State ex rel. McCormick v. McDonald's (Slip Opinion)

2015 Ohio 123, 26 N.E.3d 794, 141 Ohio St. 3d 528
CourtOhio Supreme Court
DecidedJanuary 20, 2015
Docket2013-0577
StatusPublished
Cited by3 cases

This text of 2015 Ohio 123 (State ex rel. McCormick v. McDonald's (Slip Opinion)) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State ex rel. McCormick v. McDonald's (Slip Opinion), 2015 Ohio 123, 26 N.E.3d 794, 141 Ohio St. 3d 528 (Ohio 2015).

Opinion

Per Curiam.

{¶ 1} Appellant, Ruth McCormick, appeals the judgment of the Tenth District Court of Appeals that denied her request for a writ of mandamus requiring the appellee Industrial Commission to vacate its order terminating her temporary-total-disability compensation.

{¶ 2} The commission’s order was based on the opinion of Amardeep Chauhan, D.O., that McCormick had reached maximum medical improvement. McCormick argued that Dr. Chauhan’s opinion was factually inaccurate and should not have been considered under State ex rel. Sellards v. Indus. Comm., 108 Ohio St.3d 306, 2006-Ohio-1058, 843 N.E.2d 753. Sellards held that a physician’s report concluding that the claimant had reached maximum medical improvement could not serve as evidence to deny temporary-total-disability compensation where another physician’s plan for further treatment was approved by the commission the same day as the maximum-medical-improvement assessment and the physician who issued the assessment was not aware of the approved plan.

{¶ 3} The court of appeals distinguished Sellarás and denied the writ. For the reasons that follow, we affirm.

{¶ 4} On December 6, 2002, McCormick slipped and fell while working at a McDonald’s restaurant. Her workers’ compensation claim was allowed for concussion, contusion of scalp, sprain of neck, bulging disc, aggravation of preexisting degenerative disc disease, and bilateral stenosis.

{¶ 5} On August 13, 2010, at the request of the Bureau of Workers’ Compensation, Dr. Chauhan conducted an independent medical examination to determine the extent of McCormick’s disability. Dr. Chauhan reviewed her medical history, *529 which included conservative treatment until 2006, a two-year lapse, and then a return to the care of a chiropractor in 2008. Dr. Chauhan reported that based on the medical history and his physical examination, McCormick had reached a treatment plateau and was able to return to her former position of employment without any restrictions. He reported that she did not require further treatment for the allowed conditions.

{¶ 6} On August 27, 2010, McCormick’s treating physician, Shawn M. Donatelli, D.O., requested authorization for three steroid injections that were eventually approved by a managed-care organization. On August 30, 2010, McCormick’s chiropractor, Michael Getsy, D.C., estimated that McCormick would reach maximum medical improvement in three months.

{¶ 7} On August 31, 2010, the bureau moved to terminate temporary-total-disability compensation based on Dr. Chauhan’s opinion that McCormick had reached maximum medical improvement — a point at which R.C. 4123.56 mandates that temporary-total-disability compensation terminate. Following a hearing on October 8, 2010, a district hearing officer granted the bureau’s request. McCormick appealed.

{¶ 8} Between September 14 and October 19, 2010, McCormick received the three steroid injections. On November 17, 2010, a staff hearing officer affirmed the order terminating temporary-total-disability compensation. McCormick filed an appeal, which the commission refused. McCormick asked the commission to reconsider, alleging that the November 17, 2010 order contained a mistake of law and was contrary to the reasoning in Sellarás. The commission unanimously voted to deny reconsideration.

{¶ 9} McCormick filed a complaint for a writ of mandamus. She alleged that she continued to be temporarily and totally disabled as a result of her work-related injury and that the commission’s decision to terminate benefits was not supported by the evidence, was contrary to law, and was an abuse of discretion. The court of appeals denied the writ of mandamus.

{¶ 10} This matter is before the court on McCormick’s appeal as of right.

{¶ 11} To be entitled to extraordinary relief in mandamus, McCormick must establish that she has a clear legal right to the relief requested and that the commission has a clear legal duty to provide it. State ex rel. Rouch v. Eagle Tool & Machine Co., 26 Ohio St.3d 197, 198, 498 N.E.2d 464 (1986). To do so, McCormick must demonstrate that the commission abused its discretion by entering an order not supported by “some evidence” in the record. State ex rel. Avalon Precision Casting Co. v. Indus. Comm., 109 Ohio St.3d 237, 2006-Ohio-2287, 846 N.E.2d 1245, ¶ 9.

*530 {¶ 12} The question before us is whether the commission’s order terminating McCormick’s temporary-total-disability compensation was supported by evidence in the record. The answer is yes. The report of Dr. Chauhan that McCormick had reached maximum medical improvement was evidence supporting the commission’s decision to terminate temporary-total-disability compensation, and, contrary to McCormick’s assertion, Sellards does not apply to invalidate Dr. Chau-han’s opinion.

{¶ 13} R.C. 4123.56 mandates that payments for temporary total disability stop when the injured worker has reached maximum medical improvement. Maximum medical improvement is defined as

a treatment plateau (static or well-stabilized) at which no fundamental functional or physiological change can be expected within reasonable medical probability in spite of continuing medical or rehabilitative procedures. An injured worker may need supportive treatment to maintain this level of function.

Ohio Adm.Code 4121-3-32(A)(l).

{¶ 14} McCormick argues that Dr. Chauhan’s opinion that she had reached maximum medical improvement was factually inaccurate when the commission relied upon it because additional treatment (the steroid injections) was approved in the interim. McCormick' maintains that according to Sellards, the commission cannot rely on a medical report that is based on a factually wrong foundation.

{¶ 15} In Sellards, the claimant suffered a back injury at work in 1998 that reached maximum medical improvement by January 2001. In November 2001, he began seeing a psychiatrist; the commission subsequently allowed his claim for depression. On October 22, 2002, the commission approved his psychiatrist’s treatment plan for psychotherapy and medication. Coincidentally, on the same day, Sellards was examined by another psychiatrist, Dr. Allen Levy, who concluded that Sellards’s psychiatric condition had reached maximum medical improvement.

{¶ 16} A district hearing officer relied on Dr. Levy’s report and terminated temporary-total-disability compensation. Sellards subsequently submitted a letter from his treating psychiatrist, Dr. J.T. Spare, who explained that there had been no opportunity to see if Sellards could benefit from treatment because he had had difficulty getting the bureau to pay for prescriptions. Nevertheless, a staff hearing officer affirmed the finding of maximum medical improvement.

{¶ 17} This court granted Sellards’s request for a writ of mandamus, briefly explaining:

*531

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2015 Ohio 123, 26 N.E.3d 794, 141 Ohio St. 3d 528, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-mccormick-v-mcdonalds-slip-opinion-ohio-2015.