Sithian v. Staten Island University Hospital

189 Misc. 2d 410
CourtNew York Supreme Court
DecidedSeptember 28, 2001
StatusPublished
Cited by2 cases

This text of 189 Misc. 2d 410 (Sithian v. Staten Island University Hospital) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sithian v. Staten Island University Hospital, 189 Misc. 2d 410 (N.Y. Super. Ct. 2001).

Opinion

OPINION OF THE COURT

Joseph J. Maltese, J.

This court awards the defendants statutory costs and attorneys’ fees in these consolidated retaliatory slander actions pursuant to the Health Care Quality Improvement Act of 1986 (HCQIA) found in 42 USC § 11101 et seq.

Facts

The actions arise out of a peer review of Nedunchezian Sithian, M.D. (Dr. Sithian), a vascular surgeon, by Staten Island University Hospital (SIUH). In November of 1993 Dr. Worth, the director of surgery at SIUH, sought an independent outside review of Dr. Sithian’s surgical cases due to a high incidence of morbidity and mortality (M&M) amongst Dr. Sithian’s patients. Dr. Anthony Imparato was appointed to review Dr. Sithian’s cases and he found serious quality of care issues present. Dr. Worth retired in 1995 and was replaced by Dr. Richard Spence who became the director of surgery and chief of vascular surgery. After a review of all vascular surgeons and departmental M&M conferences, and after reading Dr. Imparato’s outside report, Dr. Sithian was suspended from performing complex (index) vascular surgery procedures (aortic, carotid and peripheral arteries) by Staten Island University Hospital.

Following SIUH’s suspension of privileges, Dr. Chang was retained to conduct a peer review of Dr. Sithian’s cases. Dr. Chang, who is a vascular surgeon, was employed by the Albany Medical Center Hospital.

After a three-day hearing before an ad hoc committee of the medical staff of SIUH, at the request of Dr. Sithian, the committee was requested to rule without the report of Dr. Chang. The committee recommended that Dr. Sithian be permitted to perform vascular surgery only with a mandatory preoperative consultation with another vascular surgeon and with another vascular surgeon in the operating room.

Six days later, the hospital received Dr. Chang’s review on July 8,1996. After a review of the records and reports1 of SIUH, Dr. Chang concluded that Dr. Sithian had failed to provide [412]*412surgical treatment commensurate with accepted medical and surgical standards and that he should not be permitted to perform index (complex) vascular procedures. The Medical Executive Committee of SIUH then voted unanimously to recommend to their Board of Trustees that the suspension be upheld until Dr. Sithian obtained retraining through an approved vascular surgery fellowship program. That meeting was also attended by Rick Varone in his capacity as chief executive officer of the hospital, but he did not have the right to vote (Bylaws, art XI, § 2 [a]). Dr. Spence, as director of surgery with voting rights, was also present.

On April 25, 1997, while the matter was still under consideration by the Board of Trustees, Dr. Sithian commenced a lawsuit against Dr. Spence (index No. 11442/97). A separate action against Dr. Chang and the Medical Executive Committee was thereafter commenced (index No. 11665/97) for, inter alia, libel, slander and economic interference. Dr. Sithian also filed an administrative complaint with the New York State Public Health Council (PHC).2 The New York State Public Health Council found no cause to Dr. Sithian’s complaint and determined that the hospital’s decision to suspend him was based upon principles of patient care, patient welfare, the practitioner’s character, competence and the objectives of the institution.

The defendants asserted immunity under Public Health Law § 2805-m (3),3 Education Law § 6527 (5)4 and the Health Care Quality Improvement Act (42 USC § 11101 et seq.).

[413]*413Justice Peter P. Cusick in his decision of January 19, 2000 (Sup Ct, Richmond County) held:

“that all defendants established their rights to immunity from the plaintiffs suit as a matter of law. The retaliatory lawsuits of this nature are precisely what the HCQIA and the State immunity statutes were intended to discourage in order to encourage frank, open, and meaningful medical peer review to monitor the quality of care rendered to patients.”

As a result of Justice Cusick’s decision the defendants moved for costs and attorneys’ fees under the HCQIA, and Justice Cusick calendared the case for that purpose. However, due to the death of Justice Cusick, the motion was reassigned to Justice Gerard H. Rosenberg who held that the defendants were “substantially prevailing parties” under the HCQIA, but denied the motion pending the appeal of Justice Cusick’s decision to the Supreme Court, Appellate Division, Second Department.

The Appellate Division, Second Department, unanimously affirmed Justice Cusick and held that “the Supreme Court properly determined that the plaintiff failed to raise an issue of fact as to whether the defendants were immune from liability for their participation in the professional peer review of the plaintiff’ (Sithian v Spence, 283 AD2d 566 [2001]).

After the appeal, the motion was renewed to this court, for a determination of costs and attorneys’ fees.

Discussion

No New York State court has yet awarded attorneys’ fees under the HCQIA (42 USC § 11113), which states, in part:

“In any suit brought against a defendant, to the extent that a defendant has met the standards set forth under section 11112(a) of this title and the defendant substantially prevails, the court shall, at the conclusion of the action, award to a substantially prevailing party defending against any such claim the cost of the suit attributable to such claim, including a reasonable attorney’s fee, if the claim, or the claimant’s conduct during the litigation of the claim, was frivolous, unreasonable, without foundation, or in bad faith. For the purposes of this section, a defendant shall not be considered to have substantially prevailed when the plaintiff obtains [414]*414an award for damages or permanent injunctive or declaratory relief’ (emphasis added).

The HCQIA was purposely designed to prevent the chilling effect which this type of lawsuit could have upon the participants in the peer review process. The public is protected when there is a full and frank discussion of a physician’s abilities. The purpose of this statute is to deter groundless suits against participants in the medical peer review process. In passing the HCQIA in 1986, the United States Congress made the following findings:

“(1) The increasing occurrence of medical malpractice and the need to improve the quality of medical care have become nationwide problems that warrant greater efforts than those that can be undertaken by any individual State.
“(2) There is a national need to restrict the ability of incompetent physicians to move from State to State without disclosure or discovery of the physician’s previous damaging or incompetent performance.
“(3) This nationwide problem can be remedied through effective professional peer review.
“(4) The threat of private money damage liability under Federal laws, including treble damage liability under Federal antitrust law, unreasonably discourages physicians from participating in effective professional peer review.

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Related

Colantonio v. Mercy Medical Center
135 A.D.3d 686 (Appellate Division of the Supreme Court of New York, 2016)
Sithian v. Spence
300 A.D.2d 387 (Appellate Division of the Supreme Court of New York, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
189 Misc. 2d 410, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sithian-v-staten-island-university-hospital-nysupct-2001.