Keenan v. Maricopa County Special Health Care District

District Court, D. Arizona·Decided March 8, 2022·No. 2:18-cv-01590·Unknown

Opinion

WO

Jack B Keenan, No. CV-18-01590-PHX-DJH

Plaintiff, ORDER

v.

Maricopa County Special Health Care District, Defendant. Pending before the Court are Defendant’s Motion for Summary Judgment (Doc. 126) and Plaintiff’s Partial Motion for Summary Judgment (Doc. 127). The parties have filed their respective response and replies,1 and the matter is fully briefed. In addition, Plaintiff has filed a Motion for Sanctions (Doc. 139). Defendant has filed a Response (Doc. 142), and Plaintiff has filed a Reply (Doc. 143).2 I. Factual Background In June 2016, Plaintiff Dr. Jack Keenan began his medical residency at Defendant Maricopa Integrated Health System (“MIHS”). (Docs. 126 at 2; 127 at 2). The present action stems from the events that culminated in the termination of his residency in June 1 Dr. Keenan filed his Response (Doc. 130) to MIHS’s Motion, and MIHS filed a Reply (Doc. 135). Likewise, MIHS filed its Response (Doc. 129) to Dr. Keenan’s Motion, and Dr. Keenan filed a Reply (Doc. 136). 2 Dr. Keenan requested oral argument on both of his Motions. (Docs. 130; 139). The requests are denied. The Court finds that the issues have been fully briefed and oral argument will not aid the Court’s decision. Therefore, the Court will deny the requests for oral argument. See Fed. R. Civ. P. 78(b) (court may decide motions without oral hearings); LRCiv 7.2(f) (same). 2017. As told by Dr. Keenan, his termination was the result of false complaints MIHS staff made against him and the staff’s subsequent retaliatory actions. (Docs. 1 at ¶ 26; 127 at 14). As told by MIHS, Dr. Keenan performed poorly as a resident and was ultimately terminated for failing to follow MIHS policies. (Doc. 126 at 3, 7). Before Dr. Keenan’s residency began, he and MIHS entered into a Resident Physician Employment Contract (the “Contract”) that sets forth the terms of the residency. (Doc. 127-1 at 7–32). The Contract states MIHS is a “teaching institution” but that the relationship it has with Dr. Keenan “is one of employer and contract-employee.” (Id. at 8). The Contract generally lists Dr. Keenan’s duties, including his duty to adhere to MIHS policies and procedures. (Id. at 10). Under the Contract, MIHS is responsible for providing “grievance and due process procedures” related to resident disciplinary matters. (Id. at 18). The start of Dr. Keenan’s residency did not go well. Dr. Keenan failed his trauma rotation and received negative performance reviews. (Doc. 126 at 4). As a result, Dr. Elizabeth Ferguson, MIHS’ Program Director (“PD”) for the General Surgery Training Program and Designated Institutional Official (“DIO”), placed Dr. Keenan on “Concern Status” in February 2017. (Docs. 126 at 5; 127 at 3). In a letter detailing the reasons for his placement on Concern Status, Dr. Ferguson warned that “[f]urther deficiencies or issues with honesty and integrity could result in probation or even termination.” (Doc. 126-1 at 151). As part of a “remediation plan” Dr. Keenan was required to meet on a regular basis with a mentor and the associate program director, Dr. Karole Davis. (Doc. 126-1 at 162). On April 10, MIHS placed Dr. Keenan on probation. (Docs. 216 at 6; 127 at 5). MIHS argues it did so for several reasons, including that Dr. Keenan threatened to physically harm another resident and that he failed to show up for a morning shift because he overslept. (Doc. 216 at 6). Dr. Keenan argues he never threatened another resident and that he overslept because Dr. Ferguson had scheduled him to work thirty-six hours in the forty-eight-hour period prior to when he was supposed to show for the next shift. (Doc. 130 at 5–6). Dr. Keenan appealed his placement on probation, and, on May 18, 2017, a three- member Appeals Committee conducted a hearing. (Docs. 126 at 6; 127 at 7). On May 25, 2017, Dr. Keenan met with Dr. Chandrika Shankar, one of the three Appeals Committee members, and Phyllis Thackrah, the Director of Academic Affairs. (Docs. 126 at 7; 127 at 9). They notified Dr. Keenan that the Appeals Committee had upheld the decision to place him on probation. During that meeting, Dr. Keenan revealed that he had recorded conversations with attending physicians and faculty about his performance. (Docs. 126 at 7; 127 at 9). MIHS argues that the recordings Dr. Keenan made directly violate MIHS policies that prohibit audio recording devices in the workplace and that “require employees to maintain high standards of honesty and integrity.” (Doc. 126 at 7). After this meeting, MIHS informed Dr. Keenan that it intended to terminate his residency. (Docs. 126 at 7; 127 at 10). MIHS then informed Dr. Keenan he had the right to meet with Dr. Eric Katz to explain why he should not be terminated. (Doc. 126 at 7). MIHS argues that Dr. Katz had been appointed as a DIO-designee to serve as a neutral official. (Id.) However, Dr. Keenan declined to meet with Dr. Katz. (Doc. 126-1 at 56). MIHS then terminated the residency on June 16, 2017. (Doc. 126 at 7) Dr. Keenan subsequently sent an email contesting the reasons for his termination, which MIHS construed as an appeal. (Id.) A hearing was scheduled to take place on July 14. Dr. Keenan wished to record the proceedings, but the Appeals Committee declined to proceed until Dr. Keenan agreed not to record the hearing. (Docs. 126 at 8; 127 at 11). The hearing was rescheduled to August 11, 2017, and the Appeals Committee subsequently decided to uphold the decision to terminate Dr. Keenan’s residency. (Docs. 126 at 8; 127 at 12). As articulated in an August 16, 2017, letter to Dr. Keenan, the Appeals Committee reviewed whether the decision to terminate the residency “was arbitrary or taken without reasonable cause.” (Doc. 126-2 at 45). It upheld the decision, finding that Dr. Keenan’s failure to comply with MIHS ethics policy and his secret recording of conversations with MIHS staff constituted sufficient cause. (Id.) II. Procedural Background Dr. Keenan filed his Complaint in May 2018. (Doc. 1). It brings six counts against MIHS. Counts One and Two allege MIHS placed Dr. Keenan on probation and terminated him in violation of his federal due process rights. (Id. at ¶¶ 126–31). Counts Three and Four allege MIHS breached the terms of the Contract when it placed him on probation and subsequently terminated him. (Id. at ¶¶ 132–36).3 Discovery, as planned in the original Scheduling Order,4 should have ended on May 3, 2019. (Doc. 46). After a dispute arose between the parties regarding MIHS’ production of electronically stored information (“ESI”), the parties filed a Motion notifying the Court that they agreed in principle to create a “Protocol Agreement” whereby a neutral forensic expert (the “Expert”) would conduct a search of MIHS computer devices. (Doc. 70). The parties requested the Court’s assistance in settling disputes as to how the Expert should conduct a search. (Id.) The Court then issued an Order approving the Protocol Agreement and detailing what search terms the Expert would use, whether the Expert would be allowed to recommend additional terms, which computers would be forensically imaged, and how the documents would be copied and exported. (Doc. 74). On November 25, 2020, the Court then ordered the parties to execute the Protocol Agreement. (Doc. 102). The implementation of the Protocol Agreement was slow and arduous, and Dr. Keenan filed multiple motions seeking to change the Agreement’s terms by reconsidering prior Orders affirming those terms. (Docs. 112; 116). Despite the fact that the parties had known since September 2019, at the latest, that they would need to find an Expert for the Protocol Agreement, one was not hired until February 2021. (Doc. 113). After more delays in the production of ESI under the Protocol Agreement, the final pieces of discovery were to be delivered to Dr. Keenan in May 2021, three years after Dr. Keenan fil

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Keenan v. Maricopa County Special Health Care District, (D. Ariz. 2022).

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