Varghese v. Royal Maccabees Life Insurance

181 F.R.D. 359, 1998 U.S. Dist. LEXIS 12886, 1998 WL 525509
CourtDistrict Court, S.D. Ohio
DecidedJanuary 27, 1998
DocketNo. C-1-95-699
StatusPublished
Cited by3 cases

This text of 181 F.R.D. 359 (Varghese v. Royal Maccabees Life Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Varghese v. Royal Maccabees Life Insurance, 181 F.R.D. 359, 1998 U.S. Dist. LEXIS 12886, 1998 WL 525509 (S.D. Ohio 1998).

Opinion

[360]*360ORDER

TIMOTHY S. HOGAN, United States Magistrate Judge.

This matter came before the Court for a status conference on December 2,1997. Following the conference, the Court issued an Order requiring Plaintiff to produce various medical records from his practice subject to certain limitations. (Doc. 38). Pursuant to that Order, Defendant has submitted its proposed plan for the production of the medical records. (Doc. 41). Plaintiff, however, requests that the Court reconsider its prior Order and find that the patient records are privileged. (Doc. 39). The Court revisits its prior ruling for the purpose of clarification only.

BACKGROUND

Defendant is seeking discovery of certain documents contained within the medical records from plaintiffs practice. Defendant claims these documents are critical to its understanding of the substantial and material duties of plaintiffs medical practice. In July 1997, plaintiff allowed defendant to inspect and index said documents in order to evaluate the cost of having certain documents copied for production. Because some of the records contain patients’ names, the parties attempted to devise an arrangement for copying the documents with the names of the patients and other identifying information redacted. Since that time, plaintiff has become unwilling to produce the documents for copying because he claims that there is no possible way to protect the confidentiality of his former patients. Moreover, plaintiff contends that the computer summary it has since acquired, and is willing to produce to defendant, contains all the information which is contained in the medical records with the exclusion of the patients’ names.

Defendant mistrusts plaintiffs representations for several reasons and wants the production of both the computer summary and the actual records. Defendant’s mistrust is based on certain inconsistencies between plaintiffs testimony and documents produced through subpoenas. More specifically, defendant contends that both plaintiff and plaintiffs office manager testified that no such computer records existed regarding procedures performed and the amounts billed during the pertinent time period. However, plaintiff has recently informed defendant that such computer records could be retrieved from a source in Toledo. Defendant also submits that plaintiff testified that he had never been terminated by any insurance providers. Yet, through responses to subpoenas, defendant has learned that plaintiff was terminated by nearly every major insurance provider immediately prior to the cessation of his practice. These inconsistencies have lead defendant to doubt the veracity of the computer summaries, generated by plaintiff, regarding his practice. Defendant asserts that it is not interested in any information regarding the patients’ identities and is willing to pay for 'that information to be redacted from the records prior to their production.

OPINION

Pursuant to Rule 501 of the Federal Rules of Evidence, where State law provides the rule of decision as to an element of a claim or defense, privilege is to be determined in accordance with State law. Thus, as a diversity action, we are concerned with the rule of privilege in Ohio. See Jewell v. Holzer Hosp. Foundation Inc., 899 F.2d 1507, 1513 (6th Cir.1990). In Ohio, the physician-patient privilege is statutory. O.R.C. § 2317.02(B)(1) provides, in pertinent part, that any “communication made to [a physician] by his patient in that relation or his advice to his patient” is privileged. “Communication” has been held to include medical or dental, office, or hospital communication such as a record, chart, letter, memorandum, laboratory test and results, x-ray, photograph, financial statement, diagnosis or prognosis. O.R.C. § 2317.02(B)(4)(a).

Defendant’s proposal calls for the redaction of names, addresses and social security numbers of Plaintiff’s patients. Defendant argues that the vast majority of courts have held that disclosure of non-party medical records does not violate the privacy or confidentiality concerns of the patients if adequate safeguards are provided to protect the identi[361]*361ty of patients. Defendant cites to one Ohio authority in support of its argument. State v. McGriff, 109 Ohio App.3d 668, 672 N.E.2d 1074 (1996). In McGriff, plaintiff was prosecuted for insurance fraud and illegally prescribing stimulants. The court held that without the patients’ medical records, the state would be unable to prosecute its case. Therefore, it ordered the records be produced with the names, addresses and identifying information of the patients redacted to ensure the patients’ confidentiality. Id. at 1075-76.

Plaintiff argues that merely attempting to “obscure” the patients’ names and identifying information is insufficient as it does not protect the “communication” and “advice” made privileged by the statute. Therefore, Plaintiff insists that production of the requested documents is impossible. In support of his argument, Plaintiff cites to several Ohio court opinions which seem to indicate a general distaste for disclosure of medical records absent a waiver by the patient. See Humphry v. Riverside Methodist Hospital, 22 Ohio St.3d 94, 488 N.E.2d 877 (1986); Weis v. Weis, 147 Ohio St. 416, 72 N.E.2d 245 (1947); Wozniak v. Kombrink, No. C-89053, 1991 WL 17213 (Ohio App. 1 Dist. Feb. 13, 1991). The Court is not convinced, however, that O.R.C. 2317.02, as well as the accompanying ease law, constitutes an absolute bar on the disclosure of certain medical documents. Rather, disclosures can be made but must be constrained by the statute’s definition of “communication.”

While the non-party patients’ privacy rights are paramount, the Court believes that the records can be produced without infringing upon those rights. Plaintiff relies heavily upon an unreported Ohio Appellate Court opinion for its argument that the records are totally privileged and cannot be produced. In Wozniak, the court held that the medical records sought contained diagnoses which constituted “communications” under O.R.C. § 2317.02(B)(3). Accordingly, the court determined that since the risk of disclosing the patient’s identity could not be entirely eliminated by the masking of a patient’s name or identifying personal data1, the risk of disclosure outweighed the benefits that might be enjoyed by the plaintiff were he allowed access to the information. Thus, the court reversed the trial court’s decision allowing the production of the medical records. 1991 WL 17213 at *5. However, Wozniak can be distinguished on its facts from the present case.

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Bluebook (online)
181 F.R.D. 359, 1998 U.S. Dist. LEXIS 12886, 1998 WL 525509, Counsel Stack Legal Research, https://law.counselstack.com/opinion/varghese-v-royal-maccabees-life-insurance-ohsd-1998.