Lily Abebe v. Health and Hospital Corporatio

35 F.4th 601
Court of Appeals for the Seventh Circuit·Decided May 31, 2022·No. 21-2614·Published·Cited by 40 cases

Opinion

In the

United States Court of Appeals For the Seventh Circuit

No. 21-2614 LILY ABEBE, Plaintiff-Appellant,

v.

HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, Defendant-Appellee.

Appeal from the United States District Court for the Southern District of Indiana, Indianapolis Division.

No. 20-cv-148 — James R. Sweeney II, Judge.

ARGUED APRIL 7, 2022 — DECIDED MAY 31, 2022

Before RIPPLE, KANNE, and SCUDDER, Circuit Judges. KANNE, Circuit Judge. Lily Abebe, a Black woman of Ethiopian origin, began working as a dental assistant at the Health and Hospital Corporation of Marion County, known as Eskenazi Health, in 2014. In 2018, she received a low rating in her performance review that resulted in her not receiving a merit-based raise. Abebe then contacted the Equal Employment Opportunity Commission (“EEOC”) and alleged race-

2 No. 21-2614

and national origin-based discrimination. According to Abebe, Eskenazi Health placed her on a Performance Improvement Plan later that month because of her contact with the EEOC. Abebe sued her employer, alleging discrimination and retaliation in violation of Title VII of the Civil Rights Act of 1964 and 42 U.S.C. § 1981. The district court granted summary judgment for Eskenazi Health. For the reasons set forth in this opinion, we affirm.

I. BACKGROUND

Plaintiff Lily Abebe is a Black woman of Ethiopian origin. In 2014, she began working for Eskenazi Health’s Grassy Creek Dental Clinic as an “expanded function” dental assistant , meaning that she was trained in filling cavities.

Employees at the clinic would receive an annual performance review containing three metrics: “Eskenazi Health’s Values,” which assesses an employee’s professionalism, respect , innovation, development, and excellence; job competency ; and operational goals. Under each metric are several sub-metrics, which are rated from 0 (unsatisfactory) to 4 (outstanding ).

Abebe has had a record of behavior issues throughout her employment. In Abebe’s 2015 performance review, the clinic manager gave her a total weighted average of 2.0, noting that she had “made great strides in her career growth this year.” The next year, in 2016, Abebe received an average of 2.27. The clinic manager gave her a score of 1 under the sub-metric for “respect,” noting that “outside concerns or problems” can sometimes “chang[e] her attitude and affect[] her interaction with co-workers” and resolving to “encourage her to work on her personal issues that are affecting her interaction with co-

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workers.” In 2017, Abebe received an average of 2.22. She had been disciplined earlier that year for an argument with a coworker. In her performance review, the clinic manager gave Abebe a score of 2 under “professionalism” and noted that, “when she gets upset, her attitude turns to shocking,” and that she “needs to balance her personality out and not react so much to negative events or pressure that affects her interaction with co-workers.” The clinic manager also rated Abebe a 1 under “respect,” referencing the argument with the coworker, which “resulted [in] many of Lily’s coworkers seeing her as unapproachable.” Elsewhere in the review, the clinic manager continued to note Abebe’s attitude and her trouble cooperating with coworkers.

Abebe’s 2018 performance review is at issue in this case, because it led to Abebe not receiving a merit-based raise. The parties discuss three incidents that occurred prior to Abebe receiving her performance review for 2018.

First, in March 2018, Abebe believed that a white dental hygienist purposely left out an open needle for Abebe to clean up. After the hygienist had stopped working at the clinic, Abebe requested a copy of the incident report from a supervisor by email, but the supervisor questioned why she wanted the report and wrote that “we need to be careful with the choice of words we use such as accusing [the hygienist of] leaving the open needle intentionally.” Later, at a meeting with the clinic manager, Carlos Hernandez, and the dental director , Abebe again requested the incident report, but Hernandez was “persistent” that Abebe should stop asking for the report because providing it would “only open[] up a can of worms.” The dental director agreed that Abebe should not worry about the incident because the hygienist was gone 4 No. 21-2614

anyway.

Second, Abebe experienced personal problems with a dentist , Dr. Raquel Salvador, throughout 2018. Abebe claimed that Dr. Salvador had pushed and communicated rudely with multiple people, including her. In December 2018, Abebe emailed Hernandez, the dental director, and the site coordinator to report that Dr. Salvador had been “very rude” to her that morning because of how Abebe was registering patients and had “screamed” at Abebe to bring a patient back for treatment .

Third, in March 2019, Abebe contested a protocol for checking out dental burs (a tool used for filling cavities), alleging that Daisy Sierra, the only other expanded function dental assistant, had better access to the dental burs because the burs were located in her office.

On March 29, 2019, Abebe met with Hernandez, the clinic manager at the time, to discuss her performance in 2018. In her 2018 review, Abebe received her lowest total weighted average —1.43. Hernandez described Abebe’s communication and teamwork issues. Under “professionalism,” for example, Hernandez gave Abebe a 1 and noted that she needed to “improve the way [she] approached other team members and solve conflict the proper ways without becom[ing] personal to others.” Hernandez also rated Abebe a 1 under “respect,” noting that she was “still developing communication skills with the team to … resolve day to day issues.” Overall, Hernandez remarked that Abebe was “still developing communication and team work skills” and recommended “developing better professional relations with the team” and “addressing issues properly [in] a respectful[] manner to others.”

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At the March 29 meeting, Abebe asked for the basis of her low scores in many of the metrics. Hernandez explained to Abebe that she had experienced conflict with multiple team members and needed to continue developing her conflict resolution skills. Specifically, “the way she complained about the needle incident and her interaction with Dr. Salvador—using a disrespectful and angry tone, gossiping, and making repeated accusations even after matters were addressed by management—were examples of an ongoing problem.” After this meeting, Abebe sent multiple emails requesting a meeting with supervisors, an HR staffer, and union employees regarding her performance review, taking issue with the fact that Hernandez had raised the needle incident at the March 29 meeting.

In 2019, Eskenazi Health announced merit-based pay raises based on employees’ performance in 2018. Employees who received a total weighted average of 2.0 or higher on their performance reviews were eligible for raises of about two percent . Because her average was too low, Abebe did not receive a raise.

Abebe contacted the EEOC in August 2019. She told an EEOC investigator about the needle incident, but the investigator advised Abebe that she had not identified discrimination based on membership in a protected class. In September, Abebe spoke with the investigator again. She alleged for the first time that she had experienced race- and national origin- based discrimination at work, citing the needle incident, the conflict with Dr. Salvador, and the dental burs incident. The investigator informed Abebe that there was likely no cause for further EEOC investigation. According to Abebe, Eskenazi Health placed her on a Performance Improvement Plan that 6 No. 21-2614

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Lily Abebe v. Health and Hospital Corporatio, 35 F.4th 601 (7th Cir. 2022).

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