Frankfort Regional Medical Center v. Hon Phillip J. Shepherd Judge, Franklin Circuit Court

CourtKentucky Supreme Court
DecidedJune 14, 2016
Docket2015 SC 000438
StatusUnknown

This text of Frankfort Regional Medical Center v. Hon Phillip J. Shepherd Judge, Franklin Circuit Court (Frankfort Regional Medical Center v. Hon Phillip J. Shepherd Judge, Franklin Circuit Court) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Frankfort Regional Medical Center v. Hon Phillip J. Shepherd Judge, Franklin Circuit Court, (Ky. 2016).

Opinion

IMPORTANT NOTICE NOT TO BE PUBLISHED OPINION

THIS OPINION IS DESIGNATED "NOT TO BE PUBLISHED." PURSUANT TO THE RULES OF CIVIL PROCEDURE PROMULGATED BY THE SUPREME COURT, CR 76.28(4)(C), THIS OPINION IS NOT TO BE PUBLISHED AND SHALL NOT BE CITED OR USED AS BINDING PRECEDENT IN ANY OTHER CASE IN ANY COURT OF THIS STATE; HOWEVER, UNPUBLISHED KENTUCKY APPELLATE DECISIONS, RENDERED AFTER JANUARY 1, 2003, MAY BE CITED FOR CONSIDERATION BY THE COURT IF THERE IS NO PUBLISHED OPINION THAT WOULD ADEQUATELY ADDRESS THE ISSUE BEFORE THE COURT. OPINIONS CITED FOR CONSIDERATION BY THE COURT SHALL BE SET OUT AS AN UNPUBLISHED DECISION IN THE FILED DOCUMENT AND A COPY OF THE ENTIRE DECISION SHALL BE TENDERED ALONG WITH THE DOCUMENT TO THE COURT AND ALL PARTIES TO THE ACTION. RENDERED: JUNE 16, 2016 NOT TO BE PUBLISHED

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FRANKFORT REGIONAL MEDICAL CENTER APPELLANT

ON APPEAL FROM COURT OF APPEALS V. CASE NO. 2015-CA-000632-MR FRANKLIN CIRCUIT COURT NO. 12-CI-00052

HONORABLE PHILLIP J. SHEPHERD, JUDGE, FRANKLIN CIRCUIT COURT APPELLANT

AND

MARK WAINWRIGHT, M.D.; STEPHEN HALL, M.D.; AND WOMEN'S CARE OF THE BLUEGRASS, PLLC REAL PARTIES IN INTEREST

MEMORANDUM OPINION OF THE COURT

AFFIRMING

In this case, the appellant hospital's risk manager took notes recording

statements made by nurses and physicians during an investigation after a

difficult birth resulted in injury to the baby. There is evidence that the

interviews had both a business purpose and a litigation purpose, although

there is no proof that the nurses and physicians were aware of either purpose

when they made their statements. Some of the facts believed to be recorded in

the notes could not be recalled by the witnesses when they were later deposed

in the course of a malpractice action. At issue is whether those notes and the statements they contain are

protected from discovery under the attorney-client privilege or the work-

product doctrine. The trial court concluded that they were not. The Court of

Appeals, upon a petition for a writ of prohibition, agreed and denied the

requested writ. This Court affirms the Court of Appeals because neither the

attorney-client privilege nor the work-product doctrine are applicable to the

notes and statements under the evidence available at this point in the

litigation.

I. Background

The underlying case involves a medical malpractice claim related to the

delivery and birth of Braylee Roberts to Courtney Wilhoite at Franklin Regional

Medical Center on May 4, 2011. The delivery did not go well, and the child

suffered brain injury and was later diagnosed with cerebral palsy.

Dr. Mark Wainwright was the obstetrician on call that day, but he was

not present when the delivery first took a negative turn. His partner, Dr.

Stephen Hall, was near the delivery room doing paperwork at that time. The

problems with the delivery were arguably exacerbated by an issue with the fetal

heart-rate monitor and by alleged miscommunication between nursing staff

and Dr. Hall. As to the communication problem, nurses claimed that they

asked Dr. Hall to assess Wilhoite because of concerns with the fetal heart-rate

readings, but that he did not respond to those requests. It is not clear,

however, whether the severity of the situation was fully explained to Dr. Hall.

Regardless, after Dr. Hall failed to look in on Wilhoite, Dr. Wainwright was

called in and he completed the delivery. 2 At some point after the delivery, the hospital's risk-management director,

Pam Melton, interviewed the nursing staff and the physicians involved in the

delivery. The factual circumstances surrounding these interviews, such as

what was said during them, have not been fully developed at the trial court.

What evidence we do have concerns when and why the interviews occurred,

which is heavily disputed. There is no question, however, that the interviews

resulted in a set of handwritten notes and a typed version of those notes

(rendered in narrative form, with additional material apparently beyond the

handwritten notes). We refer to this pair of documents collectively as the

"notes" in this opinion.

The physicians claim that Melton began her interviews immediately after

the birth as part of the hospital's standard business procedures in generating a

document titled Root Cause Analysis, which is submitted to the Joint

Commission' as part of an accreditation process. The hospital, however, claims

that Melton's interviews did not begin until she received correspondence from

the hospital's counsel directing her to undertake the interviews, and that the

interviews were conducted in anticipation of litigation.

1 According to its website, the Joint Commission is "[a]n independent, not-for- profit organization ... [that] accredits and certifies nearly 21,000 health care organizations and programs in the United States." The Joint Commission, About the Joint Commission (last visited Jan. 7, 2016), at http: / /www.jointcommission.org/ about_us/ ab out_the _j oint_commission_main .aspx. 3 In January 2012, Wilhoite and the child's father filed a malpractice claim

on behalf of their daughter against Drs. Wainwright and Hall, Women's Care of

the Bluegrass, PLLC, 2 and Frankfort Regional Medical Center.

During the ensuing discovery, the Root Cause Analysis was produced,

and at least one of the nurses and Pam Melton were deposed. In her deposition,

Melton, according to the hospital's brief, "discussed at length ... the interviews

she conducted, her recollection of events, the Root Cause Analysis, and an

alleged disagreement that occurred between Drs. Wainwright and Hall at the

time of Roberts' birth." Before long, the hospital settled with the plaintiffs and

the claim against it was dismissed, leaving only the plaintiffs' claim against the

physicians.

As discovery continued, the plaintiffs' counsel suggested that Dr. Hall's

failure to respond to the nurses' requests for help had been because he had an

argument or disagreement with Dr. Wainwright the day of the delivery. The

physicians asked the plaintiffs' counsel to identify any witnesses to this

disagreement. He apparently refused to do so but named a nurse who might

have knowledge of it. She was re-deposed and claimed that she had not

observed any disagreement but that she had heard a rumor of one having

occurred.

A short time later, Wilhoite's counsel advised the physicians' counsel

that he was aware of two other nurses who would testify about the claimed

2 The record is not clear, but Women's Care of the Bluegrass would appear to be the practice of Drs. Wainwright and Hall. Unless otherwise noted, references to "the physicians" as parties herein should be read to include Women's Care of the Bluegrass. 4 disagreement. The physicians' brief claims that the plaintiffs' counsel refused

to identify these witnesses. Based on the e-mails included with the briefs,

however, it is apparent that the nurses who were claimed to have knowledge of

the dispute were identified explicitly. One of them was the one who had already

been deposed and re-deposed about the alleged dispute. The other was a nurse

named Bethany Abrams. Instead of the nurses' identity, it was the identity of

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