In this wrongful discharge action, plaintiff, Donna Jaynes, appeals from the summary judgment entered in favor of defendant, Cen-tura Health Corporation, doing business as St. Anthony Hospital Central, dismissing her public policy and breach of implied contract or promissory estoppel claims. We affirm.
Jaynes worked as a nurse at St. Anthony’s. During her lengthy tenure, different entities, most recently Centura, owned and operated the hospital. She received various employee handbooks at different times, but she was never a party to an express employment contract.
Centura suspended Jaynes based on two specific incidents. In one, a disagreement arose involving Jaynes, a physician, and the patient’s family concerning patient management. Jaynes alleged that she submitted an occurrence report to the hospital’s Quality Assurance Committee concerning treatment of this patient. In the other, Jaynes delayed administering medication to a patient for eleven hours.
Jaynes responded to the suspension with lengthy, written denials of the allegations against her. Later she submitted an “action plan” in which she asserted that she had been acting as a “patient advocate” under her ethical obligations as a nurse. Centura then terminated her employment without going through a corrective action process. Following her termination, Jaynes did not request a review by the hospital’s Problem Resolution Council.
*243 I. Summary Judgment Standard
We review a summary judgment de novo,
Vail/Arrowhead, Inc. v. Dist. Court,
II. Public Policy
Jaynes first contends the trial court erred in entering summary judgment for Centura on her public policy wrongful discharge claim. We disagree.
Absent an express contract providing otherwise, Colorado law presumes the employment relationship to be terminable at will by either party without liability.
Cont’l Air Lines, Inc. v. Keenan,
In
Martin Marietta Corp. v. Lorenz,
• the employer directed the employee to perform an illegal act or prohibited the employee from performing a public duty or exercising an important job-related right or privilege;
• the action directed by the employer would violate a specific statute relating to the public health, safety, or welfare, or would undermine a clearly expressed public policy relating to the employee’s basic responsibility as a citizen or the employee’s rights or privileges as a worker;
• the employee was terminated as a result of refusing to perform the act directed by the employer; and
• the employer was aware, or reasonably should have been aware, that the employee’s refusal to comply with the order was based on the employee’s reasonable belief that the action ordered by the employer was illegal, contrary to clearly expressed statutory policy relating to the employee’s duty as a citizen, or viola-tive of the employee’s legal rights or privileges as a worker.
The employee in Lorenz relied on 18 U.S.C. § 1001, a federal criminal statute proscribing fraud, as a source of public policy. But public policy may emanate from sources other than statutes.
In
Rocky Mountain Hospital & Medical Service v. Mariani,
According to the
Mariani
court, “[a] professional employee forced to choose between violating his or her ethical obligations or being terminated is placed in an intolerable position.”
Mariani, supra,
In
Mariani,
the court went on to explain that “[t]he Board has responsibility for making appropriate rules of professional conduct.”
Mariani, supra,
It is declared to be in the interest of the citizens of the state of Colorado and a proper exercise of the police power of the state of Colorado to provide for the licensing and registration of certified public accountants ... to provide for ... the maintenance of high standards of professional conduct by those so licensed and registered as certified public accountants.
Mariani, supra,
Since Mariani, neither the supreme court nor any division of this court has recognized a public policy wrongful discharge claim based solely on rules of professional conduct or ethics.
The identification of a statutory, constitutional, or other source as a sufficiently clear expression of public policy is an issue of law for the court.
Mariani, supra.
Appellate review of legal questions is de novo.
Awad v. Breeze,
A. ANA Code and AACN Policy
Jaynes first argues that her termination violated public policy because it was, at least in part, in retaliation for conduct required by her ethical obligations as a nurse. We disagree.
On appeal, Jaynes cites to a publication of the American Nurses Association entitled “Code for Nurses with Interpretive Statements” (ANA Code) and a “public policy” entitled “Role of the Critical-Care Nurse” that appears on the American Association of Critical-Care Nurses website (AACN Policy) as sources of public policy.
Initially, we note Centura’s assertion that Jaynes failed to establish a sufficient foundation under C.R.C.P. 56(e) for the ANA Code and the AACN Policy. We need not decide this issue, however, because we conclude, as a matter of law, that neither the ANA Code nor the AACN Policy supports a public policy wrongful discharge claim under Mariani.
Relevant facts concerning the ANA Code and the AACN Policy are not in dispute. Jaynes offered no evidence that she had ever been a member of the ANA or the AACN, and at her deposition she admitted that she was not currently an ANA member. She also acknowledged that the ANA is not a governmental entity and has no legal authority either to adopt rules or to impose sanctions for noncompliance with its Code. She presented no evidence that the AACN has any such legal authority.
Nor does the record contain any evidence that noncompliance with either the ANA Code or the AACN Policy would subject Jaynes to discipline by the State Board of Nursing. See § 12-38-117, C.R.S.2005 (listing “grounds for discipline” by the Board, which do not include violating the ANA Code, the AACN Policy, or any other rules of ethics or conduct).
These facts show that the ANA Code and the AACN Policy differ from State Board of Accountancy Rule 7.3 in several ways: (1) Rule 7.3 represents the exercise of expressly delegated legislative authority; (2) all certified public accountants are subject to Rule 7.3; and (3) violation of Rule 7.3 could subject a certified public accountant to discipline.
In
Mariani,
the supreme court relied primarily on
Pierce v. Ortho Pharmaceutical Corp.,
Thus, unlike the doctor in
Pierce,
the lawyer in
General Dynamics,
or the accountant in
Mariani,
on this record we cannot conclude that Centura placed Jaynes in the position of choosing between violating “her ethical
obligation
or being terminated.”
Mariani, supra,
Jaynes cites no case, and we have found none, recognizing the ANA Code or the AACN Policy as sufficient to sustain a public policy wrongful discharge action. To the
*245
contrary, in
Warthen v. Toms River Community Memorial Hospital,
A majority of jurisdictions have recognized that a professional code of ethics may constitute public policy sufficient to support a wrongful discharge claim.
See
Genna H. Rosten, Annotation,
Wrongful Discharge Based on Public Policy Derived from Professional Ethics Codes,
Jaynes correctly points out that the ANA Code and the AACN Policy meet two of the criteria announced in
Mariani, supra,
But we need not resolve that dispute because the ANA Code and the AACN Policy are purely private pronouncements, violation of which subjects a nurse to no adverse consequences. Recognizing such pronouncements as embodiments of public policy sufficient to sustain a wrongful discharge claim would extend
Mariani,
which we decline to do.
See Crawford Rehab. Servs., Inc. v. Weissman, supra,
Accordingly, we discern no error in entry of summary judgment on this aspect of Jaynes’ public policy wrongful discharge claim.
B. Quality Management Functions Statute
Jaynes next argues that her termination violated public policy arising from the Colorado quality management functions statute, § 25-3-109, C.R.S.2005 (QM statute), because it was partly in retaliation for her having filled an occurrence report with the hospital’s Quality Assurance Committee. We disagree and conclude, as a matter of law, that the QM statute does not support a public policy wrongful discharge claim.
The QM statute recognizes that “implementation of quality management functions to evaluate and improve patient and resident care is essential to the operation of health care facilities.” Section 25-3-109(1), C.R.S. 2005. Based on the need for “reasonably unfettered” collection of quality management information, the statute exempts quality management records and reports from subpoena, discovery, or admission in civil or administrative proceedings, and provides that, subject to exceptions not here relevant, these records “shall be confidential.” Section 25-3-109(3), C.R.S.2005. Persons who “in good faith and within the scope of the functions of a quality management program” participate in reporting quality management information “shall be immune from suit in any civil action based on such functions.” Section 25-3-109(6), C.R.S.2005.
But the QM statute does not require any health care facility to establish a quality management program. Nor does it command any employee of a facility that does establish such a program to report information “relating to the evaluation or improvement of the quality of health care services.” Section 25-3-109(1).
Unlike the employee in
Lorenz,
who alleged that he had been terminated for refusing to perform a criminal act, here Jaynes
*246
asserts that she was terminated for performing an act furthering the public policy created by a civil statute. Hence, Jaynes was not forced to choose between “obeying an employer’s order to violate the law or losing [her] job.”
Lorenz, supra,
However, the
Lorenz
court cited with approval cases recognizing a public policy wrongful discharge claim based on an employee’s affirmative action in the context of a civil statute.
See, e.g., Lathrop v. Entenmann’s, Inc.,
Thus, we apply the Lorenz criteria as relevant to the QM statute and conclude that Jaynes failed to establish a prima facie case of wrongful discharge. Because of this conclusion, we need not decide Centura’s contention that summary judgment was proper because Jaynes failed to include the occurrence report on which she relies in the summary judgment record. ■
First, the" QM statute does not clearly articulate a public policy by establishing “a public duty,” disregard of which would undermine “the employee’s basic responsibility as a citizen.”
Lorenz, supra,
Second, the QM. statute does not clearly articulate a public policy by creating “an important job-related right or privilege.”
See, e.g., Lorenz, supra,
Third, while the QM statute relates “to health, safety, or public welfare,”
Lorenz, supra,
Jaynes’ reliance on
Flores v. American Pharmaceutical Services, Inc.,
In contrast, in
Lampe v. Presbyterian Medical Center,
In discussing the evolution of public policy wrongful discharge in Colorado, the
Lorenz
court cited but did not criticize
Lampe.
The supreme court repeatedly discussed
Framp-
*247
ton
and
Nees
in formulating, as elements of a prima facie case for statutory policy wrongful discharge in the civil context, that the employer’s action must compromise “a clearly expressed public policy relating to the employee’s basic responsibility as a citizen or the employee’s right or privilege as a worker.”
Lorenz, supra,
Moreover, no Colorado Supreme Court opinion has upheld a public policy wrongful discharge claim absent a statutory crime, employee right, or public duty. Thus, to the extent that
Flores
and
Lampe
are in conflict, we consider
Lampe
to be more consistent with
Lorenz. See generally In re Estate of Becker,
Accordingly, we conclude the trial court did not err in granting Centura’s motion for summary judgment on the public policy claim.
III. Breach of Implied Contract or Promissory Estoppel
Jaynes finally contends the trial court erred in entering summary judgment on her breach of implied contract or promissory es-toppel claim because Centura’s personnel policies modified her at-will status. We disagree.
In
Continental Air Lines, Inc. v. Keenan, supra,
However, if a statement by an employer is “merely a description of the employer’s present policies or a forecast of the employee’s likely career progression, it is neither a promise nor a statement that- could reasonably be relied upon as a commitment.”
Soderlun, supra,
The meaning of an employment policy, the wording of which is undisputed, is a question of law for the court.
George v. Ute Water Conservancy Dist.,
A. Continuation of St. Anthony’s Policies Under Centura
An employee cannot base a claim of wrongful discharge on an employment handbook that has been superseded, even where the prior handbook may have been promissory.
See Ferrera v. Nielsen,
Jaynes does not dispute that she received three employee handbooks during her tenure at the hospital: (1) ’the St. Anthony Handbook adopted in 1988 and reprinted in 1990; (2) the Provenant Handbook adopted in the early 1990s; and (3) the Centura Employee Principles (Centura Principles) adopted on May 1, 1997. In addition, Provenant Health Partners adopted internal personnel policies and procedure guidelines in 1993 to 1994 (Provenant Guidelines), which were not distributed to employees but were instead used only by managers and supervisors.
Centura asserts that these guidelines, as well as the two prior employee handbooks, were superseded by the Centura Principles when Centura took over management of St. Anthony’s. We agree in part.
The Centura Principles state: “[These principles] supersede and void previous Cen-tura Health Affiliates’ Human Resources Pol *248 icies and Procedures, unless otherwise indicated.” With regard to Problem Resolution Procedure, the Principles state: “This Principle is under construction and we anticipate its development in Fiscal Year 1998. Please refer to your facility Grievance Procedures or Problem Resolution Procedures for now.”
Accordingly, we conclude that all previous handbooks and guidelines were superseded except for the Problem Resolution Procedures, discussed in section C.l. below.
B. Effect of the Centura Disclaimer
Jaynes first argues that the disclaimer in the Centura Principles was neither clear nor conspicuous. We disagree.
A disclaimer to an employee handbook or personnel policy is effective “if the employer has clearly and conspicuously disclaimed intent to enter a contract limiting the right to discharge employees.”
Ferrera v. Nielsen, supra,
Whether a contract disclaimer is clear and conspicuous is a question of law for the court.
Durtsche v. Am. Colloid Co.,
Here, the disclaimer appears on the second page of the Centura Principles and is set off in a separate paragraph under the boldface title “Employment at Will.” It states:
Because the principles and guidelines are intended to be flexible and provide general guidance, they should not be considered a contract either express or implied. Centu-ra Health conducts its employment practices consistent with Colorado’s “at will” law. Only the CEO, Executive Vice President and Senior Vice Presidents and Site Administrators have the authority to enter into an “Employment Agreement.” Such an agreement is valid only if reduced to writing and signed by one of the above officers and the employee. No other representative has the authority to make representations, promises or agreements regarding term or conditions of employment.
We consider this language clear and conspicuous, and conclude that the disclaimer was sufficient to apprise Jaynes that no principles or guidelines created an express or implied contract, especially in light of her admission to having read the Principles.
See, e.g., Silchia v. MCI Telecomms. Corp.,
C. Sufficiency of Policies VII-M and VII-K to Create an Implied Contract
Nevertheless, relying on Evenson v. Colo. Farm Bureau Mut. Ins. Co., supra, Jaynes argues that Policies VII-M and VII-K of the Provenant Guidelines created an implied contract or were binding on promissory estoppel principles because they establish mandatory termination procedures, require just cause for termination of employment, or both. We need not address the rule announced in Evenson, that a disclaimer may not defeat an implied contract or promissory estoppel claim, because we conclude that Jaynes did not invoke Policy VII-M and Policy VII-K is not mandatory.
As an initial matter, we recognize Centu-ra’s argument that Jaynes did not have access to these internal management policies before her termination. But to avoid a possible factual issue, we assume Jaynes may have had such access, even though they were internal management policies.
1. Policy VII-M
Policy VII-M is titled “Problem Resolution Procedure.” Because the title matches the language in the Centura Principles expressly providing that such procedures should be followed until Centura develops its own problem resolution procedures, we conclude the *249 Centura Principles do not supersede this policy.
Policy VII-M sets forth procedures for a terminated employee to receive a hearing. The procedures state: “The employee, at all times, will have the burden of persuading the Problem Resolution Council that the employer’s initial decision was in any way erroneous, and the Problem Resolution Council is not to set aside or modify the employer’s decision unless the employee has sustained this burden.” But if the Corrective Action Policies set forth in Policy VII-K were followed, then the only issue in the hearing is whether the employee engaged in conduct set forth in that policy.
Jaynes argues that an employee’s right to obtain a hearing following termination under Policy VII-M would be meaningless if Centu-ra could terminate the employment without following the Corrective Action Policies set forth in Policy VII-K. We reject this argument.
Under Policy VII-M, the terminated employee may proceed directly to Step C, entitled “Written Request to the Administrative Staff Member.” At this step, the employee “must” submit a written request for resolution. Under Step D, entitled “Written Request for Review by Problem Resolution Council,” the employee likewise must “submit a written request for hearing by the Problem Resolution Council.”
Here, Jaynes does not identify in the summary judgment record a written request from her to invoke either Step C or Step D. Thus, she cannot assert any rights under this policy because she did not follow the policy by asking Centura for such procedures.
Accordingly, we conclude that Policy VII-M did not alone modify Jaynes’ at-will status on the basis of implied contract or promissory estoppel.
2. Policy VII-K
Jaynes also argues that Policy VII-K is preserved through Policy VII-M, which refers to Policy VII-K. Regardless, we conclude that Policy VII-K provides no rights enforceable under an implied contract or promissory estoppel theory.
Policy VII-K, entitled “Corrective Action for Unacceptable Performance/Conduct,” sets forth “guidelines” for managers to deal with employee conduct. It explains that “[njormally, corrective action will be taken in a progressive manner (verbal counseling, first written warning, final written warning ... release from employment).” The guidelines give management discretion in dealing with unacceptable employee conduct: “However, dependent upon the nature of the violation or performance deficiency, an employee may be subject to any step of corrective action including immediate written warning, suspension, and/or release from employment.” The terms “guidelines” and “normally” are consistent with discretionary rather than mandatory termination procedures.
Hence, we conclude Centura made no promise of specific treatment, and thus, the policy did not create an implied contract or give rise to estoppel.
See, e.g., Horton v. Darby Elec. Co.,
Therefore, the trial court did not err in granting summary judgment for Centura on Jaynes’ breach of contract and promissory estoppel claims.
The judgment is affirmed.
