Gerace v. Cleveland Clinic Found.

2024 Ohio 2708, 248 N.E.3d 872
Ohio Court of Appeals·Decided July 18, 2024·No. 113231·Published

Opinion

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

JAMES GERACE, :

Plaintiff-Appellant, :

No. 113231

v. :

CLEVELAND CLINIC : FOUNDATION, ET AL., :

Defendants-Appellees.

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED

RELEASED AND JOURNALIZED: July 18, 2024

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-19-926516

Appearances:

Polk Kabat, LLP, Daniel M. Connell, and Shannon J. Polk, for appellant.

Frantz Ward LLP, Michael N. Chesney, Christopher G.

Keim, and Megan E. Bennett, for appellees.

MICHAEL JOHN RYAN, J.:

Plaintiff-appellant, James Gerace, appeals the trial court’s decision to grant summary judgment in favor of the defendants-appellees Cleveland Clinic Foundation (“CCF”) and Jame Abraham, M.D. For the reasons that follow, we affirm.

At all times relevant to this appeal, Abraham was a doctor practicing at CCF specializing in breast oncology. Gerace was formerly employed by Biotheranostics as a sales employee. Biotheranostics is a medical testing company; one of the company’s products is the Breast Cancer Index (“BCI”). As a sales employee, Gerace was responsible for promoting and selling BCI to breast oncology medical providers within his service area.

During Gerace’s employment, BCI was a “growth product” for Biotheranostics. As part of his position, Gerace, an at-will employee, was responsible for developing relationships with key opinion leaders in his sales territory; Abraham was a key opinion leader in Gerace’s sales territory.

In August 2019, CCF hosted a breast cancer summit (“summit”) for health care providers focused on treatment options for breast cancer. Biotheranostics was a sponsor of the summit, and Gerace attended as a company representative.

Abraham gave a presentation at the summit titled “2019 Breast Cancer NCCN Guidelines Update” to update attendees on the National Comprehensive Cancer Network’s (“NCCN”) guidelines for cancer care. Doctors and insurers routinely relied on NCCN guidelines when making treatment and coverage decisions.1 Abraham was member of the NCCN Breast Cancer Panel (“panel”) and routinely involved in confidential discussions regarding guidelines for the treatment of breast cancer. Pharmaceutical and medical device companies like Biotheranostics worked to have their products included in the NCCN Guidelines and, understandably, wanted their products to be ranked as high as possible in those guidelines. 2 Biotheranostics’ BCI was included in the 2019 Breast Cancer NCCN Guidelines with “Category 2A evidence for ‘Consideration of Addition of Adjuvant Systemic Chemotherapy to Adjuvant Endocrine Therapy.’” The guidelines noted that it had “not [been] determined” whether the BCI was “predictive” of a future recurrence of breast cancer.

Sometime in 2019, Biotheranostics submitted additional data to the NCCN, with the hopes that it would elevate the BCI’s category. In August 2019, a week prior to the summit, the panel convened but results of the panel meeting were not slated to be disclosed for months. Biotheranostics’ salespeople were instructed not to discuss a product’s positioning in the NCCN guidelines with panel members.

1 The National Comprehensive Cancer Network (“NCCN”) is a nonprofit organization focusing on patient care, research, and education.

2 The NCCN ranks products as Category 1, Category 2A, Category 2B, or Category 3.

During his presentation at the summit, Abraham stated that there was data supporting the use of the BCI as an appropriate test for certain patients, but current NCCN guidelines did not endorse using the index to determine the use of extended endocrine therapy.

Gerace approached Abraham after his presentation. Gerace was aware that the panel had recently met and admitted that he was “anxiously” hoping for positive news about the BCI’s positioning in the guidelines.

According to Abraham, Gerace’s demeanor during the encounter was “red-faced” and Gerace was in his personal space and pointing his finger at him. Abraham felt pressured regarding confidential panel deliberations because of his conversation with Gerace. A fellow breast cancer oncologist who witnessed the encounter described Gerace as “chasing Abraham as he was trying to leave, putting the doctor into a ‘fight-or-flight’ mode.”

After their encounter, Gerace left a note on Abraham’s chair. In the note, Gerace apologized to Abraham stating, in part, “I understand that the [NCCN] review is proprietary and confidential — as it should be and am sorry if my lack of clarity caused any concern.”

Following the interaction with Gerace, Abraham reached out to Biotheranostics and spoke with the vice president of marketing, Lisa Whitmyer. This was not the first time Abraham had contacted Biotheranostics to discuss Gerace’s concerning behavior. On a prior occasion, Abraham contacted

Biotheranostics to complain about Gerace’s aggressive sales tactics with CCF’s cancer doctors.

Abraham told Whitmyer he was worried about “his personal safety”

and therefore was “done with Biotheranostics.” Whitmyer concluded that Gerace’s behavior towards Abraham left the doctor “very upset” and “fearful.” Nevertheless, Abraham told Whitmyer that he did not want the company to take any action against Gerace — Abraham specifically asked Whitmyer to not take punitive action against Gerace. Whitmyer testified that Abraham “was adamant that we take no action” and that Abraham “went so far as to say, ‘I do not want him fired.’” Abraham was described by a coworker several days after the encounter as “still very rattled” and “visibly scared.”

Biotheranostics subsequently terminated Gerace’s employment. The company concluded that Gerace had had previous issues at CCF, had improperly attempted to speak with a NCCN panel member about the NCCN Guidelines, and the salesman’s actions had left Abraham shaken.

Gerace subsequently filed suit against his former employer in California and against CCF and Abraham in Cuyahoga County Common Pleas Court. The California court determined that it was not the proper forum and dismissed Gerace’s complaint against Biotheranostics. Gerace refiled against Biotheranostics in Cuyahoga County Common Pleas Court, alleging violations of California law and wrongful discharge in violation of Ohio public policy. Biotheranostics filed a motion to dismiss Gerace’s complaint, which the trial court granted. Gerace appealed. This court affirmed the trial court’s decision, agreeing that Gerace could not set forth claims under California law in Ohio and was unable to establish a claim for wrongful discharge in violation of public policy. Gerace v. Biotheranostics, Inc., 2022-Ohio- 302 (8th Dist.).

In the instant case, Gerace’s complaint alleged tortious interference with a business or employment relationship. CCF and Abraham moved for summary judgment. The trial court granted the motion, finding that no genuine issue of material fact remained and reasonable minds could only come to one conclusion, which was adverse to Gerace.

Gerace filed the instant appeal.

I. The trial court erred by granting summary judgment in favor of CCF/Abraham with no factual or legal analysis, thus impermissibly overlooking, failing to credit, and/or weighing evidence in a manner adverse to Plaintiff-Appellant James Gerace at the summary judgment stage.

II. The trial court erred by finding that communications between counsel for CCF/Abraham and counsel for Biotheranostics (BTX) were shielded from disclosure by the common-interest privilege.

III. The trial court erred by failing to conduct an evidentiary hearing or in camera review before finding that communications between counsel for CCF/Abraham and counsel for BTX were protected from disclosure by the common-interest privilege.

IV. The trial court erred by failing to require CCF/Abraham to provide a privilege log detailing documents withheld during discovery as privileged.

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Gerace v. Cleveland Clinic Found., 2024 Ohio 2708, 248 N.E.3d 872 (Ohio Ct. App. 2024).

2024 Ohio 2708 (Gerace v. Cleveland Clinic Found.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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