Bhatt v. Brownsville Gen Hosp , 236 F. App'x 764 ( 2007 )

Opinions of the United
2007 Decisions States Court of Appeals
for the Third Circuit
6-7-2007
Bhatt v. Brownsville Gen Hosp
Precedential or Non-Precedential: Non-Precedential
Docket No. 06-1472
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NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
___________
No. 06-1472
___________
NARESH I. BHATT, M.D.,
Appellant
v.
BROWNSVILLE GENERAL HOSPITAL
___________
On Appeal from the United States District Court
for the Western District of Pennsylvania
(D.C. Civil No. 03-cv-1578)
District Judge: The Honorable Thomas M. Hardiman
___________
Submitted Under Third Circuit LAR 34.1(a)
May 16, 2007
Before: FISHER, NYGAARD, and ROTH, Circuit Judges.
(Filed June 7, 2007)
___________
OPINION OF THE COURT
___________
NYGAARD, Circuit Judge.
Dr. Naresh Bhatt sued Brownsville General Hospital, claiming that it revoked his
staff privileges and interfered with his medical practice in violation of 42 U.S.C. §1981,
and in violation of its own Fair Hearing Plan. The District Court granted summary
judgment against Bhatt’s claims. We will affirm.
I.
Dr. Bhatt served on the medical staff at regional hospitals in Pennsylvania,
including Brownsville General Hospital, for over twenty years. In 1998, the Hospital’s
Medical Executive Committee began investigating Bhatt’s patient care practices, and
required him to complete ten hours of diabetic patient management. In 2000, the MEC
learned that Bhatt had been forced to resign from Uniontown Hospital, and the Hospital’s
Utilization Review Committee referred several of Bhatt’s charts to the MEC for further
investigation.
The MEC formed a subcommittee which met with Bhatt regarding fluid
management problems, transfusion issues, and inappropriate testing. Several months later,
the URC referred more charts to the MEC for review, and the MEC forwarded four charts
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to Dr. Mark Roberts, at the University of Pittsburgh, for an outside assessment. Roberts
reported that, “in three of the four charts there are multiple examples of care that are, in
my opinion, substantially below reasonable standards of care for the complaints and
diagnoses for which the patients presented.” Roberts also stated that Bhatt missed
“obvious and significant signs of worsening clinical status” and that “inappropriate fluid
management was a significant contributor” to the death of one patient.
The MEC met to consider all of the various reports, and voted to recommend
revocation of Bhatt’s staff membership and clinical privileges. Pursuant to its procedures,
the Hospital granted Bhatt a hearing before its Fair Hearing Council (FHC). Bhatt and the
MEC were represented by counsel, presented documentary evidence, examined and cross-
examined witnesses, and presented oral arguments. After the parties were permitted to
submit written statements, the FHC deliberated for over two hours, and voted to affirm
the MEC’s recommendation. The MEC’s recommendation was later affirmed by the
Hospital’s Appellate Review Committee and Board of Directors, respectively.
II.
First, Bhatt claims the Hospital chose to revoke his staff privileges because he is a
native of India. As evidence, he alleges that Dr. John Ewald and James Davis, Esq., made
ethnically derogatory remarks toward him. Ewald was chief of staff at the Hospital and
chairman of the MEC when it recommended revocation of Bhatt’s privileges, and Davis
was later a member of the Board of Directors.
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Like the District Court, we accept Bhatt’s averments as true and sufficient to
establish a prima facie claim of discrimination, and the parties agree that the Hospital
proffered legitimate, non-discriminatory reasons sufficient to rebut Bhatt’s prima facie
claim. However, we also agree with the District Court that Bhatt failed to show that the
Hospital’s proffered rationale was merely pretextual. First, the alleged statements by
Ewald and Davis are not entitled to much weight. Even if accepted as true, they were both
isolated, stray remarks by non-decision-makers. Second, Bhatt presented no evidence that
any non-Indian physicians, with similar patient care problems, enjoyed better treatment by
the Hospital. Finally, Bhatt presented one witness, Dr. Haus, whose testimony was
contradicted by the conclusions of fifteen other physicians, several of whom were Indian.
Bhatt also claims that the Hospital interfered with his medical practice by, inter
alia, disrespecting his patients, delaying patient tests, and withholding his mail after his
privileges were suspended. As the District Court pointed out, however, there is no
evidence that suggests either Dr. Ewald or Mr. Davis were involved in these actions, or
that anyone else involved was motivated by ethnic prejudices against Bhatt. Bhatt failed
to produce evidence to support a prima facie discrimination claim on this point.
Finally, Bhatt claimed the Hospital breached its own Fair Hearing Plan by
appointing FHC members biased against him, delaying his hearing, and preventing him
from calling witnesses and introducing certain exhibits. The Health Care Quality
Improvement Act grants a health care provider presumptive immunity from suits brought
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as a result of a “professional review action.” We agree with the District Court that Bhatt
failed to demonstrate that the Hospital was not entitled to immunity under the Act.
III.
Bhatt failed to present evidence sufficient to avoid summary judgment against his
discrimination and state law breach of contract claims. We will affirm.
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