William A. BROWN, M.D., Plaintiff-Appellant, v. SIERRA NEVADA MEMORIAL MINERS HOSPITAL, Et Al., Defendants-Appellees

849 F.2d 1186, 25 Fed. R. Serv. 1435, 1988 U.S. App. LEXIS 8108, 46 Empl. Prac. Dec. (CCH) 38,047, 1988 WL 59361
CourtCourt of Appeals for the Ninth Circuit
DecidedJune 14, 1988
Docket86-2806
StatusPublished
Cited by27 cases

This text of 849 F.2d 1186 (William A. BROWN, M.D., Plaintiff-Appellant, v. SIERRA NEVADA MEMORIAL MINERS HOSPITAL, Et Al., Defendants-Appellees) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
William A. BROWN, M.D., Plaintiff-Appellant, v. SIERRA NEVADA MEMORIAL MINERS HOSPITAL, Et Al., Defendants-Appellees, 849 F.2d 1186, 25 Fed. R. Serv. 1435, 1988 U.S. App. LEXIS 8108, 46 Empl. Prac. Dec. (CCH) 38,047, 1988 WL 59361 (9th Cir. 1988).

Opinion

*1188 SNEED, Circuit Judge:

Dr. William Brown, a black man, filed suit against Sierra Nevada Memorial Miners Hospital (Sierra) and seven doctors affiliated with Sierra, alleging violations of 42 U.S.C. § 1981. The district court found for the defendants, and Brown appealed. We affirm.

I.

FACTS AND PROCEEDINGS BELOW

Brown has been a physician for over forty years and is licensed in California, Missouri, Ohio, Oregon, and West Virginia. He practiced in California from 1960 to 1978. He then worked briefly in Ohio and Oregon before returning to California and applying for general surgical privileges at Sierra in Penn Valley in March 1980. Four months later, after Sierra’s application process was completed, Sierra gave Brown associate staff privileges. “This entitled him to admit patients to the Hospital and perform surgical procedures, with retrospective review of his patient charts and contemporaneous observation (‘proctoring’) of his surgical cases by active staff members.” Findings of Fact and Conclusions of Law, Excerpt of Record (E.R.) at 182.

Brown states that while he was waiting to receive associate status, Sierra changed its bylaws to require proctoring. He charges that this change and the four-month delay in the processing of his application were due to his race. The defendants/appellees attribute the four-month delay to tardiness by Brown in finishing the application, and misstatements in the application about Brown's previous experience. They also state that Sierra has used proctoring since at least 1977. The district court agreed with the defendants. E.R. at 193.

Over the next year, 1980-81, Brown performed several surgeries, which were proctored by active staff members. Their review of Brown’s performance was mixed: “Some found [his] performance adequate, while others were critical of his surgical skills, surgical judgment, or both.” Findings of Fact and Conclusions of Law, E.R. at 182. In April 1981, Sierra’s Surgical Monitor Committee told Brown that it could not recommend the granting of full surgical staff privileges. It told him that it would continue to proctor his surgeries, and that it wished to review his operative reports for the five years before he arrived at the hospital. During this period of proctoring and review Brown filed three complaints with the California Department of Fair Employment and Housing, all of which were dismissed. 1

In June 1982, Sierra’s Executive Committee adopted the Surgical Monitor Committee’s recommendation that Brown not receive full surgical privileges. While he awaited review of that decision, Brown applied for medical privileges, which would allow him to treat non-surgical patients at Sierra. In October 1983, the Medical Monitor Committee “recommended to the Executive Committee that based upon review of [Brown’s] patient charts, he should not be allowed to continue admitting medical patients to the Hospital.” Findings of Fact and Conclusions of Law, E.R. at 183-84. The Executive Committee agreed. In February 1984, Sierra’s Judicial Review Committee upheld the denial of privileges.

Sierra then reported its result to the State Board of Medical Quality Assurance (BMQA). The BMQA found Brown’s medical care adequate, and did not discipline him. The documents generated by this process played a significant role in this litigation.

Following the initial denial of full surgical privileges, Brown filed a complaint in December 1982 in the district court for the Eastern District of California. In November 1983, after being denied the privilege of admitting patients to Sierra, Brown filed an amended complaint against Sierra and seven doctors on Sierra’s staff, alleging discrimination under 42 U.S.C. § 1981, as well as under several other statutes. In *1189 April 1985, the parties agreed to dismiss the claims under the statutes other than § 1981. A bench trial on the section 1981 claim was held before Judge Raul Ramirez in February and March 1986. The court found in favor of the defendants, and issued findings of fact and conclusions of law in September 1986. Brown timely appealed. Initially we will review a cluster of evidentiary issues and then turn to arguments concerning the standard of proof and the correctness of the findings of fact.

II.

JURISDICTION

The district court had jurisdiction under 28 U.S.C. §§ 1331 and 1343. This court’s jurisdiction rests on 28 U.S.C. § 1291.

III.

STANDARD OF REVIEW

Most of the issues raised by Brown involve evidentiary rulings. This court has stated that it reviews a district court’s evi-dentiary decisions for an abuse of discretion. Coursen v. A.H. Robins Co., 764 F.2d 1329, 1333 (9th Cir.1985). Such issues of law as are involved are reviewed de novo and findings of fact are reviewed under the clearly erroneous standard.

IV.

EVIDENTIARY RULINGS

A. Documents of the Board of Medical Quality Assurance and Sierra’s Judicial Review Committee

As indicated above, the BMQA conducted an investigation into Brown’s competence after Sierra revoked Brown’s privileges. Because the BMQA’s findings were not unfavorable to Brown, he sought to have admitted into evidence many favorable documents generated by that proceeding. Before trial, the district court held a hearing to determine whether to admit the findings of this investigation. It decided to exclude as hearsay two reports sent to the agency from outside consultants. 2 It did not agree with Brown that the reports were admissible under Federal Rule of Evidence 803(8)(C), which states that certain public documents are not excluded by the hearsay rule:

Records, reports, statements, or data compilations, in any form, of public offices or agencies, setting forth ... (C) in civil actions and proceedings and against the Government in criminal cases, factual findings resulting from an investigation made pursuant to authority granted by law, unless the sources of information or other circumstances indicate lack of trustworthiness.

The judge ruled that Rule 803(8)(C) was meant to cover only final reports, not “to piggyback the whole administrative proceeding” into the trial. E.R. at 879. Because the consultants’ letters to the agency were not reports or statements of an agency, they were held to be inadmissible.

Brown argues that the trial court erred in its application of Rule 803. He cites United States v. American Tel. & Tel. Co.,

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849 F.2d 1186, 25 Fed. R. Serv. 1435, 1988 U.S. App. LEXIS 8108, 46 Empl. Prac. Dec. (CCH) 38,047, 1988 WL 59361, Counsel Stack Legal Research, https://law.counselstack.com/opinion/william-a-brown-md-plaintiff-appellant-v-sierra-nevada-memorial-ca9-1988.