Miller v. Christ Hospital

CourtDistrict Court, S.D. Ohio
DecidedNovember 18, 2019
Docket1:16-cv-00937
StatusUnknown

This text of Miller v. Christ Hospital (Miller v. Christ Hospital) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miller v. Christ Hospital, (S.D. Ohio 2019).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF OHIO WESTERN DIVISION

ALTA MARIE MILLER, et al., : Case No. 1:16-cv-937 : Plaintiffs, : Judge Susan J. Dlott : v. : ORDER GRANTING IN PART AND : DENYING IN PART DEFENDANTS’ CHRIST HOSPITAL, et al., : MOTION FOR SUMMARY : JUDGMENT AND DENYING Defendants. : PLAINTIFF’S MOTION FOR : PARTIAL SUMMARY JUDGMENT This matter is before the Court for consideration of Plaintiffs’ Motion for Partial Summary Judgment (Doc. 26) and Defendants’ Motion for Summary Judgment (Doc. 27). Appropriate responses and replies have been filed. (Docs. 28, 29, 33, and 34). The Court heard oral argument regarding these motions on November 14, 2019. Plaintiffs, a deaf couple, allege that they are entitled to certain auxiliary aids and services and specific policy modifications under Title III of the Americans with Disabilities Act, (“ADA”), 42 U.S.C. §§ 12181–12189, Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. § 794, and Ohio Revised Code § 4112.02(G). Defendants, a hospital and an affiliated organization of physicians, respond that they have extensive policies in place to ensure that they meet or exceed all obligations to individuals with disabilities, including Plaintiffs. For the reasons that follow, the Court will DENY Plaintiff’s Motion for Partial Summary Judgment (Doc. 26) and GRANT Defendants’ Motion for Summary Judgment (Doc. 27) only as to Counts IV, V, and VI. Defendants’ Motion for Summary Judgment will be DENIED as to Counts I, II, and III. I. BACKGROUND A. Facts As cross-motions for summary judgment would imply, many of the facts in this case are undisputed. Plaintiffs Alta Marie and Matthew Miller, a married couple, are both deaf. Mr. Miller lost his hearing as a child. He has a basic understanding of written English, and he is able

to use his voice for limited communication. Mr. Miller is able to read lips only if the person speaking faces him directly, has no facial hair, speaks slowly, and deliberately moves their mouth to form words. Even under optimal conditions, Mr. Miller estimates that he is able to understand forty or fifty percent of what is being said. (M. Miller Aff., Doc. 23-1 at PageID 548–49.) Ms. Miller has been deaf since birth. She has limited ability to read, write or understand written English. She is able to speak some English, but her words may be unintelligible to those unfamiliar with her speech patterns. American Sign Language (“ASL”) is the primary language for both Mr. and Ms. Miller.

The Millers obtain medical care from Defendants The Christ Hospital and The Christ Hospital Physicians (collectively “TCH”). The Millers are not the only deaf patients who receive treatment at TCH. TCH maintains a Patient and Guest Services Department staffed by an Experience Officer, Senior Patient Representatives, and an Administrative Assistant. (Cheyne Dep.,1 Doc. 19-3 at PageID 185.) Each morning, TCH runs a “TCH Interpreter Language” report indicating how many patients or companions at TCH that day require an interpreter and their preferred

1 Dana Cheyne is a Senior Patient Representative at TCH. 2 language, including ASL. (Id. at PageID 186.) In addition, TCH provides annual training on interpreter services and language access. (Id. at PageID 187–88.) TCH offers this mandatory training to all employees as part of the online education system at TCH, and completion of the training is reflected in an individual’s employment file. (Id. at PageID 187.) If a patient requests an interpreter, TCH contacts one or more of five agencies with which

it contracts to provide interpreters. (Doc. 19-3 at PageID 212.) TCH attempts to schedule an interpreter as soon as a patient makes an appointment. (Id. at PageID 193.) If deaf people come to the emergency room (either by ambulance or self-transport), TCH requests an interpreter for them once they arrive at the emergency room. (Id. at PageID 195.) According to TCH policy, interpreters are instructed to arrive 15 minutes before the required appointment time. (Id. at 193.) If an emergency arises or TCH is unable to secure an in-person interpreter, TCH provides approximately 13 devices for Video Remote Interpreting services (“VRI”). (Id. at PageID 213.) Beginning in 2014, the Millers have received health care from TCH on at least 414 occasions. During approximately 370 of those visits, TCH provided effective ASL interpreters.

However, the Millers identify 44 visits during which they encountered problems with interpreters and/or auxiliary aids. (Doc. 33 at PageID 1092–96.) Twenty-five of these unsatisfactory visits involved scheduling problems or communication mishaps between TCH and the interpreter (e.g., interpreter arrived late, went to the wrong location, or was not informed of a scheduling change). For nine of these unsatisfactory visits, TCH failed to request an interpreter (this number includes an emergency room visit on January 11, 2019 where TCH did not request an interpreter until the Millers arrived at TCH emergency room thereby forcing Mr. Miller to use a staff member’s phone to type messages back and forth until an interpreter arrived). On three of these unsatisfactory visits, TCH used VRI to communicate with the Millers. The Millers found the 3 VRI ineffective, however, because the VRI device malfunctioned, was not placed in such a way that both Mr. and Ms. Miller could view the screen, or was turned off every time the doctor left the room (thereby imposing a new interpreter once the device was restarted upon the doctor’s return). For five of the unsatisfactory visits, TCH provided an interpreter whose gender did not match that of the patient for procedures during which private body parts would be exposed (e.g.,

a male interpreter for Ms. Miller’s gynecological examination or a female interpreter for Mr. Miller’s hernia procedure). On November 18, 2017, Mr. Miller was denied an x-ray without an appointment because he required an interpreter. Specifically, on November 17, 2017, Mr. Miller’s doctor referred him for a neck x-ray. Mr. Miller contacted the appropriate facility via videophone and was told he did not need an appointment for an x-ray. Upon arriving at that same facility the next day, Mr. Miller was told that he could not have an unscheduled x-ray because he required an interpreter. (M. Miller Aff., Doc. 23-1 at PageID 570.) Finally, the Millers allege that TCH’s failure to provide an interpreter or VRI for Ms.

Miller’s September 21, 2014 emergency room visit resulted in her misdiagnosis. (Doc. 23-1 at PageID 550–53.) Mr. Miller took his wife to the TCH emergency room shortly after midnight on September 21, 2014, because she was experiencing severe pain in her abdomen and sides. Her pain level limited her ability to communicate, and Mr. Miller tried to communicate with medical personnel on her behalf. He presented his agency card2 to request an interpreter upon their arrival, again twenty minutes later while a medical assistant took Ms. Miller’s vital signs, a third

2 Mr. Miller’s agency card was issued by the Hearing Speech and Deaf Center of Cincinnati. It informs the recipient that Mr. Miller is a deaf person and that he needs them to get a sign language interpreter so they can communicate. It provides telephone numbers which can be used to contact a qualified interpreter at any time. (Exhibit A and B to M. Miller Affidavit, Docs. 23-2 and 23-3.) 4 time when they encountered a person they knew, and a fourth time as Ms. Miller was being registered. Although the Millers were informed that an interpreter was on the way, none arrived and no VRI was offered.

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Miller v. Christ Hospital, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-christ-hospital-ohsd-2019.