Kraima v. Ausman

850 N.E.2d 840, 365 Ill. App. 3d 530, 303 Ill. Dec. 35, 2006 Ill. App. LEXIS 234
Appellate Court of Illinois·Decided March 28, 2006·No. 1-05-1854·Published·Cited by 17 cases

Opinion

JUSTICE SOUTH

delivered the opinion of the court:

Attorney-contemnor, Robert Collins, appeals from an order of the circuit court of Cook County adjudging him in contempt and imposing a monetary sanction for refusing to produce the medical disability claim file submitted by his client, defendant James Ausman, M.D., to the State Universities Retirement System of Illinois (SURS).

BACKGROUND

On August 22, 2002, plaintiff brought a wrongful death and survival action against defendant in connection with the medical treatment he provided plaintiffs wife, Carol Kraima, between August 17, 2000, and her death on September 4, 2000. The complaint set forth allegations pertaining to defendant’s attempt to surgically repair Ms. Kraima’s internal carotid artery aneurysm at the University of Illinois at Chicago Medical Center (UIC) on August 18, 2000. Plaintiff alleged defendant was negligent for failing to use hyperthermic cardiac arrest when performing the surgery which was aborted; failing to timely reschedule a second surgery using the procedure; negligently allowing her to be discharged from UIC on August 25, 2000; and failing to have her admitted to another hospital days later for treatment. Defendant testified during his discovery deposition that Ms. Kraima was referred to him after being diagnosed with a complex intracranial aneurysm, which was anatomically so difficult that only a few surgeons could address the problem. Defendant further testified he had been diagnosed with psoriatic arthritis in January 2001, which involved various joints in his body, including his hands. He stopped performing surgery in February 2001, and relinquished his position as head of neurosurgery at UIC in September 2001, for health reasons.

On February 2, 2004, plaintiff filed a motion to compel the production of defendant’s medical records. Defendant objected on the basis the documents were not relevant and were protected under the physician-patient privilege (735 ILCS 5/8 — 802 (West 2000)), section 8 — 2101 of the Code of Civil Procedure, commonly known as the Medical Studies Act (735 ILCS 5/8 — 2101 (West 2000)), and the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) (42 U.S.C. § 1320d — 2 (2000)).

On April 21, 2004, the trial court denied plaintiff’s motion to compel the production of defendant’s medical records. Defendant was ordered, however, to advise the trial court as to the location of the disability claim file he submitted to SUES. Defendant subsequently produced the material for in camera inspection.

On September 8, 2004, plaintiff filed an amended complaint alleging, in relevant part, that defendant was negligent in accepting Ms. Kraima as a patient when he knew he had arthritis and could not provide proper medical and surgical care. Plaintiff further alleged defendant was physically limited by arthritis when he performed the surgery on his wife in August 2000.

On May 25, 2005, after conducting an in camera inspection of defendant’s employment records, medical records, personnel file, and the medical disability claim file, the trial court ordered him to provide plaintiff with the entire disability file. The trial court concluded that all of the pertinent information was contained therein, that it did not rise to the level of production of defendant’s entire set of medical records, and there were minimal actual medical records in the disability file. The trial court found the records only formed the supporting documentation underlying the written submission forms submitted by the various physicians in connection with defendant’s disability claim. The trial court found the material contained facts and information that were limited in nature and went to the issue plaintiff sought to establish with respect to the date of onset of defendant’s symptoms, medications, and physical limitations.

While acknowledging defendant never raised the issue of his physical condition as a defense, the trial court concluded that any patient would be entitled to know whether the surgeon operating on him or her was impaired. The trial court further stipulated the materials would be subject to a protective order and would not be disclosed to anyone other than the parties’ attorneys, their consultants, and expert witnesses, as necessary. Finally, the trial court found the records were relevant because they pertained to what the defendant referred “to as a ‘constellation’ of medical problems, which have some degree of interrelationship, all of which converged to cause him to cease being able to perform surgery and to perform the position for which he was hired and that gave rise to the application for disability.”

For purposes of appealing the discovery order, the trial court found defendant’s attorney, Robert Collins, in civil contempt for refusing to produce the disability file and imposed a monetary sanction.

On appeal, contemner argues the trial court erred in requiring him to produce defendant’s medical disability file because it was protected from disclosure under Illinois’s physician-patient privilege (735 ILCS 5/8 — 802 (West 2000)) and HIPAA. Plaintiff argues the documents are not medical records and are discoverable as relevant evidence. He further asserts the physician-patient privilege would not apply as this case involves exceptions to the privilege because defendant placed his physical condition at issue, and this entails a civil action against a medical doctor for malpractice. 1

ANALYSIS

While discovery orders are typically reviewed only on appeal from a final judgment, when a party appeals from a contempt sanction imposed for violating a discovery order, the contempt finding is final and appealable, and presents to a court of review the propriety of that discovery order. Reda v. Advocate Health Care, 199 Ill. 2d 47, 54 (2002). Discovery rulings are generally within the trial court’s discretion and will not be disturbed absent an abuse of discretion. Reda, 199 Ill. 2d at 54. The applicability of a statutory evidentiary privilege, as in the instant case, and any exceptions thereto are matters of law subject to de novo review. Reda, 199 Ill. 2d at 54.

“[T]he right to discovery is limited to disclosure of matters that will be relevant to the case at hand in order to protect against abuses and unfairness, and a court should deny a discovery request where there is insufficient evidence that the requested discovery is relevant or will lead to such evidence.” Leeson v. State Farm Mutual Automobile Insurance Co., 190 Ill. App. 3d 359, 366 (1989). A patient’s medical records, even when relevant, are generally entitled to protection from discovery under the physician-patient privilege. Reagan v. Searcy, 323 Ill. App. 3d 393, 395 (2001). This privilege is found in section 8 — 802 of the Illinois Code of Civil Procedure (Code) (735 ILCS 5/8 — 802 (West 2000)) and does not exist at common law. Geisberger v. Willuhn, 72 Ill. App. 3d 435, 436-37 (1979).

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Kraima v. Ausman, 850 N.E.2d 840, 365 Ill. App. 3d 530, 303 Ill. Dec. 35, 2006 Ill. App. LEXIS 234 (Ill. Ct. App. 2006).

850 N.E.2d 840 (Kraima v. Ausman) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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