Graciani v. Providence Health & Services

CourtDistrict Court, D. Alaska
DecidedJune 28, 2024
Docket3:18-cv-00087
StatusUnknown

This text of Graciani v. Providence Health & Services (Graciani v. Providence Health & Services) is published on Counsel Stack Legal Research, covering District Court, D. Alaska primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Graciani v. Providence Health & Services, (D. Alaska 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF ALASKA

DEBRA RENA GRACIANI,

Plaintiff, Case No. 3:18-cv-00087-JMK

vs. ORDER REGARDING PROVIDENCE HEALTH & PENDING MOTIONS SERVICES, KELLI RINAS, JAMES EFIRD, BRENDA FRANZ, and JAMES BLANKENSHIP,

Defendants.

Before the Court are several pretrial motions. At Dockets 444, 445, 446, 447, and 448, Defendants Providence Health & Services, Kelly Rinas, and Brenda Franz (collectively “Defendants”) move in limine to preclude Plaintiff Debra Rena Graciani from introducing certain evidence at trial. At Docket 469, Defendants also object to Plaintiff’s designation of two individuals as trial witnesses. Each motion is fully briefed. Additionally, at its Final Pretrial Conference on June 11, 2024, the Court sua sponte raised the issue of the parties’ stipulated bifurcation of trial. I. BACKGROUND A. Factual Background

This is an employment discrimination lawsuit arising from Ms. Graciani’s termination from her position as a nurse in the dialysis unit at Providence in 2016.1 Between 2015 and 2016, Ms. Graciani, who identifies as African-American, raised concerns about race-based preferences in employee scheduling in her unit, retaliation, and harassment.2 During the same period, Providence received a number of complaints that Ms. Graciani’s behavior was rude or disrespectful.3 Providence also received complaints

that Ms. Graciani had committed medication errors, among other things, which triggered an internal investigation.4 On October 8, 2016, Ms. Graciani treated a patient, L.M., in the dialysis suite.5 After Ms. Graciani finished treating L.M., they were transported to the progressive care unit and passed away.6 Following this incident, Providence investigated the handoff

from Ms. Graciani to staff in the progressive care unit and Ms. Graciani was placed on paid administrative leave.7 On November 1, 2016, Providence terminated Ms. Graciani.8 Her termination letter stated that “we have had ongoing discussions with you regarding concerns about your performance, and conduct” and informed Plaintiff that her conduct on

1 See Docket 91. 2 Docket 379 at 2–10. 3 Id. 4 Id. at 7–10. 5 Id. at 10. 6 Id. at 10–11. 7 Id. at 11. 8 Id. at 12. October 8, 2016, “violates Providence policy, the Code of Conduct, State of Alaska/Board of Nursing Statutes, and previous direction.”9

Following union grievance procedures and arbitration, Providence reduced Ms. Graciani’s termination to a written warning and reinstated her to a nursing position in Providence’s Intensive Care Unit (“ICU”) on January 24, 2018.10 However, Providence’s Chief Nurse Executive reported Ms. Graciani to the Board of Nursing, which resulted in a Division of Licensing proceeding.11 On June 13, 2022, the Administrative Law Judge, Judge Mandala, presiding over the proceeding issued a notice and proposed decision

revoking Ms. Graciani’s nursing license.12 Shortly thereafter, on August 11, 2022, Providence provided Ms. Graciani with a notice of termination of employment.13 Ms. Graciani appealed the Board of Nursing decision to the Alaska Superior Court.14 On November 24, 2023, the Superior Court affirmed the Board’s decision.15 B. Procedural Background

Over the course of this litigation, the Court has narrowed the claims Ms. Graciani may present at trial and the defendants against whom she may assert them. At Docket 379, the Court granted summary judgment and dismissed several of Ms. Graciani’s claims, including all claims against James Efird and James Blankenship. Remaining as defendants are (1) Providence Health & Services, (2) Brenda Franz, the

9 Id. 10 Id. at 13–14. 11 Id. 12 Docket 424-1. 13 Docket 426-3. 14 Docket 424-2. 15 Id. Clinical Director of Nursing at Providence, and (3) Kelly Rinas, the Clinical Nurse Manager at Providence. Three claims remain against these defendants: (1) a Title VII

disparate treatment claim against Providence; (2) a Title VII retaliation claim against Providence; and (3) a § 1981 claim against all Defendants. Ms. Graciani also seeks punitive damages. Additionally, at Docket 437, the Court took judicial notice of a state administrative proceeding and a state court proceeding and granted partial summary judgment in favor of Defendants on their after-acquired evidence defense. The Court

concluded that “if Ms. Graciani succeeds on her claims [at trial], Providence does not have to offer reinstatement or provide front pay, and must only provide backpay from the date of the unlawful discharge to November 18, 2021, when Providence employees discovered Ms. Graciani’s misconduct.”16 II. LEGAL STANDARD

A motion in limine is “a procedural mechanism to limit in advance testimony or evidence in a particular area.”17 A district court’s power to rule on motions in limine arises out of its “inherent authority to manage the course of trials.”18 Rulings on motions in limine are preliminary in nature, as a “district court may change its ruling at trial because testimony may bring facts to the district court’s attention that it did not anticipate at the

time of its initial ruling.”19

16 Docket 437 at 19. 17 United States v. Heller, 551 F.3d 1108, 1111 (9th Cir. 2009). 18 Luce v. United States, 469 U.S. 38, 41 n.4 (1984). 19 United States v. Bensimon, 172 F.3d 1121, 1127 (9th Cir. 1999) (citing id. at 41–42). III. DISCUSSION A. Defendants’ Motion in Limine No. 1

At Docket 444, Defendants move in limine for the Court to bar Ms. Graciani from presenting argument or evidence regarding her alleged mental, emotional, spiritual, and medical damages.20 They argue that Ms. Graciani has not designated an expert who is qualified to opine on over 100 alleged medical conditions and risks that she claims to have suffered as a result of her alleged injuries in this case.21 Defendants further argue that Ms. Graciani may not offer her lay opinion as to these damages as she is not a licensed

psychologist, psychiatrist, therapist, or medical doctor and her opinion is irrelevant and more prejudicial than probative.22 Defendants do not dispute that Ms. Graciani “may present ‘garden-variety emotional distress’ evidence in the form of generalized testimony from Plaintiff that she felt insulted, suffered some hurt feelings, resents Defendants’ actions, and/or that her life was temporarily disrupted by Defendants’ purported

conduct.”23 In opposition, Ms. Graciani argues that “[a] plaintiff in a civil rights case is not required to support the compensatory damages remedy with testimony from expert medical practitioners” and that a Title VII plaintiff can prove emotional injury without medical support.24

20 Docket 444 at 4, 10–11. 21 Id. at 8–9 (citing Ms. Graciani’s interrogatory responses). 22 Id. at 5, 11–14. 23 Id. at 6 n.3. 24 Docket 450 at 2 (citing Turic v. Holland Hospitality, Inc., 85 F.3d 1211, 1215 (6th Cir. 1996)). Two evidentiary and legal principles are at play with respect to the issue of proving compensatory damages at trial in this case. First, “[t]he Ninth Circuit has

repeatedly held that plaintiff’s testimony regarding emotional damages is sufficient evidence for a jury to award damages.”25 However, the Federal Rules of Evidence limit the testimony a lay witness may offer.

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