NAVICENT HEALTH, INC. v. MUFID A. OTHMAN

CourtCourt of Appeals of Georgia
DecidedOctober 23, 2024
DocketA24A0869
StatusPublished

This text of NAVICENT HEALTH, INC. v. MUFID A. OTHMAN (NAVICENT HEALTH, INC. v. MUFID A. OTHMAN) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
NAVICENT HEALTH, INC. v. MUFID A. OTHMAN, (Ga. Ct. App. 2024).

Opinion

FIRST DIVISION BARNES, P. J., GOBEIL and PIPKIN, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. https://www.gaappeals.us/rules

October 23, 2024

In the Court of Appeals of Georgia A24A0868, A24A0869. OTHMAN v. NAVICENT HEALTH INC. et al.; and vice versa.

GOBEIL, Judge.

These appeals concern an ongoing dispute between Mufid Othman, M.D., and

Navicent Health, Inc. f/k/a Central Georgia Health Systems, Inc. (“Navicent”), and

Medical Center of Central Georgia, Inc. (the “Hospital”) (collectively referred to as

the “Defendants”). Dr. Othman sued the Defendants for a variety of claims, mostly

related to the Defendants’ assignment of patients to certain physician staffing groups

at the Hospital’s emergency room. During the course of the litigation, the trial court

issued three orders disposing of some of Othman’s claims and allowing others to

proceed. Both sides have appealed. In Case No. A24A0868, Othman asserts that the trial court erred in (1)

dismissing his claim for trespass; (2) concluding that he cannot pursue certain claims

on behalf of his physician group even though it assigned rights to him; (3) its

application of the economic loss rule to grant partial summary judgment to the

Defendants; and (4) granting summary judgment to the Defendants on a claim related

to the Hospital executing a contract with a competing physician group in violation of

its Bylaws and/or internal Rules and Regulations.

In their cross-appeal in Case No. A24A0869, the Defendants argue that the trial

court erred in (1) denying their motion for summary judgment on Othman’s remaining

claims concerning the assignment of patients at the emergency room; (2) denying their

motion to dismiss Othman’s negligence claim; and (3) denying their motion for

summary judgment on Othman’s tangential claims for injunctive relief, attorney fees

and expenses, and punitive damages, which must fail if summary judgment is properly

granted on his substantive claims.

For the reasons that follow, we affirm in Case No. A24A0868, as the trial court

correctly dismissed Othman’s trespass action and granted summary judgment to the

Defendants on some of Othman’s other claims, but we reverse in Case No. A24A0869

2 (the cross-appeal), as the Defendants were entitled to summary judgment in full on

the remainder of Othman’s claims.

Background Facts

The record in this case shows that Dr. Othman is a board certified nephrologist

and internal medicine doctor who has clinical privileges at the Hospital. The

Defendants Navicent and the Hospital are non-profit corporate entities that operate

the Hospital. The Hospital has “Medical Staff” consisting of physicians and other

healthcare providers who practice there. The Medical Staff is organized under a set

of “Bylaws,” and the Hospital operates under its internal “Rules and Regulations.”

The Rules and Regulations set out two types of patients who may present in the

Hospital’s Emergency Department (“ED”): “preassigned patients” and “unassigned

patients.” Preassigned patients are those who present to the ED with a preexisting

relationship with a physician (who is referred to as “an assigned physician”). If the

ED doctor determines that the patient already has an assigned physician, then the ED

doctor is to contact that assigned physician or his or her “call partner” if the patient

requires a consult or admission to the hospital.

3 Unassigned patients are those who present to the ED without an assigned

physician. For unassigned patients, the ED doctor is to “utilize[ ] the department-

specific call policy”1 to determine who will assume responsibility for their care. It is

up to the ED doctors (who are independent contractors) to determine whether a

patient is categorized as preassigned or unassigned, and generally the ED doctors rely

on the patient or their support people to answer questions to make that determination.

There are two competing hospitalist groups at the Hospital (groups of

physicians who may treat admitted patients) – Magna Care Medical Specialists, LLC

(“Magna Care”), of which Othman is a member (and an owner), and Cogent

Healthcare of Macon, LLC, d/b/a QuantumHC (“Quantum”).

Magna Care has contractual agreements with many physicians in the Macon

area to serve as a “call partner” whenever those physicians are contacted by the ED.

The parties refer to these as “call coverage” arrangements/agreements. Essentially,

1 Neither party points this Court to a particular “department-specific call policy” in the record. The Rules and Regulations refer to a list of daily on-call physicians and state that each department should maintain its own specific call policy and notify the ED of its call schedule. According to Othman, these call policies for the ED involve a list of “on-call” physicians who the ED doctor is supposed to rotate through to consult on unassigned patients. 4 this means that when a patient presents at the ED and names an assigned physician

with whom Magna Care has a call coverage agreement, the ED is supposed to contact

Magna Care so that a Magna Care physician can consult or admit the patient as a

preassigned patient. Or, if one of those call partner physicians is “on call” and

assigned an unassigned patient, the ED is supposed to contact Magna Care to consult

on that unassigned patient.

In 2016, the Defendants entered an exclusive hospitalist program services

agreement with Quantum. This contract provided that Quantum-associated

physicians were to be assigned all unassigned patients who presented at the ED from

that point onward, thus excluding the Magna Care-associated physicians from treating

the unassigned patient population. According to Othman, this change has significantly

diminished the number of patients being treated by Magna Care physicians at the

Hospital.

Procedural History

In April 2017, Othman filed his original action against the Defendants. His

initial claims alleged that the Hospital’s contract with Quantum concerning

unassigned patients violated the Bylaws and/or Rules and Regulations adopted by the

5 Hospital. Othman sought a declaration that the Hospital’s “Rules and Regulations are

valid and enforceable as written.” He also sought an injunction to enjoin the

Defendants from “failing to follow the Bylaws and Rules and Regulations.”

The primary legal theory underlying Othman’s claims is based on St. Mary’s

Hosp. of Athens, Inc. v. Radiology Professional Corp., 205 Ga. App. 121 (421 SE2d 731)

(1992) (physical precedent only as to Division 2, which is not at issue in this appeal).

Although a hospital generally has broad power to control the administrative,

managerial, and operational functions of its facility and staff, hospitals are also bound

by their bylaws “concerning staff privileges.” Id. at 127 (3) (c). Under St. Mary’s

(discussed further below), a physician is entitled to “assert a cause of action in tort

against [a hospital] for failure to follow existing bylaws with regard to termination of

his staff privileges.” Id. Othman asserted that St. Mary’s and related cases empowered

the court to require the Hospital to follow its existing procedures — essentially asking

the court to order the Hospital to return to the previous call rotation system for

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cobb County-Kennestone Hospital Authority v. Prince
249 S.E.2d 581 (Supreme Court of Georgia, 1978)
Foster v. Morrison
339 S.E.2d 307 (Court of Appeals of Georgia, 1985)
Morris v. Pugmire Lincoln Mercury, Inc.
641 S.E.2d 222 (Court of Appeals of Georgia, 2007)
Wages v. Amisub of Georgia
508 S.E.2d 783 (Court of Appeals of Georgia, 1998)
Satilla Health Services, Inc. v. Bell
633 S.E.2d 575 (Court of Appeals of Georgia, 2006)
St. Mary's Hospital of Athens, Inc. v. Radiology Professional Corp.
421 S.E.2d 731 (Court of Appeals of Georgia, 1992)
Mulligan v. Brunswick Memorial Hospital Authority
589 S.E.2d 851 (Court of Appeals of Georgia, 2003)
Dunbar v. Gwinnett Hospital Authority
182 S.E.2d 89 (Supreme Court of Georgia, 1971)
Madonna v. Satilla Health Services, Inc.
658 S.E.2d 858 (Court of Appeals of Georgia, 2008)
Andrade v. Grady Memorial Hospital Corp.
707 S.E.2d 118 (Court of Appeals of Georgia, 2011)
CALDWELL Et Al. v. CHURCH
802 S.E.2d 835 (Court of Appeals of Georgia, 2017)
Central of Georgia Railway Co. v. Americus Construction Co.
65 S.E. 855 (Supreme Court of Georgia, 1909)
Clarke County School District v. Madden
110 S.E.2d 47 (Court of Appeals of Georgia, 1959)
Katz v. Hospital Authority
561 S.E.2d 858 (Court of Appeals of Georgia, 2002)
Rowell v. Phoebe Putney Memorial Hospital, Inc.
791 S.E.2d 183 (Court of Appeals of Georgia, 2016)
GENERAL MOTORS, LLC v. BUCHANAN
874 S.E.2d 52 (Supreme Court of Georgia, 2022)

Cite This Page — Counsel Stack

Bluebook (online)
NAVICENT HEALTH, INC. v. MUFID A. OTHMAN, Counsel Stack Legal Research, https://law.counselstack.com/opinion/navicent-health-inc-v-mufid-a-othman-gactapp-2024.