Unrein v. PHC-Fort Morgan

993 F.3d 873
Court of Appeals for the Tenth Circuit·Decided April 8, 2021·No. 20-1219·Published·Cited by 11 cases

Opinion

FILED

United States Court of Appeals Tenth Circuit

April 8, 2021

PUBLISH Christopher M. Wolpert Clerk of Court

UNITED STATES COURT OF APPEALS

TENTH CIRCUIT

JOAN UNREIN,

Appellant-Plaintiff,

v. No. 20-1219 PHC-FORT MORGAN, INC., doing business as Colorado Plains Medical Center,

Defendant-Appellee.

APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO (D.C. NO. 1:17-CV-02846-REB-SKC)

Zac Garthe, Cambridge Law, Denver, Colorado, for Appellant.

Mark W. Peters (Kierstin J.A. Jodway with him on the brief), Waller Lansden Dortch & Davis, LLP, Nashville, Tennessee, for Appellee.

Before TYMKOVICH, Chief Judge, HARTZ, and PHILLIPS, Circuit Judges.

TYMKOVICH, Chief Judge.

Joan Unrein became legally blind and could no longer drive herself to work, a 120 mile round trip. She asked her employer, Colorado Plains Medical

Center, 1 to allow her to work a flexible schedule dependent on her ability to secure rides. The Medical Center permitted this arrangement for a while, but it became a problem because Unrein’s physical presence at the hospital was unpredictable. The flexible schedule arrangement ended in 2016, and it was never reinstated. After Unrein was terminated, she sued the Medical Center for failure to accommodate her disability in violation of the Americans with Disabilities Act and the Colorado Anti-Discrimination Act. After a bench trial, the district court entered judgment in favor of the Medical Center because it concluded Unrein’s accommodation request was unreasonable since a physical presence at the hospital on a set and predictable schedule was an essential job function of her position.

Unrein appealed. Exercising jurisdiction under 28 U.S.C. § 1291, we affirm. We agree that Unrein’s physical presence at the hospital on a set and predictable schedule was essential to her job, and, in any event, the ADA does not require an employer to accommodate employees’ non-work related barriers created by personal lifestyle choices.

1 Defendant-Appellee PHC-Fort Morgan, Inc., does business as the Colorado Plains Medical Center. For purposes of this opinion, we refer to the Defendant-Appellee as “the Medical Center” and the facility where Unrein worked as “the hospital.”

I. Background

Joan Unrein worked as a Clinical Dietitian at the Colorado Plains Medical Center for almost two decades. She lived in the rural town of Fleming, Colorado, some sixty miles from the hospital. This extensive commute presented no problem for Unrein and the Medical Center—until it did. Unrein became legally blind and could no longer drive herself to and from work. The culprit of her disability was vitelliform macular dystrophy, an irreversible condition that distorts Unrein’s vision and makes it difficult for her to perceive motion or see without magnifying equipment. Once she made it to work, Unrein’s disability caused no issues, largely because the Medical Center purchased expensive magnifying equipment at her request. But Unrein’s transportation barrier outside the workplace—her inability to drive and secure reliable rides—created problems.

Unrein could not drive herself, nor could she secure a ride service or public transportation to get her to work. Consequently, she relied on friends and family for rides. The sixty mile commute was an hour each way, and often Unrein’s rides would be unavailable or back out at the last minute. Winter weather proved to be a problem as well. Unrein thus could not guarantee when she would be physically present at the hospital.

This problem led Unrein to request an accommodation: a flexible schedule “to accommodate [her] transportation.” Aplt. App. Vol. I at 133. After some consideration, the Medical Center approved Unrein’s request, but not without

limitation. The Medical Center instructed Unrein to communicate with her supervisor, Tracy Fisher, about necessary schedule changes. The Medical Center also noted its expectation that Unrein work at least thirty-two hours per week, the majority of which should be performed on-site at the hospital. The Medical Center reasoned that “[a] set schedule communicated with [Fisher] is necessary to provide quality [dietetic] services and ensure patient care is not compromised.” Id. Finally, the Medical Center warned: “If at any time we feel that your request for accommodation is unreasonable, puts an un-due burden on another employee, reduces the quality of patient care, or risks the safety of yourself or anyone else, we will immediately discuss with you the appropriate action at that time.” Id.

The Medical Center tried out Unrein’s flexible schedule for fifteen months.

But this attempt proved to be a failure, as Unrein was unable to establish a regular, set schedule and to communicate it with her supervisor. The Medical Center received complaints about Unrein’s failure to be physically present at the hospital on a set and predictable schedule, and the Medical Center also believed Unrein’s erratic schedule contributed to low patient satisfaction scores. Moreover, Unrein’s performance evaluations were less than stellar while on the flexible schedule. The Medical Center evaluated its employees’ performances annually on a five-point scale. While Unrein was working the flexible schedule, her performance dropped from 2.35 (mid-competent) to 2.1 (barely competent).

After Unrein’s flexible schedule arrangement ended, she asked the Medical Center to reinstate it. While pending, she amended her request by asking to telecommute full-time. The Medical Center denied Unrein’s request because, at minimum, the Clinical Dietitian position requires over four hours of in-person face-to-face interactions per day, and Unrein’s request to telecommute full-time would eliminate all in-person face-to-face interactions. 2 Days before the Medical Center issued this decision, Unrein’s physician placed her on full-time medical leave (unrelated to her vision disability) with an unknown return to work date. The Medical Center granted each of Unrein’s medical leave requests, even after her leave technically ran out. Four months after Unrein went on full-time medical leave, Unrein’s physician notified the Medical Center that she would “be unable to work in any capacity until further notice.” Aplt. App. Vol. V at 135. The Medical Center was never notified that Unrein could return to work.

After seven months of full-time medical leave and no return-to-work date for Unrein, and after she was approved for long-term disability and social security

2 The Medical Center explains that face-to-face interactions and physical presence are necessary because hospital policy requires all nutrition screening referrals to be performed in-person by the Clinical Dietitian within 48 hours and all physician-ordered consults to be performed in-person by the Clinical Dietitian within 24 hours. See Aple. Br. at 9. The Medical Center further explains that the Clinical Dietitian duties include tray line assembly, review, training, and delivery. See Aplt. App. Vol I at 149–50.

benefits, the Medical Center terminated her employment. In the termination letter, the Medical Center explained to Unrein:

Predictable and regular attendance at the hospital so that you can meet with patients, assess their condition and perform other tasks is an essential function of your position as a Clinical Dietician that cannot be accommodated through telecommuting and irregular and unpredictable physical presence at the hospital. You have made clear that you cannot work within those parameters and you are unable to return to a full-time position at the hospital that requires your physical presence.

Id. at 231. The Medical Center offered to continue discussing other accommodations with Unrein and encouraged her to apply for other open positions for which she was qualified. She never did so.

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Unrein v. PHC-Fort Morgan, 993 F.3d 873 (10th Cir. 2021).

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