Rosser v. Feldman

38 Pa. D. & C.4th 353, 1998 Pa. Dist. & Cnty. Dec. LEXIS 184
Pennsylvania Court of Common Pleas, Lackawanna County·Decided July 31, 1998·No. no. 95-CIV-1181·Published·Cited by 1 cases

Opinion

MUNLEY, J.,

— Before the court is the defendant’s motion for a protective order. The defendant is Montrose General Hospital; and the plaintiffs are Judith Rosser and Lloyd Rosser. The parties have [354] briefed their respective positions, and oral argument was heard on May 27, 1998.

The defendant seeks a protective order from providing certain documents requested by the plaintiffs’ supplemental request for production of documents. Plaintiffs’ supplemental request included, inter alia, the following paragraphs:

“(8) Please produce any and all documentation regarding Montrose General Hospital’s withdrawal from the joint commission including, but not limited to, any and all letters of deficiency from the last joint commission inspection prior to defendant, Montrose General Hospital’s, withdrawal from the joint commission.

“(9) Please produce a copy of the joint commission’s last report relative to the Montrose General Hospital.

“(10) Please produce any and all reports from the Department of State of the Commonwealth of Pennsylvania regarding inspections at Montrose General Hospital from 1990 through 1994.

“(11) Please produce any and all documents regarding the suspension and/or revocation of Montrose General Hospital’s mammography privileges as referenced in the designated witness deposition at pages 54 and 55.”

The defense contends that the above-mentioned requests are protected under the Peer Review Protection Act, 63 P.S. §425.1 et seq., and that the information sought by the plaintiffs is privileged. The plaintiffs submit that the requests at issue are not protected by the Act, and that the defendant’s motion should be denied. Plaintiffs further argue that even if the documents are not discoverable by virtue of the Peer Review Act, the defendant waived such privilege.

We initially address the issue of waiver. The plaintiffs argue that Montrose Hospital waived its right to object [355] to the requests at issue where the hospital “answered prior discovery and deposition inquiries without objection, and subsequently filed a timely response devoid of any peer review objection representing that the information would be provided.” See plaintiffs’ brief dated March 13,1998. We disagree. Aprivilege may be waived if a party to the confidential information disclosed the information to a third party. See Sprague v. Walter, 441 Pa. Super. 1, 656 A.2d 890 (1995). Instantly, the record is devoid of any actual disclosure of information. Without such disclosure, any privilege provided by the Peer Review Protection Act, 63 PS. §425.1 et seq. remains unaffected and intact. The Act provides in relevant part as follows:

“Confidentiality of review organization’s records

“The proceedings and record of a review committee shall be held in confidence and shall not be subject to discovery or introduction into evidence in any civil action against a health care provider arising out of the matters which are the subject of evaluation and review by such committee . . . Provided, however, That information, documents or records otherwise available from original sources are not to be construed as immune from discovery or use in any civil action merely because they were presented during proceedings of such committee . . . .” 63 P.S. §425.4. (emphasis added)

“‘Peer review’ means the procedure for evaluation by professional health care providers of the quality and efficiency of services ordered or performed by other professional health care providers, including . . . the compliance of a hospital . . . with the standards set by an association of health care providers ....

“‘Review organization’ means any committee engaging in peer review ... to gather and review information relating to the care and treatment of patients for the [356] purposes of (i) evaluating and improving the quality of health care rendered; (ii) reducing morbidity or mortality; or (iii) establishing and enforcing guidelines designed to keep within reasonable bounds the cost of health care . . . .” 63 P.S. §425.2. (emphasis added)

The law in Pennsylvania is clear that due to the broad scope of discovery, a party asserting a limitation thereto has the burden of establishing that limitation. Fulmer v. Baird, no. 94 CV 000393 (Bradford County, filed March 13, 1998) (citing Mazzucca v. Methodist Hospital, 47 D.&C.3d 55 (1986); 6 Standard Pa. Practice 2d §34:22). After a thorough review of the matter sub judice, we find that the defendant established that paragraphs 8 and 9 are protected under the Peer Review Act. We further find that the joint commission is a review organization as intended by the Act, and any documents relating to the defendant’s voluntary withdrawal from the commission and/or letters and reports of the commission’s inspections of Montrose Hospital are not subject to discovery. See O’Neill v. McKeesport Hospital, 48 D.&C.3d 115 (Allegheny Co. 1987) (The Honorable AJ. Wettick determined that findings, recommendations, evaluations or opinions of the Joint Commission on Accreditation of Hospitals, generated by health care providers on behalf of the commission, with respect to any review of the practices and procedures governing treatment involving anesthesia and surgery within the participating hospital, are records of a review committee within the meaning of the Peer Review Protection Act); see also, 7 Standard Pa. Practice 2d §36:9. The joint commission is an independent commission whose function is to establish standards for the operation of hospitals and to evaluate and to recognize compliance with those standards by the issuance of certificates of accreditation. O’Neill, supra. More[357] over, Montrose Hospital was a voluntary and fee-paying member of the private organization before the defendant withdrew its membership from the commission.

We are not persuaded by the plaintiffs’ argument that they are entitled to the documents requested in paragraphs 8 and 9 pursuant to Thompson v. Nason Hospital, 527 Pa. 330, 591 A.2d 703 (1991). The court is in agreement that Thompson holds, inter alia, that a hospital would be subject to corporate liability if it failed to uphold a proper standard of care, if it had actual or constructive knowledge of the defect or procedures which created the harm, and if its negligence was a substantial factor in bringing about harm to the patient. Id. However, Thompson does not mention the applicability of the Peer Review Protection Act and/or its applicability to joint commission documents. Therefore, even though the plaintiffs may seek a corporate liability claim against Montrose Hospital, they must pursue the claim without the use of privileged and confidential material.

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Rosser v. Feldman, 38 Pa. D. & C.4th 353, 1998 Pa. Dist. & Cnty. Dec. LEXIS 184 (Pa. Super. Ct. 1998).

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