Hartsuch, David v. The Howard Young Medical Center, Inc.

CourtDistrict Court, W.D. Wisconsin
DecidedAugust 26, 2021
Docket3:20-cv-00325
StatusUnknown

This text of Hartsuch, David v. The Howard Young Medical Center, Inc. (Hartsuch, David v. The Howard Young Medical Center, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hartsuch, David v. The Howard Young Medical Center, Inc., (W.D. Wis. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WISCONSIN

DAVID HARTSUCH,

Plaintiff, v. OPINION and ORDER

ASCENSION MEDICAL GROUP–NORTHERN 20-cv-325-jdp WISCONSIN, INC. and JENNIE LARSON,

Defendants.

Plaintiff David Hartsuch is a physician who worked at Howard Young Medical Center, a hospital operated by defendant Ascension Medical Group–Northern Wisconsin, Inc. Hartsuch has sued Ascension and one of its employees for wrongful discharge and for tortious interference with his employment contract with Delta Locum Tenens, the staffing agency that placed him at the hospital. Hartsuch says that Ascension fired him for criticizing its procedures related to COVID-19. Defendants move for summary judgment on all of Hartsuch’s pending claims. Dkt. 38. (Hartsuch has withdrawn a defamation claim. See Dkt. 59, at 15.) Hartsuch relies on the public policy exception to Wisconsin’s employment-at-will doctrine, under which a termination may be unlawful if it violates a well-defined public policy clearly established in existing law. Hartsuch’s concerns over the hospital’s COVID-19 protocols might have been valid ones, but his termination was prompted most directly by his repeated threats that he would not show up for his shifts. And, for reasons explained more fully in this opinion, his termination did not violate any clearly established public policy. The court will grant defendants’ motion for summary judgment and close the case. BACKGROUND The following facts are undisputed. Hartsuch is a physician based in Iowa who has more than 20 years of experience in emergency medicine. Defendant Ascension Medical Group–Northern Wisconsin is an affiliate

of Ascension Healthcare, which operates hundreds of healthcare facilities across more than 20 states. Ascension Medical Group contracts with physicians and other healthcare staff to provide clinical services at facilities in northern Wisconsin that are part of the Ascension Healthcare family. One of the facilities served by Ascension is Howard Young Medical Center, a hospital in Woodruff, Wisconsin. Ascension had a contract with a staffing agency called Delta Locum Tenens under which Delta would “offer[] pre-vetted healthcare providers . . . to provide services . . . on temporary

assignments.” Dkt. 62, ¶ 34. During the time relevant to this case, Hartsuch had a contract with Delta under which it would provide Hartsuch with locums tenens–meaning temporary– assignments. In fall 2019, Ascension reached out to Delta to find a suitable locum tenens physician to fill a vacancy in the emergency department at Howard Young. Delta offered Hartsuch, and Heong P’ng, the medical director for emergency services, approved Hartsuch for the assignment. On March 18, 2020, Ascension’s epidemiologists and infection control specialists issued

guidance relating to COVID-19 that was based on the CDC published recommendations and guidelines in effect at that time. Defendant Jennie Larson, who was the hospital’s supervisor of physician-based services, emailed the guidance to the hospital’s locum tenens physicians. On March 20, Hartsuch spoke to P’ng about some concerns related to protecting against COVID-19. Hartsuch’s suggestions included the use of negative pressure rooms for intubating potential COVID-19 patients and using portable HEPA air filters. Hartsuch also raised concerns about Ascension’s masking and discharge policies. Hartsuch told P’ng that he wasn’t

sure he could “continue to work in a place that wasn’t making progress” toward the improvements he had identified. Dkt. 62, ¶ 85. On March 23, Hartsuch sent the following email to Larson: I have reviewed your policies and regard them as insufficient to protect the health and safety of health care workers and the patients they treat. For starters, your recommendation is that only surgical masks be w[o]rn with known COVID-19 cases unless aerosol generating procedures are being performed. The CDC also recommends the use of respirators by personnel who are caring for COVID-19 patients for prolonged periods of time. Your policy was obviously adopted to safeguard the utilization of N-95 masks rather than protect the health and safety of health care workers and their patients[.] Regarding the admission criteria for patients with COVID-19 is made without regard for the ability of patients to self-isolate at home. This is in direct opposition to the position of the CDC and WHO which state that patients not requiring hospitalization should only be discharged to home if they can indeed self-isolate. What about a 10 year old child who lives with his elderly grandparent with medical conditions. CDC and WHO guidelines would suggest that this patient not be discharged into such a situation. Your discharge instructions state that only the patient and the caregiver should remain in the house and that all others should seek alternate housing. However, it is likely that those other household members are already infected and having them seek alternate housing will merely infect other households. Very irresponsible and ultimately lead to increased cases which will tax our medical system. Studies have shown that isolation at home with a quarantine of the household is more effective at curbing the spread of disease. Current policy at Howard Young is to limit visitors to 2, even those in respiratory isolation. At this time no visitors should be allowed with patients in order to limit possible spread of the disease, except that those are necessary for patient care. Additionally, health care workers should social distance among themselves to prevent infecting each other. The hospital should provide scrubs that are laundered by the hospital and health care workers should not wear home dirty scrubs. On the whole, your policies are minimalist, insufficient, and give little regard to the health and safety of patients and caregivers. I would welcome the opportunity to discuss this with you and your Chief Medical Officer. Id., ¶ 95. The next day, in the early morning hours, Hartsuch sent a follow-up email before anyone had responded to him: After review of the CDC guidelines for optimizing the supply of N-95 respirators, I find that your current guidelines are NOT consistent with CDC guidelines. The CDC does not recommend the use of normal surgical masks to care for patients with COVID- 19 as a mechanism for conserving N-95 masks. Specifically, they recommend that N-95 masks be w[o]rn when caring for patients with COVID-19. Some conservation techniques that should be used are: 1) limit the number of patients contacts with COVID-19 patients. 2) Cohort COVID-19 patients so that there is no[] need to reuse masks[.] 3) Employ COVID-19 positive health care workers to care for COVID-19 patients. 4) Use portable germicidal air purifiers to reduce exposure to COVID-19 in the patient’s room and for procedures. 5) Mitigate potential exposure by restricting exposure of health care workers who have risk factors for death from COVID-19. Again I must re-iterate that your proscribed policies are not consistent with CDC guidelines and place health care workers and patients at risk. I have spoken to Dr. P[’]ng regarding the policies in force at Howard Young and have told him that if Ascension does not improve their safety protocols I cannot continue to work at Howard Young in good conscience. He has assured me that the Safety procedures are being improved. Your correspondence has done little to allay my concerns. I would ask that you adopt policies consistent with CDC guidelines. Id., ¶ 104. Larson forwarded Hartsuch’s emails to P’ng, who reviewed them.

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

Related

RLI Insurance Company v. Conseco, Inc.
543 F.3d 384 (Seventh Circuit, 2008)
Goggins v. Rogers Memorial Hospital Inc.
2004 WI App 113 (Court of Appeals of Wisconsin, 2004)
Batteries Plus, LLC v. Mohr
2001 WI 80 (Wisconsin Supreme Court, 2001)
Kempfer v. Automated Finishing, Inc.
564 N.W.2d 692 (Wisconsin Supreme Court, 1997)
MacKenzie v. Miller Brewing Co.
2000 WI App 48 (Court of Appeals of Wisconsin, 2000)
Hale v. Stoughton Hospital Ass'n, Inc.
376 N.W.2d 89 (Court of Appeals of Wisconsin, 1985)
Hausman v. St. Croix Care Center
571 N.W.2d 393 (Wisconsin Supreme Court, 1997)
MacKenzie v. Miller Brewing Co.
2001 WI 23 (Wisconsin Supreme Court, 2001)
Reilly v. Waukesha County
535 N.W.2d 51 (Court of Appeals of Wisconsin, 1995)
Brockmeyer v. Dun & Bradstreet
335 N.W.2d 834 (Wisconsin Supreme Court, 1983)
Bammert v. Don's SuperValu, Inc.
2002 WI 85 (Wisconsin Supreme Court, 2002)
Tatge v. Chambers & Owen, Inc.
579 N.W.2d 217 (Wisconsin Supreme Court, 1998)
Bushko v. Miller Brewing Co.
396 N.W.2d 167 (Wisconsin Supreme Court, 1986)
Strozinsky v. School District of Brown Deer
2000 WI 97 (Wisconsin Supreme Court, 2000)
Winkelman v. Beloit Memorial Hospital
483 N.W.2d 211 (Wisconsin Supreme Court, 1992)
Asma Masri v. State of Wisconsin Labor and Industry Review
2014 WI 81 (Wisconsin Supreme Court, 2014)
Lewis v. Bay Industries, Inc.
51 F. Supp. 3d 846 (E.D. Wisconsin, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
Hartsuch, David v. The Howard Young Medical Center, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/hartsuch-david-v-the-howard-young-medical-center-inc-wiwd-2021.