Pomona Valley Hosp. Med. Ctr. v. Superior Court of L.A. Cty.

55 Cal. App. 4th 93, 55 Cal. App. 2d 93, 97 Cal. Daily Op. Serv. 3852, 97 Daily Journal DAR 6502, 63 Cal. Rptr. 2d 743, 1997 Cal. App. LEXIS 400
CourtCalifornia Court of Appeal
DecidedMay 21, 1997
DocketB108265
StatusPublished
Cited by35 cases

This text of 55 Cal. App. 4th 93 (Pomona Valley Hosp. Med. Ctr. v. Superior Court of L.A. Cty.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pomona Valley Hosp. Med. Ctr. v. Superior Court of L.A. Cty., 55 Cal. App. 4th 93, 55 Cal. App. 2d 93, 97 Cal. Daily Op. Serv. 3852, 97 Daily Journal DAR 6502, 63 Cal. Rptr. 2d 743, 1997 Cal. App. LEXIS 400 (Cal. Ct. App. 1997).

Opinion

*96 Opinion

NOTT, J.

Petitioner, Pomona Valley Hospital Medical Center (hereafter Pomona Valley) seeks a writ of mandate directing the superior court to set aside its order granting the motion of real party, Dr. Paul Bressman, to take the deposition of Dr. Frederick Knudsen and to augment the record with his testimony.

I. Factual and Procedural History

When Bressman joined Pomona Valley’s medical staff in 1983, he was a member of the Hauch Medical Clinic (Hauch), and was the only surgeon providing vascular surgical care for the patients of that group.

In 1990, Knudsen was president of the Pomona Valley medical staff and a vascular surgeon. On April 24, 1990, Knudsen suspended Bressman’s privileges to practice medicine at Pomona Valley. Bressman requested and received a full medical staff executive committee (MEC) review. The MEC upheld the suspension, and determined that an investigation of Bressman’s performance at the hospital should be conducted by an ad hoc investigative committee in order to make a recommendation regarding Bressman’s then pending 1990 medical staff reappointment application. The investigative committee recommended that Bressman’s reappointment application be denied. On August 16, 1990, the MEC adopted the investigative committee’s recommendation. On August 20, 1990, Knudsen advised Bressman in writing that the MEC had adopted the ad hoc investigating committee’s recommendation that Bressman’s 1990 reappointment application be denied.

On September 5, 1990, Knudsen advised the MEC that in August 1990, he and his partners had agreed to contract with Hauch for the purpose of serving as non-exclusive providers of surgical services on behalf of the clinic. Knudsen concluded that as a result, he would be unable to discharge any further duties that might be delegated to him with respect to the Bressman matter, and asked that his responsibilities be transferred to Dr. Duane W. Styles, the medical staff’s president-elect.

On September 11, 1990, an emergency MEC meeting was held. Knudsen was not present. After distribution of Knudsen’s memorandum requesting a transfer of duties to Dr. Styles, the committee discussed what, if any, implications might be associated with Knudsen’s new contractual relationship with Hauch. The MEC voted to grant Knudsen’s request for a transfer of responsibilities, and voted that nothing with respect to Knudsen’s new contractual arrangement with Hauch had “anything whatsoever to do” with *97 the reasons underlying the full executive committee’s April 30,1990, action upholding the April 24, 1990, summary suspension of Bressman’s privileges, or with the MEC’s August 16, 1990, recommendation that Bressman’s reappointment application be denied. The MEC therefore declined to modify, in any fashion, its April 30, 1990, and August 16, 1990, recommendations.

On September 17, 1990, Dr. Styles advised Bressman in writing of Knudsen’s transfer request, and of the MEC’s actions with respect to Knudsen’s notification concerning his contract with Hauch. On that same day, Bressman submitted a written request for a judicial review committee (hereafter JRC) hearing to review the MEC’s decisions to uphold the suspension and to deny his reappointment application.

The hearings before the JRC began on November 14, 1990, and ended, after 19 sessions, on January 20, 1993. On February 18, 1993, the JRC upheld the recommendation to terminate Bressman’s medical staff privileges. Bressman appealed the denial of his reapplication for staff privileges to Pomona Valley’s board of directors.

Bressman claimed, among other things, that he had not received a fair administrative hearing because the JRC was not composed of impartial outside physicians, he was denied the representation of legal counsel, and of the right to voir dire the physicians, and that the MEC was improperly allowed to add a new charge to the list of original charges.

The appellate panel—which had been appointed by the board of directors —concluded, among other things, that “no procedural improprieties occurred in connection with . . . Bressman’s hearing before the [JRC], and that he was not denied his right to a fair proceeding.” The panel recommended that the decision of the JRC be confirmed in all respects. The board of directors adopted in its entirety the appellate panel’s recommendation. Bressman then filed a Code of Civil Procedure section 1094.5 1 administrative mandamus action to obtain judicial review of the final administrative order and findings.

Bressman alleged he had been denied a fair administrative hearing because he was denied legal representation during the JRC proceedings, and because “[t]he entire case of the JRC was fostered by Frederick Knudsen, M.D., who was the President of the Medical Staff of [Pomona Valley] and a *98 direct economic competitor of [Bressman], who stood to receive a direct financial gain to his group after [Bressman’s] surgical privilege^] were summarily suspended. The [MEC] then approve[d] . . . Knudsen’s action within five (5) days. . . . Knudsen and his group [contacted Hauch, Bressman’s medical group] even before specific charges [were] presented against [Bressman], By virtue of . . . Knudsen’s executive action, he [was] able to take over [Bressman’s] practice, before [Bressman had] even a chance to defend himself.”

Pomona Valley answered Bressman’s allegation that he was denied legal representation as follows: “[Pomona Valley] admits that the JRC voted to deny legal representation to either [Bressman] or the Medical Staff at any of the sessions held by the JRC; however, [Pomona Valley] specifically denies that said vote in any way compromised [Bressman’s] right to a fair hearing. [Pomona Valley] affirmatively alleges that the JRC exercised the discretion assigned to it by the Medical Staff Bylaws which is consistent with the law of this land in determining that there would be no legal counsel during the actual JRC hearings.” 2

With respect to the allegations concerning Knudsen, Pomona Valley answered as follows: “[Pomona Valley] denies that the JRC had any case that could have been fostered by anyone. [Pomona Valley] denies that the *99 entire case of the Medical Staff was fostered by Dr. Frederick Knudsen. [Pomona Valley] admits that at some point in time Dr. Knudsen was the president of the Medical Staff. [Pomona Valley] admits that Dr. Knudsen was a competitor of [Bressman], however, states that the phrase ‘direct economic competitor of [Bressman] who stood to receive a direct financial gain to his group after [Bressman’s] surgical privileges were summarily suspended’ is vague and ambiguous and that [Pomona Valley] has insufficient information to either admit or deny and on that basis [Pomona Valley] denies said allegations. [Pomona Valley] also does not understand the sentence regarding the Medical Executive Committee’s approval of Dr. Knudsen’s actions within five (5) days and on that basis denies said allegations. [Pomona Valley] has insufficient information to either admit or deny and does not understand the remaining allegations . . . and on that basis denies them.

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55 Cal. App. 4th 93, 55 Cal. App. 2d 93, 97 Cal. Daily Op. Serv. 3852, 97 Daily Journal DAR 6502, 63 Cal. Rptr. 2d 743, 1997 Cal. App. LEXIS 400, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pomona-valley-hosp-med-ctr-v-superior-court-of-la-cty-calctapp-1997.