Richard et al v. University Medical Center of Southern Nevada, No. 2:2009cv02444 - Document 59 (D. Nev. 2011)

Court Description: ORDER Denying 45 Motion for Magistrate Judge to Reconsider Magistrate Judge Order. ORDERED that costs and attorneys fees incurred by counsel for Plaintiffs for filing the Motion to Strike and Motion for Discovery Sanctions (Dkt. ##29, 30) are AWAR DED in the amount of $1,662.50. Counsel for UMC shall provide a copy of this order to UMC's Director of Health Management Information, Risk Management Associate and in-house counsel, and Chief Executive Officer, and file a certificate of compliance with this order no later than 1/24/11. Signed by Magistrate Judge Peggy A. Leen on 1/10/11. (Copies have been distributed pursuant to the NEF - MMM)

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Richard et al v. University Medical Center of Southern Nevada Doc. 59 1 2 3 4 UNITED STATES DISTRICT COURT 5 DISTRICT OF NEVADA 6 7 8 9 10 11 12 LATRICIA RICHARD, et al., ) ) Plaintiffs, ) ) vs. ) ) UNIVERSITY MEDICAL CENTER OF ) SOUTHERN NEVADA, ) ) Defendant. ) __________________________________________) Case No. 2:09-cv-02444-LDG-PAL ORDER (Mot. for Reconsideration - Dkt. #45) 13 Before the court is Defendant University Medical Center’s (“UMC”) Motion for Reconsideration 14 and for FRCP 60(b)(6) Relief of Order Granting Plaintiffs’ Motion for Discovery Related Sanctions and 15 Motion to Strike (Dkt. #45). The court has considered the Motion, Plaintiffs’ Opposition (Dkt. #50), and 16 Defendant’s Reply (Dkt. #54). 17 BACKGROUND 18 On September 21, 2010, the undersigned conducted a hearing on Plaintiffs’ Motion to Strike (Dkt. 19 #29) and Motion for Sanctions Regarding Discovery (Dkt. #31). Counsel for Plaintiffs appeared at the 20 hearing. Counsel for Defendant did not. The two motions were docketed as separate docket numbers 21 because they sought two separate forms of relief. However, both motions were contained in a single 22 document. Defendant’s response to both motions created considerable confusion in the record. Defendant 23 filed a Response (Dkt. #33) September 2, 2010. The response was entitled “Defendant University Medical 24 Center’s Opposition to Plaintiffs’ Motion to Strike.” The opposition did not explicitly address Plaintiffs’ 25 Motion for Discovery Related Sanctions, and on September 3, 2010, Plaintiffs filed a Notice of Non- 26 Opposition to Plaintiffs’ Motion for Discovery Related Sanctions (Dkt. #34). The notice pointed out that 27 Plaintiffs’ combined Motion to Strike and Motion for Discovery Sanctions was refiled by the Clerk of the 28 Court as two separate motions because FRCP 11(c)(2) requires that a Motion for Sanctions be filed Dockets.Justia.com 1 separately from any other motion. Plaintiffs noted that Defendant filed an opposition to the motion to 2 strike, but did not file an opposition to Docket #31, Plaintiffs’ Request for Discovery Sanctions. As such, 3 Plaintiffs requested that the Motion for Discovery Sanctions be granted, including reasonable costs and 4 attorneys fees incurred for bringing the motion. 5 UMC then filed what was docketed as “Notice of Corrected Image” (Dkt. #36), and a Supplement 6 (Dkt. #37) to the Opposition to Plaintiffs’ Motion to Strike and Motion for Discovery Related Sanctions. 7 The “Notice” changed the title of Defendant’s Opposition (Dkt. #33) to “Defendant University Medical 8 Center’s Opposition to Motion to Strike and Motion for Discovery Related Sanctions.” The supplement 9 asserted that, although Defendant’s response only specifically addressed the motion to strike, it also 10 implicitly opposed the motion for discovery sanctions on the same grounds, i.e., that Defendant did not 11 violate FRCP 26, and that sanctions were not appropriate. Later that same day, Defendant filed a Notice 12 of Document Withdrawal (Dkt. #39). The document stated that Defendant UMC and its counsel “hereby 13 withdraw Defendant University Medical Center’s Opposition to Plaintiffs’ Motion to Strike and Motion 14 for Discovery Related Sanctions (Dkt. #36).” 15 The court set Plaintiffs’ Motion to Strike (Dkt. #29) and Motion for Discovery Related Sanctions 16 (Dkt. #31) for hearing on September 21, 2010, at 10:00 a.m. The notice of hearing was served on counsel 17 for the parties on August 30, 2010, three weeks before the scheduled hearing. Counsel for Defendant did 18 not appear, request a continuance of the hearing date, or advise the court or opposing counsel of any conflict 19 in Defendant’s counsel’s schedule precluding attendance. At the hearing the court advised counsel for the 20 Plaintiff that it appeared UMC had withdrawn its opposition to Plaintiffs’ motion to strike and for 21 sanctions. However, counsel for Plaintiff advised the court that he was not sure that this was counsel for 22 Defendant’s intent. The court orally granted both motions and subsequently entered a written Order (Dkt. 23 #47) precluding the Defendant from using or relying upon medical records not timely disclosed, and 24 specifically, the fetal/uterine monitoring records served after Plaintiffs served their expert report on counsel 25 for Defendant. The court also granted Plaintiffs’ request for reasonable costs and attorneys fees incurred 26 for the necessity of filing the motion and gave counsel for Plaintiffs fifteen days from entry of the order to 27 file and serve a memorandum, supported by the affidavit of counsel, establishing the amount of attorneys 28 fees and costs incurred in bringing the motions. 2 1 In the current motion, Defendant asks that the court reconsider this order pursuant to FRCP 60(b). 2 Defendant argues reconsideration is appropriate under Rule 60(b)(6), the “catch-all” provision which 3 authorizes relief from an order for “any other reason that justifies relief.” Defendant asserts that the notice 4 of document withdrawal was misconstrued by the court. Defendant did not intend to withdraw its 5 opposition to both motions and states “the Notice of Withdrawal merely withdrew a document that was 6 filed under the wrong title.” Counsel for Defendant also argues that she believed the court would not hear 7 Plaintiffs’ motion for sanctions unless it granted Plaintiffs’ motion to strike, and her error should not be 8 construed as a failure to oppose the motions. Defense counsel apologizes for failure to attend the hearing, 9 representing the hearing was not placed on counsel’s calendar as a result of an “office error.” 10 Plaintiffs oppose the motion for reconsideration, arguing defense counsel’s error in failing to 11 schedule the hearing on their calendar, and failure to appear for the hearing are not exigent circumstances 12 that require the court to reconsider its ruling. Additionally, counsel for Plaintiffs asserts the court’s written 13 Order (Dkt. #47) decided the matter on its merits, not merely because defense counsel appeared to have 14 withdrawn their opposition. Counsel for Plaintiffs asks that the court not only deny Defendant’s motion 15 for reconsideration, but add the costs associated with opposing the motion for reconsideration to the 16 pending request for fees and costs. 17 Defendant replies that the transcript of the September 21, 2010, hearing seems to support 18 Defendant’s contention that Defendant’s actions confused the court. Defendant believes that the court 19 granted the motions based on the impression that Defendant was withdrawing any opposition. A copy of 20 the transcript of the hearing is attached to the reply. 21 DISCUSSION 22 Defendant seeks relief from the court’s oral order, followed by a written Order (Dkt. #47) pursuant 23 to FRCP 60(b)(6). Rule 60(b)(6) provides: “On motion and just terms, the court may relieve a party or its 24 legal representative from a final judgment, order, or proceeding for . . . any other reason that justifies 25 relief.” Rule 60(b)(6) is a “catch-all” provision used “sparingly as an equitable remedy to prevent manifest 26 injustice.” United States v. Alpine Land & Reservoir Co., 984 F.2d 1047, 1049 (9th Cir. 1993). To receive 27 relief under Rule 30(b)(6), a party must demonstrate extraordinary circumstances. Id; see also Liljeberg 28 v. Health Services Acquisition Corp., 486 U.S. 487 (stating that Rule 60(b)(6) relief may be had “to 3 1 accomplish justice” but only under “extraordinary circumstances.”); Fantasyland Video, Inc. v. County of 2 San Diego, 505 F.3d 966 (9th Cir. 2007) (finding Plaintiff had not met its burden under Rule 60(b)(6)’s 3 “catch-all” provision which is to be used sparingly as an equitable remedy to prevent manifest injustice and 4 only where extraordinary circumstances prevent a party from taking timely action to prevent or correct an 5 erroneous judgment). In Harvest v. Castro, 531 F.3d 737, 749 (9th Cir. 2008), the Ninth Circuit held that 6 “a party moving for relief under Rule 60(b)(6) ‘must demonstrate both injury and circumstances beyond 7 his control that prevented him from proceeding with the action in a proper fashion.’” Id.; quoting Latshaw 8 v. Trainer Wortham & Co., Inc., 452 F.3d 1097, 1103 (9th Cir. 2006). 9 An attorney’s actions are typically chargeable to the client and do not ordinarily constitute 10 extraordinary circumstances warranting relief under Rule 60(b)(6). See Lal v. California, 610 F.3d 518, 11 524 (9th Cir. 2010). In Lal, the Ninth Circuit joined the Third, Sixth and Federal Circuits in holding that 12 an attorney’s gross negligence constitutes such an extraordinary circumstance. Id. The Ninth Circuit 13 followed the Third Circuit in defining gross negligence as “neglect so gross that it is inexcusable.” Id. In 14 Latshaw, the Ninth Circuit denied Plaintiff’s request for relief under Rule 60(b)(6) from a judgment 15 resulting from her acceptance of an offer of judgment under Rule 68. The Plaintiff claimed that she 16 accepted the offer based on her attorney’s coercion and erroneous legal advice which constituted gross 17 negligence. The Ninth Circuit declined to allow relief from a judgment entered under Rule 68 holding that 18 the Plaintiff’s attorney’s conduct, even if grossly negligent, did not constitute grounds for Rule 60(b)(6) 19 relief. 20 By contrast, in Lal, the Ninth Circuit granted Rule 60(b)(6) relief reversing the district court’s order 21 dismissing a Plaintiff’s action for failure to prosecute under Rule 41(b), finding that the attorney had 22 virtually abandoned the client. There, the attorney failed to make initial Rule 26 disclosures after being 23 ordered to do so, failed to meet and confer and participate in the joint case management conference after 24 being ordered to do so, and deliberately misled the client who was deprived of an opportunity to take action 25 to preserve her rights. Under these circumstances, the court held that the attorney acted with gross 26 negligence and that the Plaintiff had demonstrated extraordinary circumstances beyond her control that 27 merited relief under Rule 60(b)(6). 28 /// 4 1 The court finds that Defendant has not shown it is entitled to relief under Rule 60(b)(6). UMC has 2 not shown that extraordinary circumstances prevented it from taking timely action to prevent or correct an 3 erroneous order. The court was confused by the flurry of pleadings filed by UMC addressing Plaintiffs’ 4 motions. However, counsel for UMC could have prevented or corrected that confusion by simply appearing 5 at the hearing. Counsel for UMC had three weeks advance notice of the hearing and access to the court’s 6 CM/ECF system to discover its calendaring error. Additionally, UMC has not shown that it has suffered 7 an injury due to circumstances beyond its control. Finally, as explained in more detail below, the court 8 considered and decided the moving and responsive papers on their merits, and did not grant the motion 9 merely on Defendant’s apparent withdrawal of its opposition. 10 At the September 21, 2010, hearing the court did not call the case until twenty-seven minutes after 11 the hearing was scheduled because the prior case took longer on the calendar than anticipated. When 12 counsel for UMC had still not arrived the court announced its intention to grant the motion referring to 13 Defendant’s Notice of Document Withdrawal (Dkt. #39). The court was under the impression Defendant 14 was withdrawing its oppositions to the motions, especially because counsel for Defendant did not appear 15 at the hearing. For this reason, the court did not articulate the rationale for granting the motion on its 16 merits. Counsel for Plaintiffs did inform the court at the hearing that he believed defense counsel may not 17 have intended to withdraw formal opposition based on his letter exchanges with opposing counsel on 18 September 3, 2010. Counsel for Plaintiffs began to argue, but the court declined to take oral argument in 19 the absence of opposing counsel. The court then inquired of counsel for Plaintiffs whether he really wanted 20 an order precluding either side from using the fetal monitoring records at issue in the motions. Counsel for 21 Plaintiffs responded affirmatively and inquired about attorneys fees and costs. The court directed counsel 22 for Plaintiffs to file a memorandum supporting Plaintiffs’ request for reasonable costs and attorneys fees 23 incurred for the necessity of bringing the motion. 24 After the hearing, the court entered a written Order (Dkt. #47) partially articulating the rationale for 25 the court’s decision granting the motions. Although the court did not entertain oral argument on the merits 26 because counsel for Defendant was not present, the court intended to, and did, decide the motions on the 27 merits. This order clarifies and expands on the rationale articulated in the earlier written order (Dkt. #47). 28 /// 5 1 The fetal monitoring records in dispute in the motion to strike were requested by counsel for 2 Plaintiffs prior to filing suit. Counsel for Plaintiffs submitted a medical authorization release from his 3 client requesting all of his client’s medical records pertaining to the admission in dispute in this litigation. 4 UMC acknowledged receipt of the request but asked Plaintiff to execute its own form of HIPPA-compliant 5 medical authorization release. On December 16, 2009, counsel for Plaintiffs returned an executed medical 6 authorization request on UMC’s form. On December 29, 2009, counsel for Plaintiffs was notified that 7 Plaintiffs’ records were copied and ready upon payment of $64.80. Counsel for Plaintiffs paid the requested 8 amount and received the records which were accompanied by a Certificate of Medical Records Custodian, 9 Desirae Dudley, who attested “that the deponent was a Copy Technician in the Health Information 10 Management Department, and in that capacity was the Custodian of Medical Records at UMC.” See Dkt. 11 #30, Exhibit “D” at ¶ 1 (filed under seal). The custodian attested that she received the release information 12 requested pertaining to Plaintiff Latricia Richard. Id. at ¶ 2. She swore that she examined the original or 13 microfilmed original of those medical records and made a true and correct copy of them “and that the 14 reproduction of them attached hereto contains 104 pages and is true and complete.” Id. The declaration 15 of the custodian of records was subscribed to and sworn. 16 Defendant served initial disclosures required by Rule 26(a)(1) April 9, 2010. A copy of the 17 Defendant’s initial disclosure was attached as Exhibit “F” to Plaintiffs’ motion to strike and for sanctions. 18 The records were bates stamped number UMC 001 - 004, and UMC 2001 - 2089, and consisted of ninety- 19 three pages of medical records. The Defendant’s initial disclosures were also accompanied by a certificate 20 of medical records custodian dated January 12, 2010. The Custodian, Sheila Espinosa, attested that she was 21 a Copy Technician in the Health Information Management Department and was the Custodian of Records 22 for UMC. Dkt. #30 at p.101. She attested that on January 12, 2010, she received release information 23 requesting medical records pertaining to the Plaintiff, Latricia Richard. Id. at ¶ 2. She also attested that 24 she examined the original or microfilmed original of the medical records and “made a true and exact copy 25 of them and that the reproduction of them attached hereto contains ninety-three pages and is true and 26 complete.” Id. at ¶ 3. 27 Plaintiffs served a formal request for production of documents on the Defendant. Defendant’s 28 responses to Plaintiffs’ first set of request for production were attached as Exhibit “H” to Plaintiffs’ Motion 6 1 to Strike. Request No. 1 requested “any files (medical, billing, investigative, administrative) related to 2 Latricia Richard and/or her unborn fetus. Defendants responded by objecting that the “request is vague, 3 ambiguous and over broad which may impact documents protected by attorney/client privilege and/or 4 attorney work product. Notwithstanding said objection, please see previously produced medical records 5 therein of the Defendant’s disclosure statement, specifically bates stamped numbers: UMC 001 - 004, and 6 UMC 2001 - 2089.” 7 Counsel for Plaintiffs relied on the medical records received from UMC and its counsel to provide 8 to their expert to prepare a report in this case. Plaintiffs served Defendant’s counsel with a copy of 9 Plaintiffs’ expert report August 9, 2010. The expert report noted the lack of any uterine monitoring records 10 in the Plaintiffs’ medical records. Three days later on August 12, 2010, Plaintiffs received a supplement 11 to Defendant’s disclosures which included forty-six pages of additional medical records. The supplement 12 included six pages of pathology records and what counsel for Plaintiffs believed to be uterine monitoring 13 records. Counsel for Plaintiffs filed the motion to strike and for discovery sanctions seeking to preclude 14 the Defendant from using them because they were only produced after Plaintiffs’ expert report was served 15 on opposing counsel. Plaintiffs’ expert report noted that there was no evidence that when Plaintiffs 16 presented to the emergency room in labor, uterine monitoring or cervical dilation examinations were 17 conducted. 18 Defendant’s first supplement to Rule 26(a)(1) initial disclosure statement was served by mail 19 August 11, 2010, and is attached as Exhibit “H” to Plaintiffs’ motion to strike under seal (Dkt. #30-4). The 20 supplemental disclosure identified the additional documents produced as records of University Medical 21 Center Department of Pathology and were Bates stamped numbers UMC 1005 - 1051. The first six pages 22 of these supplemental medical records are on the letterhead of UMC’s Department of Pathology and are 23 Bates stamped UMC 1005 - 1010. The next document in the supplemental production is the Certificate 24 of Custodian of Records, Laura Wicklein, Bates stamped UMC 1011. Ms. Wicklein attests that she is the 25 Supervisor for the Pathology Department and in this capacity is the Custodian of Records for the Pathology 26 Department at UMC. Dkt. #30-4 p. 26 of 66 at ¶ 1. She attests that she examined the original(s) of the 27 record(s) and that the six attached pages were a true and complete copy of the records. Id. at ¶ 2. She 28 attests that a request was made in connection with Richard, et al. v. UMC, Case No. 2:09-cv-02444. Id. 7 1 at ¶ 3. She does not say when the request was made for these records. However, her certificate of custodian 2 of records was subscribed and sworn before a notary public on July 29, 2010. Ms. Wicklein’s certificate 3 pertains only to the six pages of UMC’s Pathology Department records. The remaining pages of medical 4 records, Bates stamped UMC 1012 - 1051 are not described, or accompanied by a certificate of the 5 custodian of records. They clearly pertain to the Plaintiff and appear to be a paper printout from some type 6 of testing apparatus. The documents were printed August 3, 2010. The court is profoundly disturbed that 7 counsel for UMC would serve a supplemental initial disclosure statement on opposing counsel representing 8 that forty-six pages of supplemental records were records of UMC’s Pathology Department when it is clear, 9 the custodian of records was only certifying that only six of the forty-six pages were records of the 10 Pathology Department. 11 Plaintiffs’ motion to strike asked the court to exclude these supplemental records because they were 12 not timely disclosed. Clearly, they were not. Counsel for Plaintiffs requested a complete copy of all of the 13 Plaintiffs’ medical records from UMC before filing suit and was provided with a Certificate of a Custodian 14 of Records who attested that a true and complete copy of all of the records was provided. After suit was 15 filed, counsel for UMC served initial disclosures, again representing that all of Plaintiffs’ medical records 16 were provided. Plaintiffs then filed a formal request for production of documents seeking a complete copy 17 of all of the medical records. Counsel for UMC served a response which objected to Plaintiffs’ request for 18 production of documents seeking all of her unborn fetus’s files, but responded that they were previously 19 produced in Defendant’s initial disclosures, Bates stamped UMC 1001 - 1004, and UMC 2001 - 2089. 20 FRCP 37(c)(1) governs the failure to disclose information required to be disclosed under Rule 26(a). 21 A party failing to provide information or identify a witness as required by Rule 26(a) or (e) “is not allowed 22 to use that information or witness to supply evidence on a motion, at a hearing, or at trial, unless the failure 23 was substantially justified or as harmless.” 24 Defendant’s supplemental disclosures were not timely, and Defendant has not established that the 25 failure to timely disclose the additional records was substantially justified or harmless. To the contrary, 26 the supplemental disclosure of the fetal monitoring strips, forty of the forty-six pages of supplemental 27 disclosures, were falsely described in the supplemental initial disclosure as Pathology Department records. 28 They were not served on Plaintiffs until August 11 and were received August 12, 2010, three days after 8 1 Plaintiffs served Defendant’s counsel with Plaintiffs’ expert report which noted the lack of any uterine 2 monitoring records in Plaintiffs’ medical records. However, the fetal monitoring records appear to have 3 been printed out on August 3, 2010, the date defense counsel requested them. 4 On June 17, 2010, Defendant UMC filed a Motion for Summary Judgment (Dkt. #15). Several days 5 later, on June 21, 2010, Defendant UMC designated Doctors Dunn and DeVore as experts. Plaintiffs filed 6 an Opposition (Dkt. #22) to Defendant’s Motion for Summary Judgment on July 12, 2010. Defendant 7 UMC filed a Reply (Dkt. #26) July 29, 2010, the same day the custodian of records for the Pathology 8 Department signed the certificate of custodian of records attesting that six of the forty-six supplemental 9 medical records Defendant served on Plaintiffs August 12, 2010, were true and accurate copies of the 10 Pathology Department’s records. Defendant’s reply brief relies upon and refers to Plaintiffs’ fetal heart 11 monitoring records to support Defendant’s position there is no material issue of fact whether Plaintiff was 12 in labor at the time she presented to UMC. The reply brief states that Plaintiff was being monitored by a 13 fetal monitor which monitored the baby’s heartbeat and the mother’s contractions, and the tracings showed 14 no contractions. Reply (Dkt. #26 5:13-15). (emphasis supplied). To support this statement, Defendant’s 15 reply referred the court to Exhibit “A” to Plaintiff’s opposition. Exhibit “A” to Plaintiffs’ opposition (Dkt. 16 #22-1) consists of Plaintiff’s UMC obstetric triage record, the physician’s order sheet, and discharge 17 instructions. No tracings were part of Plaintiffs’ Exhibit “A.” 18 The reply also states “the medical records and the fetal monitoring readings establish that Plaintiff was not 19 having contractions.” Id. at 7:5-7. (emphasis supplied). 20 Defendant’s Opposition (Dkt. #33) to Plaintiffs’ motion to strike was filed September 2, 2010. 21 Defendant argued there was no discovery violation because “[u]nbeknownst to defense counsel, when the 22 entire records of the Plaintiff for her prenatal admission was requested, the medical records department did 23 not copy the fetal monitoring strips unless specifically requested.” The opposition represented that when 24 defense counsel learned of this policy, the fetal monitoring strips were “immediately requested and 25 disclosed.” Defense counsel acknowledged that a certificate of the custodian of records was “inadvertently 26 not included” with the supplemental disclosures. However, defense counsel argued that Plaintiffs suffered 27 no prejudice because discovery did not close until September 17, 2010, and Plaintiffs had ample time to 28 provide their expert with the fetal monitoring strips to allow their expert to supplement his report. 9 1 The opposition to the motion to strike was supported by the affidavits of Rebecca Bratton and 2 Danielle Kolkoski attached as Exhibits “A” and “B” respectively. Defense counsel represents that counsel 3 was not aware of UMC’s policy that fetal monitoring strips have to be requested separately, and thus, 4 Defendant was in full compliance with its discovery obligations under Rule 26. Defendant argues that it 5 did not knowingly withhold documents from Plaintiffs, and that as soon as defense counsel realized that 6 the fetal heart tracings were available but not part of the medical records produced, Defendant requested 7 the strips separately and produced them. 8 Defense counsel may not have been initially aware that the fetal monitoring records were not 9 provided by the Medical Records Department or that UMC’s policy was not to provide them unless 10 specifically requested. However, defense counsel had a duty to provide complete disclosures after a 11 reasonable inquiry. Rule 26(g) requires at least one attorney for a party to sign every disclosure required 12 by Rule 26(a)(1) or (a)(3) and every discovery request, response or objection. The rule is explicit: 13 14 15 By signing, an attorney or party certifies that to the best of the person’s knowledge, information, and belief formed after reasonable inquiry: (A) with respect to a disclosure, it is complete and correct as of the time it is made; and (B) with respect to a discovery request, response or objection, it is (i) consistent with these rules . . . 16 17 The affidavit of Rebecca Bratton attests that she is the Director of Health Information Management 18 for UMC and has been so employed for 7 ½ years. Opposition Dkt. #33, Exhibit “A” at ¶ 1. As the 19 Director, she is familiar with the procedures of medical records requests in general and also with the 20 requests that were made for the medical records for Plaintiff Latricia Richard. Id. at ¶ 3. She averred that 21 “if the entire medical record is requested, the entire record as it exists at that time will be copied.” Id. at 22 ¶ 5. However, “certain parts of a medical record are not copied unless specifically requested based on 23 volume of pages and cost. Fetal monitoring strips would not be copied unless specifically requested 24 because of the volume of pages and the cost associated.” Id. at ¶ 6. Her affidavit acknowledges that in the 25 case of Plaintiff Latricia Richard, a request was made for the entire medical record. However, because fetal 26 monitoring strips were not separately requested, they were not copied. Id. at ¶ 7. The fetal monitoring 27 strips were specifically requested August 3, 2010, by defense counsel. Id. The fetal monitoring strips were 28 copied August 4, 2010. Id. 10 1 The affidavit of Danielle Kolkoski attests that she is the Risk Management Associate and in-house 2 counsel for UMC. Opposition Dkt. #33, Exhibit “B” at ¶ 1. She also attests she is familiar with the 3 procedures for requesting medical records and with the requests made for the medical records of Plaintiff 4 Latricia Richard. Id. at ¶ 3. The law firm of Jimmerson Hansen contacted her and requested fetal 5 monitoring strips for Latricia Richards on August 3, 2010. Id. at ¶ 4. She also states that certain parts of 6 medical records are not copied unless specifically requested because of the volume of pages and cost, and 7 that fetal monitoring strips are not copied unless specifically requested for this reason. Id. at ¶ 5. However, 8 she acknowledges that “in the case of Latricia Richard a request for the entire medical records was made, 9 but I did not know that fetal monitoring strips had to be separately requested, so they were not copied. The 10 fetal monitoring strips were specifically requested on August 3, 2010, and the request was made by the law 11 firm of Jimmerson Hansen. The fetal monitoring strips were then copied on August 4, 2010.” Id. at ¶ 6. 12 In summary, it is undisputed that Plaintiffs requested a complete copy of all of her medical records 13 before suit and received a certificate of the custodian of records that Plaintiff received a true and correct 14 copy of all of her records. It is undisputed that UMC served initial disclosures with a certificate of the 15 custodian of records again attesting that Plaintiffs received a true and correct copy of all of Plaintiff’s 16 medical records. Defendant then answered Plaintiffs’ formal discovery request reiterating that Plaintiffs 17 had received all of her medical records in the initial disclosures. Counsel for Plaintiffs had no way of 18 knowing about UMC’s policy requiring a separate request for “certain parts of medical records” including 19 fetal monitoring strips. UMC did not inform the Plaintiffs prior to suit, or in the initial disclosures, or in 20 response to Plaintiffs’ discovery requests, that fetal monitoring strips existed. 21 It may be reasonable to have a records policy which does not automatically provide certain 22 categories of medical records, such as test strips which require a medical professional to understand or 23 evaluate. It is not reasonable or consistent with Defendant’s discovery obligations to respond to a request 24 for all patient records with a certificate of a custodian of records stating that all records have been provided 25 while at the same time failing to disclose a policy that certain records are not provided unless specifically 26 requested. UMC’s own Risk Management Associate and in-house counsel, Ms. Kolkoski, was not aware 27 that when a patient or lawyer for a patient asks for a full and complete copy of the patient’s medical records, 28 certain parts of the medical records, including fetal monitoring strips, are not copied unless specifically 11 1 requested. Yet, UMC permits its custodians of records to provide certificates, signed under oath, certifying 2 patients and Plaintiffs have received a true and complete copy of all of the medical records requested. It 3 is neither reasonable, nor consistent with a party’s discovery obligations, to fail to disclose a policy of not 4 producing certain records unless specifically requested, while at the same time, certifying the requesting 5 party has received all records. 6 It is not clear, because defense counsel’s opposition does not state, when defense counsel became 7 aware that fetal monitoring strips existed. However, Defendant’s Reply (Dkt. #26) to Plaintiff’s Opposition 8 to Defendant’s Motion for Summary Judgment referred to fetal monitoring tracings and fetal monitoring 9 readings in support of Defendant’s position summary judgment should be entered in its favor. The reply 10 was filed July 29, 2010. Defense counsel must have known the fetal monitoring records existed to refer 11 to them in the reply. Based on the affidavits of Ms. Bratton and Ms. Kolkoski, defense counsel requested 12 the strips on August 3, 2010, six days before Plaintiffs’ expert report was served, and nine days before 13 UMC served supplemental document disclosures representing they were pathology records. Clearly, forty 14 of the forty-six pages that were supplemented were not pathology records. Thus, Defendant’s claim that 15 the records were not purposely withheld rings hollow. They existed. UMC knew or should have known 16 they existed, and did not produce them. 17 While the court accepts the representation of defense counsel that defense counsel did not initially 18 know of UMC’s policy to fail to copy certain medical records including fetal monitoring records unless 19 specifically requested, that does not relieve counsel of the duty to make reasonable inquiry to ensure that 20 all records are provided. Similarly, UMC’s policy does not relieve it of its obligations to produce all of 21 Plaintiffs’ medical records pertaining to this admission as requested. It also does not explain why UMC 22 provides certificates of its custodians of records attesting that it has produced a complete copy of all of a 23 patient’s medical records, when there are cases such as this one in which all records are not provided as a 24 matter of policy, and the existence of that policy is not disclosed to the requesting party. UMC’s failure 25 to timely provide the fetal monitoring records was not substantially justified. 26 The failure to timely provide these records is also not harmless. The burden is on the party facing 27 discovery sanctions for belated disclosures to show that the failure to comply with Rule 26(a) is 28 substantially justified or harmless. Torres v. City of Los Angeles, 548 F.3d 1197, 1213 (9th Cir. 2008). 12 1 Rule 37(c)(1) is a “self-executing, automatic sanction to provide a strong inducement for disclosure of 2 material.” Yetti by Molly, Ltd. v. Deckers Outdoor Court, 259 F.3d 1101, 1106 (9th Cir. 2001). The court 3 has the discretion to exclude evidence not disclosed, but mandated by Rule 26(a) without making a finding 4 of willfulness or bad faith. Hoffman v. Construction Protective Services, Inc., 541 F.3d 1175, 1180 (9th 5 Cir. 2008). Plaintiffs’ expert was retained and provided a report that relied upon the absence of the fetal 6 monitoring records. To remedy Defendant’s failure to disclose these records would have required remedial 7 action and adjustment of the court’s Discovery Plan and Scheduling Order. At a minimum, counsel for 8 Plaintiffs and Plaintiffs’ expert would have incurred additional costs and fees unnecessarily. The Ninth 9 Circuit has recognized that disruption to the court’s and the parties’ schedules supports a finding that the 10 failure to disclose was not harmless. See Wong v. Regents of the Univ. of Cal., 410 F.3d 1052, 1062 (9th 11 Cir. 2005). 12 To ensure that this failure to disclose does not reoccur, the court will require counsel for Defendant 13 to provide a copy of this order to UMC’s Director of Health Information Management, Rebecca Bratton, 14 UMC’s Risk Management Associate and in-house Counsel, Danielle Kolkoski, and UMC’s Chief 15 Executive Officer. UMC and its counsel are put on notice that any future failures to produce a complete 16 copy of all medical records requested without disclosing a policy to fail to copy certain records, will result 17 in severe sanctions, up to and including a recommendation to the district judge of case-dispositive 18 sanctions. 19 For all of the foregoing reasons, 20 IT IS ORDERED that: 21 1. Defendant’s Motion for Reconsideration (Dkt. #45) is DENIED. 22 2. Costs and attorneys fees incurred by counsel for Plaintiffs for filing the Motion to Strike and 23 Motion for Discovery Sanctions (Dkt. ##29, 30) are AWARDED in the amount of 24 $1,662.50, representing 4.75 hours of attorney time at the rate of $350/hour incurred in 25 preparing the motions, reply and appearing for the hearing. 26 /// 27 /// 28 /// 13 1 3. Counsel for UMC shall provide a copy of this order to UMC’s Director of Health 2 Management Information, Risk Management Associate and in-house counsel, and Chief 3 Executive Officer, and file a certificate of compliance with this order no later than January 4 24, 2011. 5 Dated this 10th day of January, 2011. 6 7 8 _____________________________________ Peggy A. Leen United States Magistrate Judge 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 14

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