Mann v. Sentara Hospitals, Inc.

59 Va. Cir. 433, 2002 Va. Cir. LEXIS 363
CourtVirginia Circuit Court
DecidedSeptember 11, 2002
DocketCase No. (Law) L98-621
StatusPublished
Cited by2 cases

This text of 59 Va. Cir. 433 (Mann v. Sentara Hospitals, Inc.) is published on Counsel Stack Legal Research, covering Virginia Circuit Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mann v. Sentara Hospitals, Inc., 59 Va. Cir. 433, 2002 Va. Cir. LEXIS 363 (Va. Super. Ct. 2002).

Opinion

By Judge Charles E. Poston

Today the Court sustains the pleas in bar of the defendants, the Medical College of Hampton Roads (d/b/a EVMS) and Drs. Andrew J. Oh and Kathryn Reynes Suarez, that assert the protection of sovereign immunity. The Court overrules the EVMS Academic Physicians and Surgeons Health Services Foundation’s pleas in bar that claim protection of sovereign immunity and charitable immunity. Finally, the Court overrules the Foundation’s plea in bar asserting that it cannot be held liable on a theory of respondeat superior. In reaching its decision, the Court considered the pleadings, oral argument of counsel, and the parties’ other written submissions.

The plaintiff, an infant who was bom on June 23, 1996, at Sentara Norfolk General Hospital, suffered brain trauma when he failed to receive sufficient oxygen during birth. Second Amended Motion for Judgment, ¶¶ 1, 25. The infant’s mother is also a plaintiff in this action. Id. at ¶ 2. Three physicians were involved in the delivery: Drs. Arthur T. Evans, Andrew J. Oh, and Kathryn Reynes Suarez. Dr. Evans was the attending physician while Drs. Oh and Suarez were resident physicians in training placed at Sentara Norfolk General Hospital (“SNGH”) as part of an EVMS residency program. Id. atm 11, 13-14.

The relationship between EVMS and SNGH is governed by an Agreement for Integrated Graduate Medical Education between EVMS and SNGH. See id. at ¶¶ 13-14. Under the Agreement, EVMS maintains control and supervision over the medical residents who are placed at SNGH. The Agreement states that the EVMS faculty and instructors “have direct responsibility for clinical supervision of the [residents]” placed at SNGH. Agreement, ¶ IV(D). SNGH “assumes no responsibility for direct clinical supervision” of the interns but is required to report any resident misconduct to EVMS. Id.

Under the Agreement, EVMS pays the medical residents their pay checks pursuant to an operating budget proposed by EVMS that must be approved by SNGH, and, ultimately, the final budget must be approved by the Executive Advisory Council.1 Transcript, p. 39; Agreement, ¶ I(A-B). [435]*435SNGH must pay EVMS the allotted stipend amount approved for residents assigned to SNGH; however, the ultimate financial burden falls on EVMS. The Agreement provides that “[u]nder no circumstances shall [SNGH] be responsible for payments in excess of the amounts specified as [SNGH’s] portions in the [SNGH] approved budget.” Agreement, ¶ 1(C). EVMS also bears the administrative responsibility of purchasing and maintaining insurance for the residency program, including workers’ compensation, professional liability insurance, and comprehensive automobile liability insurance. Id. at ¶ II.

The Agreement explicitly proclaims that no medical resident “is to be considered an employee, servant, or agent of [SNGH] by virtue of the terms or the operation of [the] Agreement.” Agreement, ¶ III(A). Medical residents “are not entitled to receive or expect any additional compensation or benefit from [SNGH] in connection with the ‘Program,’ nor may they function as [medical residents] and simultaneously serve in [SNGH] in another capacity.” Id. at ¶ III(B).

The plaintiff has filed suit against Drs. Evans, Suarez, and Oh on atheory of medical malpractice. The plaintiff has also filed suit against Dr. Evans’ employer, EVMS Academic Physicians and Surgeons Health Sciences Foundation (“Foundation”), and EVMS and SNGH, the alleged employers of Drs. Oh and Suarez, on a theory of respondeat superior.

Defendant EVMS has filed a plea in bar asserting the defense of sovereign immunity. Defendants Oh and Suarez have also claimed the protection of sovereign immunity as employees of EVMS, which they characterize as a governmental agency. The Foundation has filed three pleas in bar: one claiming charitable immunity, one claiming sovereign immunity, and one claiming it cannot be held liable on a theory of respondeat superior.

I. Sovereign Immunity of EVMS

EVMS is a “public bod[y] ... constituted as [a] governmental instrumentalit[y] for the dissemination of education.” Virginia Code § 23-14. Under Virginia law, such institutions are unambiguously entitled to sovereign immunity. See e.g., James v. Jane, 221 Va. 43, 51 (1980).

The plaintiff contends that “[t]he employees of EVMS are different from the employees of a public instrumentality in that, by their enabling charter, [436]*436the Commonwealth has agreed they are subject to suit.” Plaintiffs’ Brief in Opposition to Defendant Medical College of Hampton Roads’ Plea of Sovereign Immunity, p. 4. While it is true that the enabling charter states that “[EVMS] may sue and be sued, plead and be impleaded, and shall have the power and authority to contract and be contracted with,” the Virginia Supreme Court has held that this type of language does not “constitute a waiver of immunity or a consent to suit.” 1964 Va. Acts, ch. 471; Elizabeth River Tunnel Dist. v. Beecher, 202 Va. 452, 457 (1961). In Elizabeth River Tunnel Dist., the plaintiff sued the District for the personal injuries she suffered while boarding a District bus. Elizabeth River, 202 Va. at 453. The trial court concluded “[t]hat the Elizabeth River Tunnel District Act (Acts of Assembly 1942, ch. 130) provides that the District ‘may sue and be sued,’ and that the State has perhaps thereby consented to suit for the torts of its agents.” Id. at 456. The Virginia Supreme Court, however, disagreed with this conclusion and stated that “[t]he language ‘sue and be sued,’ ‘plead and be impleaded,’ ‘contract and be contracted with,’ are words affording a procedural right only and do not constitute a waiver of immunity or a consent to suit.” Id. at 457. The Court then held that the District had been engaging in an essential governmental function while operating the bus “and was thus immune from any action predicated on tort liability.” Id. In light of Elizabeth River, plaintiff’s assertion that the Commonwealth consented to suit when enacting EVMS’s charter is incorrect.

The plaintiff also alleges that EVMS is not covered by the Virginia Tort Claims Act because the senior claim manager of the Commonwealth’s Department of Treasury Division of Risk Management responded to the plaintiff’s Notice of Claim, stating that “[i]t is [the Division’s] opinion that the Eastern Virginia Medical School is not a State agency for purposes of the Tort Claims Act.” Plaintiffs Exhibit 2 of Plaintiffs’ Brief in Opposition to Defendant Medical College of Hampton Roads’ Plea of Sovereign Immunity. This finding, however, is not binding on the determination of whether EVMS is a governmental agency for purposes of sovereign immunity. Section 23-14 clearly states that EVMS is a “public bod[y] constituted as [a] governmental instrumentalit[y] for the dissemination of education.” Virginia Code § 23-14. It is clearly entitled to the protection of sovereign immunity. See e.g., James v. Jane, 221 Va. 43, 51 (1980).

During the July 15, 2002, hearing, the plaintiff asserted that a “[mjunicipal corporation [and] a political subdivision are not synonymous with an authority”; therefore, entities, such as EVMS, originally created as [437]*437authorities should not receive the protection of sovereign immunity. Transcript, p. 62. In Hughes v. Lake Taylor Hosp.,

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Bluebook (online)
59 Va. Cir. 433, 2002 Va. Cir. LEXIS 363, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mann-v-sentara-hospitals-inc-vacc-2002.