Montejunas v. Sioufi

14 Mass. L. Rptr. 625
CourtMassachusetts Superior Court
DecidedJune 12, 2002
DocketNo. 991463D
StatusPublished

This text of 14 Mass. L. Rptr. 625 (Montejunas v. Sioufi) is published on Counsel Stack Legal Research, covering Massachusetts Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Montejunas v. Sioufi, 14 Mass. L. Rptr. 625 (Mass. Ct. App. 2002).

Opinion

Agnes, A.J.

This is a medical malpractice case brought by the plaintiff on behalf of the estate of the decedent, Robert B. Montejunas. The defendants, Philippe J. Sioufi M.D., and Baldpate, Inc., are named for their respective roles as the decedent’s treating physician and hospital. The plaintiff has moved the court to reconsider part of its ruling on the motion of the defendant, Philippe J. Sioufi, M.D., for a protective order regarding further deposition. This court previously denied defendant’s motion for a protective order, and compelled the defendant’s submission to an additional day of deposition.1 The plaintiffs motion for reconsideration requests that this court expand its order, and further order the defendant Sioufi to answer certain questions posed in previous sessions of the deposition which he declined to answer based on an assertion of the peer review privilege. Pl.’s Mot. Reconsideration ¶ 1 (May 31, 2002). In particular, the plaintiff sought to question the defendant physician during his deposition in four different areas: (1) questions about his application for privileges at the defendant Baldpate Hospital; (2) questions about Baldpate’s criteria for the credentialing of physicians; (3) questions about Baldpate’s procedure for credentialing, promoting and appointing physicians; and (4) questions about whether his treatment of a patient or patients was ever the subject of an investigation by Baldpate Hospital. Plaintiffs memorandum in Support of Reconsideration at 3-12. The question before me is whether the defendant has a privilege to refuse to answer questions in these areas under the so-called peer review privilege.

DISCUSSION

Privileges are exceptions to the general duty imposed oh all people to testify. See Three Juveniles v. Com., 390 Mass. 357, 359, discussing Commonwealth v. Corsetti, 387 Mass. 1 (1982). The purpose of a privilege determines the limitations of its reach. The so-called peer review privilege, G.L.c. 111, §§204 & 205, was created to promote uninhibited investigation and exchange of opinion in the medical peer review context. Carr v. Howard 426 Mass. 514, 518 (1998). With that goal in mind, legislators designed G.L.c. 111, §204 “to foster aggressive critiquing of medical care by the provider’s peers.” See Beth Israel Hosp. Assn. v. Board of Registration in Med., 401 Mass. 172, 182 (1987). The statute provides that “proceedings, reports or and records of a medical peer review committee shall be confidential and shall not be subject to subpoena or discovery” with certain exceptions. G.L.c. 111, §204(a). As framed, the peer review privilege is not a personal privilege that may be waived by someone who provides information to or participates in a peer review process, but operates more like a disqualification in that it exempts certain information from disclosure.

In G.L.c. 111, §205(b), the legislature specifically listed some of the material that is privileged (e.g., records and reports “necessary” to comply with risk management and quality assurance programs, and incident reports that must be furnished to the board of registration in medicine), but also included language that limits the scope of the coverage of the privilege to “information and records” that are “necessary to the work product of the peer review committees.” G.L.c. 111, §205(b).2

In determining whether information sought during civil discovery proceedings is within the peer review privilege, the first question is whether the material is plainly within the scope of the privilege. Here, the only area of inquiry that might be regarded as plainly privileged concerns whether there was an investigation by the Baldpate Hospital of the defendant physician’s conduct. If the proceedings of a peer review committee are privileged and thus exempt from disclosure, a witness may not be compelled to disclose the existence of a proceeding. Thus, questions about whether the conduct of the defendant physician were reviewed and considered by the Baldpate Hospital’s peer review committee are privileged.

However, with regard to the other three categories of questions, it cannot be said that the information sought falls squarely within the privilege defined in G.L.c. 111, §§204(a) and 205(b). Contrast, Grande v. Lahey Clinic Hospital, 49 Mass.App.Ct. 77, 80 (2000) (privilege covers reports and any oral testimony by a [626]*626physician who served as a consultant and reporter to a Peer Review Committee even though she never attended a meeting of the Committee). See also Carr, 426 Mass. at 525 (certain types of incident reports are privileged under peer review because they are expressly privileged by statute such as incident reports that must be filed with the board of registration).

In Carr v. Howard, 426 Mass. at 522-23, the Supreme Judicial Court established that in circumstances in which material does not fall squarely within the parameters of the privilege the party asserting the privilege “must produce evidence tending to show (1) that the information and records sought are ‘necessary to comply’ with risk management and quality assurance programs . . . and (2) that the information and records ‘are necessary to the work product of medical peer review committees.’ ”

Thus, when the information or records do not fall clearly within the privilege, the burden is on the defendant to show that the information and records sought are subject to the privilege under the aforementioned requirements. “Determining whether the medical peer review privilege applies turns on the way in which a document was created and the purpose for which it was used, not on its content ." Miller v. Milton Hospital & Medical, 54 Mass.App.Ct. 495, 499 (2002). Here, the information sought is from a hospital physician who simply was required to submit to the hospital’s application and evaluation process in order to obtain and maintain credentials. Additional questions about the criteria used by the hospital for the evaluation, promotion and discharge of physicians or other medical staff likewise do not intrude into the confidential process of peer review. While some of the information sought by the plaintiff might aid the hospital’s Peer Review Committee, the defendant has failed to demonstrate that it is necessary to its functioning and access to it will not discourage hospitals from engaging experts for consultation and assistance in peer review.

Furthermore, the defendant’s position is undercut by the fact that the defendant physician is an original source of the information sought, and thus by express provision of law he can not claim privilege merely because some of the information sought was submitted to a peer review committee in its proceedings. G.L.c. 111, §204(b). There is no prohibition against disclosure under the peer review privilege when the content of the information obtained from an original source who is subject to a deposition such as the defendant physician in this case is identical to that which is contained in a confidential report authored by someone who interviews the original source and thus is subject to the privilege. See Carr, 426 Mass. at 533 (court admits that litigant is free to depose authors of privileged reports about their firsthand knowledge of events at issue). See also Hughes v. American Regent Lab., 144 F.R.D. 177, 179 (D.Mass. 1992). Here, the court deems it appropriate to allow the plaintiff to elicit information from the defendant through the course of discovery based on his firsthand knowledge of the relevant events.

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Related

Beth Israel Hospital Ass'n v. Board of Registration in Medicine
515 N.E.2d 574 (Massachusetts Supreme Judicial Court, 1987)
Three Juveniles v. Commonwealth
455 N.E.2d 1203 (Massachusetts Supreme Judicial Court, 1983)
Commonwealth v. Corsetti
438 N.E.2d 805 (Massachusetts Supreme Judicial Court, 1982)
Carr v. Howard
426 Mass. 514 (Massachusetts Supreme Judicial Court, 1998)
Grande v. Lahey Clinic Hospital, Inc.
725 N.E.2d 1083 (Massachusetts Appeals Court, 2000)
Miller v. Milton Hospital & Medical Center, Inc.
766 N.E.2d 107 (Massachusetts Appeals Court, 2002)
Hughes v. American Regent Laboratories
144 F.R.D. 177 (D. Massachusetts, 1992)

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Bluebook (online)
14 Mass. L. Rptr. 625, Counsel Stack Legal Research, https://law.counselstack.com/opinion/montejunas-v-sioufi-masssuperct-2002.