Lantry v. Kendall

CourtDistrict Court, District of Columbia
DecidedMarch 31, 2024
DocketCivil Action No. 2023-0473
StatusPublished

This text of Lantry v. Kendall (Lantry v. Kendall) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lantry v. Kendall, (D.D.C. 2024).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

JAMES HENRY LANTRY, III,

Plaintiff,

v. Civil Action No. 23-473 (RDM) FRANK KENDALL, Secretary of the U.S. Air Force, et al.,

Defendants.

MEMORANDUM OPINION AND ORDER

Roughly three years ago, Plaintiff Dr. James H. Lantry III, a former extracorporeal

membrane oxygenation (“ECMO”) physician for the United States Air Force (“USAF”),

submitted a request to the USAF for documents pertaining to a USAF review board’s finding

that Lantry had committed malpractice when caring for a patient during a medical transport in

2014. Dkt. 17 at 20–21 (Def.’s SUMF ¶¶ 1–3). After his request was denied, Plaintiff filed this

lawsuit on February 17, 2023 under the Freedom of Information Act (“FOIA”), 5 U.S.C.

§ 552(a)(3)(A), and the Privacy Act, 5 U.S.C. § 552a(d)(1), against the USAF, the Secretary of

the Air Force, and the Secretary of Defense (“Defendants”). See Dkt. 1 (Compl.); Dkt. 2 at 11,

14 (Am. Compl.).

Now before the Court is Defendants’ motion to dismiss or, in the alternative, for

summary judgment. See Dkt. 17. For the reasons that follow, the Court will GRANT

Defendants’ motion for summary judgment as to Plaintiff’s FOIA claim. As to Plaintiff’s

Privacy Act claim, however, the Court cannot determine, based on the present record, whether

Plaintiff ever made a request under the Privacy Act or otherwise exhausted his administrative

1 remedies and, as result, cannot decide, based on the present briefing, whether any such failure to

exhaust would pose a jurisdictional hurdle to the Court’s adjudication of the claim. The Court

will, accordingly, DENY this portion of Defendants’ motion without prejudice and will ORDER

Plaintiff to show cause as to why the Court has jurisdiction to hear his Privacy Act claim.

I. BACKGROUND

A. Factual and Procedural Background

In considering a motion to dismiss, the Court must accept as true the factual allegations

contained in the complaint, considering the complaint as a whole and including materials

attached to or incorporated by reference into the complaint. See Tellabs, Inc. v. Makor Issues &

Rts., Ltd., 551 U.S. 308, 322 (2007); Banneker Ventures, LLC v. Graham, 798 F.3d 1119, 1133

(D.C. Cir. 2015). Materials incorporated by reference may also include documents “not attached

by the plaintiff, but . . . ‘referred to in the complaint and . . . integral to [the plaintiff’s] claim.’”

Banneker Ventures, 798 F.3d at 1133 (alteration in original) (quoting Kaempe v. Myers, 367 F.3d

958, 965 (D.C. Cir. 2004)). Here, Plaintiff’s original complaint included as exhibits multiple

documents, such as Plaintiff’s FOIA request and a USAF report to the National Practitioner Data

Bank (“NPDB”) concerning the USAF’s finding of malpractice as to Plaintiff. See Dkt. 1

(Compl.). When Plaintiff amended his complaint, however, he did not once again attach these

materials to the amended complaint, though he did reference them explicitly. See, e.g., Dkt. 2 at

4 (Am. Compl. ¶ 8) (citing to “Exhibit 4” from the original complaint). The Court will,

accordingly, treat the materials that Plaintiff attached to his original complaint and referenced in

2 his amended complaint as incorporated into the amended complaint for purposes of resolving the

Defendants’ motion to dismiss. 1

Considered against this backdrop and viewed in the light most favorable to Plaintiff, the

relevant facts are as follows.

On September 4, 2014, Plaintiff was a physician and Captain in the U.S. Air Force,

responsible for operating an ECMO device during a medical transport. Dkt. 2 at 4 (Am. Compl.

¶ 5); Dkt. 17 at 20 (Def.’s SUMF ¶ 1). During that transport, a “chemical warming blanket

(Ready-Heat Disposable Blanket) was placed on [a] patient’s legs,” which “caused third degree

burns on both [of the patient’s] lower legs.” Dkt. 1-2 at 3. The patient incurred “wounds, scars

and serious nerve damage” as a result of the use of the warming blanket, and she brought a

medical malpractice claim against the USAF. Id.

When a medical malpractice claim is made against the USAF, the military treatment

facility’s risk management program is notified. See AFI 44-119 at 214 (¶ 10.13.1); see also Dkt.

17-1 at 3 (Wolf Decl. ¶ 4 & n.2). Each military treatment facility must have a risk management

program that “focuses on identification, mitigation, and prevention of harmful patient and staff

events through a process of risk reduction strategies.” AFI 44-119 at 187 (¶ 10.2). When a

medical treatment facility receives notice of a medical malpractice claim, it secures all relevant

documents, AFI 44-119 at 214 (¶ 10.13.1), organizes a Quality of Care (“QOC”) review, id.

(¶ 10.13.3), and makes Standard of Care (“SOC”) determinations, id. (¶ 10.13.3); see Dkt. 17-1

at 3 (Wolf Decl. ¶ 4). An SOC determination is “a peer review of a specific incident of care and

1 The Court also takes judicial notice of certain USAF guidance documents. See Department of the Air Force Guidance Memorandum to DAFI 44-119, Medical Quality Operations, https://static.e-publishing.af.mil/production/1/af_sg/publication/afi44-119/afi44-119.pdf (dated August 16, 2011) (hereafter “AFI 44-119”). See Tellabs, Inc., 551 U.S. at 322–23 (permitting a district court to take notice of information available on government websites).

3 is initiated in response to a concern about individual clinical performance and a potential breach

in the standard of care.” AFI 44-119 at 150 (¶ 8.14.2). The military treatment facility will also

notify all significantly involved practitioners of “their involvement in the medical malpractice

claim.” Id. at 214 (¶ 10.13.4). 2

The Air Force Medical Practice Review Board (“MPRB”) then reviews the actions of all

significantly involved practitioners through a process of “expert peer review.” AFI 44-119 at

215 (¶ 10.13.10). “Expert peer review” involves “an external peer review of a specific incident

of care in preparation for a medical malpractice case against the government.” Id. at 150

(¶8.14.3); see Dkt. 17-1 at 3 (Wolf Decl. ¶ 4). Following this review, the MPRB forwards its

SOC determination to the Air Force Surgeon General and makes recommendations about

whether to report the incident to the Defense Practitioner Data Bank (“DPDB”) and the National

Practitioner Data Bank (“NPDB”). AFI 44-119 at 215 (¶ 10.13.10). The process concludes

when the Air Force Surgeon General issues a final SOC determination and decides whether to

report the event to the DPDB, NPDB, and other official agencies. Id. If a significantly involved

practitioner is “found not to [have] me[t] the SOC,” then the “malpractice claim case[] [is] . . .

reported to the NPDB.” Id. at 217 (¶ 10.17.1).

In considering the medical malpractice claim stemming from the September 4 medical

transport, the “peer review board” found that Lantry “committed malpractice” due to his failure

to meet standards of care during that medical transport. Dkt. 2 at 4–5 (Am. Compl. ¶ 14); Dkt.

17 at 20 (Def.’s SUMF ¶ 1). He was informed of this finding on October 24, 2018 and advised

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