MUNROE REGIONAL MEDICAL CENTER, INC., ET AL., PETITIONER,
v.
MARY W. ROUNTREE, RESPONDENT
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Dr. Overcash sought certiorari review of a trial court order compelling him to answer deposition questions about his hospital staff privilege suspension related to a peer review audit. The Fifth District Court of Appeal held that Florida's medical peer review privilege protects such information from discovery because the doctor's knowledge came solely from the peer review committee, not from original sources.
The court held that peer review committee protection extends to deposition questions seeking to discover information concerning the actions taken by the committee. While information otherwise available from original sources outside the committee is discoverable, Dr. Overcash's knowledge of the reasons for his suspension came solely from information obtained from the peer review committee and therefore is protected from discovery.
[1] A claimant in a medical malpractice case is entitled to discover the privileges granted to a physician by a hospital.
[2] Actual records of a hospital's credentials committee involved in determining physician privileges are not discoverable in a medical malpractice case.
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Join FLexlaw to unlock all legal intelligence“The investigations, proceedings, and records of a committee as described in the preceding subsections shall not be subject to discovery or introduction into evidence in any civil or administrative action against a provider of professional health services arising out of the matters which are the subject of evaluation and review by such committee”
Establishes the core protection of Florida's medical peer review privilege statute
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Join FLexlaw to unlock all legal intelligenceDr. Overcash performed a laparoscopic cholecystectomy on Mary Rountree, who subsequently filed a medical malpractice action alleging negligent bowel p…
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ANTOON, Judge.
In this medical malpractice action, William Todd Overcash, M.D., seeks certiorari review of the trial court’s order compelling him to answer deposition questions.1 We agree with Dr. Overcash’s contention that the deposition questions at issue request the disclosure of information which is protected from discovery, and that therefore the trial court’s discovery order constitutes a departure from the essential requirements of law causing injury which cannot be corrected on direct appeal.2 Accordingly, we grant certiorari and quash the discovery order. Dr. Overeash conducted a laproscopic cholecystectomy on respondent, Mary Rountree. After the surgery, Ms. Rountree filed this medical malpractice action, alleging that Dr. Overcash had negligently perforated her bowel during the surgery.
During his deposition, Dr. Overcash acknowledged that following his treatment of Ms. Rountree his hospital staff privileges were temporarily suspended pending a peer review audit. Ms. Rountree’s counsel asked whether the suspension had anything to do with his surgical practice, and specifically whether it was related to his treatment of Ms. Rquntree. Counsel stated that he wanted to know the “reason [Dr. Overcash] was suspended, whether it had to do with surgery practices or not — who, what, where, when, why, the whole nine yards.” Dr. Overcash’s counsel objected to these questions on the ground that the information sought was protected from discovery because it arose out of matters which were the subject of evaluation and review by a medical peer review committee. Ms. Rountree’s counsel thereafter filed a motion to compel Dr. Overcash to answer these questions, and the trial court granted the motion. Dr. Overcash then filed a writ of certiorari petitioning this court to quash the trial court’s order. The issue in this case is whether, on oral deposition in a medical malpractice action, a defendant doctor can be required to disclose matters which were the subject of evaluation and review by a medical peer review committee regarding the doctor’s staff privileges. Dr. Overcash maintains that such information is not subject to disclosure because section 766.101(5), Florida Statutes (1997), specifically protects such matters, making them immune from discovery:
766.101 Medical review committee, immunity from liability.— * * * * * *
(5) The investigations, proceedings, and records of a committee as described in the preceding subsections shall not be subject to discovery or introduction into evidence in any civil or administrative action against a provider of professional health services arising out of the matters which are the subject of evaluation and review by such committee, and no person who was in attendance at a meeting of such committee shall be permitted or required to testify in any such civil action as to any evidence or other matters produced or presented during the proceedings of such committee or as to any findings, recommendations, evaluations, opinions, or other actions of such committee or any members thereof.
Ms. Rountree acknowledges that the work of a peer review committee is privileged, but argues that the deposition questions at issue here fall within the following exception contained in section 766.101(5):
However, information, documents, or records otherwise available from original sources are not to be construed as immune from discovery or use in any such civil action merely because they were presented during proceedings of such committee, nor should any person who testifies before such committee or who is a member of such committee be prevented from testifying as to matters within his or her knowledge, but the said witness cannot be asked about his or her testimony before such a committee or opinions formed by him or her as a result of such committee’s hearings.
§ 766.101(5), Fla. Stat. (1997)(emphasis added). She maintains that Dr. Overcash is an “original source” under the statute. We disagree.
By enacting section 766.101(5), Florida Statutes (1997), our legislature recognized the importance of attaching confidentiality to the work of hospital staff peer review committees. See Holly v. Auld, 450 So. 2d 217 (Fla.1984); Century Medical Centers, Inc., v. Marin, 686 So. 2d 606 (Fla. 3d DCA 1996); rev. denied, 695 So. 2d 698 (Fla. 1997). The law is already settled that a hospital review committee’s documentation delineating a physician’s hospital staff privi leges is protected from discovery under the statute. See Cruger v. Love, 599 So. 2d 111 (Fla.1992). We now hold that this protection extends to deposition questions seeking to discover information concerning the actions taken by the committee.
We agree with Ms. Rountree’s assertion that information does not become un-discoverable simply because it has been presented to the peer review committee. See Feldman v. Glucroft, 522 So. 2d 798 (Fla. 1988). In fact, if available from original sources other than the committee, such information is discoverable. For instance, relevant documents, such as nurses’ notes, are subject to discovery like any other medical records if they were generated outside the committee even if they were considered by the committee in its investigation or deliberations. Also, a fact witness may be required to testify as to what he or she saw or heard during a surgery, but could not be required to testify as to what was told to the peer review committee. See Mount Sinai Medical Center of Greater Miami, Inc. v. Bernstein, 645 So. 2d 580 (Fla. 3d DCA 1994). Thus, during her deposition questioning Ms. Rountree was authorized to ask Dr. Overcash to describe the detail of her cholecystectomy because his answers to such questions would constitute original information.
However, the questions included in the trial court’s discovery order do not seek original information as contemplated by the exception contained in section 766.101(5), because Dr. Overeash’s knowledge of the reasons for his suspension could only have come from information obtained from the peer review committee. The fact that Dr. Overcash was under review by the committee does not remove or waive the limited protection against discovery provided in section 766.101(5). See Columbia Park Medical Center, Inc. v. Gibbs, 23 Fla. L. Weekly D2362 (Fla. 5th DCA October 23,1998).
Petition for Writ of Certiorari GRANTED; discovery order QUASHED.
W. SHARP and HARRIS, JJ., concur. . Jurisdiction is proper pursuant to article V, section 4(b) of the Florida Constitution. See Caterpillar Industrial, Inc. v. Keskes, 639 So. 2d 1129 (Fla. 5th DCA 1994); Wooten, Honeywell & Kest, P.A. v. Posner, 556 So. 2d 1245 (Fla. 5th DCA 1990).
. See Bay Medical Center v. Sapp, 535 So. 2d 308 (Fla. 1st DCA 1988).
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Bayfront Med. Ctr., Inc. v. State, 741 So. 2d 1226 (Fla. 2d DCA 1999)…. 2d 111 (Fla.1992); All Children’s Hosp., Inc. v. Davis, 590 So. 2d 546 (Fla. 2d DCA 1991); Paracelsus Santa Rosa Medical Center v. Smith, 732 So. 2d 49, 24 Fla. L. Weekly D1240 (Fla. 5th DCA 1999); Munroe Regional Medical Center, Inc. v. Rountree, 721 So. 2d 1220 (Fla. 5th DCA 1998); Variety Children’s Hosp. v. Mishler, 670 So. 2d 184 (Fla. 3d DCA 1996); Century Medical Centers, Inc. v. Marin, 686 So. 2d 606 (Fla. 3d DCA 1996), review denied, 695 So. 2d 698 (Fla.1997); Palm Beach Gardens Comm. Hosp., Inc. v.…
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Brandon Reg'l Hosp. v. Murray, 957 So. 2d 590 (Fla. 2007)…); Cruger v. Love, 599 So. 2d 111 (Fla.1992); All Children’s Hosp., Inc. v. Davis, 590 So. 2d 546 (Fla. 2d DCA 1991); Paracelsus Santa Rosa Medical Center v. Smith, 732 So. 2d 49 (Fla. 5th DCA 1999); Munroe Regional Medical Center, Inc. v. Rountree, 721 So. 2d 1220 (Fla. 5th DCA 1998); Variety Children's Hosp. v. Mishler, 670 So. 2d 184 (Fla. 3d DCA 1996); Century Medical Centers, Inc. v. Marin, 686 So. 2d 606 (Fla. 3d DCA 1996), review denied, 695 So. 2d 698 (Fla.1997); Palm Beach Gardens Comm. Hosp., Inc. v.…
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Paracelsus Santa Rosa Med. Ctr. v. Smith, 732 So. 2d 49 (Fla. 5th DCA 1999)…ittee doctors. See Columbia Park Medical Center v. Gibbs, 728 So. 2d 373, 1999 WL 162141 (Fla. 5th DCA 1995) (GIBBS II); Columbia Park Medical Center v. Gibbs, 723 So. 2d 294 (Fla. 5th DCA 1998) (Gibbs I); Munroe Regional Medical Center v. Rountree, 721 So. 2d 1220 (Fla. 5th DCA 1998). See also, Boca Raton Community Hospital v. Jones, 584 So. 2d 220 (Fla. 4th DCA 1991); Love v. Cruger, 570 So. 2d 362 (Fla. 4th DCA 1990), approved, 599 So. 2d 111 (Fla.1992). If there is a question as to whether the staff-privil…
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Join FLexlaw to unlock all legal intelligenceAuthorities Cited
- Eugene Holly, M.D. v. Albert W. Auld, M.D., 450 So. 2d 217 (Fla. 1984)
- Feldman v. Stephen Glucroft, M.D., 522 So. 2d 798 (Fla. 1988)
- Parrado v. State, 599 So. 2d 111 (Fla. 1992)
- Elois Posey Cruger v. Douglas J. Love, M.D., 599 So. 2d 111 (Fla. 1992)
- Wooten, Honeywell & Kest, P.A. v. Posner, 556 So. 2d 1245 (Fla. 5th DCA 1990)
- Caterpillar Indus., Inc. v. Keskes, 639 So. 2d 1129 (Fla. 5th DCA 1994)
- BAY Med. Ctr. v. Sapp, 535 So. 2d 308 (Fla. 1st DCA 1988)
- Stewart v. State, 645 So. 2d 580 (Fla. 1st DCA 1994)
- Century Med. Ctrs., Inc. v. Angel B. Marin, M.D., 686 So. 2d 606 (Fla. 3d DCA 1996)