Sistok v. Kalispell Regional Hospital

823 P.2d 251, 251 Mont. 38, 48 State Rptr. 1151, 1991 Mont. LEXIS 323
CourtMontana Supreme Court
DecidedDecember 27, 1991
Docket91-137
StatusPublished
Cited by4 cases

This text of 823 P.2d 251 (Sistok v. Kalispell Regional Hospital) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sistok v. Kalispell Regional Hospital, 823 P.2d 251, 251 Mont. 38, 48 State Rptr. 1151, 1991 Mont. LEXIS 323 (Mo. 1991).

Opinions

JUSTICE McDONOUGH

delivered the Opinion of the Court.

Plaintiff, Victor Sistok, appeals from the order of the District Court of the Eleventh Judicial District, Flathead County, quashing a deposition subpoena and granting defendant’s motion for summary judgment. The court ruled that the evidence presented failed to demonstrate that Kalispell Regional Hospital acted negligently by permitting Dr. Paul W. Herron to perform surgery on Mr. Sistok in its facility. We affirm.

We note that the appellant, Victor Sistok, has died since this case was submitted for appellate review, and a motion to suggest death of the appellant has been submitted. No motion for substitution of his personal representative has been made. We assume, as we are given authority to do, that he has no personal representative at this time and we will proceed with rendering this opinion as if Mr. Sistok were still alive. Rule 37 (a), M.R.App.P., Bieber v. Broadwater County (1988), 232 Mont. 487, 759 P.2d 145.

The sole issue for review is:

Did the District Court err by quashing a deposition subpoena for notes, records, memoranda and written documentation generated by the hospital’s Medical Executive Committee? More specifically, the question raised is whether data generated by the Medical Executive Committee is privileged from discovery in a suit against the hospital.

Victor Sistok (Sistok) brought suit against Kalispell Regional Hospital (the Hospital) alleging among other things that the Hospital negligently allowed Dr. Herron (Herron) to perform surgery in its hospital when it knew Herron had a history of alcoholism. Sistok experienced health difficulties following and related to surgery performed by Herron at the Hospital.

Prior to Sistok’s surgery, Herron’s staff privileges at the Hospital had been suspended and reinstated following an incident where Herron had been intoxicated while performing his duties at the Hospital. The Hospital’s Medical Executive Committee (the Committee) serves as a review board whose duties include supervision and discipline of the medical staff. At the [40]*40recommendation of the Committee, Herron’s staff privileges had been suspended and later reinstated subject to specific conditions.

Sistok’s position is that because conditions were placed on Herron’s staff privileges, the Hospital assumed greater responsibility for his actions. Sistok argues that the conditional staff privileges altered the relationship between the Hospital and Herron from the independent contractor relationship usually enjoyed between staff physicians and a hospital to one of principal and agent. Sistok contends that because Herron was an agent of the Hospital, the Hospital is liable for Herron’s alleged negligence.

To support his position, Sistok sought to depose the former chairmen of the Committee and issued a deposition subpoena commanding them to come forward and to produce all manner of records and information regarding the Committee’s relationship with Herron. The Hospital argued that pursuant to § 50-16-203, MCA, the information sought by Sistok was privileged and confidential. The District Court agreed and quashed the deposition.

Section 50-16-203, MCA, states:

“Committee information and proceedings confidential and privileged. All such records, data, and information shall be confidential and privileged to said committee and the members thereof, as though such hospital patients were the patients of the members of such committee. All proceedings and in-hospital records and reports of such medical staff committees shall be confidential and privileged.” We conclude that this statute unambiguously confers an absolute privilege on medical staff committees. Sistok argues that the privilege conferred is to protect the confidentiality of patients but not physicians and medical staff. Sistok claims that because he is only interested in information regarding Herron and not information regarding other patients, the statute does not apply. Moreover, Sistok contends that the statute refers only to agents of a hospital and not to physicians who are generally independent contractors. By holding this information privileged, Sistok contends, hospitals are able to sabotage lawsuits by keeping all relevant information with the committee.

We are not persuaded by Sistok’s argument. The statute makes clear that the privilege applies to all members of the Committee. The statute was developed and the privilege conferred to encourage reluctant physicians to join the Committee. The legislature, as a matter of public policy, sought to have responsive and full discourse among the professionals involved, and to promote an atmosphere free [41]*41of apprehension so that constructive criticism could occur. The privilege is extended to all members of the Committee as well as to the patients whose cases are reviewed by the Committee. Furthermore, Sistok’s argument is internally inconsistent. He alleges that the relationship between the Hospital and Herron is that of principal and agent while simultaneously he argues that the statute does not apply because Herron is an independent contractor.

Alternatively, Sistok argues that § 50-16-203, MCA, is merely a codification of the rules of evidence and only limits the admissibility of committee data because it is hearsay. Sistok asserts, and we agree, that discovery is not limited to admissible evidence but instead can be utilized to lead to information that will be admissible as evidence. However, the statute unambiguously states that the information is privileged and confidential. Section 46-15-332, MCA, provides that:

“All matters which are privileged upon the trial are privileged against disclosure through any discovery procedure.”

The records, data and information generated by Medical Executive Committees are privileged against discovery.

Several cases are cited from other jurisdictions where disclosure of committee proceedings was allowed despite statutory law prohibiting such discovery. In Arizona the privilege only precludes material that is the product of reflective deliberations or thought-making processes while relevant and material facts are discoverable. Tucson Medical Center, Inc. v. Misevch, (1976), 113 Ariz. 34, 545 P.2d 958. In California and Connecticut, the courts have allowed the voluntary disclosure of what took place at committee proceedings despite statutory bars of discovery. West Covina Hospital v. Superior Court, (Calif. 1986), 718 R2d 119; Pisel v. Stamford Hospital, (Conn. 1980), 430 A.2d 1. These cases are distinguishable from the instant case. The Arizona Legislature explicitly allowed for the subpoena of committee information, the Montana Legislature did not. The California and Connecticut cases refer to voluntary disclosure and not the involuntary disclosures sought by Sistok. Unlike the statutes in these other jurisdictions, § 50-16-203, MCA, confers an absolute privilege.

Sistok next argues that the affidavit of the Hospital administrator, Eugene Johnson, outlining the actions and recommendations of the Committee in regards to Herron, is a waiver of the privilege. Whether the Hospital waived its privilege is dependent upon whether a significant part of the privileged matter has been disclosed.

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1998 MT 25N (Montana Supreme Court, 1998)
Sistok v. Kalispell Regional Hospital
823 P.2d 251 (Montana Supreme Court, 1991)

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Bluebook (online)
823 P.2d 251, 251 Mont. 38, 48 State Rptr. 1151, 1991 Mont. LEXIS 323, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sistok-v-kalispell-regional-hospital-mont-1991.