Martinez v. New England Medical Center Hospitals, Inc.

307 F. Supp. 2d 257, 2004 U.S. Dist. LEXIS 3359, 2004 WL 414744
CourtDistrict Court, D. Massachusetts
DecidedMarch 3, 2004
DocketCIV.A. 01-12349-JLT
StatusPublished
Cited by13 cases

This text of 307 F. Supp. 2d 257 (Martinez v. New England Medical Center Hospitals, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martinez v. New England Medical Center Hospitals, Inc., 307 F. Supp. 2d 257, 2004 U.S. Dist. LEXIS 3359, 2004 WL 414744 (D. Mass. 2004).

Opinion

MEMORANDUM

TAURO, District Judge.

Plaintiff Teresa Martinez (“Martinez”) initiated this action against Defendant New England Medical Center Hospitals, Inc. (“NEMCH”), alleging violations of federal and state law for retaliatory discharge, termination in violation of public policy, invasion of privacy, intentional interference, and defamation.

Defendant’s motion for summary judgment is now before this court.

Background

NEMCH established an International Patient Center (“IPC”) in or around 1996. 1 The IPC was designed to attract “international patients capable of paying full price for medical care.” 2 Martinez began working as an employee in the IPC in or around August, 1997. 3 Her job responsibilities included “financial and registration coordination ... for international patients.” 4 Part of Martinez’s job was “making sure the patients she [was] coordinating ... [were] financially able to pay.” 5

According to NEMCH’s written policies, the regular order of ensuring payment is to first provide an initial estimate to the patient, which the patient must pay for up front. 6 The actual charges are then delineated on an invoice after the services have been provided. IPC coordinators are authorized to provide up to a twenty-percent discount “from the total gross charges without specific approval from [NEMCH’s Chief Financial Officer (‘CFO’) ].” 7

*261 Martinez understood NEMCH’s policy required the IPC “to obtain 50% or 100% of the estimated cost on a case-by-case basis.” 8 And, she knew that “if there were ‘less than 80% in the door prior to the procedure[,]’ she would have to go see the CFO of the Hospital.” 9 Martinez also recognized that any discount in excess of twenty percent had to be approved by the CFO. 10 NEMCH claims that Martinez was terminated as a result of her failure to abide by these regulations.

In the spring of 2001, Martinez was acting as the patient liaison for an Ecuadoran patient in need of a bone-marrow transplant. 11 The procedure was estimated to cost $330,000. 12 Martinez faxed that estimate to either the patient or the patient’s cousin. 13

The patient was scheduled to start chemotherapy on April 23, 2001, but by April 11, 2001, Martinez had received only a $5,000 deposit for the treatment 14 . When asked by the bone marrow transplant coordinator if the patient was “all set” for the procedure, Martinez answered, “[i]f the question is if she is all set with the cost of the estimate!, the answer] is no.” 15 Martinez, however, did not notify her supervisor, Wendy Leong-Lum (“Leong-Lum”), or NEMCH’s CFO about the situation. 16

A week before the patient was to undergo treatment, her family threatened to go to the press and say that she was denied care because she was unable to pay. 17 NEMCH’s Chief Operating Officer (“COO”), Dr. Miller (the physician who was to perform the transplant) and the hospital’s public affairs person went to see Martinez to find out the facts surrounding this patient. Martinez relayed to them the following: The patient, or her cousin, told Martinez that she had collected $25,000, “had somebody who was going to give $50,000” and “had undertaken fundraising initiatives.” 18 Martinez responded that the patient “would have to provide [her] with the $75,000, a letter of intent of fundrais-ing and that Martinez would take it from there.” 19 The patient, or the cousin, then inquired about the possibility of a greater discount, to which Martinez answered that “only if the doctor offers something in addition to [the] 20%[,] will the Hospital consider [it,] ... and ... it[’]s up to you if you want to speak to the physician.” 20 Martinez then met with the patient, or her family, and discussed the possibility of her “approaching the physician directly about waiving his fees.” 21 At some point during these discussions, the patient’s cousin said *262 to Martinez, “I mean, who has $330,000 to give.” 22

After Dr. Miller learned what had happened, he was “outraged” because the hospital could not “stop treatment now.” 23 Leong-Lum later told Martinez that NEMCH’s management was extremely upset about the situation. 24 On April 23, 2001, Leong-Lum made written notes about her communications concerning the incident for her file. 25 In addition, NEMCH’s Vice President of General Services, James Carmody (“Carmody”), sent an email to the Chief Executive Officer and the COO explaining that:

Theresa was not authorized to advise the patient as she did. The fact that she did this is very concerning. This is not the first time she has acted outside of her authority and she (in the past) has been at least verbally reprimanded. I think this is particularly egregious and may require HR intervention including the consideration of termination. 26

In addition to Martinez’s failure to abide by company policy, NEMCH also asserts that Martinez was fired for repeated tardiness. On June 29, 2000, Martinez had been placed on a Corrective Action Plan (“CAP”) to address her tardiness issues 27 She was placed on another CAP on August 7, 2000. The August CAP noted that since the June CAP, Martinez had “come in at least 10 minutes late on several occasions,” 28 and that Martinez’s attendance would be carefully monitored for the next six months. 29 To help Martinez make it to work on time, NEMCH also adjusted her daily start time from 8:30 a.m. to 9:00 a.m. 30

Martinez’s attendance did not improve, despite the adjustment in her start time. On January 24, 2001, Martinez was suspended without pay for one day as a result of her continued tardiness. 31

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Bluebook (online)
307 F. Supp. 2d 257, 2004 U.S. Dist. LEXIS 3359, 2004 WL 414744, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martinez-v-new-england-medical-center-hospitals-inc-mad-2004.