Estate of Eden v. Goldstein

2024 Ohio 5803
CourtOhio Court of Appeals
DecidedDecember 12, 2024
Docket113288
StatusPublished

This text of 2024 Ohio 5803 (Estate of Eden v. Goldstein) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estate of Eden v. Goldstein, 2024 Ohio 5803 (Ohio Ct. App. 2024).

Opinion

[Cite as Estate of Eden v. Goldstein, 2024-Ohio-5803.]

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT

ESTATE OF DALE EDEN, DECEASED, :

Plaintiff-Appellee, : No. 113288 v. :

ROBERT GOLDSTEIN, M.D., ET AL., :

Defendants-Appellants. :

JOURNAL ENTRY AND OPINION

JUDGMENT: DISMISSED RELEASED AND JOURNALIZED: December 12, 2024

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-22-962194

Appearances:

Petersen & Petersen, Susan E. Petersen, and Todd Petersen, for appellee.

Hanna, Campbell & Powell, LLP, Gregory T. Rossi, W. Bradford Longbrake, and Emily R. Yoder, for appellants University Hospitals Health System, Inc., PrimeHealth Inc. d.b.a. Lake Health Physician Group, and Lake Hospital System, Inc. d.b.a. Lake Health. ANITA LASTER MAYS, J.:

Defendants-appellants University Hospitals Health System, Inc.

(“UHHS”), PrimeHealth, Inc., d.b.a. Lake Health Physician Group (“PrimeHealth”),

and Lake Hospital System, Inc. d.b.a. Lake Health (“LHS”) (collectively

“appellants”) appeal from the trial court’s discovery order in favor of plaintiff-

appellee Karen Eden (“Karen”) as the estate representative for her late husband Dale

Eden (“Eden”) (collectively “appellee”). We dismiss the appeal for lack of

jurisdiction.

I. Background and Pertinent Facts

The current appeal stems from the trial court’s discovery orders

granting appellee, appellee’s counsel, and appellee’s expert witness the right to

conduct a virtual inspection of appellants’ internal electronic medical records

(“EMR”) software system to review Eden’s electronic medical records.

On April 18, 2022, the instant case was filed for malpractice and

wrongful death alleging the negligent prescription and administration of

Amiodarone to Eden during his illness from 2017 until his demise on December 4,

2020. Appellee alleged that Amiodarone is an anti-arrhythmic drug used to treat

patients with chronic, severe cardiac conditions that caused severe toxicity and

suffering to Eden. Subsequent amendments to the complaint added parties and

claims including a claim that appellants altered Eden’s medical records to avoid

liability. In November 2022, appellee served UHHS and PrimeHealth with a

notice of videotaped deposition under Civ.R. 30(B)(5) and Civ.R. 34 request for

production and for virtual inspection of the EMR. Appellees requested in part:

“Pursuant to Civ.R. 34(A)(2) and (3), Defendant shall allow representatives of Plaintiff to inspect the electronic medical records for Dale Eden. As part of this inspection, Defendant shall provide Plaintiffs’ representatives remote access to . . . [the EMR] system so that counsel for Plaintiff can access and view Mr. Eden’s records (and only Mr. Eden’s records) directly in the . . . system. This inspection of the EMR can be done by Zoom during the deposition.”

(Emphasis in original.) Appellants’ brief at p. 6, quoting the discovery request.

In January 2023, appellants moved for a protective order. Appellants

argued that direct, real-time access was an invasion of privacy and confidentiality;

sought embedded, residual, and deleted data; and would include nonpublic medical

information subject to the physician-patient relationship created or accessed before

and after the lawsuit was filed. Appellants also argued the request was a fishing

expedition, unduly burdensome, and disproportional to the needs of the case under

Civ.R. 26(B)(1).

Appellee’s opposition to the motion was supported by a

comprehensive affidavit from expert Michele Gonsman (“Gonsman”), an

experienced clinical forensic document analyst familiar with appellants’ EMR

software systems. Gonsman’s averments included that appellants had not produced

all available data, the request was limited to Eden’s data, and that EMR systems have

become the original record. Gonsman conducted over 30 live inspections, and one

of those inspections was conducted in Bolaney v. Mapleview Operating Co., L.L.C., Cuyahoga C.P. No. CV-20-934555 (July 2, 2020), dismissed for lack of jurisdiction,

Bolaney v. Mapleview Operating Co., L.L.C., 8th Dist. Cuyahoga No. 110373,

Motion No. 545494, Docket ID 116746957 (Apr. 4, 2021), recon. den. COA 21-

110373, Motion No. 546076, Docket ID 117004289 (8th Dist. June 21, 2021), appeal

not accepted for review in Bolaney v. Mapleview Operating Co., L.L.C., 2021-Ohio-

2742. (“Bolaney Case”). Gonsman also explained that appellants’ discovery

responses indicated responsive information had not been produced from the

entirety of the EMR system and the data produced was inappropriately time limited.

The affidavit also delved into applicable federal law and additional facts supporting

the request in the instant case.

On February 21, 2023, appellants responded that the identity of the

most knowledgeable individual “about the development, use, and maintenance of

the electronic medical records and/or electronic incident reporting” had been

provided to appellee, but appellee had “not taken a single deposition.” Appellants

contended appellee was attempting to “circumvent the discovery process through a

virtual inspection to obtain access to information that the defense maintains is not

subject to discovery.” Appellants rejected Gonsman’s assertion that federal law

supported the request, and advised that appellants’ responses were still being

compiled to the “voluminous” discovery requests.

Appellants expressed numerous concerns about Gonsman’s affidavit,

including the following: Gonsman did not state that data could not be inadvertently

accessed; that confidential or privileged information could not be disclosed and particularly information created after the lawsuit was filed; appellee’s “beliefs” or

“suspicions” that data was altered or omitted did not mean it was true; the request

was unduly burdensome and disproportional to the needs of the case; redactions to

the EMR audit trail information had no bearing on the issue of whether virtual

access should be permitted; and the trial court should not adopt a protocol that had

not been agreed upon by the parties.

On March 2, 2023, appellees moved to compel complete responses to

“Plaintiff’s First and Second Set of Interrogatories and Requests for Production of

Documents.” The motion included extracts of various discovery requests and

responses and a discussion of the grounds for each item.

On May 15, 2023, appellee informed the trial court of a virtual EMR

inspection conducted by agreement in a wrongful death case against appellant LHS

in Rose Crnjak v. Lake Hosp. Sys., Inc., et al., Cuyahoga C.P. No. 20-CV-932285

(May 1, 2020). The submission included excerpts from the deposition

demonstrating how the virtual examination was accessed and controlled. Appellee

argued that appellants’ “previous allowance of a virtual inspection of a deceased

patient’s EMR without objection highlights their recognition of remote access as a

legitimate means of reviewing medical records.” Appellee’s Supplemental Brief in

Opposition to Motion for Protective Order, p. 9. “This precedent underscores the

inconsistency and lack of sincerity in their arguments against a virtual inspection in

this case.” Id.

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2024 Ohio 5803, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-eden-v-goldstein-ohioctapp-2024.