Nicole Bronson v. Ann & Robert H. Lurie Children's Hospital of Chica

69 F.4th 437
Court of Appeals for the Seventh Circuit·Decided May 30, 2023·No. 22-1290·Published·Cited by 34 cases

Opinion

In the

United States Court of Appeals For the Seventh Circuit

No. 22-1290 NICOLE BRONSON, Plaintiff-Appellant, v.

ANN & ROBERT H. LURIE CHILDREN’S HOSPITAL OF CHICAGO and SUSAN RUOHONEN, Defendants-Appellees.

Appeal from the United States District Court for the Northern District of Illinois, Eastern Division.

No. 20-c-2077 — John Z. Lee, Judge.

ARGUED SEPTEMBER 29, 2022 — DECIDED MAY 30, 2023

Before SYKES, Chief Judge, and ROVNER and JACKSON- AKIWUMI, Circuit Judges.

ROVNER, Circuit Judge. Nicole Bronson has sued Ann & Robert H. Lurie Children’s Hospital of Chicago (“Lurie” or “the hospital”) and Susan Ruohonen, Lurie’s Director of Family Services, for race discrimination in violation of Title VII of the Civil Rights Act of 1964, 42 U.S.C. § 2000e, and section 2 No. 22-1290

1981 of the Civil Rights Act of 1866, 42 U.S.C. § 1981. She also brought two state law claims for tortious interference with contract and defamation. The district court dismissed the Title VII and section 1981 claims along with the tortious interference claim and remanded the remaining defamation claim to state court. Bronson v. Ann & Robert H. Lurie Children’s Hosp. of Chicago, 2021 WL 1056847 (N.D. Ill. Mar. 18, 2021). Bronson appeals, and we affirm.

I.

We accept the following allegations of Bronson’s complaint as true for purposes of reviewing the district court’s decision to dismiss the complaint.

In August 2018, Chicago Public Schools (“CPS”) Manager Tora Evans hired Bronson as a citywide hospital and treatment center teacher. R. 1 ¶¶ 9, 27. 1 Bronson was assigned to Lurie for a period of three years. ¶ 9. Lurie is a pediatric hospital —the largest provider of pediatric health services in the Chicago metropolitan region. ¶ 2. Bronson was one of three CPS teachers assigned to work at the hospital. ¶ 14. Bronson and one other teacher, Catherine Cooper, are Black; the third teacher, Barbara Lee, is White. ¶¶ 1, 14. Ruohonen, as Lurie’s family services director, served as the teachers’ “representative supervisor” at the hospital. ¶¶ 11, 29. Ruohonen is White. ¶ 11. Only one percent of the hospital employees who worked under Ruohonen’s supervision were Black. ¶ 11.

As a hospital teacher, it was Bronson’s job to provide educational services to students who were unable to participate

1 Unless otherwise indicated, all record citations are to the allegations set forth in Bronson’s complaint.

No. 22-1290 3

in classroom instruction because of a diagnosed medical or psychiatric condition requiring in-patient treatment at Lurie. ¶¶ 12, 13, 17. Among other responsibilities, Bronson was required to assess a student’s eligibility for instruction, determine what educational resources were available for that student , prepare a case management plan, obtain parental consent for the student to receive educational services from hospital -assigned teachers, and also have a physician or advanced practice nurse complete certain paperwork. ¶¶ 12, 13, 17. In collaboration with the student’s classroom teacher(s), Bronson created a lesson plan that was consistent with a student ’s educational needs as well as his or her medical condition . ¶¶ 12, 13. She would then provide instruction to the hospitalized student, either individually at bedside or in smallgroup settings. Bronson also maintained records for all students and prepared regular, detailed reports on their progress . ¶¶ 12, 13, 17.

Because Bronson was working directly with patients in a hospital setting, Lurie controlled her access to the hospital premises, to patient medical records, and to the patients themselves; supplied her with workspace; trained her on pertinent hospital policies and procedures, as it did with other hospital employees; and monitored her compliance with those policies and procedures. ¶¶ 10, 18–20, 22–24, 30–31. Bronson was issued a Lurie identification badge that gave her access to the hospital and a hospital pager and email account to facilitate and coordinate her access to patients. ¶ 10. She was also given an office on the hospital premises that she shared with the other two teachers assigned to Lurie. ¶¶ 39– 40, 43. In addition to a general orientation, Bronson’s training at the hospital included instruction regarding patient privacy, including the patient confidentiality provisions of the Health 4 No. 22-1290

Insurance Portability and Accountability Act of 1996 (“HIPAA”), P.L. 104–191, 100 Stat. 2548 (Aug. 21, 1996). ¶ 35. Ruohonen was Lurie’s agent—and Bronson’s representative supervisor—in all of these respects. ¶¶ 11, 19, 21, 24, 28, 30, 39, 41, 45, 48, 54.

The gist of Bronson’s complaint is that from the beginning, Lurie and Ruohonen treated Bronson and Cooper, the first Black teachers who served at Lurie, in a discriminatory manner . Bronson alleges that Lurie staff, including Ruohonen in particular, took actions that made it more difficult for them to do their jobs, ostracized and demeaned them, subjected them to a hostile working environment, and attempted to have CPS discipline and/or remove them from Lurie. ¶¶ 16, 19–24, 26, 28, 33–35, 37–39, 44, 48, 51, 54.

In a departure from its consistent past practice with other CPS teachers, Lurie denied Bronson and Cooper access to the hospital’s electronic medical records system, known as EPIC. ¶¶ 19–21. Among the data stored in the EPIC system is information concerning a student-patient’s hospital admission and discharge dates, medical diagnosis, and medical providers. ¶ 18. Teachers need this type of information in order to secure consent to work with a student and to prepare and implement an appropriate educational plan. ¶¶ 17–18. The predecessors of Bronson and Cooper had all been granted access to EPIC; Bronson and Cooper were the first and only teachers at Lurie who had been denied such access. ¶¶ 15, 23. Without the ability to use EPIC, Bronson and Cooper found it much more difficult to gain access to hospitalized students. ¶¶ 19–20. It would take Bronson and Cooper as long as two to three days to obtain the requisite information through other means and to secure the parental consent and other authorizations

No. 22-1290 5

required of them. In some instances, a student might be discharged from the hospital before the teachers finally had assembled the information and paperwork they needed to begin providing services to the student. ¶ 25. When Bronson queried Ruohonen as to why they were shut out of the EPIC system , Ruohonen replied that allowing them access to patient records would constitute a HIPAA violation. When Bronson pointed out that their predecessors had been given access to EPIC, Ruohonen advised Bronson that it was a “new policy” to exclude teachers from the system. ¶¶ 19, 24. All CPS teachers at Lurie were required to undergo training with respect to HIPAA and patient confidentiality, but even after completing that training, Bronson and Cooper continued to be treated as outsiders. ¶ 35. Bronson raised the issue repeatedly with Ruohonen , explaining to her the difficulty that the lack of access to records was causing, but to no avail. ¶¶ 19, 21, 24. For her part, Ruohonen emailed Evans, Bronson’s CPS supervisor, questioning why Bronson needed information concerning a student’s admission and discharge dates. ¶ 27.

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Nicole Bronson v. Ann & Robert H. Lurie Children's Hospital of Chica, 69 F.4th 437 (7th Cir. 2023).

69 F.4th 437 (Nicole Bronson v. Ann & Robert H. Lurie Children's Hospital of Chica) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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