Rogers v. Columbia/HCA of Central Louisiana, Inc.

961 F. Supp. 960, 1997 U.S. Dist. LEXIS 4762, 1997 WL 180305
CourtDistrict Court, W.D. Louisiana
DecidedFebruary 19, 1997
DocketCivil Action 96-2839
StatusPublished
Cited by6 cases

This text of 961 F. Supp. 960 (Rogers v. Columbia/HCA of Central Louisiana, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rogers v. Columbia/HCA of Central Louisiana, Inc., 961 F. Supp. 960, 1997 U.S. Dist. LEXIS 4762, 1997 WL 180305 (W.D. La. 1997).

Opinion

*962 RULING

LITTLE, Chief Judge.

Before this court is defendants’ alternative motion to dismiss or for summary judgment. For the reasons that follow, the motion is GRANTED in part, and this action is ordered STAYED pending the exhaustion of plaintiffs administrative remedies.

I. Factual and Procedural Background

Plaintiff Charles Rogers is a licensed physician specializing in the sub-specialty of bar-iatric surgery. 1 This lawsuit arises out of the revocation of plaintiffs bariatric surgery privileges at Rapides Regional Medical Center (“Rapides Regional”), a medical facility in Alexandria, Louisiana. Rapides Regional is allegedly owned and operated by defendant partners Columbia/HCA of Central Louisiana, Inc., and Central LA Healthcare Systems Limited Partnership (together hereafter “RRMC”). Defendants Philip Lindsay, George Hovnatanian, J. Michael Conerly, David Rayburn, and John McCabe (collectively hereafter the “Doctor Defendants”) are licensed physicians practicing in Alexandria. Each Doctor Defendant is a surgeon on the “Active Medical Staff’ at Rapides Regional. The Doctor Defendants comprised a professional peer review committee that evaluated plaintiff prior to the revocation of his baria-trie surgery privileges.

Plaintiff filed the instant complaint and a first amended complaint in this court on 18 December 1996. Subject matter jurisdiction is satisfied under 28 U.S.C. §§ 1331, 1337, 1343(a)(3), 1343(a)(4), 1367, and 2201. The amended complaint materially alleges as follows.

At all relevant times prior to 4 October 1996, plaintiff was appointed to the Active Medical Staff of Rapides Regional. A physician must be on the Active Medical Staff to admit a patient to Rapides Regional. Although plaintiff enjoyed both general surgery and bariatric surgery privileges at the hospital, his practice was exclusively in the field of bariatric surgery.

On 4 October 1996, RRMC president Lynn Truelove informed plaintiff by letter that his bariatric surgery privileges at Rapides Regional had been revoked by the Medical Executive Committee of Rapides Regional for one year, effective 1 October 1996. The letter stated that plaintiff retained privileges in general surgery and had the right to a hearing concerning the decision. On 29 October 1996, RRMC caused an “Adverse Action Report” to be published in the National Practitioner Data Bank. The report about plaintiff was classified under “Incompetence/malprac-tiee/Negligence” and described that an “Unacceptable level of major complications led to revocation of privileges in weight reduction surgery for one year.” RRMC caused the adverse report to be expunged from the Data Bank on 11 December 1996.

On 8 November 1996, plaintiff requested a hearing concerning the revocation of his bar-iatric surgery privileges. Truelove, in a letter dated 21 November 1996, scheduled a hearing for 15 January 1997. 2 Truelove also detailed the reasons for the revocation of plaintiffs bariatric privileges:

The Ad Hoc Committee formed by the President of the Medical Staff found your complication rate to be inordinately high. These complications consisted of post operative: 1) evisceration, 2) infection, 3) anas-tomotic leaks, 4) recurrent herniation, and 5) death. In other cases it appeared that poor surgical judgment was used, i.e. the performance of elective surgery in the face of active infection and the performance of weight reduction surgery in a 73-year-old man with a hiatal hernia.

The letter disclosed that the Doctor Defendants comprised the “Ad Hoc Committee.”

*963 There are seven claims for relief in plaintiffs complaint. Count One charges that the defendants engaged and conspired in an illegal boycott to deprive plaintiff of his staff privileges, in violation of the Sherman Act, 15 U.S.C. § 1. Count Two asserts that the defendants violated the Sherman Act, 15 U.S.C. § 1, by entering into a combination and conspiracy in an unreasonable restraint of trade and commerce. Count Three alleges that the defendants committed an unlawful monopolization under the Sherman Act, 15 U.S.C. § 2, by entering into a contract, combination, or conspiracy to prevent unlawfully plaintiff from retaining staff privileges at Rapides Regional. Count Four charges that La.Rev. Stat. Ann. § 13:3715.3 is unconstitutional. Among other things, La.Rev.Stat. Ann. § 13:3715.3 provides qualified immunity for members of hospital peer review committees. Plaintiff asserts that the statute violates three provisions of the United States Constitution: (1) due process; (2) substantive due process; and (3) the taking of property without compensation. Plaintiff also alleges that La.Rev.Stat. Ann. § 13:3715.3 violates the Louisiana constitution in that it is an “unauthorized delegation of the police power of the State of Louisiana to an individual or individuals.” Complaint, ¶ 6.

Count Five alleges that the defendants are liable as state actors under 42 U.S.C. § 1983 for the constitutional violations asserted in Count Four. Count Six charges that the defendants violated the federal Health Care Quality Improvement Act of 1986 (the “HCQIA”), 42 U.S.C. § 11101, et seq. The HCQIA, in part, provides civil immunity for “professional review bodies.” Count Seven asserts that RRMC defamed plaintiff by causing the notification of his revocation to be published in the National Practitioner Data Bank.

In sum, plaintiff has asserted multiple violations of the Sherman Act (Counts One, Two, and Three), that La.Rev.Stat. Ann. § 13:3715.3 is unconstitutional (Count Four), violation of 42 U.S.C. § 1983 (Count Five), violation of the HCQIA, 42 U.S.C.

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Rogers v. Columbia/HCA of Central Louisiana, Inc.
971 F. Supp. 229 (W.D. Louisiana, 1997)

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Bluebook (online)
961 F. Supp. 960, 1997 U.S. Dist. LEXIS 4762, 1997 WL 180305, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rogers-v-columbiahca-of-central-louisiana-inc-lawd-1997.