Montalbano v. St. Alphonsus Regional Med. Ctr.

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At the center of this case was a permissive appeal from the district court's interlocutory entry of a protective order, which held certain documents related to the suspension of Appellant Paul J. Montalbano’s privileges at Saint Alphonsus Regional Medical Center (SARMC) were not discoverable by Montalbano. The interlocutory order came from Dr. Montalbano’s lawsuit filed against SARMC in district court with ten causes of action including breach of fiduciary duties and defamation; this appeal dealt solely with the protective order. In 2009, Appellant filed suit and sought to discover an extensive list of documents "related to the processes, activities, and decisions that ultimately led to the suspension of his privileges." When SARMC asserted a peer review privilege, Appellant filed a motion to compel. SARMC then moved for a protective order. The court granted in part and denied in part the motion to compel. The district court concluded that the materials related to the peer review process were protected: "[t]here can be no discovery of the peer review records nor can any witness be questioned about any information provided to the peer review committees nor the interpretation nor analysis of any evidence submitted as part of this process." Appellant thereafter moved for leave to file a permissive appeal of the court’s interlocutory order. The Supreme Court granted the permissive appeal to review the applicability of I.C. 39-1392b in physician disciplinary proceedings because it posed a question of first impression. The Court found that the applicable peer review statute " cannot be reasonably construed to state that if a physician brings a lawsuit, the privilege is waived in order to permit the physician to use otherwise privileged records. … The physician cannot waive the right of the hospital or anyone else who is entitled to assert it." Accordingly, the Court affirmed the district court's ruling to deny Appellant discovery of the records.