CHRISTINE GASPERETTI, M.D., v. DEBORAH HEART AND LUNG CENTER, LYNN MCGRATH, M.D., JOHN ERNST and JILL T. OJSERKIS, ESQ., and STATE OF NEW JERSEY, BOARD OF MEDICAL EXAMINERS
DOCKET NO. A-0244-13T2
SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION
November 22, 2017
Before Judges Fuentes, Carroll and Gooden Brown.
NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION. Argued November 2, 2016. This opinion shall not “constitute precedent or be binding upon any court.” Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.
Michael Confusione argued the cause for appellant Christine Gasperetti, M.D., (Hegge1
William M. Honan argued the cause for respondents Deborah Heart and Lung Center, Lynn McGrath, M.D., and John Ernst (Fox Rothschild, LLP, attorneys; Mr. Honan, of counsel; Mary M. McCudden, on the brief).
Robert A. Baxter argued the cause for respondent Jill T. Ojserkis, Esq. (Craig, Annin & Baxter, LLP, attorneys; Mr. Baxter, of counsel and on the brief).
The opinion of the court was delivered by
GOODEN BROWN, J.A.D.
Plaintiff Christine Gasperetti, M.D., appeals from the Chancery Division‘s June 3 and August 15, 2013 orders. The June 3, 2013 order granted summary judgment to defendants Deborah Heart and Lung Center (Deborah), Lynn McGrath, M.D., and John Ernst. The August 15, 2013 order denied plaintiff‘s motion for reconsideration.2 Having considered the arguments and applicable law, we affirm.
I.
We derive the following facts from evidence submitted by the parties in support of, and in opposition to, the summary judgment motion, viewed in the light most favorable to plaintiff. Angland v. Mountain Creek Resort, Inc., 213 N.J. 573, 577 (2013) (citing Brill v. Guardian Life Ins. Co., 142 N.J. 520, 523 (1995)). Plaintiff is a board certified interventional cardiologist. She was employed by Deborah from 1998 until her resignation on June 17, 2008. Plaintiff alleged that beginning in 2005, she was subjected to a hostile work environment and bullying by other physicians in the Cardiac Catheterization Lab (Cath Lab) based on her gender. Plaintiff complained about inappropriate gender-based postings on the Cath Lab bulletin board and other harassing incidents. In response, administrative action was taken, including reiterating to all Cath Lab employees Deborah‘s policy regarding sexual harassment; requiring department managers to review and approve the content of all postings on a daily basis; and advising that further instances would lead to disciplinary action.
When Bissey left Deborah‘s employ, Michael McKeever took over as Director of Corporate Compliance and followed up with Ernst regarding DeBerardinis’ and Ng‘s complaint. As a result, on January 25, 2008, Ernst asked DeBerardinis and Ng to identify ten of plaintiff‘s cases. He informed them that he and Dr. Lynn McGrath, Deborah‘s Vice President of Medical Affairs, would empanel a Professional Practice Evaluation Committee (PPEC) to
On February 28, 2008, Deborah held its first PPEC meeting. After acknowledging that the Cath Lab was polarized and that plaintiff had previously complained about harassment, the PPEC directed its outside counsel, Jill Ojserkis, to initiate an external review of the ten identified cases to avoid further “internal dissension and breach of confidentiality.” On April 10, 2008, Deborah engaged Medical Peer Review Services, LLC (Medical Peer Review), to review the ten cases identified by DeBerardinis and Ng as well as ten additional randomly selected cases. On June 5, 2008, Medical Peer Review submitted its reports to Ojserkis, finding numerous issues related to the standard of care undertaken by plaintiff. Mahdi Al-Bassam, M.D., prepared the executive summaries and peer review reports submitted by Medical Peer Review for all twenty cases. On June 12, 2008, McGrath recommended the PPEC reconvene to analyze the report.
Following the meeting, Gallagher telephoned plaintiff and advised her that there were “problems” with her work. Plaintiff
On July 24, 2008, pursuant to
Deborah‘s [PPEC] began a focused practice evaluation regarding certain clinical practices including documentation issues of [plaintiff] which resulted in Deborah sending certain medical records to an outside peer reviewer. The outside peer reviewer reports were reviewed by [PPEC] at its meetings on June 17, 2008 and June 26, 2008. The Committee agreed with the outside peer reviewer that the report showed potentially significant issues with clinical skills and judgment that could affect patient care.
At [PPEC‘s] request, a member of [PPEC] contacted [plaintiff] on June 17, 2008 to advise her that [PPEC] wanted to meet with her to discuss areas of concern. It appears that [plaintiff] verbally resigned on June 17, 2008 although she provided a written letter of resignation dated June 16, 2008 making her resignation effective June 30, 2008. [Plaintiff] then sent another letter dated June 17, 2008 changing the date of her resignation to immediate. It is unclear whether [plaintiff‘s] first resignation occurred before or outside the call with a member of [PPEC].
Ojserkis indicated in the notification that Deborah did not provide plaintiff “with a copy of [the] notice as required under
In addition, on August 4, 2008, McKeever prepared the following memo to plaintiff‘s credentials file:
On July 24, 2008, [Deborah‘s counsel] notified the [Board], pursuant to
N.J.S.A. 26:2H-12.2b , that [plaintiff] at the time of her voluntary resignation from the Medical Staff of Deborah was the subject of a [PPEC] that was formed to review certain of her clinical practices including documentation issues. Prior to her resignation, and unknown to her at the time, certain records had been independently peer reviewed. [Plaintiff] resigned upon being made aware of the review by the [PPEC] but before the [PPEC] met to accept the results.
As part of her new position at Penn, plaintiff sought credentials at other hospitals. In response to credentials requests from these institutions, where applicable, Deborah supplied the McKeever memo. Plaintiff‘s application for credentials was never turned down by any hospital.
On August 13, 2008, the Director of the Division of Consumer Affairs notified plaintiff that a “change” to the Privilege Loss/Restriction section of her New Jersey Health Care Profile was going to be made public in thirty days. Plaintiff certified that she first became aware of the report to the Board on August 16, 2008, when she received the August 13, 2008 notice. The notice advised plaintiff that “[t]he New Jersey Health Care Consumer Information Act, as amended, require[d] that profile information . . . be made available to the public.” However, under “[t]he law[,]” plaintiff had “[thirty] calendar days to review and correct
Plaintiff formally objected to the modification of her public profile but, on October 17, 2008, the Board determined that the modification was warranted. The Board agreed, however, to stay the modified posting for thirty days to allow plaintiff to obtain a retraction from Deborah or contest the ruling in court. Otherwise, the Board intended to post the following statement on plaintiff‘s physician profile: “Deborah . . . reported that [plaintiff] resigned while Deborah was conducting a review of her clinical practices (including documentation issues).” The Board‘s decision was based on Ojserkis’ July 24, 2008 notification as well as Ojserkis’ subsequent letter to plaintiff dated August 29, 2008, in which Ojserkis stated “that [plaintiff] was ‘made aware prior to her resignation’ that Deborah‘s PPEC began a focused review of certain of [her] clinical practices including documentation issues.”
The Board explained:
Given that factual predicate . . . , the Board takes the position that it clearly has a statutory obligation to post a description on [plaintiff‘s] physician profile regarding the resignation. See
N.J.S.A. 45:9-22.23(a)(8) . Alternatively stated, the Board maintains that a resignation of staff privileges that occurs during the pendency of an investigation related to a physician‘s clinical practice,where the physician is aware of the investigation prior to submitting her resignation, is a resignation “for reasons related to the practitioner‘s competence” and is thus required to be posted on the physician profile. Id. While the Board is certainly cognizant of [plaintiff‘s] claim that she resigned for personal reasons that had nothing to do with any investigation of her practice, and her further claim that she only learned of the investigation of her practice after she had a meeting with the hospital‘s CEO, [plaintiff‘s] claim is directly at odds with the position that has been taken by Deborah. In essence, then [plaintiff] is asking that the Board referee a dispute between her and Deborah, and that the Board act as a fact-finder to resolve that dispute before acting in accordance with its statutory obligation to post a description regarding the resignation on the profile. The Board specifically declines to act in that capacity, finding nothing in the relevant statutes that would require the Board to act in that capacity.
On November 5, 2008, plaintiff filed a verified complaint and an order to show cause against Deborah and the Board seeking injunctive relief to restrain the Board from changing her physician profile and ordering Deborah to retract its report. On February 4, 2009, the court issued a temporary injunction and, on April 6, 2009, a preliminary injunction. In a written opinion, the court explained that without deciding “whether [p]laintiff possessed any knowledge of her review before departing Deborah[,]” the court was satisfied that “a certain degree of awareness is necessary” in
On July 22, 2009, plaintiff amended her complaint to add McGrath, Ojserkis, and other unknown defendants, as well as tort claims and claims under the Law Against Discrimination (LAD),
After extensive motion practice related to various discovery disputes, defendants moved for summary judgment on October 12, 2012. In opposing the motion, plaintiff certified that “at no
did not inform [her] of any problems with [her] own work but that [she] interpreted his brief comment to refer to the problems which existed throughout the institution at that time. Because [she] was aware of retaliatory efforts on the part of Deborah to harm physicians after their resignation, and had not informed anyone even then of [her] plans, [she] determined to make [her] resignation effective immediately as [she] had already committed [her] position at [Penn].
Following oral argument, in a May 13, 2013 written decision, the court granted defendant‘s motion and dismissed plaintiff‘s second amended complaint with prejudice. The court ruled that “the Cullen Act, . . .
[t]o conclude otherwise would allow the health care professional‘s resignation to prevent the hospital from making the report of the
investigation of the professional‘s patient care. This would mean that a health care professional who had the slightest inkling an investigation was underway, but who had not been formally advised of same by the health care entity, could thwart the investigation by ending his or her employment. This would effectively serve to defeat one of the purposes of the Cullen Act, “the weeding out of problem practitioners.”
The court rejected “plaintiff‘s contention that she was not under review when she resigned[,]” finding that the “focused review” undertaken by defendant into whether “[plaintiff] was performing unnecessary medical procedures and misrepresenting outcome data . . . fell within the ambit of
The court then addressed each of plaintiff‘s claims individually. As to counts one and two of the amended complaint, the court determined that plaintiff was not entitled to permanent injunctive relief because “Deborah was required by the Cullen Act to file the report with [the Board].” Further,
plaintiff will not suffer any immediate irreparable harm if Deborah does not retract its . . . report [to the Board] because since the time of the reporting, plaintiff‘s income has increased, she cannot identify anyone who thinks less of her as a result of the reporting, she is in good standing in the hospitals where she currently works, and she has no plans to apply for credentials at any other hospital in the near future.
As to count six, alleging Deborah maliciously prosecuted plaintiff in violation of
As to counts four, five and seven, alleging defendants published three defamatory communications, specifically the report to the Board, the McKeever Memo and other information provided to other credentialing bodies, the court concluded that the alleged defamatory statements were true and have not “prevented plaintiff from securing other employment in her chosen profession.” Moreover, according to the court, because “the alleged defamatory statements involve matters of public concern[,]” requiring plaintiff to show “actual malice[,]” plaintiff‘s claims failed because she “failed to show defendants published any of them with actual malice or that any of the statements . . . can be construed as ‘defamatory.‘”
The court denied plaintiff‘s motion for reconsideration in an oral decision rendered on August 2, 2013. The court determined “[p]laintiff has not provided the [c]ourt with a particularly compelling reason for the [c]ourt to reconsider its decision[.]” The court explained:
Plaintiff has made absolutely no new arguments in this motion for reconsideration, instead, simply has revised her arguments that she previously made but varies her emphasis on the Cullen Act and other evidence.
. . . [T]he [c]ourt had adequately and properly addressed all the arguments plaintiff now rehashes in this motion for reconsideration.
More importantly, plaintiff does not qualify for reconsideration because there is
no evidence to suggest the [c]ourt‘s decision was palpably wrong or irrational or that the probative evidence was ignored.
A memorializing order was entered on August 15, 2013, and this appeal followed.
II.
On appeal, plaintiff argues that the “court erred because it failed to construe the proofs in plaintiff‘s favor per Brill, supra, ignored the conclusions a reasonable factfinder can make based on the proofs, and failed to apply the plain terms of the Cullen Act to these reasonable conclusions.” Plaintiff also asserts the court “erred in ruling that the ‘litigation privilege’ immunizes Deborah and its agents as a matter of law.” According to plaintiff, on the contrary, “Deborah and its agents are not immune as a matter of law for what a reasonable jury could find has been the publication of malicious lies designed to damage plaintiff‘s reputation and ability to compete.” Additionally, plaintiff asserts that “[s]ummary judgment should not have been granted without plaintiff having had the chance to depose Dr. Al-Bassam[,]” the author of Medical Peer Review‘s reports which were disputed by plaintiff‘s expert.7
This standard compels the grant of summary judgment “if the pleadings, depositions, answers to interrogatories and admissions
A trial court‘s order on a motion for reconsideration will not be set aside unless shown to be a mistaken exercise of discretion. Fusco v. Bd. of Educ. of City of Newark, 349 N.J. Super. 455, 462 (App. Div.), certif. denied, 174 N.J. 544 (2002). Reconsideration should only be granted in those cases in which the court had based its decision “upon a palpably incorrect or irrational basis,” or did not “consider, or failed to appreciate the significance of probative, competent evidence.” Ibid. (quoting D‘Atria v. D‘Atria, 242 N.J. Super. 392, 401 (Ch. Div. 1990)). A motion for reconsideration must “state with specificity the basis on which it is made, including a statement of the matters or controlling decisions which counsel believes the court has
The Cullen Act requires health care entities to notify the Board of Medical Examiners when physicians in their employ resign while under review for their patient care or conduct adversely affecting patient care or safety.
The health care professional voluntarily relinquishes any partial clinical privilege or authorization to perform a specific procedure if:
i. Whether or not known to the health care professional, the health care entity is undertaking an investigation or a review of:
(1) The quality of patient care rendered by the health care professional to determine if the care could have had adverse consequences to the patient[.]
Similarly, under
a. A health care entity, upon the inquiry of another health care entity, shall truthfully:
(1) disclose whether, within the seven years preceding the inquiry, it provided any notice to the division . . . with respect to the health care professional about whom the inquiry has been made, providing a copy of the form of notification and any supporting documentation that was provided to the division, a professional or occupational licensing board in the Division of Consumer Affairs in the Department of Law and Public Safety, or the review panel[.]
If a health care entity fails to make the requisite disclosures, it is subject to the imposition of penalties as determined by the Department of Health.
Although the terms “good faith” and “malice” were not defined in the Cullen Act, good faith has been defined as “honesty of
In Hurwitz v. AHS Hosp. Corp., 438 N.J. Super. 269 (App. Div. 2014), we defined malice in the context of the immunity provided to members of hospital review committees. See
In the present case, we are satisfied that defendants acted “in good faith and without malice,” and we discern no reason to reverse the grant of summary judgment or denial of plaintiff‘s
Contrary to plaintiff‘s assertion, she was under review for her patient care at the time of her resignation. Deborah was not required to disclose the review to plaintiff, and the Cullen Act required Deborah to report her resignation or be subjected to civil penalties.
In addition to the notification to the Board, in response to inquiries by other health care entities, Deborah was required under
The court predicated its dismissal of the complaint on its ruling that defendants were protected by both the immunity provided by the Cullen Act and the common law litigation privilege. The litigation privilege protects “[c]ertain statements made in the course of judicial, administrative, or legislative proceedings . . . because of ‘the need for unfettered expression critical to advancing the underlying government interest at stake in those settings.‘” Zagami, LLC v. Cottrell, 403 N.J. Super. 98, 104 (App. Div. 2008) (quoting Erickson v. Marsh & McLennan Co., Inc., 117 N.J. 539, 563 (1990)). “[T]he litigation privilege has been expanded . . . to encompass so-called quasi-judicial proceedings”
In Cottrell, supra, after analyzing the application of the privilege in a variety of contexts, we concluded:
We discern from these cases the guiding principle that, outside the strictly judicial setting, application of the litigation privilege will depend on the nature of the administrative proceeding, the function performed, and the pertinency of the allegedly defamatory statement to the issues and contentions to be resolved. As to the former, we look especially to the organic act governing the administrative agency to determine the presence of such procedural safeguards as notice, hearing, neutrality, finality, and review and to ascertain whether the proceeding affects only purely private interests or is imbued with a greater public significance. Of course whether a defendant in a defamation action is entitled to assert the absolute privilege for statements made during the course of litigation is a question of law.
Here, there is little question that the notification to the Board triggered an action covered by the litigation privilege. Plaintiff was provided notice and an opportunity to be heard before a neutral review board, as well as the opportunity to appeal the Board‘s determination prior to any change to her physician profile.
However, in light of our determination regarding the applicability of the statutory immunity of the Cullen Act, we are satisfied that the policy behind the enactment of the Cullen Act also protects defendants from recovery for a malicious prosecution claim. The fact that defendants had a legal duty to report the information compels that conclusion. Because all the counts allege related torts and are predicated upon the same conduct, defendants are shielded from all civil liability arising out of the provision or reporting of the information, and plaintiff is not entitled to injunctive relief. Therefore, plaintiff‘s entire complaint was properly dismissed.
Affirmed.
I hereby certify that the foregoing is a true copy of the original on file in my office.
CLERK OF THE APPELLATE DIVISION
Notes
A health care entity shall notify the Division in writing if a health care professional who is employed by . . . that health care entity . . . voluntarily resigns from the staff if . . . the health care entity is reviewing the health care professional‘s patient care or reviewing whether, based upon its reasonable belief, the health care professional‘s conduct demonstrates an impairment or incompetence or is unprofessional, which incompetence or unprofessional conduct relates adversely to patient care or safety[.]
[a] health care entity shall provide the health care professional who is the subject of a notice pursuant to paragraphs (1), (2), (4) and (5) of subsection a. of this section . . . with a copy of the notice provided to the division when the health care entity submits the notice to the [Division of Consumer Affairs in the Department of Law and Public Safety].
