Yocabet v. UPMC Presbyterian

119 A.3d 1012, 2015 WL 3533851
CourtSuperior Court of Pennsylvania
DecidedJune 5, 2015
Docket569 WDA 2014
StatusPublished
Cited by56 cases

This text of 119 A.3d 1012 (Yocabet v. UPMC Presbyterian) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Yocabet v. UPMC Presbyterian, 119 A.3d 1012, 2015 WL 3533851 (Pa. Ct. App. 2015).

Opinions

OPINION BY

BOWES, J.:

UPMC Presbyterian Shadyside (“UPMC”) has filed these two appeals from pretrial discovery orders. Since the orders involve common issues of fact and law, we have consolidated them for disposition. UPMC maintains that both orders, one dated March 11, 2014, and the other one dated June 26, 2014, require it to produce materials that are confidential under the Peer Review Protection Act, 63 P.S. §§ 425.1-425.4 (the “Peer Review Act” or “Act”). We will generally refer to this privilege as the peer review privilege. UPMC also invokes the attorney-client privilege as to the materials ruled discoverable in the June 26, 2014 order.1 We affirm the March 11, 2014 order. We reverse the June 26, 2014 order and remand for the conduct of in camera review in order to determine whether either privilege invoked by UPMC applies to the materials involved therein.

These appeals stem from two civil cases involving allegations of, inter alia, medical malpractice. At lower court docket number GD 11-19112, Michael J. Yocabet instituted a lawsuit against UPMC and University of Pittsburgh Physicians, and at lower court docket number GD 11-19113, Christina L. Mecannic filed a civil action against the same entities. The two lawsuits pertain to the same event, a kidney transplant. We summarize the allegations contained in the complaints. Mr. Yocabet was on the kidney transplant waiting list at UPMC awaiting a new kidney due to damage to that organ caused by his Type I diabetes. Ms. Mecannic was Mr. Yoca-bet’s significant other and the mother of his son. Ms. Mecannic volunteered to undergo the necessary testing to determine if her eligibility to be a kidney donor for Mr. Yocabet.

Mr. Yocabet did not have Hepatitis C prior to the kidney transplant surgery. On January 26, 2011, Ms. Mecannic under[1017]*1017went blood test screening, and that testing revealed that she had Hepatitis C. Having Hepatitis C renders a person ineligible to be a kidney donor under federal guidelines and UPMC policies. Follow-up testing was recommended, but none was ordered.

On January 26, 2011, Dr. Mark Sturde-vant, a UPMC transplant surgeon, documented that he reviewed Ms. Mecannic’s laboratory work, which would have included the positive results for Hepatitis C. He recommended her as an excellent kidney donor candidate. That same day, UPMC nephrologist Dr. Nirav Shah documented that he reviewed Ms. Mecannic’s laboratory work. Dr. Shah indicated that she appeared to be a reasonable donor candidate. On January 31, 2011, UPMC physician Dr. Jennifer L. Steel reviewed Ms. Mecannic’s records, which would have included the positive results for Hepatitis C. Dr. Steel approved Ms. Mecannic as a donor and found no contraindications for donation.

UPMC Transplant Selection Committee meetings were held on February 17, 2011, and March 23, 2011. Ms. Mecannic’s qualifications and test results were discussed at those meetings, where she was approved as a donor. If anyone during these five review processes had noticed Ms. Me-cannic’s positive test for Hepatitis C, she would not have been approved as a kidney donor for Mr. Yocabet. In a March 24, 2011 letter to Ms. Mecannic, Mimi Funovi-tis, a nurse and UPMC’s transplant coordinator, informed Ms. Mecannic that, after a review of Ms. Mecannic’s evaluation test results and interviews, Ms. Mecannic was medically approved to be a kidney donor.

On March 29, 2011, Ms. Mecannic underwent additional blood testing ordered by Dr. Henkie Tan. That testing also included a screening for Hepatitis C, and the results indicated that there was an insufficient quantity of blood to perform the ordered testing. Those results were faxed to Ms. Funovitis. Ms. Funovitis documented that Ms. Mecannic’s blood had to be re-drawn, but UPMC did not secure more blood from Ms. Mecannic. On April 1, 2011, Dr. Tan, the lead surgeon on the transplant team, completed a form known as a transplant surgery consultation, wherein he noted Ms. Mecannic was a suitable candidate for donation.

One of Ms. Mecannic’s kidneys was transplanted into Mr. Yocabet on April 6, 2011. At some unknown time after the surgery, UPMC personnel discovered that they had transplanted a Hepatitis C infected kidney into Mr. Yocabet. On April 22, 2011, UPMC obtained another blood sample from Ms. Mecannic without telling her the blood analysis was being performed solely to determine her level of Hepatitis C infection and was not standard donor testing following transplant surgery. On May 6, 2011, UPMC personnel informed Ms. Mecannic that she had Hepatitis C.

Mr. Yocabet subsequently contracted Hepatitis C from Ms. Meeannic’s donated kidney. An infectious disease doctor informed Mr. Yocabet that the Hepatitis C treatment would eventually result in kidney failure and death. M's. Mecannic underwent surgery that should not have been performed and was left with one kidney.

After the complaints were filed, these two actions were consolidated at GD 11-019112 for purposes of discovery. The plaintiffs submitted interrogatories and a request for production of documents and then a motion to compel. Due to the complexity of the discovery issues, the matter was referred to a special master, Roslyn M. Litman, Esquire,

The following facts are pertinent to the issues involved in these appeals. After the transplant at issue occurred, the Pennsylvania Department of Health (“Department of Health”), on behalf of the Centers for [1018]*1018Medicare and Medicaid Services, conducted an investigation of the UPMC transplant program (“CMS/DOH investigation”). The Centers for Medicare and Medicaid Services is a federal agency within the United States Department of Health and Human Services. It administers the Medicare and Medicaid insurance programs and collaborates with state governments to .administer Medicaid, a social services program that provides health insurance for individuals and families with low income and limited financial resources. During discovery, the plaintiffs sought the communications, which consisted of documents and interviews, submitted by UPMC to the Department of Health for purposes of the CMS/DOH investigations. UPMC claimed that the requested materials were confidential under the Peer Review Act.

The master opined that the documents and interviews submitted to the Department of Health were not confidential since it was not conducting peer review during the CMS/DOH investigation. UPMC filed objections to the master’s conclusion that the plaintiffs could obtain the documents and interviews reviewed for purposes of the CMS/DOH investigation. In a March 11, 2014 order, the trial court affirmed the master’s conclusion that the peer review privilege did not apply to the materials submitted by UPMC to the Department of Health during "the CMS/DOH investigation. The appeal at 569 WDA 2014 followed. The issue raised therein is: “Whether documents and communications generated as a result of the CMS/DOH investigation of the medical treatment at issue are protected from discovery by the Pennsylvania Peer Review Protection Act (63 P.S. § 425.1 et seq.)T’ Appellant’s brief (569 WDA 2014) at 5.

The June 26, 2014 order on appeal at 1230 WDA 2014 concerns the following facts. The plaintiffs requested information about a May 11, 2011 meeting of the Board of Directors of UPMC (“May 11, 2011 Board meeting”). UPMC objected to that request and claimed .that the information sought was shielded from discovery by both the Peer Review Act and the attorney-client privilege.

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Bluebook (online)
119 A.3d 1012, 2015 WL 3533851, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yocabet-v-upmc-presbyterian-pasuperct-2015.