Roland Pushard III v. Riverview Psychiatric Center

2020 ME 23, 224 A.3d 1239
CourtSupreme Judicial Court of Maine
DecidedJanuary 30, 2020
StatusPublished
Cited by8 cases

This text of 2020 ME 23 (Roland Pushard III v. Riverview Psychiatric Center) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Roland Pushard III v. Riverview Psychiatric Center, 2020 ME 23, 224 A.3d 1239 (Me. 2020).

Opinion

MAINE SUPREME JUDICIAL COURT Reporter of Decisions Decision: 2020 ME 23 Docket: Ken-19-201 Argued: December 4, 2019 Decided: January 30, 2020

Panel: SAUFLEY, C.J., and ALEXANDER, MEAD, GORMAN, JABAR, and HUMPHREY, JJ. Majority: SAUFLEY, C.J., and ALEXANDER, MEAD, GORMAN, and HUMPHREY, JJ. Dissent: JABAR, J.

ROLAND PUSHARD III

v.

RIVERVIEW PSYCHIATRIC CENTER

ALEXANDER, J.

[¶1] Roland Pushard III appeals from a summary judgment entered by

the Superior Court (Kennebec County, Stokes, J.) in favor of Riverview

Psychiatric Center on Pushard’s complaint alleging a violation of the

Whistleblowers’ Protection Act, 26 M.R.S. §§ 831-840 (2018). Pushard argues

that there are genuine issues of material fact regarding whether he is entitled

to whistleblower protection based on complaints he made, while employed at

Riverview, about (1) Riverview’s staffing policies; (2) his supervisor’s alleged

mistreatment of another employee; and (3) a potential violation of patient 2

confidentiality pursuant to the Health Insurance Portability and Accountability

Act (HIPAA), see 45 C.F.R. §§ 164.500-.534 (2019). We affirm the judgment.1

I. CASE HISTORY

[¶2] Viewed in the light most favorable to Pushard, as the party against

whom summary judgment has been granted, the following material facts are

undisputed. See Berry v. Mainestream Finance, 2019 ME 27, ¶ 6, 202 A.3d 1195.

[¶3] Pushard was the director of nursing at Riverview. His supervisor

was Jay Harper, the superintendent of Riverview. As director of nursing,

Pushard often disagreed with Harper’s staffing decisions and policies. The

parties agree that “[u]nderstaffing was a persistent, ongoing problem at

Riverview for years.” The issue was publicly known and had been discussed by

the media and the Legislature.

[¶4] To address Riverview’s staffing problems, Harper instituted several

new policies, including replacing mental health workers with acuity

specialists.2 Pushard disagreed with this decision and told Harper that he

1 To the extent that Pushard raises arguments not discussed in this opinion, we are unpersuaded. 2The statement of material facts does not explain with any detail the difference between a mental health worker and an acuity specialist. The statement of material facts says only that Pushard “felt tha[t] non-CNAs could not provide the range of hands-on care to patients that CNAs could.” “As a central tenet of summary judgment motion practice, ‘[f]acts not set forth in the statement of material facts are not in the summary judgment record, even if the fact in question can be gleaned from affidavits or other documents attached to, and even referred to in portions of, a statement of material 3

believed the decision threatened the safety of patients and employees because

acuity specialists could not perform all the tasks that mental health workers

could.

[¶5] Harper also moved two full-time nurse educators to administrative

roles. Although Harper allowed Pushard to hire two new employees to fill the

vacant positions, Pushard eventually hired two part-time nurse educators

because no one who applied for the positions was willing to work full-time.

Pushard told Harper that he disagreed with Harper’s decision to move the

full-time nurse educators because he believed that replacing them with

part-time employees would result in nurse educators spending less time

assisting with patient management, which in turn would create unsafe

conditions for patients and employees.

[¶6] The record demonstrates that Pushard “did not believe that he was

making Harper or anyone else [at Riverview] aware of anything they were not

already aware of” when he made complaints about Harper’s decisions to hire

acuity specialists and to move the full-time nurse educators to administrative

roles.

fact.’” Berry v. Mainestream Finance, 2019 ME 27, ¶ 7, 202 A.3d 1195 (alteration in original) (quoting HSBC Bank USA, N.A. v. Gabay, 2011 ME 101, ¶ 22, 28 A.3d 1158). 4

[¶7] The assistant director of nursing lodged complaints similar to those

made by Pushard. Around the time that Pushard and the assistant director

made these complaints, Harper took away the assistant director’s office and

assigned it to another employee. Pushard also perceived that Harper had

treated the assistant director in a disrespectful manner during meetings.

Pushard complained to Harper, explaining that he thought Harper was

retaliating against the assistant director because of her complaints about

Harper’s staffing decisions.

[¶8] In early 2015, Pushard reported to Harper that a Riverview

employee had sent internal hospital documents to a former employee. Pushard

was concerned that the documents contained patient information and that the

release of the information violated HIPAA. Harper reviewed the documents

that were sent to the former employee and referred the matter to Riverview’s

risk management office. The risk management office did not advise Harper that

a HIPAA violation had occurred.

[¶9] In December 2014, a nurse under Pushard’s supervision sent

Pushard an email detailing her concerns about another nurse, referred to in the

record as “Nurse A.” By April 2015, several employees had reported that Nurse

A was having difficulty performing her duties because of tiredness or 5

impairment and that Nurse A was diverting patient medication. At least three

nurses made these allegations directly to Pushard. Pushard discounted the

reports because he believed they originated from an employee who did not like

Nurse A. Nevertheless, Pushard instructed the assistant director to investigate.

The assistant director did not find evidence that Nurse A had diverted

medication. Pushard never made Harper or the Riverview human resources

staff aware of the allegations against Nurse A.

[¶10] Another employee eventually reported Nurse A directly to the

human resources staff. This report led to an investigation of Nurse A, who was

terminated after Riverview substantiated allegations that she had been sleepy

and inattentive on duty and that she had been overstaying her scheduled

breaks because she would use that time to sleep in her car. Pushard was placed

on administrative leave pending an investigation into whether he knew of the

concerns about Nurse A and whether he acted improperly by failing to relay

those concerns to Harper or to human resources.

[¶11] After completing its investigation of Pushard’s conduct,

Riverview’s Human Resources Department concluded the following in a

written report:

Although he took some action, Mr. Pushard did not report these matters to management above him, follow up on the action he had 6

taken in January 2015, or more closely monitor the on-going situation involving Nurse A to ensure that the issues were being appropriately addressed. Mr. Pushard asserted that he knew Nurse A was sickly, for which he made adjustments to her job in January 2015 and May 2015, but did not know there were concerns she was impaired by drugs at work. However, he didn't follow up on these adjustments or any other concerns after January 2015 nor did he have other nursing managers actively monitor the situation.

[¶12] Ricker Hamilton, the deputy director of DHHS, reviewed this

report and informed Pushard that he was recommending Pushard’s

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