State Ex Rel. Tennill v. Roper

965 S.W.2d 945, 22 Employee Benefits Cas. (BNA) 1011, 1998 Mo. App. LEXIS 564, 1998 WL 141876
CourtMissouri Court of Appeals
DecidedMarch 31, 1998
DocketWD 54576
StatusPublished
Cited by4 cases

This text of 965 S.W.2d 945 (State Ex Rel. Tennill v. Roper) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. Tennill v. Roper, 965 S.W.2d 945, 22 Employee Benefits Cas. (BNA) 1011, 1998 Mo. App. LEXIS 564, 1998 WL 141876 (Mo. Ct. App. 1998).

Opinion

BRECKENRIDGE, Judge.

Relators, David and Victoria Tennill, seek a writ of mandamus ordering Respondent to compel defendant Sunderbruch Corporation (“Sunderbruch”) to answer certain interrogatories propounded by Relators. Respondent ruled that the information sought by Rela-tors is shielded from discovery by § 537.035, RSMo 1994, 1 the peer review statute. Rela-tors contend that Sunderbruch is not entitled to protection by the peer review statute because Sunderbruch was not performing peer review. Relators also contend that even if this court finds that Sunderbruch was performing peer review, Sunderbruch made only a “blanket” assertion of the privilege, and thus failed to meet its burden of showing specifically how the requested discovery violates the peer review statute. Because this court finds that Sunderbruch was not a “peer review committee” as defined by § 537.035.2, and thus is not entitled to the peer review privilege, the preliminary writ of mandamus is made absolute.

In the underlying case, Relators filed a wrongful death action against Charter Behavioral Health System of Columbia, Inc. (“Charter”), Sunderbruch, and Dr. Glenna C. Burton, M.D. In 1989, Sunderbruch, an Iowa corporation doing business in the State of Missouri, entered into a contract in which it agreed to “implement and perform” cost containment measures for the Missouri State Employees’ Retirement System (“MOS-ERS”). On January 1, 1994, MOSERS assigned the contract to the Missouri Consolidated Health Care Plan (“MCHCP”). The MCHCP is a body corporate, created by statute, whose purpose is to cover the medical expenses of state officers, employees, retirees, and their dependents. Section 103.005.

The cost containment measures Sunder-bruch agreed to implement pursuant to the contract included precertifying and authorizing all non-emergency hospital admissions and, after admission, performing “continued stay reviews” at least every three days on all patients. Under the continued stay review, a coordinator from Sunderbrueh determines whether a patient meets certain criteria to remain in the hospital. If the coordinator decides that the patient does not need to remain hospitalized, the coordinator refers the patient to a physician reviewer from Sun-derbruch. If the physician reviewer finds that continued hospitalization is not medically necessary, the patient’s attending physician is notified. Sunderbruch then issues a denial letter to the patient, attending physician, hospital, payer, and the MCHCP. The patient, the attending physician, or the hospital can request a reconsideration of the continued stay denial.

Relators’ son, Dwayne Tennill, was employed as a security guard at the Moberly Correctional Center, and thus was an employee of the State of Missouri. He was hospitalized at Charter for depression from July 18, 1994, until his discharge on August 23,1994. Dr. Burton was his treating physician. On August 12,1994, Sunderbruch sent a letter to Dwayne at his home address, although Dwayne was still hospitalized, informing him that “The Missouri State Medical Care Plan has retained The Sunderbruch Corporation to review your medical needs and it has determined that further inpatient hospital care is not required after noon on August 15, 1994 because the services required can be adequately performed at a lower level of care.” The unsigned letter stated that the decision was made by a physician consultant after the consultant evaluated Dwayne’s case “and/or” conversed with Dwayne’s physician. On August 23rd, the day he was discharged from Charter, Dwayne shot himself. The letter from Sun-derbruch had been opened and was on the kitchen table in Dwayne’s home. He died as a result of the gun shot wound and direct complications therefrom on August 31, 1994.

In their wrongful death case against Sun-derbrueh, Relators propounded interrogato- *947 ríes seeking information regarding Sunder-bruch’s August 12, 1994 letter to Dwayne. Relators sought information about the physician consultant referenced in the letter, the names and addresses of every person who evaluated Dwayne’s case, whether Sunder-bruch was aware when it sent the letter that Dwayne was in the hospital receiving psychiatric care and what expectations Sunder-bruch had that the letter would reach him at the hospital, all records and facts reviewed by Sunderbruch prior to sending the letter, and the names and addresses of all doctors Sunderbruch consulted in reaching the decision expressed in the letter. Sunderbruch objected to the interrogatories, claiming that the information was privileged under Missouri’s peer review statute. The Honorable Ellen S. Roper, the trial judge, overruled Relator’s motion to compel Sunderbruch to answer the interrogatories. Relators filed a petition for writ of mandamus, 2 and this court entered a preliminary writ of mandamus directing Respondent to order Sunder-bruch to answer the interrogatories.

“A writ of prohibition and mandamus is the proper remedy for curing discovery rulings that exceed a court’s jurisdiction or constitute an abuse of the court’s discretion.” State ex rel. Atchison, Topeka & Santa Fe R.R. v. O’Malley, 888 S.W.2d 760, 761 (Mo.App.1994). Mandamus is appropriate only if the relators have a clear and unequivocal right that presently exists. State ex rel. Chassaing v. Mummert, 887 S.W.2d 573, 576 (Mo. banc 1994). “To determine whether the right to mandamus is clearly established and presently existing, the court examines the statute under which the relator claims the right.” State ex rel. Dehn v. Schriro, 935 S.W.2d 641, 644 (Mo.App.1996).

Rule 57.01(a) allows any party to “serve upon any other party written interrogatories to be answered by the party served_” As in other methods of discovery, parties may obtain information through interrogatories “regarding any matter, not privileged, which is relevant to the subject matter involved in the pending action.... Rule 56.01(b)(1). Sunderbruch asserts that the information sought in relators’ interrogatories is privileged pursuant to Missouri’s peer review statute, § 537.035.4. Section 537.035.4 provides as follows:

Except as otherwise provided in this section, the proceedings, findings, deliberations, reports, and minutes of peer review committees concerning the health care provided any patient are privileged and shall not be subject to discovery, subpoena, or other means of legal compulsion for their release to any person or entity or be admissible into evidence in any judicial or administrative action for failure to provide appropriate care.

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Bluebook (online)
965 S.W.2d 945, 22 Employee Benefits Cas. (BNA) 1011, 1998 Mo. App. LEXIS 564, 1998 WL 141876, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-tennill-v-roper-moctapp-1998.