Fielding, G. v. Wayne Memorial Hospital

Superior Court of Pennsylvania·Decided September 4, 2025·No. 1340 EDA 2023·Unpublished

Opinion

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

GARY FIELDING : IN THE SUPERIOR COURT OF : PENNSYLVANIA

:

v. :

:

:

JOSEPH WROBLESKI, DO AND : WAYNE MEMORIAL HOSPITAL :

: No. 1340 EDA 2023

:

PETITION OF: WAYNE MEMORIAL : HOSPITAL :

Appeal from the Order Entered October 13, 2022 In the Court of Common Pleas of Wayne County Civil Division at No(s): 2020-CV-241

BEFORE: BOWES, J., NICHOLS, J., and SULLIVAN, J. MEMORANDUM BY SULLIVAN, J.: FILED SEPTEMBER 4, 2025 Wayne Memorial Hospital (“WMH”) appeals from the order denying its motion for a protective order concerning a patient-safety investigation report (“the report”). This appeal comes to this Court following entangled procedural facts in the trial court. As a general matter, this is an appeal from the collateral order in a discovery dispute raised during the medical malpractice action brought by Gary Fielding (“Fielding”) against WMH and Joseph Wrobleski, DO (“Wrobleski”). When Fielding sought to compel disclosure of a report regarding a procedure he underwent at WMH, WMH invoked state law privileges to object. While the trial court initially agreed with WMH that a state law privilege applied, the court then reconsidered its decision and subsequently ordered disclosure of the report. During further litigation over

the trial court’s reconsidered decision, WMH, raised, for the first time, a privilege under federal law, and filed a new motion for protective order based on the federal privilege. The trial court, in relevant part, determined WMH “waived” the federal privilege by failing to raise it in response to Fielding’s initial motion to compel. Upon thorough review of the record in this matter, we discern no error in the trial court’s conclusion that WMH failed to timely preserve its claims of a federal law privilege, and we affirm.

We summarize the relevant factual history of this appeal as follows. In 2018, Fielding underwent a surgical procedure at WMH. During the surgery, a fire broke out around his shoulder (“the fire”). See Am. Compl., 9/21/20, at ¶¶ 6-7. Shortly after the fire, Nurse Manager Elizabeth Korb (“Korb”) created the subject report by completing a form on WMH’s computer system. See N.T., 4/27/22, at 12-17.1 Fielding brought the underlying medical malpractice action against Wrobleski, the attending surgeon, and WMH. During discovery, WMH refused to answer Fielding’s interrogatories concerning reports about the fire, citing privileges under Pennsylvania’s Peer Review Protection Act (“PRPA”) and an

1 The form was labelled “patient safety work product,” and bears a stamp that

it is confidential under various state laws. WMH’s Reconsider. Mot. of Order Dated 7/7/22, 8/19/22, Ex. C., at 1, 4. The completed report indicated it had been sent to “CHART Institute Patient Safety Organization.” WMH’s Reconsider. Mot. of Order Dated 7/7/22, 8/19/22, Ex. C., at 4.

unspecified “Patient Safety Act,” among others. See Mot. to Compel, 11/24/24, at 3.2 Although relevant, the remaining procedural history is lengthy and unnecessarily complicated. In November 2021, Fielding moved to compel disclosure of WMH’s accident or incident reports about the fire. See id. at 7. WMH answered and requested a protective order based on PRPA privileges. See WMH’s Answer to Mot. to Compel, 12/20/21, at 4.

After reviewing documents in camera, the trial court held a hearing in April 2022 (“the April 2022 hearing”) at which WMH presented testimony from Nurse Manager Korb and Director of Patient Safety James Pettinato (“Pettinato”). In line with WMH’s claim of PRPA privileges, Korb and Pettinato testified the report was prepared for, and part of, a root cause analysis performed in anticipation of peer review. See N.T., 4/27/22, at 12-17, 34- 43. During his cross-examination, Pettinato referred to “CHART” as WMH’s insurer, which also owned, and provided WMH with, the software (also referred to as “RL Solution”) used to create the report. See id. at 70-71. Pettinato initially answered affirmatively when asked if a copy of the report

went to “CHART,” WMH’s insurer, but he later stated he did not know if WMH

2 PRPA, which is codified at 63 P.S. §§ 425.1-425.4, “is designed to foster candor and frankness in the creation and consideration of peer-review data by conferring immunity from liability, as well as confidentiality . . ..” Leadbitter v. Keystone Anesthesia Consultants, Ltd., 256 A.3d 1164, 1169 (Pa. 2021). WMH’s answers to interrogatories did not provide a statutory citation for its reference to the “Patient Safety Act.”

sent a copy of the report to its insurer. See id. at 71-72. The trial court concluded that PRPA applied and issued a protective order. See Order, 4/28/22, at 1.

Fielding moved for reconsideration, arguing Pettinato testified that WMH disclosed the report to WMH’s insurer, “CHART Insurance,” which was not part of WMH’s peer review process. Fielding’s Mot. to Reconsider., 5/27/22, at 2- 3, 5. WMH answered, claiming that Fielding failed to present new evidence, a change in controlling law, or clear error necessitating reconsideration. See WMH’s Answer to Mot. to Reconsider., 6/21/22, at 3-4. WMH specifically denied disclosing the report to “CHART,” although it offered no further clarification on what “CHART” was, or the relationship between “CHART” and WMH. See id. at 5-6; see also N.T., 6/21/22, at 16.

Following oral arguments in June 2022 (“the June 2022 arguments”), the trial court, by order dated July 7, 2022, and entered July 15, 2022, granted Fielding’s reconsideration motion (“the July 2022 order”). The court concluded PRPA did not protect the report because it contained information gleaned from original sources and WMH shared it with its insurer. See Order, 7/15/22 at 1. The court required disclosure of the report within ten days of the July 2022 order. See id.

WMH did not comply, and, in August 2022, filed a petition for leave to file for reconsideration nunc pro tunc. In the petition, WMH averred it should have an opportunity to establish that the incident report was not shared with

its insurer. See Pet. for Leave, 8/9/22, at 3. The trial court denied leave to file nunc pro tunc.

WMH nevertheless filed a motion for reconsideration without the court’s leave. In its reconsideration motion, WMH asserted, for the first time, that the federal Patient Safety and Quality Improvement Act of 2005 (“PSQIA”), which protects “patient safety work product” reported to a certified “patient safety organization” (“PSO”)—should apply. 3 See WMH’s Mot. to Reconsider. July 2022 Order, 8/19/22, at 5-12. WMH attached a redacted copy of the report and referenced an area indicating that WMH sent the report to “CHART Institute Patient Safety Organization (PSO).” See id. at 40 & Ex. C at 4. Because “CHART Institute” was a PSO, and not an insurer, WMH also argued, disclosure to “CHART Institute” would not vitiate PRPA’s peer review privilege. See id. at 13. The trial court denied WMH’s motion for reconsideration. Order, 8/23/22, at 1.

WMH still did not disclose the report, and Fielding filed for sanctions.

The day after Fielding filed for sanctions, WMH filed a motion for a protective order based on the federal PSQIA privilege (“PSQIA motion”). WMH’s PSQIA motion essentially repeated the claims raised in WMH’s unauthorized motion for reconsideration. WMH also attached an affidavit from Patient Safety

Officer Jane Domaracki (“Domaracki”), indicating, inter alia, WHM disclosed

3See 42 U.S.C.A. § 299b-22; see also Ungurian v. Beyzman, 232 A.3d 786, 796 (Pa. Super. 2020).

the report to “CHART Institute,” WMH’s PSO, via “CHART Institute’s” patient safety evaluation system (“PSES”). See WHM’s PSQIA Mot., 8/31/22, Ex. F. at 2. WMH also attached an internet list of PSOs, which included a reference to “CHART Institute.” See id., Ex. G.

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