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48 Pa. D. & C.5th 397
Pennsylvania Court of Common P...
2015
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Background

  • Plaintiff Mary Jane Simon (82) slipped and fell during a supervised exercise/therapy session at Defendant Specialty Orthopaedics’ Wellness Center and alleges injuries from the fall.
  • Plaintiff served interrogatories and document requests seeking identities of eyewitnesses; Defendant objected, invoking HIPAA.
  • Court previously granted a motion to compel; multiple discovery motions followed and briefing/hearing occurred concerning whether HIPAA protects witness identities.
  • Defendant argued it was a HIPAA-covered provider and that witness identities were protected health information; Plaintiff argued identities are not PHI and must be produced.
  • Court concluded: HIPAA does not create a blanket evidentiary privilege; Defendant failed to show it is a covered entity that transmitted protected transactions; and witness identities sought do not constitute protected health information.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether HIPAA creates an evidentiary privilege in judicial proceedings HIPAA should not block discovery of witnesses HIPAA prevents disclosure of identities as protected information Court: HIPAA does not create an absolute evidentiary privilege; disclosure can occur under HIPAA rules (e.g., §164.512(e))
Whether Defendant is a HIPAA-covered entity Identities may be produced because defendant is not a covered entity Defendant: Wellness Center provides therapy and employs providers, so it is covered Court: Defendant did not show it conducts required electronic "transactions" to trigger HIPAA; therefore not shown to be a covered entity
Whether witness identities are "protected health information" Identities of eyewitnesses are not PHI because they do not relate to health, care, or payment Identities are protected because they are tied to patrons present in a healthcare setting Court: Identity of witnesses who merely observed the fall is not PHI under HIPAA definitions
Scope and remedy for noncompliance with discovery Produce names/contacts of eyewitnesses present at time of accident Resist production asserting HIPAA protection Court: Defendant compelled to produce names, telephone numbers and addresses of persons present at the Wellness Center at time of accident; discovery extended 60 days

Key Cases Cited

  • T.M. v. Elwyn, Inc., 950 A.2d 1050 (Pa. Super. 2008) (HIPAA does not create an evidentiary privilege and §164.512(e) permits disclosure in judicial proceedings)
  • Erie Indemnity Co. v. Coal Operators Cas. Co., 272 A.2d 465 (Pa. 1971) (facts or exhibits attached only to briefs are not part of the record)
  • Scopel v. Donegal Mut. Ins. Co., 698 A.2d 602 (Pa. Super. 1997) (exhibits attached to briefs are not part of the record)
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Case Details

Case Name: Simon v. Specialty Orthopaedics, P.C.
Court Name: Pennsylvania Court of Common Pleas, Mercer County
Date Published: May 22, 2015
Citations: 48 Pa. D. & C.5th 397; No. 2013-3056
Docket Number: No. 2013-3056
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