Pagano v. Oroville Hospital

145 F.R.D. 683, 93 Daily Journal DAR 2776, 1993 U.S. Dist. LEXIS 1897, 1993 WL 43677
CourtDistrict Court, E.D. California
DecidedFebruary 2, 1993
DocketNo. CIV S-92-0324 GEB GGH
StatusPublished
Cited by40 cases

This text of 145 F.R.D. 683 (Pagano v. Oroville Hospital) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pagano v. Oroville Hospital, 145 F.R.D. 683, 93 Daily Journal DAR 2776, 1993 U.S. Dist. LEXIS 1897, 1993 WL 43677 (E.D. Cal. 1993).

Opinion

[686]*686ORDER

HOLLOWS, United States Magistrate Judge.

Previously pending on this court’s law and motion calendar for January 7, 1993, was plaintiff’s motion to compel production of documents and further answers to interrogatories. The parties filed a timely stipulation regarding their discovery disagreement, pursuant to E.D.Cal.R. 251(c). The court has carefully reviewed the moving papers and heard oral argument, and hereby issues the following order. BACKGROUND

The underlying complaint alleges antitrust violations under the Sherman Act, 15 U.S.C. § 1, against defendant Oroville Hospital, and defendants Miki Joy, M.D. and John Floyd, M.D., based on allegations of conspiracy to eliminate plaintiff as a competitor in providing obstetrical/gynecological services in the Oroville area. It also alleges that the “Corrective Action” peer review procedure employed by defendants with respect to plaintiff did not comply with the requirements of 42 U.S.C. § 11112, of the Health Care Quality Improvement Act. The complaint further alleges that the Hospital intentionally interfered with plaintiff’s contractual relations, based on the hospital’s alleged interference with plaintiff’s professional liability carrier resulting in the cancellation of plaintiff’s liability insurance.

The “Corrective Action” pertaining to plaintiff was initiated by the Hospital in October, 1989. An “ad hoc” committee appointed by the Executive Credentials Committee of the Hospital recommended that plaintiff's gynecological surgical privileges be immediately terminated. This recommendation was upheld by the Executive Credentials Committee. Plaintiff was unsuccessful in his appeal of the decision to a “hearing committee” of the Committee, and did not appeal to the Hospital’s Board of Trustees.

The Hospital’s Executive Credentials Committee also directed a review of plaintiff’s obstetrical practice. In March 1990, the Committee directed that plaintiff follow certain procedures and participate in a follow-up review. In May 1990, the Committee imposed a requirement that plaintiff complete a retraining course within six months. Plaintiff requested an extension of this period, which was recommended by the Committee, but rejected by the Board of Trustees.

Plaintiff’s hospital privileges were considered “voluntarily surrendered” as of November, 1990. Plaintiff’s liability insurance was cancelled in 1991, and plaintiff has been unable to obtain replacement insurance.

Defendants Joy and Floyd sat on the Hospital Board of Trustees and its Executive Credentials Committee.

Plaintiff filed the complaint in this action on February 28,1992. On May 27, plaintiff served on defendant Hospital a First Set of Interrogatories and Request for Production of Documents. On June 27, 1992, the Hospital served its responses. The parties have since conferred on several occasions to resolve unanswered discovery requests. On January 5, 1993, the parties filed their Joint Stipulation regarding their disputes on the following unanswered interrogatory and three requests for production:

1. Interrogatory No. 13:

“Identify by date, name, address and telephone number of complainant, the nature of the procedure which was the subject of the complaint, and the surgeon or surgeons performing the procedure, all complaints received by the Hospital regarding any obstetrical or gynecological surgical procedure performed at the hospital, 1987-1990.”

2. Request for Production No. 26:

“All documents relating to any legal action brought against the Hospital as a result of surgery performed at the Hospital by a surgeon or surgeons other than Plaintiff, 1987-1990.”

3. Request for Production No. 27:

“All documents reflecting, regarding, relating or referring to any complaints to the [687]*687Hospital regarding any obstetrical or gynecological surgical procedure performed at the Hospital, 1987-1990.”

4. Request for Production No. 28:

“All documents reflecting, regarding, relating or referring to any complaints to the Hospital regarding any other surgical procedure performed at the Hospital, 1987-1990.”

Defendant Hospital provided similar objections to each of these requests. To all of the requests, the Hospital asserted (a) the physician-patient privilege, and (b) the privacy rights of the Hospital, its physicians and patients. To all of the requests except Request for Production No. 28, the Hospital asserted (c) immunity from discovery for the proceedings of its peer review committees, pursuant to the holdings of Bredice v. Doctors Hospital, Inc., 50 F.R.D. 249 (D.D.C.1970), aff'd without opinion, 479 F.2d 920 (D.C.Cir.1973), and Laws v. Georgetown University Hospital, 656 F.Supp. 824 (D.D.C.1987). To all of the requests for production, but not the outstanding interrogatory, the Hospital asserted (d) irrelevance, (e) the attorney-client privilege, and (f) the attorney work-product privilege. To the request for Production No. 26, the Hospital asserted (g) that the information is contained in public documents otherwise available to plaintiff.

DISCUSSION

I. OVERVIEW

The requested material is clearly relevant to plaintiffs cause of action. The more difficult question is the extent to which disclosure should be precluded based on one or more of defendant’s asserted evidentiary privileges. Defendant relies on a number of privileges—both federal and state—to object to the requested discovery. Some of these privileges intersect, others are parallel and distinct, but each invokes a threshold determination of applicability. Defendant’s broad challenge has necessitated refinement of this court’s approach in determining when to apply state privilege law.

This case involves a federal antitrust claim under the Sherman Act, and a pendent state law claim of interference with contract. The Federal Rules of Evidence dictate that privileges asserted in federal question cases shall be governed by federal law, while state privilege law should apply to purely state claims brought in federal court pursuant to diversity jurisdiction. Fed.R.Evid. 501.1 State claims that are pendent to federal question cases, however, are governed not by state law but by federal privilege law. Wm. T. Thompson, Co. v. General Nutrition Corp., Inc., 671 F.2d 100, 104 (3rd Cir.1982); Perrignon v. Bergen Brunswig Corp., 77 F.R.D. 455, 458-459 (N.D.Cal.1978). Thus, both claims of plaintiff in this action are governed by federal privilege law.

The Federal Rules of Evidence provide that privileges asserted in federal question cases shall be governed by principles of federal common law, unless otherwise prescribed by the federal Constitution, an Act of Congress, or rules of the Supreme Court. Fed.R.Evid.

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Bluebook (online)
145 F.R.D. 683, 93 Daily Journal DAR 2776, 1993 U.S. Dist. LEXIS 1897, 1993 WL 43677, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pagano-v-oroville-hospital-caed-1993.