Johnson v. Nyack Hospital

169 F.R.D. 550, 1996 U.S. Dist. LEXIS 18660, 1996 WL 724708
CourtDistrict Court, S.D. New York
DecidedDecember 17, 1996
Docket94 Civ. 7464 (LAK)
StatusPublished
Cited by36 cases

This text of 169 F.R.D. 550 (Johnson v. Nyack Hospital) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Johnson v. Nyack Hospital, 169 F.R.D. 550, 1996 U.S. Dist. LEXIS 18660, 1996 WL 724708 (S.D.N.Y. 1996).

Opinion

OPINION

KAPLAN, District Judge.

Plaintiff Fletcher J. Johnson’s privileges to perform vascular and thoracic surgery at defendant Nyack Hospital were revoked in 1987. His 1994 reinstatement application was denied, purportedly on the ground that he failed to establish his current clinical competence. This is the third lawsuit he has brought concerning these events.1 What remains of this case is Dr. Johnson’s claim that Nyack’s 1994 action was the product of racial discrimination and violated 42 U.S.C. §§ 1981, 1985(3). The matter now is before the Court on defendant’s motion in limine and the motions of six other hospitals to quash subpoenae duces tecum served by Dr. Johnson and/or the defendants2 which seek to force them to produce, inter alia, peer review records concerning assessments of the performance at those other institutions of either Dr. Johnson or a number of other doctors on the Nyack Hospital medical staff.

The Context of the Discovery Dispute

Dr. Johnson claims that Nyack’s action was motivated by race and that Nyack’s claim that he failed to establish his clinical competence is a pretext. In support of these contentions, the amended complaint alleges that Dr. Johnson was granted vascular/thoracic surgery privileges at Pascack Valley and Jamaica Hospitals at about the same time that his reinstatement application was denied by Nyack and that he has an unblemished record at other hospitals at which he enjoys privileges. (Am Cpt ¶¶ 37, 43) In [553]*553order to meet these allegations, defendants have subpoenaed extensive records from Pascack Valley and Jamaica concerning Dr. Johnson’s surgical privileges and credentialing as well as records concerning Dr. Johnson’s performance from Engelwood Hospital and Medical Center and Good Samaritan Hospital as well as from Pascack Valley and Jamaica.

Dr. Johnson has cast an equally wide discovery net. He contends in substance that the standard applied to him by Nyack Hospital was elevated on account of his race and that Nyack, in extending or continuing privileges of white doctors, overlooked events at least as troublesome as those upon which it relied in taking action concerning Dr. Johnson. He therefore has served subpoenae duces tecum on four hospitals — Columbia Presbyterian Medical Center, Horton Medical Center, Westchester County Medical Center and Good Samaritan Hospital — seeking a wide range of documents concerning five other vascular/thoracic surgeons with privileges at Nyack, Drs. Steinglass, Ginsburg, Gorenstein, Schwartz and Trent, all of whom are members of Rockland Thoracic Associates, P.C. (“Rockland”).

Six of the hospitals have moved to quash the subpoenae served upon them. Broadly speaking, they claim that the records sought are privileged under New York or New Jersey laws that protect hospital peer review and quality assurance documents from discovery. The parties dispute the claims of privilege, but Nyack Hospital seeks by its motion in limine to moot or narrow much of the discovery controversy. It seeks to exclude:

“Any and all evidence (1) that in 1995 Dr. Johnson obtained privileges to perform thoracic and vascular surgery at Pascack Valley and Jamaica Hospitals; (2) that his record of vascular and thoracic surgery at hospitals other than Nyack Hospital ... demonstrates his competence, except to the extent that any such information was submitted to or considered by Nyack in connection with Dr. Johnson’s 1994 application for privileges; and (3) relating to the practice of thoracic and vascular surgeons other than Dr. Johnson at hospitals other than Nyack.” (Def.Mem. 1)

Discussion

The Motion In Limine

The standard of relevance that governs the admissibility of proof at trial is Fed.R.Evid. 401, which provides that “‘[Relevant evidence’ means evidence having any tendency to make the existence of any fact that is of consequence to the determination of the action more probable or less probable than it would be without the evidence.” The threshold question presented by the motion in limine is whether each of the categories of proof that Nyack now wishes to exclude meets this standard.

Privileges at Pascack Valley and Jamaica Hospitals

Dr. Johnson contends that Nyack Hospital denied his application for reinstatement in 1994 on the basis of race and that Nyack’s contention that Dr. Johnson had not established his competence is refuted by the fact that Pascack Valley and Jamaica Hospitals granted him comparable privileges more or less contemporaneously. Defendants argue that the actions of those hospitals are not probative, essentially on the theory that Nyack was entitled to set its own standards and, in any case, that Nyack’s action must be assessed against the information available to Nyack when it acted, which allegedly was different than that upon which the other hospitals based their determinations.

Defendants’ points are valid as far as they go, but they do not go far enough. While Nyack is entitled to set its own standards,3 the record developed to date does not permit the Court to conclude whether its standards were higher, lower or the same as the other hospitals. Similarly, there is no basis for concluding as a matter of law that the information before Pascack Valley or Jamaica was the same as or different from that upon which Nyack acted. To the extent, if any, [554]*554that the evidence ultimately would permit a trier of fact to conclude that the information before Nyack and the standards it applied in Dr. Johnson’s case made Nyaek’s circumstances comparable to those in which either or both of the other hospitals acted, it perhaps could lead a trier of fact to infer that Nyack acted for a different reason.4 The Court therefore cannot responsibly conclude that evidence of the privilege decisions at Pascack Valley and Jamaica Hospitals could have no tendency to establish that Nyack Hospital’s decision rested on a ground other than that which it claims.

A conclusion that Rule 401 has been or may be satisfied of course does not necessarily result in the receipt of the proffered evidence. Rule 403 permits the trial court to exclude even relevant evidence “if its probative value is substantially outweighed by the danger of unfair prejudice, confusion of the issues, or misleading the jury, or by considerations of undue delay, waste of time, or needless presentation of cumulative evidence.” And this is a case in which a Rule 403 objection to evidence concerning the Pascack Valley and Jamaica decisions might prove to be substantial. To mention only one of the considerations articulated by the rule, the greater the difference between the circumstances of their decisions and those of Nyack Hospital’s, the less the probative value of their actions. But the record now before the Court does not permit the careful weighing of probative value against adverse consequences that Rule 403 requires. Accordingly, Nyaek’s motion to exclude all evidence concerning the Pascack Valley and Jamaica Hospital privileges decisions is denied without prejudice to renewal following the close of discovery.

Dr. Johnson’s Performance at Other Hospitals

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Cite This Page — Counsel Stack

Bluebook (online)
169 F.R.D. 550, 1996 U.S. Dist. LEXIS 18660, 1996 WL 724708, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-v-nyack-hospital-nysd-1996.