Eisenberg v. Permanente Medical Group

855 F. Supp. 2d 1002, 2012 WL 174856, 2012 U.S. Dist. LEXIS 6455
CourtDistrict Court, N.D. California
DecidedJanuary 20, 2012
DocketNo. C 10-3208 PJH
StatusPublished
Cited by2 cases

This text of 855 F. Supp. 2d 1002 (Eisenberg v. Permanente Medical Group) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eisenberg v. Permanente Medical Group, 855 F. Supp. 2d 1002, 2012 WL 174856, 2012 U.S. Dist. LEXIS 6455 (N.D. Cal. 2012).

Opinion

ORDER GRANTING MOTION FOR SUMMARY JUDGMENT

PHYLLIS J. HAMILT, District Judge.

Defendants’ motions for summary judgment came on for hearing before the court on December 14, 2011. Plaintiff Elliot Eisenberg (“plaintiff’ or “Eisenberg”) appeared through his counsel, William Rogers. Defendants The Permanente Medical Group (“Kaiser Medical Group”), Kaiser Foundation Health Plan (“Kaiser Health Plan”) and Kaiser Foundation Hospitals (“Kaiser Hospitals”) (all collectively “defendants”) appeared through their respective counsel, Wendy Lazerson, and Kari Erickson Levine. Having read all the papers submitted and carefully considered the relevant legal authority, the court hereby GRANTS defendants’ motions for summary judgment, for the reasons stated at the hearing, and as follows.

BACKGROUND

This is an action brought under the Americans with Disabilities Act (“ADA”), and Title VII.1 Plaintiff has filed suit [1005]*1005against defendants Kaiser Medical Group, Kaiser Health Plan, and Kaiser Hospitals.

A. Undisputed Background Facts

Kaiser Hospitals, Kaiser Medical Group, and Kaiser Health Plan are distinct legal entities. Kaiser Health Plan is a nonprofit, public benefit corporation. It is licensed as a health care service plan and regulated by the California Department of Managed Health Care. It enrolls members in individual and group health care plans, and in Northern California, provides hospital and medical services for its members through separate contracts with Kaiser Hospitals and Kaiser Medical Group. Declaration of Victoria Zatkin ISO Mot. Summ. Judgment (“Zatkin Decl.”), ¶ 3. Kaiser Hospitals is also a nonprofit, public benefit corporation that owns and operates hospitals in California and other states. It provides hospital services for Kaiser Health Plan members through a written contract with Kaiser Health Plan - called the Hospital Services Agreement. See Zatkin Deck, ¶4. Finally, Kaiser Medical Group is a professional corporation privately owned and managed by its physician shareholders. The individual physicians are licensed and regulated by the Medical Board of California. The Kaiser Medical Group contracts with Kaiser Health Plan to provide medical services for Kaiser Health Plan members through a written contract called the Medical Services Agreement. Kaiser Hospitals, Kaiser Medical Group, and Kaiser Health Plan work in cooperation with each other to provide integrated medical care services under the name known to the general public as Kaiser Permanente.

Each Kaiser Hospital — including Kaiser Hospital Vallejo (“Kaiser Vallejo”), where plaintiff worked — has a Professional Staff Executive Committee (“PSEC”) which accepts recommendations from the Credentials and Privileges Committee (“CP Committee”) regarding physician qualifications for membership on the medical staff and for clinical privileges. The PSEC is responsible for making recommendations for final action on physician privileges to the Kaiser Hospitals Board of Directors. The CP Committee also makes all credentialing decisions on behalf of Kaiser Health Plan, which requires that any physicians treating Kaiser Health Plan members be credentialed.

Plaintiff Eisenberg was a physician ophthalmologist, and a shareholder and member of Kaiser Medical Group; he was not an employee of Kaiser Hospitals or Kaiser Health Plan. See Zatkin Deck, ¶¶ 3-4. He was credentialed by Kaiser Health Plan to provide patient care services to members of Kaiser Health Plan. He was also a member of the medical staff at Kaiser Vallejo Hospital and had surgical privileges to perform designated ophthalmological procedures. See Declaration of Steven Strieker ISO Mot. Summ. Judgment (“Strieker Deck”), ¶ 7. Plaintiff joined Kaiser Medical Group full time in 1987. He has never been subjected to a malpractice action, nor has he received a pre-lawsuit notice of the intent to file a malpractice action. See Declaration of Elliot Eisenberg ISO Mot. Summ. Judgment Opp. (“Eisenberg Deck”), ¶ 2.

B. Events Leading to Plaintiffs Employment Termination/Fair Hearing

Concerns with plaintiffs practice began as early as 1997. See Declaration of Ellen Kolarik ISO Mot. Summ. Judgment (“Kolarik Deck”), ¶¶ 2-3. The Chief of Ophthalmology, Dr. Ellen Kolarik, personally received complaints from other physicians and members of clinical and nonclinical staff. Complaints centered on plaintiffs lack of collegiality, refusal to take on emergency cases or his share of the workload. See id. On more than one occasion, plaintiff was criticized by peer [1006]*1006physicians for refusing difficult cases or referring them to other hospitals without obtaining the requisite approval from Dr. Kolarik. Id. On other occasions, peer physicians raised concerns to Dr. Kolarik about the quality of care plaintiff was providing patients. Id. Plaintiff also received low scores on Measure of Patient Satisfaction surveys. Strieker Deck, ¶ 8.

In May 2008, plaintiff — who asserts that his relationship with his supervisor Dr. Kolarik, has been one of conflict — filed his first formal complaint against Dr. Kolarik. He then filed another one year later, in May 2004. Eisenberg Deck, ¶¶ 10-11, Exs. 3-4.

In 2004, Dr. Kolarik and Dr. StriekerChief of Staff for Kaiser Vallejo — required that plaintiff complete a quality improvement program involving a partnership with another physician to learn about that physician’s practice techniques and to have the physician give plaintiff advice on patient interactions. See Kolarik Deck, ¶ 4. Plaintiff was supposed to start the program in 2004 and complete it by 2005, but by 2008, still had not completed the program. Id.

Also in 2004, Dr. Kolarik reduced plaintiffs’ staff privileges regarding retinal procedures. The reason for the reduction was that plaintiff had not performed a certain volume of retinal procedures during the previous years. Plaintiff, however, had not previously been informed that there was a certain volume of procedures necessary to maintaining privileges regarding retinal procedures. Eisenberg Deck, ¶ 12.

In August 2006, Dr. Kolarik forwarded four of plaintiffs cases to the Quality Department for peer review. The cases were forwarded because other physicians giving follow up care for plaintiffs patients had raised concerns about plaintiffs prior treatment of patients. See Declaration of Robert Quon ISO Mot. Summ. Judgment (“Quon Deck”), ¶¶ 2-3. All four cases were reviewed by the Surgical Services Peer Review Committee, and all four cases were ultimately rated deficient: three received a rating of Standard of Care (“SOC”)-2 (which means “significant opportunity for improvement”), and one received a rating of SOC-1 (which means “improvement opportunity identified”). Quon, Deck, ¶ 5, Exs. F & G.

Meanwhile, the high incidence of deficient cases reviewed by the Quality Department prompted Dr. Robert Quon, Chief of the Quality Department, to undertake a Focused Practitioner Review, pursuant to Kaiser Hospital policy. A Focused Review is triggered when serious concerns about a physician’s quality of care have been raised. See Quon Deck, ¶¶ 6-7, Exs. H-I. As part of the Focused Practitioner Review, Dr. Quon used diagnostic codes to identify representative cases of plaintiffs to be pulled from the prior two year period. In August 2007, two ophthalmologists, Drs.

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855 F. Supp. 2d 1002, 2012 WL 174856, 2012 U.S. Dist. LEXIS 6455, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eisenberg-v-permanente-medical-group-cand-2012.