Volm v. Legacy Health System, Inc.

237 F. Supp. 2d 1166, 2002 U.S. Dist. LEXIS 6562, 2002 WL 31496208
CourtDistrict Court, D. Oregon
DecidedMarch 7, 2002
DocketCIV.00-1168-KI
StatusPublished
Cited by12 cases

This text of 237 F. Supp. 2d 1166 (Volm v. Legacy Health System, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Volm v. Legacy Health System, Inc., 237 F. Supp. 2d 1166, 2002 U.S. Dist. LEXIS 6562, 2002 WL 31496208 (D. Or. 2002).

Opinion

*1170 OPINION

KING, District Judge.

Plaintiff Laurie Volm is a lactation consultant who worked with new mothers at defendant Legacy Meridian Park Hospital (“Meridian Park”). Volm’s relationship with Meridian Park deteriorated until Legacy Health System (“Legacy”) banned Volm from treating patients at any of its facilities, including Meridian Park, where Volm saw most of her patients. Volm alleges that defendants opposed her presence at Meridian Park because she offered a competing service to the lactation consultants employed by the hospital. Before the court is defendants’ motion for summary judgment (# 65). For the reasons below, I grant summary judgment against all claims except intentional interference with economic relations or prospective economic relations.

FACTS

Because of the number of witnesses, I’ll list the occupations of some of them 1 . (1) Patty Moxley, office manager at the Women’s Clinic; (2) Dr. Daniel Schrinsky, physician at the Women’s Clinic; (3) Dr. Audrey Unrau, physician at the Children’s Clinic; (4) Teri Joyer, director of women’s services for Legacy; (5) Dr. Stephen Giro-lami, head of Meridian Park’s OB-GYN department through the end of 1998 and physician at the Women’s Clinic; (6) Dr. Harold Vick, head of Meridian Park’s OB-GYN department beginning January 1, 1999, and physician at the Women’s Clinic; (7) Lusanne Wisecaver, head nurse at Meridian Park’s Family Birth Center; (8) Margie Munson, Meridian Park lactation consultant; and (9) Dr. Allard Conger, physician at the Women’s Clinic.

Volm began working as a lactation consultant employee at the Women’s Clinic in 1994. She became an independent contractor for the Women’s Clinic in March 1998 in part because of tension between Volm and Moxley. The physicians eventually asked Moxley to leave the clinic. Approximately 90% of Volm’s practice was at Meridian Park where she saw clients of the Women’s Clinic after they gave birth. Meridian Park also has lactation consultants on its staff and charges for their services that are considered complex, rather than routine, bedside care. Because of Legacy’s contracts with insurers which reimburse at flat rates, it is unclear if Meridian Park is paid for these charges when assessed against insured patients.

At first, Legacy did not require any type of privilege for Volm to treat patients at Meridian Park. When it changed its policy, Dr. Schrinsky, of the Women’s Clinic, was credentialed to supervise Volin at Meridian Park beginning in October 1998. Either Volm or Dr. Schrinsky could end the arrangement at any time.

Volm and the Meridian Park lactation consultants used different methods. This caused some confusion with patients and regular nursing staff, although Volm does not believe that the differences were large or problematic. Dr. Vick believes that the Family Birth Unit became polarized over the issue.

Volm met with Dr. Girolami and Wise-caver on December 16, 1998. Dr. Girolami sent Volin a letter memorializing the discussion. The letter states that Volm would maintain a professional image on the Family Birth Unit, be sensitive to socializing and use of phones at the nurses’ station, wear a name tag, only see patients of the Women’s Clinic unless other physicians *1171 are credentialed to supervise her, stay within the scope of her responsibilities as a lactation specialist, and meet with a group to draft a plan to improve teamwork.

Many negative statements were made concerning Volm. Meridian Park staff nurses told two physicians at the Children’s Clinic that Volm does not spend enough time with her patients and does not do the things she claims to have done. Legacy staff nurses or lactation consultants told a patient in a follow-up call after she left the hospital that she should not see Volm. Meridian Park nursing staff told patients to see their lactation consultants instead of Volm because their services were better. Joyer told a physician at the Children’s Clinic that the doctors there were referring patients to Volm because Volm was “filling the doctors’ heads” with information about Meridian Park lactation services.

Drs. Vick and Girolami told the Women’s Clinic that the problem is Volm’s fault and that she needs to fix it. Dr. Vick met with the pediatricians at the Children’s Clinic and told them that the problem was Volm’s responsibility. He asked them to find a way to keep Volm out of the birth unit at Meridian Park and have her see patients outside the hospital only. Dr. Vick asked his partners at the Women’s Clinic to stop referring patients to the Children’s Clinic. Dr. Vick asked Dr. Conger to talk to Volm about altering her practice so that she was not at Meridian Park. Dr. Vick asked his partners at the Women’s Clinic to remove Volm’s brochures from the clinic's office and not to support Volm.

Margie Munson told Dr. Conger at the Women’s Clinic that Volm’s methods were going to get them sued. Wisecaver told Dr. Conger that she wanted his help to get Volm removed from Meridian Park because Volm’s different style was causing confusion with the nursing staff. Wisecaver told Dr. Conger that Volm had “sucked” him and Dr. Unrau in to promote her.

In- July 1999, Dr. Unrau of the Children’s Clinic, applied to be a supervising physician of Volm so Volm could see newborn patients of the Children’s Clinic whose mothers were not patients of the Women’s Clinic. In the case of dependent allied health professionals, such as Volm, a doctor’s privilege is extended to allow supervision of the professional. Consequently, a separate approval process is needed for each group of partnered doctors who work with Volm. This application was delayed by Legacy’s need to develop a credentialing procedure for lactation specialists, and the length of time it took an outside company to verify information from third parties.

After additional problems, Volm stopped making daily rounds on all Women’s Clinic patients as of October 16, 1999, and only went to Meridian Park when a client requested her services.

On January 20, 2000, Dr. Vick sent Volm a letter advising her that some of her conduct was inappropriate and unacceptable. In particular, Dr. Vick stated that problems of teamwork, collaboration, and attempts to practice outside the parameters of Volm’s position caused disharmony and confusion affecting patient care and satisfaction.

In February 2000, Dr. Schrinsky told Volm that he was withdrawing his supervision of her, effective March 10, 2000. Her interpersonal difficulties in the workplace were very difficult and tedious for Dr. Schrinsky and he did not want to devote more time.to her situation. Dr. Unrau’s application was not yet approved. In defendants’ view, Volm could not see patients at Meridian -Park in any manner because she lacked a supervisor. Volm thought she could continue-to provide lactation services at Meridian Park if she refrained *1172 from charting, as was the standard prior to Legacy requiring a physician’s privilege to cover Volm. She continued to see patients at Meridian Park on this basis.

In a letter dated April 6, 2000, Dr. Giro-lami sent Volm a letter on behalf of Legacy. It stated that Volm was providing lactation services at Meridian Park after Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
237 F. Supp. 2d 1166, 2002 U.S. Dist. LEXIS 6562, 2002 WL 31496208, Counsel Stack Legal Research, https://law.counselstack.com/opinion/volm-v-legacy-health-system-inc-ord-2002.