Giannelli v. St. Vincent's Hospital & Medical Center

160 A.D.2d 227, 553 N.Y.S.2d 677, 1990 N.Y. App. Div. LEXIS 3820
CourtAppellate Division of the Supreme Court of the State of New York
DecidedApril 5, 1990
StatusPublished
Cited by31 cases

This text of 160 A.D.2d 227 (Giannelli v. St. Vincent's Hospital & Medical Center) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Giannelli v. St. Vincent's Hospital & Medical Center, 160 A.D.2d 227, 553 N.Y.S.2d 677, 1990 N.Y. App. Div. LEXIS 3820 (N.Y. Ct. App. 1990).

Opinion

—Order of the Supreme Court, New York County (Ethel Danzig, J.), entered May 10, 1989, inter alia, denying a motion by defendant Anthony J. Acinapura (CPLR 3211 [a] [7]; 3212) to the extent that it sought dismissal of plaintiff’s first cause of action for breach of contract and dismissal of plaintiff’s third cause of action for intentional interference with contractual relations; granting such motion to the extent that it sought dismissal of portions of plaintiff’s first cause of action for defamation and prima facie tort; and granting the motion of defendants St. Vincent’s Hospital et al. (CPLR 3211 [a]) dismissing the complaint against defendants McQuade, Brooks and Hicks and otherwise denying such motion, without prejudice, unanimously modified, on the law, to the extent of dismissing in their entirety the first and third causes of action against Anthony J. Acinapura, and otherwise affirmed, without costs.

This action arises from the April 1, 1986 suspension of plaintiff’s privileges to perform cardiovascular surgery at St. [228]*228Vincent’s Hospital and Medical Center (St. Vincent’s or the hospital). St. Vincent’s maintains that the decision to suspend plaintiff’s privileges was due to the high mortality rate of plaintiff’s cardiac surgery patients and to plaintiff’s unsatisfactory surgical performance. Plaintiff claims, however, that the suspension was in retaliation for his unabated criticism of the operations of the hospital’s cardiac unit and of the administrator of that unit, defendant Dr. Anthony Acinapura. Plaintiff claims that defendants conspired to suspend his privileges, defamed him and effectively destroyed his medical practice.

Plaintiff, Dr. Stanley Giannelli, Jr., is a licensed physician specializing in cardiac surgery, who was chief of thoracic and cardiovascular surgery at St. Vincent’s from 1963 until 1978. Thereafter, plaintiff continued to be a member of the hospital’s medical staff and continued his privileges to perform cardiac surgery at St. Vincent’s.

In 1985 the New York State Cardiac Surgical Advisory Committee, established by the State Commissioner of Health, evaluated the cardiac surgery unit at St. Vincent’s and determined the unit’s mortality figures exceeded the Committee’s guidelines. As a result defendant Thomas Nealon, Jr. (Dr. Nealon), director of the department of surgery at St. Vincent’s, ordered that, commencing July 1, 1985, cumulative mortality rate reports be prepared. Upon review of one such quarterly report in January of 1986, Dr. Nealon found that the mortality rates for the patients of plaintiff and of one other doctor were unacceptably high. Dr. Nealon therefore ordered that Dr. Acinapura, who had succeeded plaintiff in 1978 as chief of the thoracic and cardiovascular surgery unit, carefully monitor the surgical performances of plaintiff and of the other surgeon.

Thereafter, Dr. Nealon received reports from Dr. Acinapura and from other physicians concerning plaintiff’s performance during two specific cardiac surgical procedures, reviewed the patients’ records and discussed the surgery with plaintiff. Then, by letter dated April 2, 1986, Dr. Nealon advised plaintiff that effective April 1, 1986 plaintiff’s privileges to operate on coronary arteries and on heart valves at the hospital were suspended upon the recommendation of Dr. Acinapura, with which recommendation he (Nealon) concurred. The letter further stated that this action was being taken in the interest of patient welfare and safety. Plaintiff’s ability to perform other surgery for which he was qualified and his other privileges as a member of the medical staff were not affected.

[229]*229The hospital’s credentials committee reviewed the matter on April 11, 1986 and did not approve the suspension. When Nealon refused to reinstate plaintiff, the matter was referred to the executive committee of the medical staff before which plaintiff, Nealon and Acinapura made statements. By letter of April 29, 1986, the executive committee sustained the suspension.

Plaintiff then requested an intrahospital hearing pursuant to article I, section H of the hospital’s medical staff bylaws. Following a hearing, the members of the hearing committee, defendants Dr. Enrique Bonfils-Roberts, Dr. James Dooley, Dr. Robert McGrath and two other members of the medical staff voted to confirm the suspension. A judicial review committee, comprised of defendants Dr. Jesse Blumenthal, Dr. Robert Braff, Dr. Sverrir Georgsson (Georgsson), Bernard Brooks (Brooks), George Doty and Bernard Ruggieri, was convened and conducted a further hearing. This committee also confirmed the suspension. Thereafter, the board of trustees of the hospital adopted the recommendation of the judicial review committee.

By verified complaint of July 6, 1987, plaintiff commenced this action for compensatory and punitive damages against St. Vincent’s, and against administrators and staff members who participated in the decision to terminate his cardiac surgery privileges or in the intrahospital appeal procedure which followed. Plaintiff alleged that since 90% of the surgery conducted by him involved coronary arteries and heart valves, the suspension effectively brought his practice to a standstill and severely damaged his career and reputation as a leading cardiac surgeon in New York City.

The first cause of action of the complaint charges all defendants with breach of contract in depriving plaintiff of his surgical privileges in violation of procedures set forth in the hospital bylaws, prima facie tort in that in retaliation for his criticisms of cardiac surgical services and of Acinapura, the defendants conspired to deprive him of - privileges, and that defendants Nealon, Acinapura, Lambert King (vice-president of professional affairs [King]), Margaret Sweeney (president of the hospital [Sweeney]), Theodore Druhot (executive vice-president of the hospital [Druhot]), and Robert Hicks (director of anesthesiology [Hicks]), in pursuance of this conspiracy defamed him. Under the first cause plaintiff seeks lost income of $637,499, lost future income of $11,358,854, the value of his medical practice, $2,500,000, and legal fees of $45,556.

[230]*230The second cause of action charges that defendants Nealon, King and Acinapura defamed and libeled plaintiff, causing damage to his reputation. Specifically, plaintiff alleges that on March 18 and April 1, 1986 Acinapura wrote to Nealon making false statements and questioning the continuation of plaintiff’s privileges and that before the executive hearing committee and judicial review committee Nealon, Acinapura and King charged that plaintiff had abandoned a patient and made other statements suggesting that plaintiff was incompetent.

The third cause of action is against defendant Acinapura. It alleges that Acinapura is a competitor and that his conduct constitutes unfair trade practices, unfair competition and illegal restraint of trade.

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Bluebook (online)
160 A.D.2d 227, 553 N.Y.S.2d 677, 1990 N.Y. App. Div. LEXIS 3820, Counsel Stack Legal Research, https://law.counselstack.com/opinion/giannelli-v-st-vincents-hospital-medical-center-nyappdiv-1990.