Miller v. Huron Regional Medical Center, Inc.

CourtDistrict Court, D. South Dakota
DecidedFebruary 7, 2018
Docket4:12-cv-04138
StatusUnknown

This text of Miller v. Huron Regional Medical Center, Inc. (Miller v. Huron Regional Medical Center, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. South Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miller v. Huron Regional Medical Center, Inc., (D.S.D. 2018).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF SOUTH DAKOTA SOUTHERN DIVISION

LINDA A. MILLER, M.D.; 4:12-CV-04138-KES

Plaintiff, ORDER DENYING DEFENDANT’S vs. MOTION FOR REMITTITUR OR FOR NEW TRIAL HURON REGIONAL MEDICAL CENTER, INC.,

Defendant.

Plaintiff, Dr. Linda A. Miller, filed this action against defendant, Huron Regional Medical Center (HRMC), for breach of contract and defamation. The case proceeded to a jury trial where the jury found in favor of Dr. Miller on her breach of contract claim and in favor of HRMC on the defamation claim. Docket 285. The jury awarded Dr. Miller $586,617 in lost wages incurred before trial and $343,640 for future loss of earning capacity. Id. The jury also awarded $250,000 for pain and suffering that the parties agreed was improper for a breach of contract claim, and the court struck the award from the verdict. Docket 283. HRMC now moves for remittitur or for a new trial. Docket 290. Dr. Miller opposes the motion. Docket 295. FACTUAL BACKGROUND1 At trial, Dr. Miller alleged that HRMC violated its Medical Staff Bylaws because “HRMC implemented corrective action through [another doctor’s]

request to her to voluntarily reduce her surgical privileges.” Docket 155 at 10. A Surgical Services Agreement (SSA) and HRMC’s Bylaws governed the terms of Dr. Miller and HRMC’s contract. Docket 155 at 2. HRMC’s Bylaws was an enforceable contract that created a procedural right to a hearing where Dr. Miller could have defended any concerns about her standard of care. Id. at 11. Thus, HRMC’s actions violated its Bylaws because Dr. Miller was entitled to a hearing but never received one. Id. at 10-11. The jury found in favor of Dr. Miller on her claim that HRMC violated its Bylaws. Docket 277. Dr. Miller never

alleged that HRMC violated any part of the SSA. Dr. Miller also claimed defamation based on HRMC’s report to the National Practitioner Data Bank (NPDB) that gave notice of Dr. Miller’s voluntary reduction of surgical privileges. The jury found in favor of HRMC on the defamation claim. Docket 277. Settling Jury Instructions Prior to presenting the jury with the court’s Final Jury Instructions, the court settled the instructions with both parties present at two separate

hearings. Docket 293. At the May 5, 2017 hearing, HRMC did not object to the court’s Final Jury Instruction Number 10 on “Breach of Contract –

1 The following factual background is derived from the pleadings, affidavits, motions, and transcripts. The background is limited in scope to facts relevant to defendant’s motion for remittitur or for a new trial on the issues of breach of contract damages and Dr. Huntoon’s testimony. Compensatory Damages,” Final Jury Instruction Number 14 on “Future Damages,” or to the court’s Verdict Form. Id. 7:14, 14:22-14:23, 22:22. Further, Dr. Miller specifically stated at the hearing that she was seeking past

and future lost wages. Id. 19:18-19:21. When discussing the Verdict Form, the court asked plaintiff’s attorney, “So on the breach of contract claim, are you seeking anything other than lost wages?” Id. 19:18-19:19. Attorney Wilson, representing Dr. Miller, responded, “No – I misspoke, your Honor. Past and future wages on the contract claim.” Id. 19:20-19:21. Plaintiff’s counsel then expressed some concern over the damages section of the Verdict Form in the event that the jury found in favor of Dr. Miller on the breach of contract claim but against her on the defamation claim. In response, the court proposed

editing the Verdict Form to have a general section of damages that included a space for lost wages, loss of earning capacity, and mental anguish.2 The court

2 The hearing proceeded as follows: The Court: So what if instead of having compensatory damages right after breach of contract, that says you decide the issue of breach of contract first, decide defamation second, and then the third question would be, if you found in favor of Dr. Miller on either the breach for contract claim or the defamation claim, determine the total amount of damages, if any, for lost wages, loss of earning capacity and mental anguish. Docket 293 19:22-20:04. Mr. Wilson: I think that would be perfect. Id. 20:08. Ms. Raymond: I’m not sure I followed, but there’s no mental anguish damages for the breach of contract, correct? Id. 20:09- 20:10. The Court: Right. So if they only found in favor of her on breach of contract, but against her on defamation and they awarded mental anguish, I would find that that’s not proper and send it back to them. Id. 20:11-20:14. explained that if the jury improperly awarded damages for mental anguish, the court would simply void the award. Both parties agreed to the suggested change.

The court then made the changes discussed at the May 5th hearing and emailed the instructions with the changes to the parties over the weekend. Id. 31:23-32:09. At the May 8, 2017 hearing, the parties went over the Final Jury Instructions and neither party objected to Final Jury Instructions Numbers 10 or 14 or to the Verdict Form. Id. 33:1-33:25. Dr. Huntoon’s Expert Testimony at Trial During the trial, Dr. Lawrence Huntoon, one of Dr. Miller’s experts, testified as to why HRMC’s actions were indicative of a sham peer review. Dr.

Huntoon’s expert disclosure identified3 that, in his opinion, HRMC conducted a sham peer review of Dr. Miller because: (1) the Medical Executive Committee (MEC) conducted a “review” of Dr. Miller under Section I.C. of the Bylaws; (2) the “review” was not done in anticipation of a corrective action; (3) a request for a corrective action would have required an investigation under the Bylaws; (4) no “investigation” as defined in the Bylaws ever occurred; (5) HRMC

Mr. Wilson: And as far as the Plaintiff is concerned, you wouldn’t have to send it back. I’m not sure what your procedure is. Id. 20:18-20:20. The Court: I would just make it null and void. Id. 20: 21. Ms. Raymond: Just strike that allocation of that amount since it’s not a basis of recovery? Id. 20:22-20:23. The Court: Right. Id. 20:24. Ms. Raymond: I’ll defer to your judgment, your Honor. Id. at 20:25. 3 Because Dr. Huntoon’s report is 98 pages, the court summarized what Dr. Huntoon’s report stated based on his own summary found at Docket 175-2 at 34-35. manipulated the language of meeting minutes to convert the term “review” to “investigation” in an attempt to explain the wrongful report to the NPDB; (6) and HRMC took an adverse action against Dr. Miller when it coerced her to

reduce her privileges at the hospital. Docket 175-2 at 34-35. Specifically, Dr. Huntoon’s report contains a section titled “Tactics Characteristic of Sham Peer Review Identified in This Case” that includes a sub heading titled “Violation of Medical Staff Rules and Regulations,” which details all of the provisions of the Bylaws that Dr. Huntoon believed HRMC violated. Id. at 39-45. HRMC now moves for remittitur or, alternatively, for a new trial because the jury’s award of damages is not supported by South Dakota law, and one of Dr. Miller’s experts, Dr. Huntoon, testified at trial outside the scope of the

opinions stated in his expert witness disclosure. Docket 290; Docket 291. DISCUSSION I. Objections to Final Jury Instructions and Verdict Form To the extent that HRMC objects to the court’s Final Jury Instructions and Verdict Form, it has failed to preserve the issues raised in the motion. “In order to properly preserve a claim of instructional error for appellate review, a party is not only required to make a sufficiently precise objection before the district court, but it must also propose an alternate instruction.” Caviness v.

Nucor-Yamato Steel Co., 105 F.3d 1216, 1220 (8th Cir. 1997) (quoting Kehoe v. Anheuser–Busch, Inc., 96 F.3d 1095, 1104 (8th Cir.

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