Noris Babb v. Secretary, Department of Vetarans Affairs

Court of Appeals for the Eleventh Circuit·Decided July 16, 2018·No. 16-16492·Unpublished

Opinion

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT

No. 16-16492

D.C. Docket No. 8:14-cv-01732-VMC-TBM

NORIS BABB,

Plaintiff - Appellant,

versus

SECRETARY, DEPARTMENT OF VETERANS AFFAIRS, Defendant - Appellee.

Appeal from the United States District Court for the Middle District of Florida

(July 16, 2018)

Before ED CARNES, Chief Judge, NEWSOM and SILER,* Circuit Judges. PER CURIAM:

*

Honorable Eugene E. Siler, Jr., United States Circuit Judge for the Sixth Circuit, sitting by designation.

This appeal arises from an employment-discrimination action filed by Dr.

Noris Babb, a pharmacist at the C.W. “Bill” Young VA Medical Center in Bay Pines, Florida, against the Secretary of the Department of Veterans Affairs. Babb alleges that her managers discriminated against her based on her gender and age, retaliated against her because she had engaged in protected EEOC activity, and subjected her to a hostile work environment—all in violation of Title VII of the Civil Rights Act of 1964, 42 U.S.C. § 2000e et seq., and the Age Discrimination in Employment Act of 1967, 29 U.S.C. § § 621 et seq. Babb appeals from the district court’s grant of summary judgment in favor of the Secretary.

Babb raises three issues on appeal. First, she contends that the district court erred by applying the McDonnell Douglas standard 1 rather than the more lenient “motivating factor” test to her gender- and age-discrimination and retaliation claims. Second, she asserts that the district court overlooked genuine issues of material fact concerning intent and pretext. And finally, she argues that the district court erroneously granted summary judgment on her hostile-work-environment claim.

Having considered the parties’ written briefs and oral arguments, we affirm the district court’s grant of summary judgment on Babb’s ADEA claim, her Title

1 McDonnell Douglas Corp. v. Green, 411 U.S. 792 (1973).

VII retaliation claim, and her hostile-work-environment claim. We reverse the district court’s grant of summary judgment on Babb’s gender-discrimination claim and remand for consideration under the motivating-factor standard.

I

The facts here are complex—or at least unwieldy. For the sake of clarity, we divide our summary into three parts: (a) a description of Babb’s employment and responsibilities in the years leading up to her (and others’) complaints about alleged gender and age discrimination; (b) a brief description of those complaints; and (c) a slightly more extended description of the actions that Babb contends constituted unlawful discrimination and/or retaliation, as well as the Secretary’s asserted reasons for those actions.

A

Babb, a clinical pharmacist, joined the Medical Center in 2004. As a clinical pharmacist, Babb worked under the auspices of the Medical Center’s Pharmacy Services division. In 2006, Babb accepted a position as a geriatrics pharmacist. Between 2006 and June 2013, Babb was assigned to an “interdisciplinary team” of caregivers in the Medical Center’s Geriatric Clinic. Accordingly, Babb’s work scope and responsibilities were governed by a service agreement between Pharmacy Services and Geriatric. As a clinical pharmacist working in the Geriatric Clinic, Babb was supervised both by Dr. Leonard Williams, Chief of the Geriatric

Clinic, and by Pharmacy Services administrators—Dr. Marjorie Howard, Babb’s direct Pharmacy Services supervisor; Dr. Keri Justice, Associate Chief of Pharmacy; and Dr. Robert Stewart, the Clinical Pharmacy Supervisor.

In 2009, while a member of the interdisciplinary team, Babb obtained an “advanced scope of practice,” which meant that she could practice “disease state management” (or “DSM”)—i.e., she could see patients and prescribe medication for conditions within the scope of her expertise without consulting a physician.

In 2010, the VA announced a nationwide initiative called “Patient Aligned Care Team” (or “PACT”), which triggered staffing changes at the Medical Center. As part of the PACT initiative, the VA established qualifications standards pursuant to which pharmacists spending at least 25% of their time practicing DSM would be eligible for promotion to GS-13. Because she had an advanced scope that enabled her to practice DSM, Babb sought a promotion.

B

Along the way, Babb and some of her colleagues concluded that Pharmacy Services was implementing the new qualifications standards in a way that evinced gender and age discrimination. Two other clinical pharmacists at the Medical Center, Drs. Donna Trask and Anita Truitt, filed EEO complaints in September 2011. In April and May 2012, Babb sent emails supporting Trask and Truitt to an EEOC investigator, and later, in March 2014, Babb gave a deposition in support of

Trask and Truitt. Babb also advocated on her own behalf; in a February 2013 conversation with Dr. Justice, Babb says that she identified herself as “another over 40 female with a grievance” and complained about management’s decision (of which more below) not to have her practice DSM anymore. In May 2013, Babb filed the EEOC complaint that ultimately led to this suit.

C

In the fall of 2012, Pharmacy Services and Geriatric began renegotiating the services agreement governing Babb’s responsibilities. Babb asked a Pharmacy Services supervisor whether she should “do anything” about the negotiations, but was told that they would be “taken care of at the Service Chief level and [that she] didn’t need to be concerned about it.” Babb later found out that two younger pharmacists—Drs. Lindsey Childs and William Lavinghousez—did participate in the service-agreement negotiations; Pharmacy Services explained that both were infectious-disease specialists and that its representative was unfamiliar with infectious-disease treatment protocol and so needed their input.

Pharmacy Services and Geriatric finalized the new service agreement governing Babb’s responsibilities in December 2012. While they considered having Babb remain in the Geriatric Clinic, keep her advanced scope, and spend at least 25% of her time practicing DSM, they ultimately concluded that such a solution was unworkable. In particular, although Dr. Williams wanted to keep

Babb in the Geriatric Clinic, he thought that reserving 25% of her time for DSM posed two problems: (1) he feared that it would detract from her role as a clinical pharmacist and patient caregiver and increase wait times for geriatric patients; and (2) he did not think that the DSM model was particularly well suited to geriatric patients. Accordingly, Williams determined that the Geriatric Clinic could not afford to allow Babb to devote more than three “slots” per day to DSM. Those three slots would equate to only about 18.75% of Babb’s time, well short of the 25% required for promotion under the new PACT-based standards. When it became clear that Geriatric would not agree to an arrangement that would permit Babb to meet the necessary 25% DSM threshold, Pharmacy Services and Geriatric agreed that Babb would not have any scheduled DSM responsibilities but would instead perform all of her work as part of an integrated patient-care team.

Because Babb would no longer practice DSM under the new service agreement, she would not need an advanced scope. Accordingly, shortly after the new service agreement was finalized, Pharmacy Services management began the process of removing Babb’s advanced-scope designation.

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