Garcia v. Board of County Commissioners for the County of Dona Ana

CourtDistrict Court, D. New Mexico
DecidedJanuary 3, 2023
Docket2:21-cv-00485
StatusUnknown

This text of Garcia v. Board of County Commissioners for the County of Dona Ana (Garcia v. Board of County Commissioners for the County of Dona Ana) is published on Counsel Stack Legal Research, covering District Court, D. New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Garcia v. Board of County Commissioners for the County of Dona Ana, (D.N.M. 2023).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW MEXICO

HECTOR GARCIA JR., personal representative to the estate of Hector Garcia,

Plaintiff,

v. Civ. No. 21-485 DHU/GJF

BOARD OF COUNTY COMMISSIONERS FOR THE COUNTY OF DOÑA ANA, et al.,

Defendants.

ORDER COMPELLING DISCOVERY

THIS MATTER is before the Court on Plaintiff’s “Motion to Compel Discovery” (“Mot.”) [ECF 71]. The Motion is fully briefed, and the Court heard extensive oral argument on December 15, 2022. See id.; ECFs 75 (“Resp.”), 78 (“Reply”); 87 (“Tr.”).1 For the reasons explained below, the Court GRANTS the substantive relief sought in the Motion but DENIES the requested sanctions. I. BACKGROUND

A. Parties and Underlying Facts

Plaintiff represents the estate of his father, Hector Garcia (“Decedent”), a former inmate at the Doña Ana County Detention Center (“DACDC”). ECF 1 at ¶¶ 3–5. At all relevant times, Defendant Corizon Health, Inc. (“Defendant”) has provided inmate health care services at DACDC pursuant to a contract with Doña Ana County (“the County”). Id. at ¶ 8. Decedent died on August 6, 2019, while incarcerated at DACDC. Id. at ¶ 5; Mot. at 1–3. In 2021, Plaintiff filed this action

1 At the Court’s request, the record also contains additional evidence obtained post-hearing. Plaintiff submitted an authenticated copy of its Exhibit 5, ECF 71-5, which the Court refers to as “Exhibit 7.” Defendant submitted two versions of its Sentinel Event Policy, which the Court refers to as “Exhibit 8” (2015 rev. ed.) and “Exhibit 9” (2020 rev. ed.), respectively. alleging that Defendant’s “deliberate[ ] indifferen[ce] to [Decedent’s] serious and obvious medical need” resulted in his death. Mot. at 3. That death led Defendant to conduct a “mortality review.” See ECFs 71-1, 71-2.2 The instant controversy concerns that review’s3 discoverability which, in turn, requires surveying Defendant’s contractual duties and regulatory obligations as a carceral health care provider.

Pursuant to the DACDC contract, Defendant’s obligations included “establish[ing] a mortality review process” in the event of inmate fatality and remaining in compliance with the “standards, regulations, and recommendations . . . [of] . . . the National Commission on Correctional Health Care” (“NCCHC”). ECFs 71-3 at 5.1.2.3, 71-4 at 2.0.4 In August 2019, Defendant conducted mortality reviews according to the procedure outlined in its internal policy for “an event involving death or serious . . . injury”—the “Sentinel Event Review” process. Ex. 8 at 1. The Sentinel Event Review policy facilitated the “accreditation [of Defendant’s] facilities” and documented Defendant’s compliance with agency regulators and third parties. See Ex. 8 at 2, 4.

Separate from its contractual obligations to the County, Defendant executed another contract in 2015 with the Missouri Center for Patient Safety (“Missouri Center”). ECF 75-2 at ¶ 4.

2 Because neither party at oral argument supplied the Court with a consistent and clear definition of “mortality review,” the Court will use the term as defined by the standards incorporated by Defendant’s contract with the County. See, e.g., Tr. at 12:14–15:2; see also ECF 71-4; Ex. 7 (“A clinical mortality review is an assessment of the clinical care provided and the circumstances leading up to a death” (emphasis original)). The most natural interpretation of this definition, in light of the modern information-system realities of institutional health care providers, includes a written report memorializing the assessment.

3 The mortality review at issue here is a five-page document submitted by Defendant ex parte titled “Notes for 10711 (Garcia Jr., Hector).”

4 “Defendant] shall establish a mortality review process. The DACDC must be informed as soon as feasible of any death . . . . Upon request from DACDC, [Defendant] shall participate in a specific meeting, such as a mortality and morbidity committee meeting after each death.” ECF 71-3 at 5.1.2.3; see also ECF 71-4 at 20 (Defendant’s contractual obligation to “fully comply” with the standards of the NCCHC); Ex. 7 (NCCHC standard demanding a clinical mortality review, a data log, and three topics germane to each review). This second contract—also in effect during Decedent’s incarceration5—contained Defendant’s promise to improve patient safety by collaboratively analyzing mortality events with the Missouri Center. See, e.g., id. at 9–10. Collaboration included supplying the Missouri Center with all information Defendant collected or produced “related to patient safety” including “sentinel event reviews, death reviews, and related documents.” Id. Unlike its DACDC contract, Defendant’s

duties under the Missouri Center contract were “voluntary and non-exclusive.” Id. at 10 (emphasis added). B. Procedural History On July 14, 2022, Plaintiff requested the mortality review in his First Set of Interrogatories and Requests for Production. See ECF 47; see also Mot. at 4 (seeking “any morbidity, mortality, or death review, conducted by [Defendant], or any of its employees or agents, or any other agency”). Instead of disclosing the mortality review, however, Defendant withheld it as privileged under the federal Patient Safety Quality Improvement Act (“PSQIA”). See ECF 71-1; ECF 75-2 (“Declaration”). After attempting informal dispute resolution, Plaintiff filed the instant Motion on

October 26, 2022, to compel Defendant’s production of the mortality review. The Court conducted in camera review of the withheld document on December 13, 2022, and held oral argument on December 15, 2022. ECFs 83, 84. II. RELEVANT LAW A. Invoking Privilege During Discovery Discoverable information constitutes “any nonprivileged matter that is relevant to a[ ] party’s claim or defense and proportional to the needs of the case.” Fed. R. Civ. P. 26(b)(1). A party can resist disclosure by asserting a privilege, but that party must expressly invoke the specific

5 Id. at 18 (making this contract effective from October 2015 to 2018, at which point it would begin “automatically renew[ing] for successive 3-year periods”). privilege by name and describe “the nature of the [withheld matter] in a manner that . . . will enable other parties to assess the [privilege] claim” without divulging the privileged contents themselves. Fed. R. Civ. P. 26(b)(5)(A). If the party seeking discovery contests the privilege’s applicability, the Federal Rules of Civil Procedure allow it to request judicial assistance. See Fed. R. Civ. P. 37(a)(3). A court will order disclosure unless the party asserting the privilege successfully carries

the burden of establishing its applicability. E.g., United States v. Jarvison, 409 F.3d 1221, 1231 (10th Cir. 2005) (citing Motley v. Marathon Oil Co., 71 F.3d 1547, 1550 (10th Cir. 1995)). B. PSQIA Privilege PSQIA provides one such privilege. That law created “a system in which health care providers can voluntarily collect . . . patient safety, health care quality, and health care outcome[ ]” information and report that data to a federally recognized “patient safety organization” (“PSO”). US Dep’t Health & Human Servs., Patient Safety and Quality Improvement Act of 2005: HHS Guidance Regarding Patient Safety Work Product and Providers’ External Obligations, 81 Fed. Reg.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Pierce v. Underwood
487 U.S. 552 (Supreme Court, 1988)
American Trucking Assns., Inc. v. Smith
496 U.S. 167 (Supreme Court, 1990)
United States v. Jarvison
409 F.3d 1221 (Tenth Circuit, 2005)
United States v. Augustin Alonso Lopez
777 F.2d 543 (Tenth Circuit, 1985)
Center for Biological Diversity v. Norton
336 F. Supp. 2d 1155 (D. New Mexico, 2004)
Lester v. City of Lafayette
639 F. App'x 538 (Tenth Circuit, 2016)
Kannaday v. Ball
292 F.R.D. 640 (D. Kansas, 2013)

Cite This Page — Counsel Stack

Bluebook (online)
Garcia v. Board of County Commissioners for the County of Dona Ana, Counsel Stack Legal Research, https://law.counselstack.com/opinion/garcia-v-board-of-county-commissioners-for-the-county-of-dona-ana-nmd-2023.