Telesford v. Maryland Provo

CourtDistrict Court, District of Columbia
DecidedSeptember 2, 2016
DocketCivil Action No. 2013-1359
StatusPublished

This text of Telesford v. Maryland Provo (Telesford v. Maryland Provo) 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
Telesford v. Maryland Provo, (D.D.C. 2016).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

_________________________________________ ) Danielle Telesford, et al., ) ) Plaintiffs, ) ) v. ) Civil No. 13-cv-01359 (APM-DAR) ) Maryland Provo-I Medical Services, P.C., et al., ) ) Defendants. ) _________________________________________ )

MEMORANDUM OPINION AND ORDER

I. INTRODUCTION

Plaintiffs in this case—seven African-American certified physicians’ assistants—filed this

lawsuit against their employer, Maryland Provo-I Medical Services, P.C.; a related management-

services entity, EmCare, Inc.; and two individuals, alleging discrimination and retaliation in

violation of Title VII of the Civil Rights Act of 1964 and 42 U.S.C. § 1981, as well as common

law breach of contract. Plaintiffs assert that Defendants’ failure to promote any of them for a

supervisory position was discriminatory and that Defendants subsequently retaliated against them

for filing discrimination complaints by threatening them with termination. One Plaintiff

additionally asserts that she actually was terminated because of protected activity.

This matter is before the court on Defendants’ Motion for Summary Judgment. Having

reviewed the pleadings and evidence, the court finds that a reasonable jury could conclude that

Defendants EmCare and Maryland Provo-I Medical Services discriminated against Plaintiffs

during the promotion process. The court further concludes that Plaintiffs’ Title VII discrimination

claims against Defendants Jennifer Korando and Adam Brown must be dismissed, but that their Section 1981 discrimination claim may proceed against Brown only. Finally, the court finds that

no reasonable jury could conclude that Defendants retaliated against Plaintiffs or breached their

contractual obligations to Plaintiffs. Accordingly, the court grants in part and denies in part

Defendants’ Motion for Summary Judgment.

II. BACKGROUND

A. Factual Background

1. The United Medical Center’s Emergency Department

United Medical Center (“United”) is a not-for-profit hospital corporation located in the

District of Columbia. Complaint, ECF No. 1 [hereinafter Compl.], ¶ 7. United’s Emergency

Department (“ED”) is divided into two sections: (1) the “Core” section for patients with more

serious medical conditions who require immediate attention by an emergency room physician, and

(2) the “Fast Track” section for all other patients. Defs.’ Stmt. of Material Facts, ECF No. 40-2

[hereinafter Defs.’ Stmt.], ¶ 4.1 Those patients assigned to the Fast Track are first treated by a

physician’s assistant (“PA”) who conducts a preliminary evaluation of those patients and provides

an initial recommendation (e.g., discharging with a prescription, admitting to the hospital, etc.).

Id. ¶¶ 4-6. The responsible PA documents the services provided on the patient’s medical chart and

then gives the chart to the responsible physician for review and submission to a billing company

for reimbursement. Id. ¶¶ 6-8. The billing company reviews the chart and assigns the patient’s

treatment a Relative Value Unit (“RVU”)—a unit of measurement designed to account for the

seriousness of the condition treated and the relative complexity of the treatment provided—which

1 Plaintiffs did not strictly comply with Local Civil Rule 7(h) in responding to Defendants’ Statement of Material Facts. See generally Pls.’ Opp’n to Defs.’ Mot. for Summ. Judg., ECF No. 41 [hereinafter Pls.’ Opp’n], at 11-27. For example, when Plaintiffs denied a factual averment, they did not cite to a portion of the record to support their denial, thereby making it difficult to discern whether they dispute a fact or not, based on actual record evidence. As a consequence, the paragraphs from Defendants’ Statement of Material Facts to which the court cites are those that the court considers admitted, unless otherwise noted.

2 is then provided to the patient’s insurance provider so that the insurance provider can calculate the

amount that United will be reimbursed. Id. ¶¶ 9-10.

In 2009, United contracted with EmCare, Inc. (“EmCare”), to provide doctors and PAs to

operate United’s ED. Id. ¶ 15, 103. EmCare, in turn, entered into an agreement with Defendant

Maryland Provo-I Medical Services, P.C. (“Provo”), to provide the necessary staff for United. Id.

¶¶ 31-32. The United-EmCare contract took effect on June 1, 2009. Id. ¶ 103. Before the contract

began, a recruiter employed by EmCare, Defendant Jennifer Korando, began negotiating with the

PAs and doctors already working at United to secure an agreement that would allow them to

continue to work in the ED, but as employees of Provo. Id. ¶ 26.

Provo originally offered to compensate existing PAs at a lower hourly rate than they

previously had been paid, but to supplement their salaries with a bonus based on the composite

RVU of the treatments provided. Id. This compensation package, according to Defendants, was

designed to incentivize higher performance. Id. ¶¶ 26-27. When it became clear, however, that

the existing PAs would not accept such a compensation structure, Provo agreed to allow them to

remain at their original hourly rate. Id. ¶ 26. Provo, however, required all newly hired PAs to

accept the RVU-based compensation structure. Id. ¶ 105. In addition, each contract between

Provo and its PAs—both with existing and new employees—contained a termination clause

providing for “at will” termination by either party. Id. ¶ 107.

2. Dr. Adam Brown and the Lead-PA Position

In early 2012, EmCare hired Defendant Dr. Adam Brown—a white male—as Medical

Director for the ED. Defs.’ Stmt. ¶¶ 17-19. During the interview process, United hospital officials

expressed to Brown their concerns about the department’s performance in several areas, including

quality of care, length of patient stay, and other health care provider metrics. Id. ¶¶ 20-21.

3 Following his hire, Brown sent a memo to ED personnel outlining his four goals: (1) reducing

patient length-of-stay; (2) improving patient satisfaction; (3) improving physician and PA

productivity; and (4) improving quality improvement metrics. Id. ¶ 85.

On July 8, 2016, Plaintiffs—all of whom are African-American PAs and are current or

former employees of Provo in the United ED2—received an email from Nathan Madsen, a white

male, part-time PA with Provo, informing them that he had been offered and would be accepting

a newly created Lead-PA position in the ED. Pls.’ Opp’n Ex. 6, July 8, 2016, e-mail from Nate

Madsen, ECF No. 41-2, at 86. This was the first time Plaintiffs were made aware of this new

position, as neither EmCare nor Provo had formally advertised the position nor published a job

description until after Madsen was hired. Pls.’ Opp’n at 46-47.

The creation of the Lead-PA position and the decision to award the position to Madsen

form the basis for Plaintiffs’ discrimination claims. Defendants assert that Brown, the ED Medical

Director, first came up with the idea of creating the Lead-PA position in February 2012—nearly

six months before he arrived at the United ED. Defs.’ Stmt. ¶ 84. According to Brown, he selected

Madsen based on his qualifications after (1) soliciting recommendations from Korando, the

EmCare recruiter, and (2) reviewing the resumes and performance metrics of all PAs, which he

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