TRUESDALE v. ALBERT EINSTEIN HEALTHCARE NETWORK

CourtDistrict Court, E.D. Pennsylvania
DecidedJanuary 29, 2024
Docket2:22-cv-01597
StatusUnknown

This text of TRUESDALE v. ALBERT EINSTEIN HEALTHCARE NETWORK (TRUESDALE v. ALBERT EINSTEIN HEALTHCARE NETWORK) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
TRUESDALE v. ALBERT EINSTEIN HEALTHCARE NETWORK, (E.D. Pa. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA ALLIE TRUESDALE, Plaintiff, CIVIL ACTION v. NO. 22-1597 ALBERT EINSTEIN HEALTHCARE NETWORK D/B/A EINSTEIN MEDICAL CENTER AND THOMAS JEFFERSON UNIVERSITY, Defendants. OPINION Slomsky, J. January 29, 2024 I. INTRODUCTION This action arises out of a mandatory COVID-19 vaccination policy. On January 30, 2023, Plaintiff Allie Truesdale (“Plaintiff”) filed an Amended Complaint against Albert Einstein Healthcare Network d/b/a Einstein Medical Center (“Defendant Einstein Medical”) and Thomas Jefferson University d/b/a Jefferson Health (“Defendant Jefferson Health”) (collectively “Defendants”) alleging that Defendants discriminated against her in violation of the Americans with Disabilities Act, 42 U.S.C. § 12112 et seq. (“ADA”), the Pennsylvania Human Relations Act, 43 P.S. § 951, et seq. (“PHRA”), and the Philadelphia Fair Practice Ordinance, Phila. Code § 9-1101 et seq. (“PFPO”) when she refused to comply with Defendants’ mandatory COVID-19 vaccination policy. On June 14, 2023, Defendants filed a Motion for Summary Judgment. (Doc. No. 30.) On July 13, 2023, Plaintiff filed a Response in Opposition to Defendants’ Motion. (Doc. No. 33.) On July 27, 2023, Defendants filed a Reply. (Doc. No. 38.) For the reasons set forth below, Defendants’ Motion for Summary Judgment (Doc. No. 30) will be granted in part and denied in part. II. BACKGROUND Defendant Einstein Medical Center and Defendant Jefferson Health are health systems made up of a network of hospitals. (Doc. No. 19 at ¶¶ 7-8; Doc. No. 30-1 at 12.) On October 4,

2021, Defendant Einstein Medical Center and Defendant Jefferson Health merged. (Doc. No. 30-1 at 12, n.1.) In 2016, Plaintiff began working at Defendant Einstein Medical Center’s Emergency Department as a full-time registered Nurse (“RN”). (Doc. No. 19 at ¶ 21.) As an RN in the Emergency Department, Plaintiff treated and had direct physical contact with many different types of patients including pediatric patients and immunocompromised patients. (Doc. No. 30-2 at 2.) In 2018, Plaintiff switched from working full-time to working per diem shifts.1 Additionally, in late 2017 or early 2018, Plaintiff sought leave under the Family and Medical Leave Act (“FMLA”). (Doc. No. 33-1 at 1.) Plaintiff maintains that she sought leave under the

FMLA because of “autoimmune related disabilities” that “cause her joint pain, fatigue, muscle aches and pain.” (Id.) On January 9, 2019, Plaintiff underwent an endoscopic sinus surgery. (Id. at 3.) Following the surgery, Plaintiff began experiencing pain in her left calf. (Id.) On January 18, 2019, Plaintiff was admitted to the Emergency Room where she was diagnosed with a blood clot.

1 In her deposition, Plaintiff describes per diem status as working shifts “as needed” within a six-week schedule. (Doc. No. 30-3 at 6.) Further, Plaintiff stated that her decision to work per diem was related to an incident where she was attacked by a patient’s family member. Therefore, Plaintiff’s decision to work less hours at Einstein Medical Center was not for medical reasons but rather for her safety concerns. (Id.) Dr. Donald Sesso, Plaintiff’s Ear, Nose, and Throat (“ENT”) physician, referred her to Dr. Felice LePar, a hematologist. (Id.) Dr. LePar could not pinpoint the cause of Plaintiff’s blood clot. (Id. at 4.) Since then, Plaintiff has not been diagnosed with another blood clot. (Id.) Nonetheless, Plaintiff claims that she has had “issues and collateral damage stemming from her

blood clotting disorder.” (Id. at 2.) Plaintiff maintains that her blood clotting disorder causes her pain, numbness, tingling, and swelling, which affects her ability to work. (Id.) In addition to her blood clotting disorder, Plaintiff claims that her autoimmune related disabilities similarly cause her pain, aches, and fatigue. (Id.) A. Defendants’ COVID-19 Vaccination Policy and Exemption Process On August 16, 2021, Defendant Einstein Medical Center implemented a COVID-19 vaccination policy requiring all employees to receive either the Johnson and Johnson vaccine (“J&J vaccine”), or a Pfizer or Moderna mRNA vaccine (“mRNA vaccines”). (Doc. No. 30-1 at 10.) If an employee failed to receive a COVID-19 vaccine by October 15, 2021, they would be terminated. (Id. at 14-15.) However, if an employee required an accommodation due to a

medical condition or a sincerely held religious belief, they could apply for an exemption. (Id. at 10.) To accommodate a request for a vaccine exemption due to a medical condition, Defendants provided employees with a medical exemption form to complete. (Doc. No. 30-2 at ¶ 31.) The form required a healthcare provider to state a medical reason why the employee could not obtain a COVID-19 vaccine. (Id. at ¶ 32.) After an employee submitted a completed form, a medical exemption panel (“Exemption Panel”) would review the request. (Id. at ¶ 33.) The Exemption Panel was comprised of Einstein physicians and leaders, including an infectious disease physician, an emergency physician, two physicians from Einstein’s ethics committee, Einstein’s Chief Medical Officer, Einstein’s Chief Quality Officer, and the Director of Occupational Health. (Id. at ¶¶ 34-35.) Once received by the Exemption Panel, the exemption requests were anonymized. (Id. at ¶ 36.) When reviewing exemption requests, the Exemption Panel followed a two-step process.

First, the Exemption Panel would determine whether the employee had a contraindication to the COVID-19 vaccine, which were set forth by the Centers for Disease Control and Prevention (“CDC”). (Doc. No. 30-1 at 10.) Second, if a request was not based on an accepted CDC contraindication, the Exemption Panel would contact the healthcare provider who completed the exemption request form to determine whether the healthcare provider believed the employee’s request was medically necessary. (Id.) B. Plaintiff’s Exemption Request After Defendants implemented the vaccine mandate, Plaintiff submitted an exemption form, which requested a medical exemption due to an idiopathic blood blotting disorder. (See Doc. No. 33-4 at 148.) Dr. Sesso completed the medical certification and stated that Plaintiff

suffered from an “idiopathic clotting disorder, immunodeficient[cy], chronic rhinosinusitis, and nasal polyps.” (Id.) He further certified that she “had several blood clots of unknown origin” and should be “exempt from the vaccine due to clotting risk and hypercoagulable state.” (Id.) The Exemption Panel reviewed Plaintiff’s request and found that her request did not meet the criteria for the CDC contradictions.2 (Doc. No. 30-1 at 17.) Following their review process protocol, the Exemption Panel attempted to contact Dr. Sesso to obtain additional information. (Doc. No. 30-2 at ¶ 62.) On November 1, 2021, after some unsuccessful attempts to speak with

2 According to Defendants, at the time of Plaintiff’s exemption request, blood clots were a concern for the J&J vaccine but not for the mRNA vaccine. (Doc. No. 30-1 at 17.) Therefore, Plaintiff’s request did not meet a CDC contraindication. (Id.) Dr. Sesso, the Exemption Panel denied Plaintiff’s request. (Doc. No. 33 at ¶ 46.) On November 4, 2021, the Exemption Panel was able to contact Dr. Sesso and discuss Plaintiff’s exemption form. (Id. at ¶ 51.) Following that conversation,3 the Exemption Panel proceeded with its original denial. (Doc. No. 30-1 at 18.)

Plaintiff filed a grievance challenging the denial of her accommodation request and on November 22, 2021, a grievance hearing took place. (Id.) Lori Pisarski, Einstein’s Associate Vice President of Human Resources, heard the grievance and Plaintiff, Plaintiff’s union representative, and a Human Resource Specialist attended the hearing.

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Bluebook (online)
TRUESDALE v. ALBERT EINSTEIN HEALTHCARE NETWORK, Counsel Stack Legal Research, https://law.counselstack.com/opinion/truesdale-v-albert-einstein-healthcare-network-paed-2024.