Naini v. King County Hospital District No 2

CourtDistrict Court, W.D. Washington
DecidedOctober 18, 2019
Docket2:19-cv-00886
StatusUnknown

This text of Naini v. King County Hospital District No 2 (Naini v. King County Hospital District No 2) is published on Counsel Stack Legal Research, covering District Court, W.D. Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Naini v. King County Hospital District No 2, (W.D. Wash. 2019).

Opinion

THE HONORABLE JOHN C. COUGHENOUR 1 2 3 4 5 6 UNITED STATES DISTRICT COURT 7 WESTERN DISTRICT OF WASHINGTON 8 AT SEATTLE 9 ALI J. NAINI, CASE NO. C19-0886-JCC 10 Plaintiff, ORDER 11 v. 12 KING COUNTY HOSPITAL DISTRICT NO. 2 et al., 13 Defendants. 14 15 16 This matter comes before the Court on Defendants’ partial motion to dismiss (Dkt. No. 17 32). Having considered the parties’ briefing and the relevant record, the Court finds oral 18 argument unnecessary and hereby GRANTS the motion in part and DENIES the motion in part 19 for the reasons explained herein. 20 I. BACKGROUND 21 In early 2012, Plaintiff Ali J. Naini, a neurosurgeon who works at Defendant King 22 County Hospital District No. 2 (“Evergreen”), became concerned that physicians in Evergreen’s 23 intensive care unit were improperly advising his elderly patients to consent to Do Not 24 Resuscitate designations or transfers to end-of-life palliative hospice care without his knowledge. 25 (See id. ¶¶ 32–34.) Plaintiff raised his concerns to Evergreen’s administration, telling the hospital 26 that these patients could be saved with more aggressive treatment. (See id. ¶ 45.) According to 1 Plaintiff, his concerns were not taken seriously. (See id. ¶ 45.) Instead, specific employees at 2 Evergreen purportedly responded by campaigning to have the hospital revoke Plaintiff’s medical 3 staff privileges. (Id. ¶ 220.) 4 The campaign against Plaintiff was allegedly spearheaded by Defendant Melissa D. Lee, 5 M.D., the medical director of Evergreen’s ICU and the director of the hospital’s Quality 6 Assurance Committee. (See id. ¶¶ 24, 46–60.) In 2013, Dr. Lee urged Evergreen to approve a set 7 of “Neurosurgical Co-Management Guidelines” that would limit Plaintiff’s authority over his 8 patients in the ICU. (Id. ¶ 57.) Dr. Lee’s efforts proved successful, and Evergreen ultimately 9 adopted the guidelines on January 5, 2016. (Id. ¶ 59.) 10 That same year, a conflict arose over the treatment of two of Plaintiff’s patients. (Id. 11 ¶ 67.) Plaintiff expressed his concerns regarding those patients’ treatment to Defendant Robert E. 12 Geise, M.D., the then-president of Evergreen’s medical staff. (Id. ¶ 68.) At the same time, Dr. 13 Lee contacted Dr. Geise and asserted that Plaintiff was breaking Evergreen’s new co- 14 management policy. (Id. ¶ 71.) After hearing from Dr. Lee, Dr. Geise met with Defendant James 15 O’Callaghan, M.D., and Dr. Scott Burks on June 23, 2016, to create a “to do” list for Plaintiff. 16 (Id. ¶ 73.) Dr. Geise then held a meeting with Dr. Lee and other ICU staff. (Id. ¶ 76.) At the 17 meeting, Dr. Lee urged Evergreen’s administration to act against Plaintiff. (Id. ¶ 77.) Dr. Geise 18 assured Dr. Lee that he had a “plan for formal review.” (Id.) 19 The day after the meeting, Dr. Geise initiated an ad hoc process that, according to 20 Plaintiff, was intended to justify a Focused Professional Practice Examination-Concern period 21 for Plaintiff.1 (Id.) As part of that process, Dr. Geise appointed Dr. Sean Kincaid as head of a 22 committee to investigate Plaintiff’s patient care. (Id. ¶ 78.) Dr. Geise also instructed two 23 unidentified Evergreen neurosurgeons to perform internal reviews of the medical records of three 24 patients that Plaintiff admitted to the ICU in the spring of 2016. (Id. ¶ 80.) And when that 25 1 “An FPPE-C is a time-limited period during which a hospital evaluates and determines a 26 physician’s professional performance.” (Id. ¶ 73.) 1 internal review concluded that Plaintiff had given adequate care to those three patients, Dr. Geise 2 commissioned an external reviewer to assess Plaintiff’s care in each case. (Id. ¶¶ 91–92.) 3 Although the reviewer issued a report that was generally favorable towards Plaintiff’s clinical 4 competency, the report raised issues relating to documentation and co-management policies. (Id. 5 ¶¶ 92–96.) Given these purported issues, Defendants subsequently informed Plaintiff on 6 September 12, 2016, that they had created an FPPE-C requiring Plaintiff to complete tasks 7 relating to his communication with colleagues and staff. (Id. ¶ 98.) 8 On April 3, 2017, Dr. Geise sent a letter demanding that Plaintiff also complete a 9 competency assessment at the University of California in San Diego. (Id. ¶ 102.) When Plaintiff 10 refused to undergo the assessment, Dr. Geise sent Plaintiff another letter on September 27, 2017, 11 stating that if Plaintiff did not go to California, “the Medical Staff will consider your non- 12 compliance as a voluntary resignation.” (Id. ¶ 118.) Dr. Geise’s second letter prompted Plaintiff 13 to file the initial complaint in this case in King County Superior Court, requesting a temporary 14 restraining order preventing Evergreen from terminating his privileges. (Id. ¶ 118.) In response to 15 Plaintiff’s request, Defendants withdrew the assessment requirement. (Id. ¶ 119.) 16 After withdrawing the assessment requirement, Evergreen implemented a “Corrective 17 Action Plan” involving an ongoing review of Plaintiff’s cases in 2018. (Id. ¶ 122.) That review 18 identified potential issues in three cases, which were then sent for review to the Credentials 19 Committee. (Id. ¶ 130.) The Credentials Committee met on January 9, 2019, and voted—without 20 hearing from Plaintiff—to not renew his privileges. (Id. ¶¶ 131, 135.) Following the Credential 21 Committee’s decision, Dr. O’Callaghan, who by that time had become president of Evergreen’s 22 medical staff, authored a report purporting to summarize the basis for the decision. (Id. ¶ 137.) 23 On January 14, 2019, the Medical Executive Committee met and accepted the Credential 24 Committee’s recommendation to suspend Plaintiff’s privileges. (Id. ¶ 165.) One day later, 25 Evergreen’s Board of Commissioners also held a meeting, which Dr. O’Callaghan attended. (Id. 26 ¶ 168.) Once the meeting concluded, Dr. O’Callaghan told Dr. Geise that the Board had decided 1 to not renew Plaintiff’s privileges. (Id. ¶ 169.) Dr. O’Callaghan similarly told Plaintiff in a 2 telephone conversation that “the Board upheld the decision of MEC to not recommend re- 3 credentialing” and that Plaintiff’s privileges were therefore terminated. (Id. ¶ 170.) But Plaintiff 4 alleges that Dr. O’Callaghan was incorrect: “the Board had not approved anything.” (Id. ¶ 181.) 5 Even though “[Plaintiff’s] privileges had never been officially rescinded,” (id. ¶ 188), 6 Defendants sent a broadcast email on January 17, 2019, “claiming that the Board had approved 7 [Plaintiff’s] ‘resignation.’” (Id. ¶ 175.) The email was sent to at least 200 hospital personnel, and 8 news of Plaintiff’s alleged resignation circulated quickly throughout the medical community. (Id. 9 ¶¶ 175–82.) 10 On February 1, 2019, the Superior Court vacated the suspension of Plaintiff’s privileges. 11 (Id. ¶ 186.) Plaintiff subsequently amended his complaint to add nine claims for damages against 12 Dr. Geise, Dr. O’Callaghan, Dr. Lee, EvergreenHealth Medical Center Medical Staff,2 and 13 Evergreen. (See id. ¶¶ 192–254.) Because Plaintiff’s amended complaint included federal claims 14 under 42 U.S.C. §§ 1983 and 1985(3), Defendants removed the case to this Court. (Dkt. No. 2.) 15 Following removal, Defendants filed the instant partial motion to dismiss. (Dkt. No. 32.) 16 II. DISCUSSION 17 A. Federal Rule of Civil Procedure 12(b)(6) Legal Standard 18 A defendant may move for dismissal when a plaintiff “fails to state a claim upon which 19 relief can be granted.” Fed. R. Civ. P. 12(b)(6).

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Bluebook (online)
Naini v. King County Hospital District No 2, Counsel Stack Legal Research, https://law.counselstack.com/opinion/naini-v-king-county-hospital-district-no-2-wawd-2019.