Hospital, 339 F. Supp. 2d 745, 2004 U.S. Dist. LEXIS 20503, 2004 WL 2297622 (N.D.W. Va. 2004).

Opinion

MEMORANDUM OPINION AND ORDER GRANTING DEFENDANTS’ MOTION FOR SUMMARY JUDGMENT

BROADWATER, District Judge.

I. Introduction

Plaintiff John J. Duwel (“Duwel”) brought this action against his former em *746 ployers, Charles Town General Hospital, d/b/a Jefferson Memorial Hospital (“Hospital”), John Sherwood, Administrator and C.E.O. of Jefferson Memorial Hospital, and Vikram Dayal M.D., President of Medical Staff at Jefferson Memorial Hospital (collectively “Defendants”). Duwel alleges that, in misinforming him about the availability of a leave of absence, the Defendants forced Duwel to surrender his hospital privileges. In claiming that the Defendants’ misrepresentation amounts to an involuntary dismissal, Duwel asserts violations of his “basic common law procedural due process” rights, the Health Care Quality Improvement Act, 42 U.S.C. § 11101, and the Bylaws of Jefferson Memorial Hospital. In addition to costs and damages, Duwel seeks a declaratory judgment as to the Hospital’s immunity status under 42 U.S.C. § 11101. Duwel also seeks an order removing the Hospital’s entry regarding Duwel in the National Practitioner’s Data Bank, as well as an order compelling reinstatement of his hospital privileges and a hearing on the allegations against him.

II. Background

Duwel received his license to practice general surgery from Jefferson Memorial Hospital in 1984. During his course of practice, Duwel performed a wide variety of surgical procedures, including a considerable number of laparoscopic hernia repairs. Duwel’s hernia repair performance and three other incidents form the underlying basis of the parties’ dispute.

On August 8, 2001, the Surgical Case Review Committee of Jefferson Memorial Hospital convened to discuss matters concerning the Hospital’s ongoing Performance Improvement/Quality Assurance Program. Pursuant to this program, the Hospital conducted a survey of available patients who recently underwent hernia repair at Jefferson Memorial. Of all the doctors sampled, only Duwel received a significant number of negative responses including both persistence of pain and hernia reoccurrences. The Surgical Case Review Committee concluded that the results of the survey were serious enough to warrant further inquiry by the Credential Committee into Duwel’s privileges for la-paroscopic hernia repair.

In addition to the survey results, the Surgical Case Review Committee also examined three surgical cases of Duwel, previously red flagged by the Quality Assurance Program. All of the cases involved colon surgeries in which the Committee concluded that Duwel used questionable judgment or operated completely outside the surgical standard of care of Jefferson Memorial Hospital. The Surgical Case Review Committee found these incidents to be extremely troubling, not only in the severity of their outcomes, which involved the post-operative death of one patient, but also because Duwel had been counseled previously about the Hospital’s standard of care. The Surgical Case Review Committee concluded that the seriousness of the instances warranted the Credential Committee to further investigate the adverse outcomes of Duwel’s colon surgeries as well as his laparoscopic hernia privileges.

The Credential Committee convened on August 9, 2001 at 5:30 p.m. Previously that same day, Dr. Konrad Nau and Dr. Webb, another Jefferson Memorial physician, provided Duwel with a copy of the minutes of the prior day’s Surgical Case Review meeting. Duwel alleges Dr. Nau informed him that a discussion of his hospital privileges would take place at the Credential Committee meeting later that day. In response, Duwel inquired about his options concerning the Committee review. According to Duwel, Dr. Nau then informed him that if Duwel were to take a *747 voluntary leave of absence, no vote would be taken upon his privileges.

At the Credential Committee meeting, Duwel received an opportunity to discuss his views regarding the findings of the Surgical Case Review Committee as well as the possibility of taking a leave of absence. At the close of the discussion, Du-wel offered to take a leave of absence in order to avoid a vote on his surgical privileges. After subsequent discussion, the Committee determined the Hospital’s Bylaws did not provide for a “leave of absence.” However, Duwel could be placed on inactive status by voluntarily surrendering his medical staff privileges. The Credential Committee further informed Duwel that he would have to reapply for medical staff privileges in order to be reinstated. Although Duwel denies his presence before the Credential Committee at this point, the minutes of the meeting clearly reflect his attendance. At this time, Duwel tendered his hospital privileges, which were unanimously accepted by the Credential Committee.

The following day, Duwel wrote John Sherwood (“Sherwood”), C.E.O. of Jefferson Memorial Hospital, confirming his request for a “leave of absence” and no surgical or hospital privileges. Sherwood responded, reminding Duwel that the Hospital’s Bylaws did not provide for a “leave of absence” but that Duwel’s “staff privileges at the hospital would become voluntarily inactive resulting in a resignation of all staff privileges at the hospital effective immediately.” Pursuant to the National Health Care Quality Improvement Act, the Hospital informed the National Practitioner’s Data Bank (“Data Bank”) of Duwel’s resignation to avoid an investigation, as required by the statute.

After receiving notice of his entry in the Data Bank, Duwel filed suit in federal district court on April 25, 2002. Duwel claims the Hospital misinformed him about the availability of a “leave of absence.” Duwel further contends that the Defendants’ misrepresentation amounts to an involuntary discharge in violation of his “basic common law procedural due process” rights, the Health Care Quality Improvement Act, 42 U.S.C. § 11101, and the Bylaws of Jefferson Memorial Hospital. In addition to damages and costs, Duwel seeks a declaratory judgment regarding the Hospital’s immunity status under the Health Care Quality Improvement Act. Furthermore, Duwel seeks an order removing his entry into the National Practitioner’s Data Bank, as well as an order compelling reinstatement of Duwel’s hospital privileges and a hearing on the allegations against him.

On January 20, 2004 the Defendants’ filed their motion for summary judgment, which is the subject of this order. On February 4, 2004, Duwel filed Plaintiffs Opposition to the Defendants’ Motion for Summary Judgment, and Plaintiffs Supplement to His Opposition to Defendants’ Motion for Summary Judgment on February 19, 2004. The Court has considered the issues presented in light of the applicable law, and the motions are now ripe for decision. For the reasons stated below, Defendants’ Motion for Summary Judgment is GRANTED.

III. Applicable Law

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Bluebook (online)
339 F. Supp. 2d 745, 2004 U.S. Dist. LEXIS 20503, 2004 WL 2297622, Counsel Stack Legal Research, https://law.counselstack.com/opinion/duwel-v-charles-town-general-hospital-wvnd-2004.