Northeast Community Hospital v. Gregg

815 S.W.2d 320, 1991 Tex. App. LEXIS 2077, 1991 WL 158965
CourtCourt of Appeals of Texas
DecidedAugust 21, 1991
Docket2-91-066-CV, 2-91-090-CV
StatusPublished
Cited by5 cases

This text of 815 S.W.2d 320 (Northeast Community Hospital v. Gregg) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Northeast Community Hospital v. Gregg, 815 S.W.2d 320, 1991 Tex. App. LEXIS 2077, 1991 WL 158965 (Tex. Ct. App. 1991).

Opinion

OPINION ON PETITION FOR WRIT OF MANDAMUS

DAY, Justice.

The issue for determination is whether the trial judge abused his discretion by ordering the production of documents without first conducting an in camera inspection where the documents were claimed to be protected by specific privileges and were tendered to the court for in camera inspection.

Northeast Community Hospital, (“Hospital”), and Dr. Robert Crawford seek writs of mandamus against Judge James W. Gregg contending that he abused his discretion by ordering the production of certain documents claimed by relators to be protected from disclosure by specific privileges, without having first conducted an in camera inspection of the documents submitted to him. Because of the similarity of the issues presented, we have consolidated both petitions in this opinion. The Hospital and Dr. Crawford contend that the documents are privileged and exempt from discovery under the following statutes and rule:

a. Article 4447d, Revised Civil Statutes of Texas (now codified at sections 161.-031 and 161.032 of the Texas Health & Safety Code);
b. Article 4495b, Revised Civil Statutes of Texas; and
c. Rule 166b, Texas Rules of Civil Procedure.

Dr. Crawford also objected to the discovery sought from him on the ground of the attorney-client privilege.

We hold that the trial court’s failure to conduct an in camera inspection of the documents in question constituted an abuse of discretion and we conditionally issue a writ of mandamus commanding the trial court to rescind its discovery order of March 19, 1991.

The real parties in interest, Marshall McCrummen and Barbara McCrummen, are suing Dr. Crawford and the Hospital seeking damages for medical negligence alleged to have occurred in 1985. In a request for production directed to the Hospital, the McCrummens sought discovery of the following documents:

REQUEST NO. 32 — Documents inquiring into competency: All documents pertaining in any way whatsoever to any inquiry into the competence or surgical capabilities of ROBERT R. CRAWFORD, D.O.
REQUEST NO. 39 — Your granting of medical staff privileges/credentialing *322 file: All applications and renewal correspondence, including all supporting documents in your credentialing file, kept in the ordinary course of business, such as letters of reference and recommendations, requests for such letters, and background checks made by the credentialing or similar committee within your hospital of ROBERT R. CRAWFORD, D.O.

The Hospital responded to the McCrum-mens’ motion by moving for a protective order on the grounds that the documents sought in the above requests were exempt from discovery and were accorded confidentiality under the provisions of TEX. REV.CIV.STAT.ANN. art. 4495b, sec. 5.06 (Vernon Supp.1991). In its motion, the Hospital urged the court to conduct an in camera inspection of the documents they contended were privileged from discovery.

Subsequently, the McCrummens noticed Dr. Crawford for his oral deposition duces tecum. The deposition duces tecum sought the production of the following documents from Dr. Crawford:

2. All materials relating to any investigation of Dr. Crawford’s medical conduct by either a hospital, state agency, and/or any other entity charged with determining the competence of physicians.
3. All records and/or documents pertaining to initial application for hospital privileges of Dr. Crawford at Northeast Community Hospital.
4. All documents pertaining to the performance of breast implantations by Dr. Crawford at Northeast Community Hospital, and/or any other hospital.
5. All documents pertaining to any limitations, modifications, suspensions and/or withdrawals of medical and/or surgical privileges of DR. CRAWFORD at any institution.
6. All documents pertaining to any investigations of DR. CRAWFORD’S medical practice.
7. Copies of all applications and reapplications for staff privileges and/or surgical privileges at any and all hospitals that Dr. Crawford has applied to in the past.
17. All correspondence between ROBERT R. CRAWFORD, D.O. and the Texas State Board of Medical Examiners regarding the incident which resulted in Order D-3580 on August 26, 1988.
18. All information provided to the Texas State Board of Medical Examiners pursuant to its investigation resulting in the issuance of Order D-3580 on August 26, 1988.
19. All correspondence between the Texas State Board of Medical Examiners and ROBERT R. CRAWFORD, D.O. as regards any investigation of all allegations of violations of the Medical Practice Act of Texas against DR. CRAWFORD initiated by said Board of Medical Examiners.
20. All information provided to the Texas State Board of Medical Examiners by ROBERT R. CRAWFORD, D.O. as regards any investigation initiated by said Board of Medical Examiners.
22. All evidence presented to the Texas State Board of Medical Examiners at any hearing to discuss allegations of violations of the Medical Practice Act of Texas, Texas Revised Civil Statute Annotated, Article 4495b against ROBERT R. CRAWFORD, D.O.

Dr. Crawford responded to his noticed deposition duces tecum by filing a motion for protective order in which he also pled the privilege of confidentiality accorded the requested documents by article 4495b. He also pled the attorney-client privilege on certain correspondence between himself and the Texas State Board of Medical Examiners. In his motion Dr. Crawford urged the court to conduct an in camera inspection of the documents prior to ordering their release to the McCrummens.

The Hospital also objected to Dr. Crawford’s noticed deposition duces tecum by filing a motion to quash the above items on the duces tecum. The Hospital’s motion admitted that it had no knowledge as to whether Dr. Crawford had possession of the peer review documents described above, but pointed out to the court that paragraph (i) of section 5.06 of article 4495b provided:

*323 Disclosure of confidential peer review committee information to the affected physician pertinent to the matter under review shall not constitute waiver of the confidentiality provisions provided in this Act.

The Hospital further alleged that paragraph (j) of section 5.06 provided that:

[R]ecords or determinations of or communications to a medical peer review committee are not subject to subpoena or discovery and are not admissible as evidence in any civil judicial or administrative proceeding without waiver of the privilege of confidentiality executed in writing by the committee_ Any person seeking access to privileged information must plead and prove waiver of the privilege.

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Bluebook (online)
815 S.W.2d 320, 1991 Tex. App. LEXIS 2077, 1991 WL 158965, Counsel Stack Legal Research, https://law.counselstack.com/opinion/northeast-community-hospital-v-gregg-texapp-1991.