Bahls v. Regional Medical Center
Filing
26
ORDER granting in part 23 Motion for Summary Judgment as to Plaintiff's federal claim arising under the FMLA. The Clerk of Court is directed to transfer Plaintiff's two remaining state law claims to the Iowa District Court for Delaware County. (See text of order for specifics) Signed by Chief Judge Linda R Reade on 12/15/2011. (Certified copy to Iowa District Court for Delaware County via US mail) (pac)
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF IOWA
EASTERN DIVISION
REBECCA ANN BAHLS,
Plaintiff,
No. 10-CV-2047-LRR
vs.
ORDER
REGIONAL MEDICAL CENTER,
Defendant.
____________________
TABLE OF CONTENTS
I.
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
II.
RELEVANT PROCEDURAL HISTORY . . . . . . . . . . . . . . . . . . . . . . . . 2
III.
SUBJECT MATTER JURISDICTION . . . . . . . . . . . . . . . . . . . . . . . . . 2
IV.
SUMMARY JUDGMENT STANDARD . . . . . . . . . . . . . . . . . . . . . . . . . 2
V.
RELEVANT FACTUAL BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . 3
VI.
RELEVANT RMC POLICIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
VII.
ANALYSIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
A.
Plaintiff’s FMLA Claim . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.
Applicable law . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.
Parties’ arguments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.
Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
4.
State law claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
VIII. CONCLUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
I. INTRODUCTION
The matter before the court is Defendant Regional Medical Center’s “Motion for
Summary Judgment” (“Motion”) (docket no. 23).
II. RELEVANT PROCEDURAL HISTORY
On June 21, 2010, Plaintiff Rebecca Ann Bahls filed a three-count Complaint
(docket no. 2) against Regional Medical Center (“RMC”). The Complaint alleges:
(1) wrongful termination in violation of Iowa public policy; (2) invasion of privacy; and
(3) a violation of the Family Medical Leave Act (“FMLA”), 29 U.S.C. § 2615(a). On
August 16, 2010, RMC filed an Answer (docket no. 6). On October 3, 2011, RMC filed
the Motion. On October 27, 2011, Plaintiff filed a Resistance (docket no. 24). On
November 7, 2011, RMC filed a Reply (docket no. 25). In the Resistance, Plaintiff
requests oral argument. The court finds that oral argument is unnecessary. The matter
is fully submitted and ready for decision.
III. SUBJECT MATTER JURISDICTION
The court has federal question jurisdiction over Plaintiff’s claim arising under the
FMLA, 29 U.S.C. § 2615(a). See 28 U.S.C. § 1331. The court has supplemental
jurisdiction over Plaintiff’s state law claims because they are so related to her federal claim
that they “form part of the same case or controversy under Article III of the United States
Constitution.” 28 U.S.C. § 1367(a).
IV. SUMMARY JUDGMENT STANDARD
Summary judgment is appropriate “if the movant shows that there is no genuine
dispute as to any material fact and the movant is entitled to judgment as a matter of law.”
Fed. R. Civ. P. 56(a). “An issue of fact is genuine when ‘a reasonable jury could return
a verdict for the nonmoving party’ on the question.” Woods v. DaimlerChrysler Corp.,
409 F.3d 984, 990 (8th Cir. 2005) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S.
242, 248 (1986)). A fact is material when it “might affect the outcome of the suit under
2
the governing law.” Anderson, 477 U.S. at 248. “[T]o establish the existence of a
genuine issue of material fact, ‘[a nonmoving party] may not merely point to unsupported
self-serving allegations.’” Anda v. Wickes Furniture Co., 517 F.3d 526, 531 (8th Cir.
2008) (quoting Bass v. SBC Commc’ns, Inc., 418 F.3d 870, 872 (8th Cir. 2005)). Rather,
the nonmoving party “‘must substantiate [its] allegations with sufficient probative evidence
that would permit a finding in [its] favor.’” Id. (quoting Bass, 418 F.3d at 873). The
court must view the record in the light most favorable to the nonmoving party and afford
it all reasonable inferences. See Baer Gallery, Inc. v. Citizen’s Scholarship Found. of
Am., Inc., 450 F.3d 816, 820 (8th Cir. 2006) (citing Drake ex rel. Cotton v. Koss, 445
F.3d 1038, 1042 (8th Cir. 2006)).
V. RELEVANT FACTUAL BACKGROUND
Construing the facts in the light most favorable to Plaintiff, the facts are as follows.
Plaintiff is a registered nurse. From 2005 until 2007, Plaintiff worked as a nurse for
RMC. In 2007, Plaintiff began working for Manchester Family Medical Clinic (“the
primary care clinic”). On April 1, 2009, RMC purchased the primary care clinic. RMC
currently operates a hospital and two clinics in Manchester, Iowa. On the date RMC
purchased the primary care clinic, Plaintiff again became an employee of RMC and
continued to work at the primary care clinic. Plaintiff’s obstetrician was also located at
the primary care clinic. During her pregnancy, Plaintiff completed a prenatal record at
the primary care clinic. The prenatal record is typically completed during an expectant
mother’s initial visit to the primary care clinic and includes general information about her
health history and may also include identifying information and health information of the
child’s biological father. Subsequently, the primary care clinic sent a copy of the prenatal
record to RMC’s hospital to prepare for Plaintiff’s impending delivery.
On August 3, 2009, Plaintiff was admitted to RMC’s hospital to deliver her child.
3
At that time, Plaintiff was on leave from her employment pursuant to the FMLA.1 After
Plaintiff was admitted to the hospital and while she was undergoing treatment, Plaintiff told
her nurse, Jessie Baumgartner, that she wanted to make an amendment to her medical
record. Baumgartner responded, “I think I know what you’re talking about.” Plaintiff’s
Response to Defendant’s Statement of Material Facts and Statement of Undisputed Material
Facts at ¶ 51. Plaintiff’s husband was not the father of the child and she wanted to remove
the biological father’s name from her medical record because she felt threatened by him
and did not want him involved. These circumstances were well known facts in the
community. Plaintiff informed Baumgartner and another nurse, Amy Fettkether, that she
had concerns about the biological father’s erratic and threatening behavior. Both nurses
were sympathetic to Plaintiff’s concerns.
Plaintiff walked to the nurse’s station and asked if she could make the change to her
medical record. Baumgartner said, “Yeah. What would you like taken off?” Id. at ¶ 58.
Baumgartner handed Plaintiff her personal medical chart, and Plaintiff stated that she
wanted to remove the name “Tyler” and the age “28” from the hospital’s copy of the
prenatal form. Baumgartner responded, “Oh, okay,” id. at ¶ 60, and handed Plaintiff a
bottle of liquid paper and told her to remove whatever she wanted to remove.
Baumgartner denies providing Plaintiff with liquid paper, but does admit to handing
Plaintiff her medical chart. Both Baumgartner and Fettkether deny that Plaintiff asked
them about making a change to her prenatal form, but they do admit that they saw Plaintiff
writing something down in her chart. The hospital did not discipline Baumgartner or
Fettkether for their actions.
On or about August 3 or August 6, 2009, questions arose about Plaintiff’s child’s
1
On August 5, 2009, Plaintiff filed the Request for Family or Medical Leave due
to the birth of her son. The request was immediately granted and back-dated to begin on
August 3, 2009.
4
birth certificate. Kristi Kudrna, another RMC nurse, informed Rosemary Hunt, RMC’s
privacy officer and the supervisor of the Health Information Systems Department, that
liquid paper had been used on Plaintiff’s medical chart to remove the name of the
biological father. Hunt called the State of Iowa to inquire as to whether Plaintiff’s birth
worksheet had been completed correctly. The State informed Hunt that the worksheet had
been completed correctly. Hunt did not investigate the use of liquid paper on Plaintiff’s
medical chart at that time.
On or about August 20, 2009, Hunt was again notified of the use of liquid paper on
Plaintiff’s medical chart. Kudrna was preparing to send Plaintiff’s file to RMC’s health
information and record keeping system and department. Kudrna again observed the liquid
paper and notified LeAnn Fenton, assistant manager of the obstetrician area. Fenton
notified RMC’s Chief Nursing Officer, Patricia Doyle, who then contacted Hunt and
reported that liquid paper had been used on Plaintiff’s medical chart. That same day, Hunt
began an investigation regarding the liquid paper on Plaintiff’s chart. On August 25,
2009, Hunt contacted Brian Hunger, Vice President of Clinic Operations, about the liquid
paper on Plaintiff’s hospital medical chart. Hunt interviewed Doyle, Fenton, Kudrna and
Plaintiff’s physician to see if they had made the change or knew the circumstances under
which the information had been covered with liquid paper.
On August 25, 2009, Hunt informed Plaintiff that someone had altered her medical
record and that there was a discrepancy between the record held at the hospital and the
record held at the clinic. Plaintiff informed Hunt that she made the change. Hunt thanked
Plaintiff for acknowledging that she made the change and informed Plaintiff that it was
necessary to complete formal paperwork in order to amend her medical record. Hunt then
informed Plaintiff that she could be disciplined or terminated for her actions. RMC
revealed one page of Plaintiff’s personal medical record, the prenatal form that had liquid
paper on it, to Julie Bente, the vice president of human and facility resources. RMC
5
showed Bente the medical record in her capacity as a human resources official for the sole
purpose of determining what discipline, if any, should be imposed on Plaintiff. On August
28, 2009, RMC terminated Plaintiff for violating RMC policy by altering her medical
record with liquid paper.
After RMC terminated Plaintiff, she attempted to amend her medical record
pursuant to RMC policy. Plaintiff spoke with Michelle Paris at the primary care clinic.
Plaintiff maintains that Paris did not know how to make the change and that she handed
Plaintiff a blank sheet of paper. Paris did not tell Plaintiff that she needed to see RMC’s
privacy officer or complete a standard form. Later that same day, RMC contacted Plaintiff
and provided her with a Request for Amendment of Health Information form. Plaintiff
completed the form and returned it to RMC.
VI. RELEVANT RMC POLICIES
RMC has several policies that it maintains are relevant to this lawsuit. First, RMC
has a written policy for staff to follow when correcting entries in a medical record (the
“Policy”). See Defendant’s Appendix in Support of the Motion (“Def. App’x”) at 24.
The Policy states, “At times it becomes necessary for a health care professional to make
appropriate corrections in the medical record during or after a patient’s hospitalization.”
The Policy then states:
Erasures may create curiosity, if not suspicion, as to reasons
for the change. Therefore, any corrections to be made in
medical records will be done in the following way:
1. The person who made the incorrect entry should correct it.
2. Line out the incorrect data with a single line in ink so the
entry can still be read.
3. The date of the lining out, signature of the person doing it,
and the correct information should be added.
4. In margin, make notation of why the correction was made
if applicable.
DO NOT use erasers, liquid paper or scratch the incorrect
6
entry out so well that it cannot be read.
Id. Plaintiff argues that the Policy is inapplicable to her situation because (1) she was not
acting as an employee at the time she made the change to her own medical chart and (2)
she was not making a correction to an incorrect entry, but was instead amending her own
medical record.
RMC also has a Confidentiality and Security Agreement, which Plaintiff signed
during an employee orientation on March 19, 2009.
Among other things, the
Confidentiality and Security Agreement states:
In the course of my employment/assignment at Regional
Medical Center, I understand that I may come into the
possession of this type of Confidential Information. I will
access and use this information only when it is necessary to
perform my job related duties in accordance with Regional
Medical Center privacy and security policies, which are
available in the individual departments, and (on the intranet if
applicable).
....
I will not in any way divulge, copy, release, sell, loan or
destroy any Confidential Information except as properly
authorized.
....
I will not make any unauthorized transmissions, inquires,
modifications, or purging of Confidential Information.
....
I will act in the best interest of Regional Medical Center and
in accordance with it’s [sic] Code of Conduct at all times
during my relationship with Regional Medical Center.
....
I understand that violation of this Agreement may result in
disciplinary action, up to and including termination of
employment, suspension, and loss of privileges, and/or
termination of authorization to work within Regional Medical
Center, in accordance with Regional Medical Center’s
policies.
Id. at 32. Plaintiff maintains that this policy does not apply to her circumstances because
7
she altered her medical record while she was a patient and this policy governs the conduct
of employees only.
RMC also has a Behavior of Employees policy, and on April 30, 2009, during
another employee orientation, Plaintiff signed a document acknowledging that she received
a copy of the policy. As relevant here, the Behavior of Employees policy states:
The following conduct is prohibited and individuals engaged
in it will be subject to discipline, up to and including
termination.
....
•
Falsifying or altering any RMC records or reports, such
as an application for employment, a medical report, a
medical record, a time record, an expense account, an
absentee report, or shipping and receiving records.
•
Stealing, destroying, defacing, or misusing RMC
property or another employee’s or customer’s property.
Id. at 39-40. Plaintiff maintains that this policy does not apply to the circumstances of her
case because she was acting as a patient when she altered her medical record.
Additionally, on April 11, 2004, Plaintiff signed a document indicating that she
received a copy of RMC’s Notice of Privacy Practices (the “Notice”). As relevant here,
the Notice states that RMC “may use medical information about you to provide you
treatment or services [and] may disclose medical information about you to doctors, nurses,
technicians, medical students, or other hospital/long term care personnel who are involved
in taking care of you.” Id. at 41. The Notice further states that “[m]embers of the
medical staff and/or quality improvement team may use information in your health record
to assess the care and outcomes in your case.” Id. at 42. The Notice also provides the
procedure for a patient to follow if he or she wishes to amend his or her medical record.
The Notice states:
If you feel that medical information we have about you is
incorrect or incomplete, you may ask us to amend the
information. You have the right to request an amendment for
8
as long as the information is kept by our facility. To request
an amendment, your request must be made in writing and
submitted to the Privacy Officer. In addition, you must
provide a reason that supports your request. We may deny
your request for an amendment if it is not in writing or does
not include a reason to support the request. In addition, we
may deny your request if you ask us to amend information
that:
•
•
•
•
Was not created by us, unless the person or entity that created the
information is no longer available to make the amendment;
Is not part of the medical information kept by or for the
hospital;
Is not part of the information which you would be
permitted to inspect and copy; or
Is accurate and complete.
Id. at 43-44. Plaintiff maintains that, although she did sign a document indicating that she
received a copy of the Notice, she is not certain if she ever fully read the form or if she
still had the document at the time she amended her medical record. Plaintiff further
maintains that she did not know the proper procedure to change her record and that the
other nurses apparently did not know either, based upon their willingness to allow her to
alter the record and their inability to tell her the correct procedure when she tried to amend
the record after her termination.
Lastly, on March 16, 2009, Plaintiff signed a Patient Bill of Rights, which notifies
patients that they have responsibilities, including the responsibility “[t]o follow hospital
rules and regulations affecting patient care and conduct.” Id. at 48.
VII. ANALYSIS
A. Plaintiff’s FMLA Claim
1.
Applicable law
“The FMLA entitles an employee to twelve workweeks of leave during any twelvemonth period if he or she has a ‘serious health condition that makes the employee unable
9
to perform the functions of the position of such employee.’” Phillips v. Mathews, 547
F.3d 905, 909 (8th Cir. 2008) (quoting 29 U.S.C. § 2612(a)(1)(D)). An employee who
takes FMLA leave generally has the right, upon returning from leave, to be reinstated to
the position she occupied when she went on leave or to an equivalent position. 29 U.S.C.
§ 2614(a)(1). It is illegal for an “employer to interfere with, restrain, or deny the exercise
of or the attempt to exercise, any right provided” by the FMLA. Id. § 2615(a)(1). “An
FMLA interference claim . . . arises when an employer refuses to authorize FMLA leave,
discourages an employee from using FMLA leave, manipulates in such a way as to avoid
its responsibilities under the FMLA, or engages in any activity ‘that deters an employee
from participating in protected activities.’” Parsons v. Principal Life Ins. Co., 686 F.
Supp. 2d 906, 910 (S.D. Iowa 2010) (quoting Stallings v. Hussmann Corp., 447 F.3d
1041, 1050 (8th Cir. 2006)). “In an interference claim, an ‘employee must show only that
he or she was entitled to the benefit denied.’” Stallings, 447 F.3d at 1050 (quoting Russell
v. N. Broward Hosp., 346 F.3d 1335, 1340 (11th Cir. 2003)). “An employee can prevail
under an interference theory if [s]he was denied substantive rights under the FMLA for a
reason connected with h[er] FMLA leave.” Id.
“‘[E]very discharge of an employee while she is taking FMLA leave interferes with
an employee’s FMLA rights . . . .’” Bacon v. Hennepin Cnty. Med. Ctr., 550 F.3d 711,
715 (8th Cir. 2008) (quoting Throneberry v. McGehee Desha Cnty. Hosp., 403 F.3d 972,
980 (8th Cir. 2005)). “However, the FMLA is not a strict-liability statute.” Estrada v.
Cypress Semiconductor (Minn.) Inc., 616 F.3d 866, 871 (8th Cir. 2010). Thus, “‘an
employer who interferes with an employee’s FMLA rights will not be liable if the
employer can prove it would have made the same decision had the employee not exercised
the employee’s FMLA rights.’” Bacon, 550 F.3d at 715 (quoting Throneberry, 403 F.3d
at 977). “[W]here an employer’s reason for dismissal is insufficiently related to FMLA
leave, the reason will not support the employee’s recovery.” Stallings, 447 F.3d at 1051
10
(citing Throneberry, 403 F.3d at 979). “An employee who requests FMLA leave has no
greater protection against termination for reasons unrelated to the FMLA than she did
before taking the leave.” Estrada, 616 F.3d at 871. “The burden is on the employer to
prove the reason for termination was unrelated to FMLA.” Phillips, 547 F.3d at 911; see
also Estrada, 616 F.3d at 871 (noting that the employer bears “the burden of proving it
would have made the same decision to terminate [the employee] regardless of the leave”).
To establish an interference claim, Plaintiff must prove that: (1) she was an eligible
employee under the FMLA; (2) Defendant is an employer under the FMLA; (3) Plaintiff
was entitled to FMLA leave; (4) Plaintiff gave notice of her intent to take FMLA leave;
and (5) Defendant denied Plaintiff FMLA benefits to which she was entitled. Schoonover
v. ADM Corn Processing, No. 06-CV-133-LRR, 2008 WL 282343, at *12 (N.D. Iowa
Jan. 31, 2008). It is undisputed that Plaintiff was an eligible employee and that RMC is
a covered employer under the FMLA. See 29 U.S.C. § 2611(2) (defining “eligible
employee”); 29 U.S.C. § 2611(4) (defining “employer”). Furthermore, RMC does not
dispute that Plaintiff was entitled to FMLA leave and that she gave notice of her intent to
take FMLA leave. See Defendant’s Memorandum of Law in Support of the Motion (“Def.
Br.”) at 20. Thus, the only disputed issue is whether RMC denied Plaintiff FMLA
benefits to which she was entitled.
2.
Parties’ arguments
In the Complaint, Plaintiff maintains that RMC interfered with her rights under the
FMLA. RMC claims that it is entitled to summary judgment on this issue because it
terminated her for a reason unrelated to her FMLA leave. Specifically, RMC maintains
that it terminated Plaintiff because she used liquid paper to cover up information in her
medical chart in violation of hospital policy. Plaintiff counters that RMC terminated her
for an unlawful reason or for a reason from which a jury could infer that her termination
was because she took FMLA leave.
11
3.
Discussion
Plaintiff has not produced any evidence that RMC terminated her for a reason
related to her FMLA leave. In contrast, RMC has produced evidence to support its
contention that it terminated Plaintiff because she used liquid paper to cover up information
in her medical chart, which RMC believed to be in violation of hospital policy. Thus, the
court concludes that RMC has demonstrated that it would have made the decision to
terminate Plaintiff regardless of whether or not she took leave under the FMLA.
Consequently, Plaintiff’s interference claim must fail. See, e.g., Blakley v. Schlumberger
Tech. Corp., 648 F.3d 921, 934 (8th Cir. 2011) (“[A]n employer who interferes with an
employee’s FMLA rights will not be liable if the employer can prove it would have made
the same decision had the employee not exercised the employee’s FMLA rights.” (quoting
Estrada, 616 F.3d at 871) (internal quotation marks omitted)).
4.
State law claims
Having dismissed Plaintiff’s federal claim, the court declines to exercise
supplemental jurisdiction over Plaintiff’s remaining state law claims. The court may
exercise supplemental jurisdiction over claims for which it does not have original
jurisdiction “that are so related to the claims in the action within such original jurisdiction
that they form part of the same case or controversy.” 28 U.S.C. § 1367(a). However, the
court may decline to exercise supplemental jurisdiction if “the district court has dismissed
all claims over which it has original jurisdiction.” 28 U.S.C. § 1367(c)(3). “The Supreme
Court has noted that, ‘in the usual case in which all federal-law claims are eliminated
before trial, the balance of factors to be considered under the pendent jurisdiction doctrine
. . . will point toward declining to exercise jurisdiction over the remaining state-law
claims.’” Johnson v. City of Shorewood, 360 F.3d 810, 819 (8th Cir. 2004) (quoting
Carnegie-Mellon Univ. v. Cohill, 484 U.S. 343, 350 n.7 (1988)). Accordingly, the court
declines to exercise supplemental jurisdiction over Plaintiff’s state law claims.
12
VIII. CONCLUSION
In light of the foregoing, it is HEREBY ORDERED THAT:
(1)
Defendant Regional Medical Center’s “Motion for Summary Judgment”
(docket no. 23) is GRANTED IN PART as to Plaintiff’s federal claim
arising under the FMLA;
(2)
The court declines to exercise supplemental jurisdiction over Plaintiff’s
claims arising under Iowa law; and
(3)
The Clerk of Court is DIRECTED to TRANSFER Plaintiff’s two remaining
state law claims to the Iowa District Court for Delaware County and to
CLOSE THIS CASE.
IT IS SO ORDERED.
DATED this 15th day of December, 2011.
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