Wall v. Ohio Permanente Medical Group, Inc.

695 N.E.2d 1233, 119 Ohio App. 3d 654
CourtOhio Court of Appeals
DecidedJune 16, 1997
DocketNo. 69841.
StatusPublished
Cited by22 cases

This text of 695 N.E.2d 1233 (Wall v. Ohio Permanente Medical Group, Inc.) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wall v. Ohio Permanente Medical Group, Inc., 695 N.E.2d 1233, 119 Ohio App. 3d 654 (Ohio Ct. App. 1997).

Opinion

Karpinski, Judge.

This appeal arises from an action by a physician against a professional corporation, other physicians, and a hospital following the termination of his employment by the professional corporation and loss of hospital staff medical privileges. The professional corporation contracted with a health maintenance organization (“HMO”) to provide services at the hospital.

Plaintiff-appellant Mark H. Wall, M.D., commenced this action against his former practice group, Ohio Permanente Medical Group, Inc. (“OPMG”), four medical doctors affiliated with OPMG, Ronald Potts, Roland Philip, Mark Feingold, and Ronald Copeland (collectively with OPMG, the “OPMG Defendants”); Metrohealth Saint Luke’s Medical Center (“St. Luke’s”), and the chief of surgery at St. Luke’s, Helmut Schreiber, M.D., F.A.C.S. (collectively with St. Luke’s, the “St. Luke’s Defendants”). Wall’s complaint alleged generally that the OPMG Defendants and St. Luke’s Defendants abused the medical peer review process by improperly attributing to him surgical complications and by ordering prospective review of all his surgical procedures, for the purposes of terminating his employment and hospital medical staff privileges and preventing him from practicing medicine elsewhere.

Wall was hired by OPMG in March 1989 as a thoracic surgeon to provide Services to members of the Kaiser-Permanente Medical Care Program of Ohio (“Kaiser-Permanente”). OPMG is a professional corporation that provides services under contract to the Kaiser Foundation Health Plan, a nonprofit HMO. The parties’ agreement, drafted on letterhead bearing the names of both OPMG and Kaiser-Permanente, contained the following provision:

“At any time following the date hereof, it is mutually understood and agreed that either you or the Medical Group [OPMG] may terminate your employment hereunder by providing ninety (90) days prior written [notice] of such termination.”

Wall commenced his employment with OPMG on July 1,1989, and was granted staff medical privileges at St. Luke’s by virtue of his relationship with OPMG thereafter on July 12,1989.

The parties’ relationship did not proceed smoothly. Approximately one year thereafter Wall was transferred at his request from a location on the east side of Cleveland to a location on the west side. Several performance evaluations of Wall, including medical peer review proceedings, were conducted by OPMG and *659 at St. Luke’s during the course of his employment. Wall particularly complains about a July 1990 evaluation by Philip, his OPMG supervisor, and a Report on Physician # 5934, listing surgical “complications” compiled by Schreiber from St. Luke’s morbidity and mortality logs and quality assurance screens.

Wall’s employment was ultimately terminated by OPMG effective December 5, 1990, pursuant to the ninety-day-notice provision, after approximately eighteen months’ duration. 1 Wall was not referred any patients during the final ninety-day period. On January 14, 1991, St. Luke’s notified Wall that it placed him on a one-hundred-percent prospective review of all proposed surgical procedures. Wall’s medical malpractice insurance and staff medical privileges at St. Luke’s lapsed. He ultimately sought but was denied staff medical privileges at other local hospitals, including Meridia Huron hospital and Parma Community General Hospital. Parma Community General reported its denial of staff medical privileges to the National Practitioner Data Bank.

Wall’s complaint specifically claimed that he was 'wrongfully discharged from his employment at OPMG in violation of public policy, that defendants conspired to tortiously interfere with his ability to practice medicine, that defendants defamed him, and that St. Luke’s denied him due process in connection with his staff medical privileges. The crux of Wall’s claims is that defendants abused the peer review process by falsely attributing high surgical complications rates to him and by overstating his medical malpractice risk. The OPMG Defendants and St. Luke’s Defendants filed separate answers denying the substantive allegations against them.

During the course of the litigation, Wall sought extensive discovery concerning medical performance appraisals for him and other physicians. Wall filed written interrogatory and document requests to obtain information from the defendants concerning complication rates and productivity statistics, morbidity and mortality conference reports, letters of inquiry from the surgical case review committee, quality assurance and surgical indication screens, operating room log sheets, patient records, and various documents and reports containing such information. Wall also sought similar information during depositions, including information concerning medical malpractice claims filed against Philip, his former OPMG supervisor. Much of this material, including OPMG physician productivity *660 statistics and information concerning Wall’s surgical patients at St. Luke’s, was produced during discovery.

The OPMG Defendants and St. Luke’s Defendants opposed Wall’s remaining discovery requests in part on the grounds that the information sought was privileged medical peer review material. The trial court initially denied Wall’s motions to compel discovery, and, upon reconsideration, conducted an in camera review of the material requested and again denied the motions to compel in two separate three-page typewritten entries. 2

The OPMG Defendants and St. Luke’s Defendants also filed respective motions for summary judgment on the claims against them arising out of their alleged abuse of the medical peer review process. The OPMG Defendants argued that Wall failed to present a prima facie case to support his claims. The St. Luke’s Defendants argued that they were protected by statutory immunity from civil liability for peer review activity and that Wall failed to produce evidence to support his claims. Wall opposed both motions for summary judgment. The trial court granted the motions for summary judgment in an order journalized October 19, 1995. Wall timely appeals, raising five assignments of error.

I

Wall’s first and second assignments of error challenge the trial court’s discovery rulings as follows:

“The trial court committed prejudicial error in denying appellant’s motion to compel the St. Luke’s Defendants to provide discovery after appellant demonstrated sufficient malice to defeat the defense of qualified privilege.
“The trial court committed prejudicial error in denying appellant’s motion to compel discovery from [sic] Ohio Permanente Medical Group Inc., appellees, since the information requested is not shielded by privilege and would prove that appellees acted arbitrarily and maliciously in evaluating Dr. Wall’s competence.”

These assignments of error lack merit.

Wall generally argues that the trial court improperly denied his motions to compel discovery of a wide range of information concerning the quality and quantity of services he and other OPMG physicians performed for Kaiser at St. Luke’s. Wall specifically contends that certain information sought from the St.

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Bluebook (online)
695 N.E.2d 1233, 119 Ohio App. 3d 654, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wall-v-ohio-permanente-medical-group-inc-ohioctapp-1997.