Kevin Keogh v. Concentra Health Servs.

Court of Appeals for the Sixth Circuit·Decided November 8, 2018·No. 17-2369·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 18a0565n.06

No. 17-2369

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

KEVIN KEOGH, ) FILED ) Nov 08, 2018 Plaintiff-Appellant, ) DEBORAH S. HUNT, Clerk )

v. )

)

ON APPEAL FROM THE

CONCENTRA HEALTH SERVICES, )

UNITED STATES DISTRICT

INCORPORATED, )

COURT FOR THE EASTERN

)

DISTRICT OF MICHIGAN

Defendant-Appellee, )

)

SUBURBAN OCCUPATIONAL HEALTH, )

)

Defendant. )

BEFORE: GRIFFIN and DONALD, Circuit Judges; BERTELSMAN, District Judge.* GRIFFIN, Circuit Judge.

Plaintiff, Dr. Kevin Keogh, appeals the district court’s grant of summary judgment in favor of defendant Concentra Health Services, Inc.,1 on his Family and Medical Leave Act (FMLA) and Americans with Disabilities Act (ADA) claims.2 For the reasons that follow, we affirm.

I.

Plaintiff is a doctor of occupational medicine who has been employed by Concentra—and its various predecessors—since selling his medical practice to Concentra in 1993. Defendant

*

The Honorable William O. Bertelsman, United States District Judge for the Eastern District of Kentucky, sitting by designation.

1 Defendant was previously misnamed in plaintiff’s complaint as “Concentra Corporation.”

While the lower court docket lists numerous defendants, we use “defendant” to refer solely 2

to Concentra, as the others are not parties to this appeal.

offers patients occupational health services through its numerous centers, with plaintiff working primarily out of its Livonia, Michigan location during the final years of his employment. Plaintiff served as a “staff physician” before being promoted to “center medical director,” an administrator position for their Livonia center, in 2001.

Dr. Keogh’s responsibilities included patient medical care and management of the Livonia center. Management duties included staffing decisions, executing Concentra’s strategy, and making sure all employees at the center follow the company’s “playbook.” The playbook provides uniform rules and procedures for Concentra’s operations, medical care, therapy care, customer experience, and sales and marketing. During his employment, plaintiff signed agreements explicitly providing that he would follow Concentra’s rules and playbook.

In mid-2013, Dr. Linda Thomas became Concentra’s “area medical director” for the region encompassing the Livonia center. Dr. Thomas (and other supervisors) described plaintiff as an excellent diagnostician and took no issue with the number of patients he was able to care for in the clinic or the quality of his patient care. Beginning in 2014, however, Dr. Thomas began to have concerns with plaintiff’s behavior and performance as leader of the Livonia clinic. In February of 2014, for example, Dr. Keogh told her that, though he was available, he had no interest in attending a mandatory quarterly meeting for all center directors at the Livonia location, and denigrated Concentra’s playbook. When again confronted by Dr. Thomas about the mandatory nature of the meeting, he told her that he would not attend, before laughing at Dr. Thomas’s concerns and stating, “what are you going to do, fire me?” Ultimately, plaintiff did show up, but only after missing the first 70 minutes of the 90-minute meeting because he was dictating in a separate room. And throughout the meeting Dr. Keogh was defiant and argumentative, as well as wholly uninterested in following through with Concentra’s universal policies. The purpose of the meeting

was to “rollout” the new Concentra playbook, but, instead of supporting Concentra’s efforts, plaintiff was disrespectful and obstinate.

After this meeting, Dr. Thomas asked plaintiff to sign his copy of Concentra’s “playbook pledge”—a pledge in which plaintiff would agree to adhere to the principles in the playbook. Instead, and in front of a number of his subordinates, he crossed out certain things he disagreed with in the pledge and signed it “Wiley E. Coyote [sic].” After explaining that the signed pledge would be posted in the center and that plaintiff should be an example for his staff, Dr. Thomas asked him to sign a clean copy, but he refused. Instead, he merely signed his initials next to the joke signature.

Dr. Thomas informed her supervisor, regional medical director Dr. Janet Cobb, of plaintiff’s behavior. Dr. Cobb forwarded the information to Concentra’s HR representative, Thomas Tschirhart, and Dr. Raad Yaldo, Concentra’s vice president of medical operations; explained that plaintiff “blatantly resist[ed] [Concentra’s] values”; and reported that plaintiff would receive a “performance improvement plan” or “PIP.” Though Dr. Cobb stated she would take part in the meeting and PIP, she also noted that she believed plaintiff was unlikely to change his behavior, plaintiff was “beyond PIP at this point,” and she was “in full support of making a move to separate Dr. Keough [sic].”

The following week, plaintiff met with Drs. Cobb and Thomas, at which point he received his 30-day PIP. The PIP listed a number of plaintiff’s conduct and work performance problems, including: openly mocking Concentra’s policies and procedures; failing to complete his patient charts within the 24-hour deadline; failing to participate in grievance, coaching, or disciplinary actions for his staff; and displaying unprofessional demeanor, including “walk[ing] in late, while a presentation was in progress and announc[ing] ‘Hi Ladies and Genitals.’” The PIP required that

plaintiff fix all the listed deficiencies in 30 days, and that he cease undermining any of Concentra’s policies or initiatives.

During the 30-day duration of the PIP, plaintiff declined to see a patient who arrived at 4:45 p.m.—fifteen minutes before the end of plaintiff’s shift—for a physical examination, even though Concentra policy required him to see any patients who arrived before 5:00 p.m. On another occasion, a patient arrived at the Livonia center at 8:10 a.m.—the center opened at 8:00 a.m.— with a work-related laceration to his hand. Unfortunately, plaintiff was late and did not arrive at the center until 8:35 a.m., but the patient’s injury was serious enough that center staff called for emergency medical services. At the conclusion of the 30-day PIP, plaintiff underwent a review of his work and it was determined that plaintiff had not completed any of the goals, though it was noted that “Dr. Keogh takes excellent care of his patients.” The PIP was extended for another 30 days. At the second 30-day review, plaintiff showed some improvement. While plaintiff was completing his patient charts on time and had improved his leadership at the Livonia center, he still failed to attend all clinician meetings and failed to complete audits of the center’s efficiency. At this time, Dr. Thomas decided to end the PIP because her only other option was to put plaintiff on a final warning.

In the next month, plaintiff failed to complete two mandatory training modules, despite being warned by Dr. Thomas that his failure to do so would cause him to be removed from the work schedule. Dr. Thomas subsequently emailed Drs. Cobb and Yaldo to request permission to demote plaintiff from center medical director to a float physician. When Dr. Cobb agreed, Dr. Thomas then demoted plaintiff to float physician, removing all administrative duties, on August 11, 2014.

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Kevin Keogh v. Concentra Health Servs., (6th Cir. 2018).

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