Greene v. Tinker

332 P.3d 21, 2014 WL 3973533, 2014 Alas. LEXIS 166
Alaska Supreme Court·Decided August 15, 2014·No. 6941 S-14965·Published·Cited by 24 cases

Opinion

OPINION

FABE, Chief Justice.

I. INTRODUCTION

A patient at a health clinic learned that a clinic employee, who was not authorized to access the patient's medical record, had discussed the patient's pregnancy with a clerical worker at the clinic. In a complaint to the employee's supervisor, the patient accused the clinic employee of breaching medical confidentiality.

Shortly afterward, the clinic operator fired the employee, citing a breach of confidentiality. The employee then sued the patient for defamation. The patient counterclaimed for invasion of privacy and abuse of process, the latter claim being based on the employee's filing and withdrawing an earlier petition for a protective order. At some point the clinic investigated the patient's complaint and determined that it was unsubstantiated. It was later revealed that the patient herself was the source of the employee's knowledge about the patient's pregnancy.

At trial the patient claimed that she had an absolute privilege to accuse the employee of breaching medical confidentiality. The superior court rejected that argument and determined that the patient had only a conditional privilege, and later instructed the jury accordingly. The superior court also denied the patient's motion for summary judgment and made several challenged evidentiary rulings.

After a three-day jury trial, the superior court granted a directed verdict on the patient's abuse-of-process counterclaim. The jury returned a verdict for the employee on her defamation claim, awarding one dollar in nominal damages; the jury rejected the patient's counterclaim of invasion of privacy. Finding the employee to be the prevailing *25 party, the superior court awarded her partial attorney's fees.

The patient appeals the superior court's ruling on conditional privilege, its denial of her motion for summary judgment, and its evidentiary rulings. She also alleges errors in the superior court's jury instructions, in its decision to grant a directed verdict on her abuse-of-process counterclaim, and in its award of attorney's fees to the employee. She claims various violations of her state and federal constitutional rights.

We conclude that the superior court did not err in any of its legal or evidentiary rulings or in its instructions to the jury, and we therefore affirm the superior court in all respects.

II. FACTS AND PROCEEDINGS

A. Facts

Beverly Tinker and Karen Greene are from the community of Pilot Station. The two are distantly related. There is a history of animosity between Greene and Tinker and between their respective families.

In 2007 Tinker improperly accessed Greene's medical file at the Pilot Station Health Clinic, where Tinker was employed and where Greene was a patient. Tinker claimed she was merely looking up an appointment date for Greene and that she shared the appointment information with Rose Zacharof, a clerical worker at the clinic. According to Greene, Tinker was looking at the file because she was trying to discover medical information about Greene.

Greene filed a complaint about this incident with the clinic operator, the Yukon-Kuskokwim Health Corporation (YKHC). YKHC reprimanded Tinker and gave her the opportunity to participate in a "performance improvement program" addressing confidentiality requirements; the alternative was termination of her employment. 1 Following the incident, Greene requested that YKHC ensure that Tinker not have access to her medical records in future; YKHC explicitly directed Tinker never to look at Greene's records again.

In October 2009 William Schreiner, an official of YKHC, attended a meeting of the local tribal government, the Pilot Station Traditional Council, to address community concerns about breaches of confidentiality that had occurred at the Pilot Station Health Clinic. Greene insists that Schreiner was there to assuage concerns about Tinker specifically; the meeting minutes can be read as indicating this, but are somewhat ambiguous. In any event, Schreiner promised the meeting attendees that any further breach of confidentiality would result in the termination of the staff member responsible.

The events leading to this case took place in the spring of 2011. At that time, Greene was in the early stages of pregnancy, as was Tinker's sister, Candace Heckman. 2 Greene visited the Pilot Station Health Clinic for prenatal care. According to Greene, at her first prenatal visit she asked a YKHC staff member to ensure that Tinker not learn of her pregnancy, and in particular that Tinker not learn of her due date. In addition to Greene's concerns about Tinker's unauthorized access to her medical file in 2007, Greene and her husband were especially solicitous of keeping Greene's pregnancy private because of a miscarriage that had occurred during the early stages of a previous pregnancy.

In March 2011, when Greene was approximately nine weeks pregnant, Rose Zacharof, the clinic clerical worker, informed Greene that on a recent day when Zacharof and Tinker were working alone at the clinic, Tinker had told Zacharof that Greene was pregnant and had remarked that Greene's due date was the same Heckman's. Greene *26 was troubled that Tinker apparently knew her due date, believing that Tinker had learned the information by looking at Greene's medical file Greene went to the clinic and confronted Tinker, asking Tinker how she knew of her pregnancy and due date. Tinker refused to speak with Greene about the issue and directed Greene to speak with her supervisor. According to Greene, Tinker's response-referring Greene to a supervisor rather than explaining how she had learned of Greene's pregnancy and due date-persuaded Greene that Tinker had learned the information at work. On March 25, 2011, Greene filed a second complaint with the clinic; she mentioned Tinker's confidentiality breach in 2007 and strongly implied that Tinker had now repeated that misconduct.

Tinker later testified that she did in fact speak with Zacharof about Greene's pregnancy and due date, but she denied that she ever looked at Greene's medical file after the 2007 incident. According to Tinker, the news of Greene's pregnancy and due date had reached her through a gossip chain that began with Greene herself, Tinker said she learned the information from her sister, Heckman, and that Heckman had heard it from Teresa Paukan, a mutual acquaintance of Tinker and Greene. Tinker's account, corroborated by Paukan at trial, was that in February 2011 Greene told Paukan that she was pregnant while Greene and Paukan were attending a basketball game in Pilot Station. After Paukan heard the news from Greene, Paukan shared it with Heckman, who was also at the basketball game; Heckman then told Tinker. The two sisters then discussed the possibility that Greene and Heckman might have the same due date, which they thought remarkable because Greene and Heckman had apparently given birth on the same date in 2009. 3

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Greene v. Tinker, 332 P.3d 21, 2014 WL 3973533, 2014 Alas. LEXIS 166 (Ala. 2014).

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