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Battle v. Mobile Infirmary Ass'n (In re Mobile Infirmary Ass'n)

SUPREME COURT OF ALABAMA
Dec 14, 2018
Smart Summary (Beta)

Factual and Procedural Background

On February 4, 2015, Lula Battle, as personal representative of the estate of Willie Trainor-Battle, deceased, filed a wrongful-death complaint against Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center ("Mobile Infirmary"), Dr. Rabin L. Shrestha, Jr., and other defendants. The complaint alleged that Trainor-Battle was admitted to the hospital for treatment of a sickle-cell crisis and severe pain, was treated with intravenous medications, and was found unresponsive and pronounced dead on August 28, 2013. The complaint asserted that Trainor-Battle's death resulted from medical malpractice.

Battle served discovery requests on Mobile Infirmary, including requests for personnel records and electronic medical records programs, which Mobile Infirmary contended contained confidential and proprietary information. The parties disagreed on the terms of a Protective Order for the production of this information.

Mobile Infirmary filed a motion for a protective order on February 2, 2018, opposing language in paragraph 11 of a proposed Protective Order that would allow Battle's counsel to use confidential information obtained in this case in other cases against Mobile Infirmary. The trial court entered a Protective Order on February 6, 2018, including paragraph 11 permitting such sharing and use of confidential information under certain conditions.

Mobile Infirmary filed a motion to modify and reconsider paragraph 11, which the trial court denied. Mobile Infirmary then petitioned this Court for a writ of mandamus directing the trial court to vacate paragraph 11 of the Protective Order.

Legal Issues Presented

  1. Whether paragraph 11 of the February 6, 2018 Protective Order violates Alabama Code § 6-5-551 by allowing the use of confidential information obtained in this medical-malpractice case in other cases against Mobile Infirmary.
  2. Whether the Court should grant a writ of mandamus directing the trial court to vacate paragraph 11 of the Protective Order.

Arguments of the Parties

Mobile Infirmary's Arguments

  • Paragraph 11 of the Protective Order violates Alabama Code § 6-5-551, which prohibits discovery or use of evidence related to any other act or omission beyond those alleged in the complaint in medical-malpractice actions.
  • The language in paragraph 11 improperly allows Battle's counsel to use confidential information produced in this case in other lawsuits against Mobile Infirmary, circumventing discovery restrictions and procedural safeguards.
  • Paragraph 11 provides an extra-procedural method for introducing documents into other cases, contrary to the Alabama Rules of Civil Procedure and the Medical Liability Act.
  • Mobile Infirmary has a clear legal right to have paragraph 11 vacated, and mandamus relief is appropriate.

Battle's (Plaintiff's) Position as Presented in Dissent

  • The materials Battle seeks to acquire are not related to any other act or omission outside the scope of this case, so § 6-5-551's prohibitions do not apply to her discovery requests.
  • If counsel wishes to share materials with other plaintiffs in different cases, § 6-5-551 may bar discovery in those other cases, but that is a matter for the courts in those cases to address, not this one.
  • Paragraph 11 does not create an end-run around § 6-5-551 because any improper sharing or use in other cases can be addressed by protective orders in those cases.
  • The plain language of § 6-5-551 does not support Mobile Infirmary's requested relief in this case, and any change to the statute is within the legislature's prerogative.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Ex parte Norfolk Southern Ry., 897 So. 2d 290 (Ala. 2004) Limited circumstances for mandamus review of discovery orders. Established the standard for mandamus review, including when a privilege is disregarded.
Ex parte Ocwen Federal Bank, FSB, 872 So. 2d 810 (Ala. 2003) Restriction on mandamus review of discovery orders except in exceptional cases. Clarified that discovery orders generally are reviewed on appeal except in exceptional circumstances.
Ex parte Miltope Corp., 823 So. 2d 640 (Ala. 2001) Mandamus review available when a privilege is disregarded in discovery. Supported Mobile Infirmary's position that § 6-5-551 is a privilege warranting mandamus review.
Ex parte Compass Bank, 686 So. 2d 1135 (Ala. 1996) Mandamus review when discovery order compels production of patently irrelevant or duplicative documents. Referenced as part of the framework for mandamus review of discovery orders.
Ex parte Gentiva Health Servs., Inc., 8 So. 3d 943 (Ala. 2008) § 6-5-551 treated as a privilege prohibiting discovery of unrelated acts or omissions in medical-malpractice cases. Confirmed that § 6-5-551 creates a discovery privilege justifying mandamus review.
Ex parte Vanderwall, 201 So. 3d 525 (Ala. 2015) Application of § 6-5-551 as a discovery privilege in medical-malpractice cases. Supported the court's decision that mandamus review was appropriate in this case.
Ex parte Anderson, 789 So. 2d 190 (Ala. 2000) Interpretation of § 6-5-551's prohibition on discovery of other acts or omissions. Clarified the statute's clear meaning that discovery and evidence of unrelated acts or omissions are prohibited.
DeKalb Cty. LP Gas Co. v. Suburban Gas, Inc., 729 So. 2d 270 (Ala. 1998) Statutory interpretation requires courts to apply the plain meaning of the law, even if results seem inefficient. Cited in dissent to emphasize that the court must apply § 6-5-551 as written, regardless of policy considerations.

Court's Reasoning and Analysis

The Court recognized that mandamus review of discovery orders is generally limited but is appropriate when a privilege is disregarded. The Court treated the exemption from discovery under Alabama Code § 6-5-551 as a privilege that prohibits discovery and use of evidence regarding any acts or omissions other than those alleged in the complaint in medical-malpractice cases.

Paragraph 11 of the Protective Order permitted Battle's counsel to share confidential information obtained in this case with other attorneys in the same law firm involved in other litigation against Mobile Infirmary, and to use such information in those other cases with court approval.

The Court concluded that this provision violated § 6-5-551 by allowing discovery materials to be used beyond the scope of the instant case, effectively circumventing the statute's restrictions. The Court found that the trial court exceeded its discretion in including paragraph 11 in the Protective Order.

Accordingly, the Court granted Mobile Infirmary's petition for mandamus relief and directed the trial court to vacate paragraph 11.

In dissent, Justice Shaw argued that § 6-5-551's prohibitions do not apply to Battle's discovery requests because they relate only to acts or omissions alleged in this case. He reasoned that any sharing of materials with other plaintiffs in other cases could be addressed by protective orders in those separate cases, and that the statute does not support relief against this plaintiff in this case. He emphasized adherence to the statute's plain language and legislative prerogative to amend it if desired.

Holding and Implications

Holding: The Court granted the petition for a writ of mandamus and directed the trial court to vacate paragraph 11 of its February 6, 2018 Protective Order.

Implications: This decision enforces the discovery restrictions imposed by Alabama Code § 6-5-551 in medical-malpractice actions, preventing the use of confidential information obtained in one case in other cases without proper judicial approval. The ruling directly affects the parties by invalidating paragraph 11 but does not establish new precedent beyond reaffirming the statute's application. The dissent highlights a differing view on the statute's scope and the proper procedural mechanism for addressing cross-case discovery issues.

Show all summary ...

WISE, Justice.

Notice: This opinion is subject to formal revision before publication in the advance sheets of Southern Reporter . Readers are requested to notify the Reporter of Decisions, Alabama Appellate Courts, 300 Dexter Avenue, Montgomery, Alabama 36104-3741 ((334) 229-0649), of any typographical or other errors, in order that corrections may be made before the opinion is printed in Southern Reporter.

PETITION FOR WRIT OF MANDAMUS

(Mobile Circuit Court, CV-15-900351) WISE, Justice.

Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center ("Mobile Infirmary") has filed a petition for a writ of mandamus asking this Court to direct the Mobile Circuit Court to vacate paragraph 11 of its February 6, 2018, protective order. We grant the petition and issue the writ.

Facts and Procedural History

On February 4, 2015, Lula Battle, as personal representative of the estate of Willie Trainor-Battle, deceased, filed a wrongful-death complaint against Mobile Infirmary, Dr. Rabin L. Shrestha, Jr., and various fictitiously named defendants. In the complaint, Battle alleged that, on or about August 26, 2013, Trainor-Battle was admitted to Mobile Infirmary Medical Center ("the hospital") for the treatment of a sickle-cell crisis with severe pain; that hospital personnel attempted to manage Trainor-Battle's pain by using IV administration of Demerol, methadone, and Phenergan; that Trainor-Battle was found unresponsive and not breathing at approximately 5:25 a.m. on August 28, 2013; that efforts to resuscitate Trainor-Battle were unsuccessful; and that Trainor-Battle was pronounced dead at 5:55 a.m. on August 28, 2013. The complaint alleged that Trainor-Battle died as a result of medical malpractice.

Battle served requests for production and interrogatories on Mobile Infirmary. In its mandamus petition, Mobile Infirmary alleges:

"The information requested included personnel records for certain of Mobile Infirmary's employees who were involved in Mr. Trainor-Battle's care and treatment, as well as many hundreds, if not thousands, of pages of information that must be printed out from Mobile Infirmary's electronic medical records system. These electronic medical records programs consist of software designed by various third-party vendors, and these vendors consider their programs confidential and proprietary. In addition, Mobile Infirmary has developed some of its own programs and/or modifications to the systems designed by third-party vendors, and Mobile Infirmary considers this information to be confidential and proprietary property as well.

"In order to provide sufficient protection both to its employees' personal information as well as the confidential and proprietary electronic medical records programs, Mobile Infirmary typically requires a Protective Order before such information can be produced. Here, the parties were unable to reach an agreement over the appropriateness or terms of a Protective Order."


On February 2, 2018, Mobile Infirmary filed a motion for a protective order. It submitted a proposed protective order and asked the trial court to enter that order. Mobile Infirmary went on to state in its motion for a protective order:

"3. Mobile Infirmary anticipates that [Battle] will propose a Protective Order similar (or identical) to the Amended Protective Order entered on February 21, 2017 by Judge Michael Youngpeter in the Dotson v. Mobile Infirmary case. While Mobile Infirmary asserted several bases for objecting to the entry of this Order in the Dotson case, Mobile Infirmary's primary objection was based on the inclusion of Paragraph 11, most specifically the language in Paragraph 11 that allows Plaintiff's counsel to affirmatively use documents produced in the Dotson case pursuant to the Protective Order in other cases pending against Mobile Infirmary.

"4. Mobile Infirmary opposes the entry of a Protective Order in this case that contains any language that affirmatively allows [Battle's] counsel to use documents produced in this case in other cases against Mobile Infirmary (or for any purpose other than prosecuting [Battle's] claims in this case).

"5. Under Alabama law, Paragraph 11, as contained in the Amended Protective Order in the Dotson case, violates the restrictions on discovery provided by the Alabama Medical Liability Act, specifically Alabama Code § 6-5-551. Paragraph 11 also is contrary to the procedures for discovery outlined in the Alabama Rules of Civil Procedure."




On February 5, 2018, Battle filed a proposed protective order that included the language to which Mobile Infirmary had previously stated its opposition.

On February 6, 2018, the trial court entered a protective order in this case. That order included the following paragraph:

"11. Nothing in this Order shall prevent [Battle's] counsel from sharing the Confidential Information obtained in this Lawsuit with other partners, associates and staff of the same law firm who may be involved in other litigation against Mobile Infirmary. However, to the extent [Battle's] counsel and law firm wish to affirmatively use Confidential Information (to question witnesses, to provide to experts, defend or support motions, etc.) in other cases against Mobile Infirmary, [Battle's] counsel and law firm must seek approval for such use from the judges presiding over the other cases. The Court reserves until the termination of this Lawsuit its ruling as to the ultimate disposition of the Confidential Information."


On March 6, 2018, Mobile Infirmary filed a "Motion to Modify and Reconsider Paragraph 11 of Protective Order Entered by Court on February 6, 2018 and for Entry of Protective Order Pursuant to Rule 26[, Ala. R. Civ. P.,] Regarding Provisions of Paragraph 11 of February 6, 2018 Protective Order." In its motion, Mobile Infirmary asked the trial court to delete paragraph 11 of the protective order in its entirety. Mobile Infirmary attached to its motion copies of protective orders that had been entered in other cases in Mobile County or Baldwin County. Subsequently, Battle filed a motion to strike the copies of those protective orders that were attached to Mobile Infirmary's motion to modify and reconsider. Mobile Infirmary states that the trial court denied its motion to modify and reconsider from the bench on March 20, 2018.

On March 21, 2018, Mobile Infirmary filed its petition for a writ of mandamus, and this Court ordered answer and briefs.

Standard of Review


"'In Ex parte Norfolk Southern Ry., 897 So. 2d 290 (Ala. 2004), this Court delineated the limited circumstances under which review of a discovery order is available by a petition for a writ of mandamus and the standard for that review in light of Ex parte Ocwen Federal Bank, FSB, 872 So. 2d 810 (Ala. 2003):


"'"'Mandamus is an extraordinary remedy and will be granted only when there is "(1) a clear legal right in the petitioner to the order sought, (2) an imperative duty upon the respondent to perform, accompanied by a refusal to do so, (3) the lack of another adequate remedy, and (4) properly invoked jurisdiction of the court." Ex parte Alfab, Inc., 586 So. 2d 889, 891 (Ala. 1991). In Ex parte Ocwen Federal Bank, FSB, 872 So. 2d 810 (Ala. 2003), this Court announced that it would no longer review discovery


orders pursuant to extraordinary writs. However, we did identify four circumstances in which a discovery order may be reviewed by a petition for a writ of mandamus. Such circumstances arise (a) when a privilege is disregarded, see Ex parte Miltope Corp., 823 So. 2d 640, 644-45 (Ala. 2001); (b) when a discovery order compels the production of patently irrelevant or duplicative documents the production of which clearly constitutes harassment or imposes a burden on the producing party far out of proportion to any benefit received by the requesting party, see, e.g., Ex parte Compass Bank, 686 So. 2d 1135, 1138 (Ala. 1996); (c) when the trial court either imposes sanctions effectively precluding a decision on the merits or denies discovery going to a party's entire action or defense so that, in either event, the outcome of the case has been all but determined and the petitioner would be merely going through the motions of a trial to obtain an appeal; or (d) when the trial court impermissibly prevents the petitioner from making a record on the discovery issue so that an appellate court cannot review the effect of the trial court's alleged error. The burden rests on the petitioner to demonstrate that its petition presents such an exceptional case -- that is, one in which an appeal is not an

adequate remedy. See Ex parte Consolidated Publ'g Co., 601 So. 2d 423, 426 (Ala. 1992).'"


"'897 So. 2d at 291-92 (quoting Ex parte Dillard Dep't Stores, Inc., 879 So. 2d 1134, 1136-37 (Ala. 2003)).'



"Ex parte Orkin, Inc., 960 So. 2d 635, 638 (Ala. 2006)."


Ex parte Nationwide Mut. Ins. Co.
, 990 So. 2d 355, 360 (Ala. 2008). Additionally, "[d]iscovery matters are within the trial court's sound discretion, and this Court will not reverse a trial court's ruling on a discovery issue unless the trial court has clearly exceeded its discretion. Home Ins. Co. v. Rice, 585 So. 2d 859, 862 (Ala. 1991)." Ex parte Ocwen Fed. Bank, FSB, 872 So. 2d 810, 813 (Ala. 2003).

Discussion

Mobile Infirmary asks this Court to direct the trial court to vacate paragraph 11 of the protective order. Specifically, Mobile Infirmary argues that paragraph 11 of the protective order violates § 6-5-551, Ala. Code 1975, and that it "provides an extra-procedural method for introducing documents produced in the instant case into other cases, contrary to the Alabama Rules of Civil Procedure and Alabama Code § 6-5-551, Ala. Code 1975." (Petition at pp. 9-10.)

"This Court has held that, generally, appellate review of a discovery order may be afforded by the appeal of a final judgment in the case but that, '[i]n certain exceptional cases, ... review by appeal of a discovery order may be inadequate....' Ex parte Ocwen Fed. Bank, FSB, 872 So. 2d [810,] 813 [(Ala. 2003)]. One of the 'exceptional cases' the Ocwen Court noted is 'when a privilege is disregarded.' This Court has previously determined that


"'[t]he exemption from discovery offered by § 6-5-551, Ala. Code 1975, which prohibits a party in a medical-malpractice action "from conducting discovery with regard to any other act or omission," i.e., any act or omission other than the one that allegedly renders the health-care provider liable, is treated as a privilege for purposes of determining whether in issuing the discovery order the trial court has disregarded a privilege, thus warranting review of the discovery order by way of a petition for a writ of mandamus.'



"Ex parte Gentiva Health Servs., Inc., 8 So. 3d 943, 946-47 (Ala. 2008)."


Ex parte Vanderwall
, 201 So. 3d 525, 532-33 (Ala. 2015). Thus, the trial court's February 6, 2018, protective order is reviewable by a petition for a writ of mandamus.

Section 6-5-551, Ala. Code 1975, provides:

"In any action for injury, damages, or wrongful death, whether in contract or in tort, against a health care provider for breach of the standard of care, whether resulting from acts or omissions in providing health care, or the hiring, training, supervision, retention, or termination of care

givers, the Alabama Medical Liability Act shall govern the parameters of discovery and all aspects of the action. The plaintiff shall include in the complaint filed in the action a detailed specification and factual description of each act and omission alleged by plaintiff to render the health care provider liable to plaintiff and shall include when feasible and ascertainable the date, time, and place of the act or acts. The plaintiff shall amend his complaint timely upon ascertainment of new or different acts or omissions upon which his claim is based; provided, however, that any such amendment must be made at least 90 days before trial. Any complaint which fails to include such detailed specification and factual description of each act and omission shall be subject to dismissal for failure to state a claim upon which relief may be granted. Any party shall be prohibited from conducting discovery with regard to any other act or omission or from introducing at trial evidence of any other act or omission."

(Emphasis added.)
"We have reviewed the language of the statute, and we conclude that its meaning could not be clearer. If all conditions of the statute are met, then any other acts or omissions of the defendant health-care provider are exempt from discovery, and the discovering party is prohibited from introducing evidence of them at trial. See § 6-5-551."

Ex parte Anderson
, 789 So. 2d 190, 195 (Ala. 2000).

Pursuant to paragraph 11 of the protective order, Battle's counsel will be allowed to share any confidential information counsel obtains in this case with medical-malpractice plaintiffs in other cases against Mobile the trial court exceeded its discretion when it included paragraph 11 in the protective order.

Conclusion

For the above-stated reasons, Mobile Infirmary has established a clear legal right to the relief sought. Accordingly, we grant the petition for a writ of mandamus and direct the trial court to vacate paragraph 11 of its February 6, 2018, protective order.

PETITION GRANTED; WRIT ISSUED.

Bolin, Main, Bryan, Sellers, and Mendheim, JJ., concur.

Parker and Shaw, JJ., and Thompson, Special Justice, dissent.

Judge William C. Thompson, presiding judge of the Alabama Court of Civil Appeals, was appointed on May 10, 2018, to serve as a Special Justice in regard to this petition. When Judge Thompson was appointed, there was equal division among the eight members of the Court then sitting on this case on a question material to the determination of the case. See § 12-2-14, Ala. Code 1975. --------

Stuart, C.J., recuses herself. SHAW, Justice (dissenting).

The petitioner, Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center ("Mobile Infirmary"), a defendant in the underlying wrongful-death action asserting that Willie Trainor-Battle died as a result of medical malpractice, challenges a portion of a protective order issued by the trial court. Specifically, paragraph 11 of the order allows counsel representing the plaintiff, Lula Battle, the personal representative of the estate of Willie Trainor-Battle, to "share" certain discovery materials obtained from Mobile Infirmary with other attorneys in the counsel's firm "who may be involved" in other lawsuits against Mobile Infirmary. Mobile Infirmary contends that paragraph 11 violates Ala. Code 1975, § 6-5-551. That Code section provides, among other things, that, in medical-malpractice actions, "[a]ny party shall be prohibited from conducting discovery with regard to any other act or omission or from introducing at trial evidence of any other act or omission."

It appears that, in the instant case, the materials Battle wishes to acquire are not "with regard to any other act or omission" unrelated to her case. Therefore, Battle is not a party to which the discovery and admissibility prohibitions of the Code section apply, and Mobile Infirmary has no valid objection under § 6-5-551 in this case.

If Battle, or more specifically her counsel, wishes to "share" any discovered materials acquired in this case, § 6-5-551 may bar a different plaintiff in another action from receiving it. It would be incumbent on Mobile Infirmary to have the trial court in that other action bar that plaintiff from acquiring such materials. Such a request could be made in the other action, and, if § 6-5-551 prevents that plaintiff from receiving the materials, then a protective order should be issued in that case. In other words, in that instance, paragraph 11 would have no effect and no "end-run" around § 6-5-551 would be accomplished.

In any event, the plain language of § 6-5-551 simply does not provide the relief Mobile Infirmary requests against this plaintiff in this case. It might be easier and more efficient for this Court to strike paragraph 11 instead of requiring a different court to apply § 6-5-551 in another case. Nevertheless, sometimes the application of the plain language of a Code section requires a less-than-efficient result. DeKalb Cty. LP Gas Co. v. Suburban Gas, Inc., 729 So. 2d 270, 276 (Ala. 1998) ("It is true that when looking at a statute we might sometimes think that the ramifications of the words are inefficient or unusual. However, it is our job to say what the law is, not to say what it should be."). Because the plain language of § 6-5-551 does not provide for the relief Mobile Infirmary requests in this case, and because any modification to the plain language of § 6-5-551 is within the legislature's prerogative, I respectfully dissent to issuing the writ in this case.

Parker, J., and Thompson, Special Justice, concur.