Paul Kearney, M.D. v. University of Kentucky

Kentucky Supreme Court·Decided January 14, 2022·No. 2020 SC 0010·Unknown

Opinion

RENDERED: JANUARY 20, 2022 TO BE PUBLISHED

Supreme Court of Kentucky 2020-SC-0010-DG

PAUL KEARNEY, M.D. APPELLANT

ON REVIEW FROM COURT OF APPEALS V. NO. 2018-CA-1270 FAYETTE CIRCUIT COURT NO. 15-CI-00551

UNIVERSITY OF KENTUCKY APPELLEE

OPINION OF THE COURT BY JUSTICE HUGHES AFFIRMING

The Kentucky Whistleblower Act (KWA) protects the governmental employee who brings to light his employer’s wrongdoing as defined by Kentucky Revised Statute (KRS) 61.102(1). Wrongdoing includes violation of “any law, statute, executive order, administrative regulation, mandate, rule, or ordinance.” Upon this review of a summary judgment in favor of the University of Kentucky (UK or University), we must determine whether the KWA protects a UK employee who reports the violation of an internal administrative regulation, here AR 3:14. We conclude that KRS 61.102(1) refers to an administrative regulation duly promulgated pursuant to KRS Chapter 13A and thus the employee’s allegations related to AR 3:14 do not constitute a disclosure protected by the KWA. We also conclude that the employee’s other identified

communications do not meet the KWA’s requirements. The communication related to UK’s alleged mismanagement of the Kentucky Medical Services Foundation (KMSF)’s funding lacks objective facts or information, a prerequisite for a disclosure protected by the KWA. Furthermore, the affidavit related to KMSF’s use of funds, which was filed in the record of this case after the employee’s disciplinary action concluded and after UK notified the employee that his salary was being reviewed due to the material change in his employment status, is not evidence sufficient to allow a reasonable person to conclude the affidavit’s disclosures were a contributing factor in the employee’s May 2016 salary reduction. On discretionary review, we agree with the trial court and the Court of Appeals that summary judgment is proper in this case.

FACTUAL AND PROCEDURAL BACKGROUND Dr. Paul Kearney, a trauma surgeon and tenured professor of surgery, initiated this action against UK in February 2015, alleging claims under the KWA, KRS 61.101-61.103. Dr. Kearney claims that UK retaliated against him, including suspending his clinical privileges to practice medicine at the University’s hospital and clinics, because he disclosed administrative wrongdoing. UK counters that the acts which Dr. Kearney complains about are disciplinary-related acts only and are the result of Dr. Kearney’s improper, unprofessional behavior over many years when interacting with staff and students, and more recently, a patient. UK moved the trial court for summary judgment arguing that Dr. Kearney could not establish a prima facie case of whistleblower retaliation. The trial court granted summary judgment, agreeing

that Dr. Kearney fails to qualify for whistleblower protection under KRS 61.102. The Court of Appeals affirmed the trial court. This Court granted discretionary review to determine if any of Dr. Kearney’s statements at issue are protected disclosures under the KWA.

Dr. Kearney identifies four statements which he alleges disclosed wrongdoing, all statements related to the College of Medicine’s Practice Plan Committee (PPC) and to the KMSF. Dr. Kearney believes his statements brought to light the University administration’s non-compliance with an administrative regulation, mismanagement, waste, fraud or abuse of authority. This being a review of a summary judgment, the record must be viewed in a light most favorable to Dr. Kearney and all doubts are to be resolved in his favor. Steelvest, Inc. v. Scansteel Serv. Ctr., Inc., 807 S.W.2d 476, 480 (Ky. 1991).

The PPC was created in July 2009 by the UK Board of Trustees through UK’s AR 3:14.1 AR 3:14, Article X, states in part, “The Committee shall meet periodically and shall review the operation of the Plan and the College Addendum, including matters relating to the applicability of the Plan to sources of income, standard schedules of charges for services, and any other aspects of the operation of the Plan.” As described by Dr. Kearney, AR 3:14 formed the College of Medicine budgetary oversight committee and mandated that the committee meet periodically to fulfill that budgetary watchdog role.

1 UK states that the role of the PPC is to review the operation of the medical practice plan and make recommendations to the Dean of the College of Medicine.

The KMSF is a non-profit, non-member 501(c)(3) corporation. The KMSF serves as a medical services organization collecting the billings generated by the UK hospital clinical physicians and returning those funds back to the physicians in the form of salaries and for research. KSMF’s board of directors is comprised of the College of Medicine’s department chairs and six elected faculty.

KMSF and UK have entered into an annually renewable contract. The contract reads in part: “The parties agree that the University Internal Auditors may conduct an audit of Foundation’s operations and accounts for period ending June 30, 2014 and such other audits, including audits to determine compliance with this agreement . . . .” The contract also carves out the Academic Enrichment Fund for the College of Medicine. The contract provision pertaining to the Academic Enrichment Fund directs that “eight percent (8%) of the actual clinical income collected by said Foundation [is] to be used by the Dean of the College of Medicine for the enrichment of the programs of the College or for related purposes at his/her sole discretion.” Considering that the College of Medicine’s department chairs are appointed by and serve at the pleasure of the Dean of the College of Medicine, and that those department chairs also serve on the KMSF board of directors, Dr. Kearney states that absent a functioning PPC to act in the budgetary oversight role, the opportunity for abuses of discretion regarding millions of dollars is real.2

2 Darrell Griffith, who served as the Executive Director of the KMSF from March 2006 to May 2014, states in his December 2015 affidavit that the KMSF was responsible for collecting net revenue in excess of $200 million. Although no

The Faculty Council of the College of Medicine, 2013-14, was composed of UK clinical physicians holding staff privileges at the University’s hospital and non-medically licensed professors in the medical college. Dr. Kearney and Professor Davy Jones, members of the Faculty Council, addressed that body at a January 21, 2014 meeting about the PPC. Professor Jones relayed that through open records requests he learned that the PPC had not met since its creation in July 2009. The Faculty Council meeting minutes reflect Dr. Kearney elaborated on Professor Jones’s presentation. Dr. Kearney, as a voting practice plan member, made inquiries and obtained information confirming there had never been a direct election for members of the PPC.3 After the Faculty Council’s lengthy discussion of the PPC, the Faculty Council decided, as a first step, to send recommendations to the Dean of the College, then Dr. Frederick de Beer. In response, Dean de Beer sent a memo to the Faculty Council informing it that then-Executive Vice President for Health Affairs (EVPHA) Dr. Michael Karpf and General Counsel William Thro would like to address the Faculty Council regarding a legal matter at its April meeting.

The Faculty Council met April 15, 2014. Dean de Beer, EVPHA Dr.

Karpf, General Counsel William Thro, and the faculty-elected trustee to the University Board of Trustees, Dr. John Wilson, attended the meeting. According to Dr. Kearney, he made two disclosures of wrongdoing at the April

timeframe is stated, Dr. Kearney’s summary judgment response indicates that Griffith is referring to KMSF collecting annual revenues of $200 million.

3 The minutes reflect that a group of six faculty members was convened in

October 2013 and informed they constituted the PPC.

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Paul Kearney, M.D. v. University of Kentucky, (Ky. 2022).

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