Hicks v. Bryan Medical Group, Inc.

287 F. Supp. 2d 795, 2003 U.S. Dist. LEXIS 23674, 2003 WL 22405853
CourtDistrict Court, N.D. Ohio
DecidedApril 21, 2003
Docket3:01 CV 7153
StatusPublished
Cited by8 cases

This text of 287 F. Supp. 2d 795 (Hicks v. Bryan Medical Group, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hicks v. Bryan Medical Group, Inc., 287 F. Supp. 2d 795, 2003 U.S. Dist. LEXIS 23674, 2003 WL 22405853 (N.D. Ohio 2003).

Opinion

ORDER

OLIVER, District Judge.

On March 29, 2001, Plaintiff E. Conrad Hicks, Jr., M.D. (“Hicks”) filed the instant action against Defendants Bryan Medical Group, Inc. (“BMG”) and Community Hospitals of Williams County, Inc. (“CHWC” or the “Hospital”), bringing claims of breach of contract, breach of fiduciary duty, wrongful discharge in violation of public policy, willful destruction of evidence, civil conspiracy, and tortious interference with a contract. 1 Both BMG and CHWC have filed motions for summary judgment, which are currently pending before the court (ECF Nos. 52 and 53). For the following reasons, both of these are granted in part and denied in part.

I. FACTS

A. The Parties

Hicks is a board certified obstetrician/gynecologist. In August of 1997, he began working at BMG, the physician practice group that staffs CHWC. The practice group is a closely-held corporation. At the time Hicks stopped working with BMG, he held a 1/29 interest in the corporation.

Hicks’ employment with BMG was pursuant to an Employment Agreement. The Agreement set forth Hicks’ duties as an employee of BMG and also provided for the manner in which he was to be compensated. Either party could terminate the Agreement without cause upon 90 days’ written notice. The Agreement also provided that Hicks could be terminated without notice in a number of specified instances.

B. The Hartman Litigation

In 1998, Hicks performed a caesarian section on Janice Hartman. Hartman’s anesthesia was administered by one of CWHC’s certified registered nurse anesthetists (“CRNA”). During the surgery, Hartman suffered an anesthesia-related injury which resulted in brain-death. It was determined that the alarms on the machines that monitored pulse oximetry readings had been turned off during her surgery. A lawsuit was filed against Hicks, BMG, the Hospital, and the CRNA who administered the anesthesia. Hicks was never disciplined by either BMG or the Hospital as a result of the Hartman litigation, although he ultimately settled the suit against him.

During the pendency of the Hartman litigation, Hicks learned from the CRNA’s deposition testimony that he believed that Hicks was his supervisor in the operating room. Prior to this testimony, Hicks did not have “a real clear idea” as to who was supervising the nurse anesthetist during his surgeries. (Hicks Dep. of May 21, 2002 (“Hicks Dep. I”) at 32). 2 He assumed that CRNAs could administer anesthesia on their own without the supervision of an anesthesiologist. On October 6, 1999, Hicks was deposed in the Hartman litigation. During his deposition, he testified that he was not qualified to take responsibility for, nor make decision about, delivery of anesthesia. Hicks’ position with respect to anesthesia care was later seconded by another of BMG’s physicians, Dr. Thomas Coon. Specifically, Coon wrote a letter to Rusty Brunicardi, the President *799 of CWHC, on January 21, 2000, expressing his view that most physicians did not believe they should supervise the CRNAs during surgery. (PL’s Ex. 8, Letter of 1/21/2000 from Coon to Bruniardi) (“The testimony of the physician in question is probably an accurate reflection of the way most of us feel on the medical staff.”).

C. The Hospital’s Medical Staff Bylaws and Ohio Law on CRNAs

CWHC’s Medical Staff Bylaws contain a number of provisions regarding physicians’ responsibilities with respect to nurse anesthetists. In relevant part, they provide:

Physician’s Responsibilities:
H* * * * * *
3. The physician Director of Anesthesia Service will be responsible for supervising the Nurse Anesthetist and will lend assistance when necessary.
Ht * * * * *
4. Cosign anesthetist’s orders and discharge from Recovery Room.
5. The surgeon assumes ultimate responsibility for his patient in the operating room when anesthesia is administered by CRNA. The surgeons shall assume the role and responsibility of leadership in the event that a problem develops when the CRNA is administering anesthesia, until such time as other physicians are involved. Because physicians are immediately available, this responsibility may be transferred from the surgeon to another physician becoming involved due to the circumstances of events.

(CHWC Bylaws, § 13). These provisions are consistent with Ohio law on nurse anesthetists, which provides that CRNAs can only administer anesthesia “with the supervision and in the immediate presence of a physician.” Ohio Rev.Code § 4731.43(B); see also Ohio Rev.Code § 4731.35. Prior to the Hartman litigation, Hicks was not aware of this requirement, nor had he reviewed the Hospital’s Bylaws pertaining to the supervision of nurse anesthetists.

D. Aftermath of Hartman

On October 21, 1999, Hicks wrote the Board of BMG regarding his concerns about supervising the CRNAs. In his letter, Hicks addressed the fact that the Hospital did not have a Director of Anesthesia Services despite the Hospital Bylaw mandating that such an individual was to supervise the CRNAs. 3 Hicks noted that “[t]his creates a situation where the hospital is attempting to shift responsibility for the delivery of safe anesthesia services onto my shoulders.... This is an untenable situation for me, and an unsafe one for my patients, as my training and qualifications do not support such responsibility.” (Pl,’s Ex. 1, Letter of Oct. 21, 1999 from Hicks to BMG Board). Hicks requested that BMG hire a Physician Director of Anesthesia Services.

Although Hicks claims that his request went unanswered, BMG asserts that its Board responded by letter referring Hicks to the Hospital committees that monitor the quality of care at the Hospital, including anesthesia. The Board also assured Hicks that the Hospital and BMG had been recruiting an anesthesiologist “to assist with quality assurance monitoring as well as offer pain management and other services,” but had “not yet found the right person offering these services.” (Pl.’s Ex. *800 4, Letter of Dec. 9, 1999 from Harrison to Hicks).

Thereafter, Hicks continued to complain about the lack of anesthesia supervision. He went to the home of a colleague who was on the Board of Directors to express his concerns and allegedly got no response. Hicks next wrote to Dr. Adnan Al-Khaleefa, a BMG doctor who was then serving as the Hospital’s chief of staff, about his concerns arising out of the Hartman case. In his letter, Hicks reiterated that the Hospital considered him “to be supervising anesthesia services in any operating room setting” and requested Dr. Al-Khaleefa’s assistance in obtaining a functioning Director of Anesthesia Services at the Hospital. Dr.

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Bluebook (online)
287 F. Supp. 2d 795, 2003 U.S. Dist. LEXIS 23674, 2003 WL 22405853, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hicks-v-bryan-medical-group-inc-ohnd-2003.