Estate of Booker v. Greater Philadelphia Health Action, Inc.

10 F. Supp. 3d 656, 2014 WL 1302040, 2014 U.S. Dist. LEXIS 44227
CourtDistrict Court, E.D. Pennsylvania
DecidedMarch 31, 2014
DocketCivil Action No. 13-1099
StatusPublished
Cited by4 cases

This text of 10 F. Supp. 3d 656 (Estate of Booker v. Greater Philadelphia Health Action, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estate of Booker v. Greater Philadelphia Health Action, Inc., 10 F. Supp. 3d 656, 2014 WL 1302040, 2014 U.S. Dist. LEXIS 44227 (E.D. Pa. 2014).

Opinion

MEMORANDUM

JUAN R. SÁNCHEZ, District Judge.

In this medical malpractice action, Plaintiff Brandi Booker, in her own right and as administratrix of the estate of her deceased mother, Elaine Booker, brings professional liability claims against Greater Philadelphia Health Action, Inc. (GPHA) and two GPHA physicians, Dr. Monica Mallory-Whitmore and Dr. Heather Ruddock.1 By virtue of GPHA’s status as a federally funded community health center, it and its employees are entitled to medical malpractice liability coverage under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 1346, 2671-2680, if the Secretary of the Department of Health and Human Services (the Secretary or HHS) deems GPHA to be an employee of the Public Health Service for purposes of such coverage. Upon receipt of a favorable deeming decision, GPHA and its employees are immunized from personal liability for malpractice claims so long as the allegedly negligent parties were acting within the scope of their employment and providing services within the scope of the center’s federally funded activities. If FTCA coverage applies, Plaintiffs exclusive remedy is against the United States.

In January 2013, HHS determined GPHA and Drs. Mallory-Smith and Ruddock were entitled to FTCA coverage in this case and requested that the United States Attorney for the Eastern District of Pennsylvania remove the case to federal court and substitute the United States as the Defendant. When the Government did not appear, GPHA removed the case pursuant to 42 U.S.C. § 233(Z)(2) in March 2013. The United States, as the party GPHA seeks to have substituted as the sole Defendant in this action and thus the real party in interest, has filed a motion to remand, arguing GPHA’s notice of removal was untimely and the services giving rise to Plaintiffs negligence claims are outside the scope of Defendants’ FTCA coverage. Although the issue raised by the Government’s motion is whether there is federal malpractice coverage for Plaintiffs claims, as a practical matter, this issue may be dispositive of whether Defendants have any malpractice coverage at all, as neither Dr. Mallory-Whitmore nor Dr. Ruddock has private insurance. Hr’g Tr. 46, Apr. 23, 2013. Underscoring the significance of this issue, all three Defendants, as well as Plaintiff, oppose remand. Upon consideration of the parties’ legal memoranda and the arguments presented in court, and for the reasons set forth below, the Government’s motion to remand will be denied.

BACKGROUND

GPHA is a Pennsylvania nonprofit, tax-exempt corporation that operates as a primary care clinic and offers health care services to residents of Philadelphia County and the surrounding areas. Notice of Removal ¶ 6. GPHA is a designated “community health center” that receives federal grant funds under Section 330 of the Public Health Service Act, 42 U.S.C. § 254b. Id.

From May 2003 until her death in April 2009, Ms. Booker worked for GPHA as an administrative assistant/customer service representative, primarily at GPHA’s [659]*659Woodland Avenue Health Center location. Am. Compl. ¶ 7; Decl. of Charles Joerger ¶ 6. During her employment at GPHA, Ms. Booker was registered as a patient of the center and received health care services from center doctors on several occasions. See Ex. to Pl.’s Opp’n to Mot. to Remand (GPHA “Patient Face Sheet” and progress notes).

In October and November, 2008, GPHA gave Ms. Booker a purified protein derivative (PPD) test and informed her the test came back positive, indicating she had been exposed to the bacterium that causes tuberculosis.2 See Am. Compl. ¶¶ 8-9. After receiving the test results, Ms. Booker met with her non-GPHA primary physician, Dr. Luigi Cianci, who confirmed Ms. Booker did not have tuberculosis. Id. ¶ 10. Dr. Mallory-Whitmore and/or Dr. Ruddock, both of whom were employed by GPHA at the time,3 thereafter prescribed the drug isoniazid for Ms. Booker as a precaution and told her to take it for three to six months. See Am. Compl. ¶¶ 11-12. It is undisputed that Ms. Booker received the PPD test and isoniazid prescription as part of GPHA’s Employee Health Program, which requires employees working in direct contact with or with occasional exposure to patients to undergo PPD screening every six months as a condition of their employment.' See Notice of Removal Ex. U, Attachment 2, at 7-8. Under the Program, GPHA provides PPD screening free of charge to at-risk employees. Id. at 2, 8. For employees with positive PPD tests, GPHA also provides chest x-rays, prophylactic therapy, and monitoring. See id. at 2, 8-9. Whether Ms. Booker was a “patient” of GPHÁ with respect to the services she received under the Employee Health Program is the substantive issue at the heart of the parties’ dispute regarding the instant' motion to remand.

Ms. Booker took the isoniazid as instructed for approximately four months. On April 16, 2009, feeling ill, Ms. Booker saw Dr. Cianci, who advised her to go immediately to the hospital. Ms. Booker was admitted to Mercy Fitzgerald Hospital (Mercy) through the hospital’s emergency room the same day “for possible drug-induced hepatitis along with consideration for viral hepatitis.” ' Am. Compl. ¶¶ 15, 19. While at Mercy, Ms. Booker was transferred to the intensive care unit. Id. ¶ 21. Her condition worsened, and on April 20, 2009, Mercy transferred her to the Thomas Jefferson Liver Unit (Thomas Jefferson) for further evaluation and treatment, including evaluation as a candidate for a liver transplant. Id. ¶¶ 23-24. The following day, Ms. Booker experienced renal failure and was placed on dialysis. Id. ¶ 26. Two days later, on April 23, 2009, she was placed on a mechanical ventilator. On April 24 or 25, 2009, Thomas Jefferson staff advised Ms. Booker’s family that she “would likely die overnight.” Id. ¶ 33. The family requested that she be removed from the ventilator and changed to “Do Not Resuscitate/Do Not Intubate” status. Id. Ms. Booker was thereafter placed on a morphine drip and was pronounced dead at 4:26 a.m. on April 25, 2009. Id. Her hospital discharge summary reflects a final diagnosis of “fulminant hepatic necrosis,” and her attending physician noted she had developed hepatitis as a result of “INH [i.e., isoniazid] toxicity.” Id. ¶ 34.

[660]*660On April 22, 2011, Plaintiff commenced this action by filing a praecipe to issue writ of summons in the Court of Common Pleas of Philadelphia County. Notice of Removal Ex. B. Plaintiff filed her original Complaint on January 23, 2012, and filed an Amended Complaint seven months later, on August 27, 2012.4 In her Amended Complaint, Plaintiff alleges Dr. MalloryWhitmore and Dr. Ruddock were negligent in treating Ms. Booker following her positive PPD test, including by inappropriately prescribing (or requesting that she be prescribed) isoniazid, and alleges GPHA was negligent in supervising, monitoring, and training Drs. Mallory-Whit-more and Ruddock. Plaintiff contends Defendants’ negligence resulted in Ms. Booker’s debilitating illness and eventual death.

After learning of Plaintiffs lawsuit, GPHA requested representation for itself and Drs.

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Bluebook (online)
10 F. Supp. 3d 656, 2014 WL 1302040, 2014 U.S. Dist. LEXIS 44227, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-booker-v-greater-philadelphia-health-action-inc-paed-2014.