Kenneth Econ. v. Sutter E. Bay Hosps.

243 Cal. Rptr. 3d 495, 31 Cal. App. 5th 1147
CourtCalifornia Court of Appeal, 5th District
DecidedFebruary 4, 2019
DocketA150211; A150738; A150962
StatusPublished
Cited by14 cases

This text of 243 Cal. Rptr. 3d 495 (Kenneth Econ. v. Sutter E. Bay Hosps.) is published on Counsel Stack Legal Research, covering California Court of Appeal, 5th District primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kenneth Econ. v. Sutter E. Bay Hosps., 243 Cal. Rptr. 3d 495, 31 Cal. App. 5th 1147 (Cal. Ct. App. 2019).

Opinion

POLLAK, P. J.

*498*1151May a hospital avoid its obligation to provide notice and a hearing before terminating a doctor's ability to practice in the hospital for jeopardizing patient quality of care, by directing the medical group employing the doctor to refuse to assign the doctor to the hospital? We agree with *1152the trial court that it may not, and that it will be liable for damages when it causes such a termination without complying with statutorily mandated procedures.

Defendants Sutter East Bay Hospitals and Alta Bates Summit Medical Center (collectively, the hospital) appeal a judgment awarding plaintiff Dr. Kenneth Economy substantial damages based on the suspension and later termination of his "staff privileges, membership, or employment" with the hospital. The termination was "based on a medical disciplinary cause or reason" without prior notice and a hearing in violation of Business and Professions Code1 section 809 et seq. The hospital contends the court erred in concluding that plaintiff was entitled to notice and a hearing prior to his suspension and termination and, alternatively, if he was entitled to any statutory protections, he failed to establish that the hospital's failure to hold a hearing caused his damages. The hospital also challenges the inclusion of approximately $650,000 in damages to account for "tax neutralization" on the ground that the evidence in support of the award was speculative.2 In a cross-appeal, plaintiff contends the court erred in denying his motion for attorney fees and costs under section 809.9. We find no error and shall affirm the judgment in full.

Background

The factual background is undisputed in most material respects. Plaintiff is an anesthesiologist who practiced at the hospital *499from 1991 until his termination in 2011. The hospital operates "closed" anesthesia departments pursuant to a contract with the East Bay Anesthesiology Medical Group (East Bay Group).3 Under the terms of the contract, the hospital retained East Bay Group "to provide administrative and coverage services to develop and *1153operate" various anesthesiology departments in the hospital. The East Bay Group's coverage responsibilities include, among others, hiring qualified physicians and providing a schedule under which physicians staff the departments. Every anesthesiologist that provides services at the hospital is required to be employed by East Bay Group. The contract requires that all physicians hired by the group be "a member in good standing of hospital's medical staff, with active and unrestricted medical staff privileges" and that East Bay Group notify the hospital immediately if any physician fails to meet the required professional qualifications. East Bay Group's administrative responsibilities include, among others, appointing a physician as a medical director to provide day-to-day administrative services to each department and to "participate in the hospital's peer review process as appropriate or as requested by the hospital or the medical staff." In addition, the medical directors are required to "develop and maintain an independent peer review process, which is administered by the group, for physicians that provide services under this agreement." Section 4.2, subdivision (c) of article IV of the agreement authorizes the hospital to require East Bay Group to immediately remove from the schedule any physician providing services under the agreement who, among other things, "[p]erforms an act or omission that jeopardizes the quality of care provided to hospital's patients."

In July 2011, the California Department of Public Health conducted an unannounced "medication error reduction plan" survey at the hospital to determine its compliance with state law. The surveyor found that plaintiff was responsible for numerous deficiencies regarding the use of the drug droperidol and that the deficiencies "placed patients at risk for undue adverse medical consequences." Accordingly, the surveyor declared that the hospital was in "immediate jeopardy" until a written plan correcting the violations was prepared and accepted.4

The hospital's administrators quickly formed a response team and contacted the anesthesia department medical director, Dr. Marc Schroeder. Because Schroeder was on vacation, he referred the inquiry to Dr. John Donovan, East Bay Group's president, designating Donovan to act as his representative.

Donovan met with the hospital's response team, including Dr. Steven O'Brien, the hospital's vice president of medical affairs. O'Brien asked and Donovan agreed to remove plaintiff from the anesthesia schedule pending further investigation. Thereafter, Donovan met with plaintiff and *1154advised him that he was being taken *500"off the schedule" based on his "use of droperidol," and told him that he would have no further duties until after Donovan had discussed the issue with others.

The action plan adopted by the hospital indicated that "the physician who had the overwhelming utilization of droperidol and in several cases did not follow the hospital policy on droperidol use, was referred to peer review and was suspended from active practice by his group pending further investigation." The state surveyor approved the action plan and lifted the "immediate jeopardy" declaration.

In the weeks following, the hospital's anesthesia department peer review committee met, discussed, and approved a recommendation that plaintiff complete a continuing education course through the Physician Assessment and Clinical Education (PACE) program at the University of California, San Diego. The committee also recommended that plaintiff's "return to clinical practice" be "dependent upon documented completion of phase I and phase II of the PACE program as well as completion of any recommendations made by that program and the peer review committee."

The president of the hospital's medical staff forwarded the recommendation to Donovan and requested that East Bay Group implement the recommendation. The president's memorandum to Donovan states that the medical staff leadership "will monitor the situation, and reserves the right to take action pursuant to the medical staff bylaws, at any time, if deemed reasonable and warranted to protect the interests of patients." (Ibid .)

When plaintiff was informed that he "needed to go through the PACE program and pass parts I and II before [he] would be returned to Summit Hospital," he asked if he could appear before "the peer review body" to discuss those requirements. He was told that PACE was his only alternative and that the medical executive committee was "aware of [plaintiff's] situation and they would not look kindly on [him] appearing before them." Plaintiff then completed the PACE program and returned to work at the hospital on November 4, 2011.

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Cite This Page — Counsel Stack

Bluebook (online)
243 Cal. Rptr. 3d 495, 31 Cal. App. 5th 1147, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kenneth-econ-v-sutter-e-bay-hosps-calctapp5d-2019.