Nwaneri v. George Washington University Hospital

District Court, District of Columbia·Decided March 20, 2023·No. Civil Action No. 2022-0821·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

NGOZIKA J. NWANERI, Plaintiff,

v. Civil Action No. 22-821 (JDB)

GEORGE WASHINGTON UNIVERSITY HOSPITAL, Defendant.

MEMORANDUM OPINION

This dispute arises out of a surgery performed in August 2017 by the plaintiff, Dr. Ngozika Nwaneri, at George Washington University Hospital (“GWUH”). The patient suffered from a non-fatal adverse event during the surgery. GWUH then initiated a peer review of Nwaneri’s surgery, which set in motion a chain of events that culminated in the suspension of Nwaneri’s surgical privileges. Nwaneri alleges that GWUH mishandled the fallout from the surgery, and in doing so, breached his employment contract, tortiously interfered with his business relations, and discriminated against him. GWUH argues, among other things, that his claims are time barred. For the reasons set forth below, the Court agrees that Nwaneri’s claims are untimely and will dismiss the case.

Background

I. Factual Background 1 Nwaneri is “an elder African-American member in the Surgery Department” at GWUH “with a career practice in cardiac, thoracic[,] and vascular surgery.” Compl. [ECF No. 28] (“Am.

1 The facts are drawn from Nwaneri’s proposed amended complaint because the majority of this Opinion discusses claims brought in it. A court “must assume the truth of all well-pleaded factual allegations in the complaint” at this stage. In re Harman Int’l Indus., Inc. Sec. Litig., 791 F.3d 90, 99 (D.C. Cir. 2015).

Compl.”) ¶ 1. He has been a surgeon for almost four decades and has had a “contractual relationship with GWUH” since 2002. Id. ¶ 5. Starting in 2010, he began noticing a “pattern of disparate treatment and discrimination”—including “two frivolous suspensions of vascular privileges”—which he believes was based on “his age, race, and color.” Id. ¶ 6.

On August 21 and 22, 2017, Nwaneri “was involved in a surgery during which a patient suffered from an adverse intra-operative bleeding event.” Am. Compl. ¶ 8. The patient survived the adverse event and “was subsequently discharged in a satisfactory condition.” Id. On September 19, 2017, a peer review committee met to review the incident and released an adverse report a day later. Id. ¶ 9. Nwaneri alleges that this report “contained several errors,” which he “attempted to address” but was unsuccessful. Id. The report formed the basis for “adverse decisions” made by the Medical Executive Committee. Id.

On September 21, 2017 Nwaneri tried to schedule a heart surgery but was informed that his surgical privileges had been suspended. Am. Compl. ¶ 10. He had not been given notice of the suspension, which he alleges was “a violation of section 6.3 of the bylaws.” Id. The problem was cleared up a few days later when the Medical Director “denied any restriction of Dr. Nwaneri’s privileges,” and Nwaneri performed the heart surgery on September 26. Id. ¶ 11.

On October 4, 2017, Nwaneri met with the Medical Director and the Chairman of the Department of Surgery. Am. Compl. ¶ 12. The Chairman gave Nwaneri an “ultimatum to resign” (which he declined), referred to Nwaneri’s age, and “broadly threaten[ed] retaliation.” Id.

The Medical Executive Committee suspended Nwaneri’s privileges on October 16, 2017.

Am. Compl. ¶ 13. He appealed this decision a week later, and an ad hoc committee met on November 1, presumably to review his appeal, and produced a report shortly after. Id. ¶ 14. Nwaneri alleges that the committee met “two days after the fourteen days required by bylaw

6.4.2.3.” Id. The Medical Director submitted the report to the Board of Trustees, which requested a second review. Id. ¶ 16. That review was completed and sent back to the Board of Trustees by December 12, 2017. Id. On that date, “the Board of Trustees permanently affirmed revocation of Dr. Nwaneri’s Vascular Surgery privileges,” “includ[ing] Cardiac and Thoracic Surgery privileges . . . in violation of the bylaws section 6.4.” Id. ¶ 17. He was notified of the revocation on December 14. Id.

A separate committee, the “Fair Hearing Committee,” which appears to have the power to reject or accept the Board of Trustee’s action, see Am. Compl. ¶¶ 18, 21, convened on April 25, 2018, id. ¶ 18. Nwaneri alleges that the proceeding was “required to take place within 60 days or before February 12, 2018” under bylaw section 6.5.2.1. Id. The committee’s report was also allegedly filed late: under bylaw section 6.5.2.3, the committee should have submitted its report by August 29, 2018 but did not submit it until October 30, 2018. Id. The report was dated November 1, 2018, and Nwaneri’s privileges expired a day earlier, on October 31, 2018. Id. ¶ 20.

Nwaneri alleges that the “expiration of [his] privileges was premised on an erroneous calculation of cases for re-credentialing and failure to automatically send [him] re-application materials.” Am. Compl. ¶ 23. Specifically, GWUH should have “relied on cases performed 24 months prior to the privilege expiration” in October 2018, but instead “they relied on cases from 2018 alone.” Id.

The Fair Hearing Committee’s report “rejected the GWUH adverse action,” restored all of Nwaneri’s surgery privileges, and recommended that he perform 30 supervised cases. Am. Compl. ¶ 21. Nwaneri appealed this report to the Appellate Panel. Id. ¶ 22. The Appellate Panel met to consider his appeal on May 23, 2019, which he alleges was six months overdue under bylaw

section 6.6.2.1. Id. In June, the Appellate Panel reduced the number of supervised cases to 10. Id.

Separately, on November 9, 2017, GWUH had “issued a skewed report to the National Practitioner Data Bank (‘NPDB’),” which discussed Nwaneri’s privileges to practice medicine. Am. Compl. ¶ 19. Although the “erroneous and inflammatory” report was revised a year later, during that year, the report “damaged Dr. Nwaneri’s professional reputation[] and precluded him from work.” Id. II. Procedural Background Nwaneri filed an “inquiry” with the Equal Employment Opportunity Commission on April 30, 2021. See Compl. for a Civil Case [ECF No. 1] (“Compl.”) at 12. The EEOC, however, determined that his claims were time-barred and issued a right-to-sue letter on February 1, 2022, informing Nwaneri that he could bring a case in federal district court within 90 days. See Dismissal & Notice of Rights [ECF No. 1-2]; Am. Compl. ¶ 25.

Nwaneri brought this action pro se on March 25, 2022, alleging retaliation and discrimination in violation of Title VII of the Civil Rights Act (“Title VII”) and the Age Discrimination in Employment Act of 1964 (“ADEA”). See Compl at 1–3. GWUH filed a motion to dismiss his claims in May 2022, arguing that Nwaneri did not “timely pursue his administrative remedies and timely file a Charge of Discrimination” with the EEOC and that he failed to state a claim under either Title VII or the ADEA. Def.’s Mot. to Dismiss Compl. [ECF No. 15] (“Mot. to Dismiss”) at 2. Nwaneri opposed that motion, see Pl.’s Opp’n to Mot. to Dismiss [ECF No. 21], and GWUH filed a reply in support of its motion, see Def.’s Reply to Pl.’s Opp’n to Mot. to Dismiss [ECF No. 23].

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