Spinks v. Children's Hospital National Medical Center

124 F.R.D. 9, 1989 U.S. Dist. LEXIS 1154, 1989 WL 8541
CourtDistrict Court, District of Columbia
DecidedFebruary 3, 1989
DocketCA 88-1884 (SSH/PJA)
StatusPublished
Cited by1 cases

This text of 124 F.R.D. 9 (Spinks v. Children's Hospital National Medical Center) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Spinks v. Children's Hospital National Medical Center, 124 F.R.D. 9, 1989 U.S. Dist. LEXIS 1154, 1989 WL 8541 (D.D.C. 1989).

Opinion

MEMORANDUM OPINION

PATRICK J. ATTRIDGE, United States Magistrate.

Background

In this medical malpractice action for damages against Children’s Hospital and two anesthesiologists, the minor plaintiff, through her mother, seeks an order compelling the hospital to produce for inspection and copying, all documents relating to a Morbidity and Mortality Conference com[10]*10mittee hearing held on April 3, 1984,1 at which time the care and treatment rendered the minor plaintiff was discussed. This motion was prompted by the hospital’s refusal to produce “a handwritten description of the case by Dr. Weller and typed Minutes of the Conference which was held April 3, 1984,” on the grounds that these documents are protected from discovery by reason of D.C.Code § 32-505(a) and pertinent case authority.

The plaintiff argues that Dr. Weller’s notes are clearly beyond the protection of the D.C.Code § 32-505(a) since the statute specifically provides that the qualified privilege against production does not extend to any oral or written statement submitted to or presented before the committee.

As for the minutes of the conference, the plaintiff urges that she has met the prerequisite showing of “extraordinary necessity” because she was under anesthesia and the only other witnesses to the events that occurred at that time were hospital employees. She contends that so far her efforts to discover what happened to cause her daughter’s debilitating and catastrophic injuries have been frustrated because the defendants explanations have changed. The plaintiff cites references to the hospital chart discharge summary which attributed the minor’s injuries to “cerebral anoxia”, and to a cardiac consultant’s conclusions also found in the patient’s chart which similarly attribute her injuries to a “possible hypoxic/cardiac insult during perioperative period” noting that anesthetic agents, known to cause dilation of the blood vessels, were used. The plaintiff goes on to observe that even one of the defendant physician’s attributes the problems to the choice of anesthesia.

The plaintiff contrasts these observations with what she says is an inconsistent and contrary position, taken for the first time after suit was filed, wherein it is alleged that the defendants now attribute the minor’s injuries to an “anaphylactoidlike reaction.”2

The plaintiff concludes, that the conference minutes “... presumably (will) contain findings as to what happened in that operating theatre____”

The defendants oppose production of the notes and minutes, arguing that the documents were created in anticipation of litigation thus protected; that the case law of this jurisdiction cloaks these documents with a veil of confidentiality and, in the alternative, that the plaintiff has failed to demonstrate the statutory showing of “extraordinary necessity.”

Discussion

Rule 501 of the Federal Rules of Evidence provides in pertinent part:

... (I)n civil actions and proceedings ... the privilege of a witness, person ... shall be determined in accordance with State law.
The applicable state law provides:
(a) Absent a showing of extraordinary necessity, the minutes, analyses, preliminary and final findings and reports of a medical utilization review committee, peer review committee, medical staff committee or tissue review committee shall not be subject to discovery or admissible into evidence in any civil or administrative proceeding. This qualified privilege does not extend to primary health records or to any oral or written statements submitted to or presented before a medical utilization review committee, peer review committee, medical staff committee or tissue review committee. D.C.Code Ann. § 32-505 (1981).

One of the principle purposes for enacting this provision was to codify the law as set out in Bredice v. Doctors Hospital, Inc., 50 F.R.D. 249 (D.D.C.1970), aff'd. 479 F.2d 920 (D.C.Cir.1973) (Amended Rept., Comm, on the Judiciary, Council of the District of Columbia, Apr. 26, 1978, p. 3).

[11]*11The City Council recognized that medical review committees serve an important function by promoting better standards of patient care, more efficient use of medical facilities and assuring compliance with the ethical standards of the profession. Although the scope of the medical review proceedings concern past patient care, their goal is to promote better future care through self-analysis, and that objective should be encouraged.

As Judge Corcoran observed in Bredice, “(t)he value of these discussions and reviews in educating (those who participate) is undeniable. This value would be destroyed if the merits and the names of those participating were to be opened to the discovery process.” 50 F.R.D. at 250.

The City Council concurred in those observations and concluded that the free exchange of information during medical review committee hearings was so important so as to require the creation by statute of a qualified privilege to encourage the self-policing efforts of the medical community. (Amended Rept., supra, at 2). And that, absent a showing of “extraordinary necessity” the medical review committee meeting minutes are not discoverable.

The discovery of Dr. Weller’s notes and the committee minutes will be discussed in reverse order.

Committee Minutes

The plaintiff contends that she has made the requisite showing of “extraordinary necessity” thereby entitling her to the committee minutes. She argues that the defendants have stated different opinions regarding the cause of the minor plaintiff’s present physical disabilities. She speculates that “the minutes of the hospital peer review committee meeting back in April, 1984 presumably contain findings as to what happened in that operating theatre that are highly relevant to these proceedings.” (plaintiff’s memorandum p. 7). However, relevancy is not at issue. Even relevant evidence may not be discoverable if privileged.

The right to discover the findings, or in other words the opinions of the committee, is the issue. Moreover, those opinions will not be dispositive of these proceedings. The ultimate opinion whether or not the child’s present condition is, in some substantial degree, caused by the medical negligence of these defendants will be the finding of the jury.

The plaintiff does not contend that she is unable to obtain opinions from other sources. Nor does she complain that she has been denied access to the raw factual data contained in any other hospital records or from sources outside the confidential findings of the review committee.

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Cite This Page — Counsel Stack

Bluebook (online)
124 F.R.D. 9, 1989 U.S. Dist. LEXIS 1154, 1989 WL 8541, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spinks-v-childrens-hospital-national-medical-center-dcd-1989.