Davis v. Jefferson Regional Medical Center Preferred Provider Organization et al
Filing
39
ORDER granting as modified 19 and 30 Motions to Dismiss. Signed by Judge D. P. Marshall Jr. on 1/10/2017. (jak)
IN THE UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF ARKANSAS
PINE BLUFF DIVISION
LEE ANDREW DAVIS
v.
PLAINTIFF
No. 5:16-cv-262-DPM
WALTER JOHNSON; DAVID NIXON; JOHN
DOES, 1-20; and JEFFERSON HOSPITAL
ASSOCIATION, INC., d/b/a Jefferson Regional
Medical Center
DEFENDANTS
ORDER
1. Dr. Lee Davis is a cardiologist who used to have staff privileges at
Jefferson Regional Medical Center in Pine Bluff. The hospital revoked those
privileges. Dr. Davis sued, arguing that his race drove JRMC' s decision. His
lawsuit failed. His problems in taking care of patients, with documentation,
and with unprofessional behavior - not his race - led to the revocation. Davis
v. Jefferson Hospital Association, No. 5:09-cv-58-DPM, NQ 141 & 142 (E.D. Ark.
2010), affirmed, 685 F.3d 675 (8th Cir. 2012) . Dr. Davis still practices medicine
in Jefferson County; and he understandably wants his privileges at the local
hospital restored. As things are, he must admit patients to Little Rock
hospitals, which is not only inconvenient, but means more expenses and less
income.
After much back and forth, JRMC denied Dr. Davis's request for
restoration of privileges at the pre-application phase. JRMC's January 2014
decision letter is attached to and incorporated in Dr. Davis's complaint and
amended complaint. NQ 1 & 15. The hospital gave two main reasons for
saying no: insufficient credentials and a lawsuit. The credentials issues were
about Dr. Davis's practice in recent years-lack of on-call work, lack of
hospital committee service, and not enough heart procedures. JRMC also
pointed to its 2008 revocation, which was based partly on patient-care
concerns. The hospital also pointedly relied on Dr. Davis's having filed a
lawsuit against JRMC and several doctors. It wasn't the federal case already
mentioned; Dr. Davis had filed a similar lawsuit alleging race discrimination
in state court while he was also seeking re-appointment to the medical staff.
Though Dr. Davis eventually dismissed this other case without prejudice,
JRMC concluded that his simultaneous pursuit of undisclosed litigation and
restored privileges showed an unwillingness to work with the hospital.
In this case, Dr. Davis claims (under federal and state law) a retaliatory
decision based on his second lawsuit, with a side claim that JRMC violated
the Arkansas Freedom of Information Act. Dr. Davis pleads that "[w]ith the
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exception of the comments concerning the lawsuit, the factual allegations
contained in the 1/24/14 letter referencing other reasons for the refusal to
allow [Dr. Davis] to apply are false." Ng 15 at 2. He also pleads that two
similarly situated doctors have current JRMC credentials. Are Dr. Davis's
retaliation claims implausible, and thus subject to a Rule 12(b)(6) dismissal,
as defendants argue, based on Blomker v. Jewell, 831F.3d1051 (8th Cir. 2016),
a recent divided opinion from the Court of Appeals?
2. They are. This Court is bound by the precedent. Dr. Davis's
pleading is materially indistinguishable from Ms. Blomker's.
She also
attached a mixed-bag letter from her employer, which listed her intention to
file an EEO complaint and poor performance as reasons for her firing.
Dr. Davis's suing JRMC again was protected conduct. JRMC shouldn't have
relied on that action in deciding whether to accept his application for restored
staff privileges. But a solid retaliation claim under Title VII or 42 U.S.C.
§ 1981 requires a plausible allegation thatJRMC's reliance on the lawsuit was
the 'but-for' cause of its rejection. "It is not enough that retaliation was a
'substantial' or 'motivating' factor in the [hospital's] decision." Blomker, 831
F.3d at 1059 (quotation omitted); see also Wright v. St. Vincent Health System,
-3-
730 F.3d 732, 738 n.5 (8th Cir. 2013). JRMC's other reasons for its decision,
reflected in the letter, stop Dr. Davis's federal retaliation claim at the door.
Dr. Davis has worked mightily to avoid this conclusion.
After
defendants responded to his complaint with a Blomker-based motion to
dismiss, Dr. Davis amended his pleading, adding the allegations about the
letter being partly false and about the current doctors, essentially offering
comparators. And he argues that Blomker breaks faith with other precedent
and draws courts into the merits too early. None of these efforts, though,
saves Dr. Davis's federal claim.
First, the letter. It is part of Dr. Davis's pleadings. As with his factual
allegations, the Court must take what JRMC's letter says as the truth. So
there's clash between the amended complaint (the letter's true about JRMC' s
relying on the lawsuit, but otherwise false) and the incorporated document.
While not unusual, these circumstances call for the plaintiff to plead more;
he must give some factual particulars to show a plausible claim. Dr. Davis's
plea of partial falsity is a matter of fact, not law. But it is conclusory. It's
unsupported by any details. He did not say, for example, that he actually has
recently worked on call, served on hospital committees, or performed enough
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heart procedures. In the absence of particulars, the Court is left with the
letter-the (assumed) truth of the whole letter, as in Blomker.
Next, the comparators. They don't stand up. Neither of them applied
for restored privileges. While the bar for considering alleged comparators at
the pleading stage must be low, Dr. Davis hasn't cleared it with his allegations
about Dr. Dharamsey's and Dr. Boast's deficiencies.
Last, the applicable precedent. Dr. Davis is partly wrong and partly
right. The Court sees no inconsistencies. But the governing law is moving
toward closer scrutiny of cases at the pleading stage, scrutiny informed by the
law on the merits. Blomker, 831 F.3d at 1055-56.
3. Blomker and related cases are persuasive but not binding authority
on the meaning of the Arkansas Civil Rights Act. ARK. CODE ANN.§ 16-123105(c). As Dr. Davis points out, Arkansas's causation standard for a solid
retaliation claim is unsettled.
The Court therefore declines to exercise
jurisdiction over this state law claim. 28 U.S.C. § 1367(c); Williams v. Hobbs,
658 F.3d 842, 853 (8th Cir. 2011) . Like the FOIA claim, it will be dismissed
without prejudice. Gregory v. Dillard's, Inc., 565 F.3d 464, 477 (8th Cir. 2009)
(en bane).
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*
*
*
Motions to dismiss, NQ 19 & 30, granted as modified.
So Ordered.
D.P. Marshall Jr. {I
United States District Judge
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