Foster v. UPMC South Side Hospital

2 A.3d 655, 2010 Pa. Super. 143, 31 I.E.R. Cas. (BNA) 341, 2010 Pa. Super. LEXIS 2097, 2010 WL 3064402
CourtSuperior Court of Pennsylvania
DecidedAugust 6, 2010
Docket1995 WDA 2008
StatusPublished
Cited by51 cases

This text of 2 A.3d 655 (Foster v. UPMC South Side Hospital) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Foster v. UPMC South Side Hospital, 2 A.3d 655, 2010 Pa. Super. 143, 31 I.E.R. Cas. (BNA) 341, 2010 Pa. Super. LEXIS 2097, 2010 WL 3064402 (Pa. Ct. App. 2010).

Opinion

OPINION BY

BOWES, J.:

Dr. Mark R. Foster appeals from the November 20, 2008 order granting summary judgment to Appellee, UPMC South Side Hospital.' We affirm.

*659 Appellant was an orthopedic surgeon with privileges at UPMC South Side Hospital (“UPMC”). On September 15, 2005, he was summarily suspended by UPMC after performing surgery on the wrong side of a patient. This error was one of several surgical missteps committed by Appellant within two months. Under the Medical Staff Bylaws of UPMC (the “bylaws”), a physician whose medical staff privileges have been suspended may seek a hearing before a Medical Staff Appeal Hearing Committee (“the committee”). After Appellant requested a committee hearing, five physicians, including specialists in orthopedics, internal medicine, emergency medicine, anesthesia, and cardiology, were appointed to serve on the committee.

The committee conducted a hearing on October 19, 2005, and received the following evidence. First, Appellant performed surgery on the left side of patient D.M., who was scheduled to receive a right-sided sacroiliac fusion. Second, Appellant performed a total hip replacement on patient L.D., but failed to conduct the appropriate post-operative x-rays of the patient. Third, Appellant performed surgery on patient AG.’s feet. In doing so, Appellant inadvertently cut the third metatarsal rather than the fourth metatarsal, as substantiated by operative notes. This complication was readily avoidable through the use of imaging techniques, which Appellant admitted should have been utilized for the operation in question. Lastly, Appellant conducted spinal surgery on a fifty-three-year-old woman, who returned to the operating room three days later for drainage of a neck abscess, tracheostomy, esophagos-copy, and bronchoscopy. It was discovered that the patient had a perforated esophagus, a known risk of the spinal surgery Appellant performed. Appellant’s care was substandard because he failed to recognize the complication and undertake appropriate remedial measures, causing unnecessary complications in the woman. The committee also was offered evidence that Appellant’s complication rates were higher than those of his peers.

On October 31, 2005, the committee issued a decision affirming Appellant’s suspension. Appellant was informed that he had the right to an appeal before the Board of Directors of UPMC, as provided by the bylaws. Appellant availed himself of the review process, which transpired on January 18, 2006. That board affirmed the decision on February 17, 2006 stating, “Considering the totality of information in this matter, the Board determines unanimously, per its review standard set forth in UPMC South Side Medical Staff Bylaws Section 9.6F[,] that the unanimous decision of the Medical Staff Appeal Hearing Committee was justifiable, supported by substantial evidence with full competent consideration to multiple viewpoints and was not in any way arbitrary or capricious.” Amended Complaint at Exhibit K.

On March 14, 2006, Appellant instituted this action against UPMC. After preliminary objections were sustained to various counts in the complaint, the trial court entered the final, summary judgment order from which Appellant filed the present appeal. Appellant raises these challenges to the trial court proceedings:

1. Whether summary judgment was improperly granted where UPMC South Side was not entitled to immunity under the Health Care Quality Improvement Act because it failed to provide Dr. Foster with adequate and fair hearing procedures before the Hearing Committee?
2. Whether preliminary objections were improperly sustained with respect to Dr. Foster’s defamation *660 claim against Dr. Kang where all of the elements of such a claim were properly pled?
3. Whether preliminary objections were improperly sustained with respect to Dr. Foster’s defamation claim against Mr. Kidwell where all of the elements of such a claim were properly pled?
4. Whether preliminary objections were improperly sustained with respect to Dr. Foster’s claim for intentional interference with contractual relations where all of the elements of such a claim were properly pled?

Appellant’s brief at 5.

We first examine the grant of summary judgment as to Appellant’s breach of contract claims.

Our standard of review on an appeal from the grant of a motion for summary judgment is well-settled. A reviewing court may disturb the order of the trial court only where it is established that the court committed an error of law or abused its discretion. As with all questions of law, our review is plenary.
In evaluating the trial court’s decision to enter summary judgment, we focus on the legal standard articulated in the summary judgment rule. Pa.R.C.P. 1035.2. The rule states that where there is no genuine issue of material fact and the moving party is entitled to relief as a matter of law, summary judgment may be entered. Where the non-moving party bears the burden of proof on an issue, he may not merely rely on his pleadings or answers in order to survive summary judgment. Failure of a non-moving party to adduce sufficient evidence on an issue essential to his case and on which he bears the burden of proof establishes the entitlement of the moving party to judgment as a matter of law. Lastly, we will review the record in the light most favorable to the non-moving party, and all doubts as to the existence of a genuine issue of material fact must be resolved against the moving party.

ADP, Inc. v. Morrow Motors Inc., 969 A.2d 1244, 1246 (Pa.Super.2009) (quoting Shepard v. Temple University, 948 A.2d 852, 856 (Pa.Super.2008)).

Herein, the trial court granted summary judgment on Appellant’s breach of contract claims based upon application of the immunity granted to UPMC under the Health Care Quality Improvement Act of 1986 (“the Act”), 42 U.S.C. §§ 11101, et seq. The Act bars recovery of monetary damages for claims arising from a peer review process. Manzetti v. Mercy Hospital of Pittsburgh, 565 Pa. 471, 776 A.2d 938, 942 (2001). Appellant concedes that the Act confers immunity upon UPMC for any breach of contract action due to his suspension with the caveat that UPMC’s conduct must have conformed to the parameters of 42 U.S.C. § 11112(a). See Appellant’s brief at 14.

The [Act] was created by the United States Congress in order “to improve the quality of medical care by encouraging physicians to identify and discipline other physicians who are incompetent or who engage in unprofessional behavior.” H.R.Rep. No. 903, 99th Cong., 2d Sess. (1986), 1986 U.S.C.C.A.N. 6384.

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2 A.3d 655, 2010 Pa. Super. 143, 31 I.E.R. Cas. (BNA) 341, 2010 Pa. Super. LEXIS 2097, 2010 WL 3064402, Counsel Stack Legal Research, https://law.counselstack.com/opinion/foster-v-upmc-south-side-hospital-pasuperct-2010.