Wong v. Garden Park Community Hosp., Inc.

• Decision Date: 20 June 1990
• Docket Number: No. 07-CA-58994,07-CA-58994
• Parties: Sidney H. WONG, M.D. v. GARDEN PARK COMMUNITY HOSPITAL, INC.
• Court: Mississippi Supreme Court

Page 550

565 So.2d 550

Sidney H. WONG, M.D. v. GARDEN PARK COMMUNITY HOSPITAL, INC.

No. 07-CA-58994.

Supreme Court of Mississippi.

June 20, 1990.

Rehearing Denied Aug. 8, 1990.

George F. Bloss, III, Michael W. Crosby, Gulfport, for appellant.

Raymond Hunter, Scherry J. LeSieur, William E. Whitfield, III, Bryant Colingo Williams & Clark, Gulfport, for appellee.

Before DAN M. LEE, P.J., and SULLIVAN and PITTMAN, JJ.

SULLIVAN, Justice, for the Court:

This appeal is from the Chancery Court of the First Judicial District of Harrison County, Mississippi, Jason H. Floyd, Jr., Presiding, sitting as an appellate court and affirming the action taken by the Appellate Review Committee of Garden Park Community Hospital, Inc., in revoking and terminating the staff privileges of Sidney Wong, M.D. (Wong) pursuant to the bylaws of said hospital. Feeling aggrieved by the judgment of the lower court, Dr. Wong has perfected this appeal, assigning as issues to be addressed:

1. Whether the alleged actions of Dr. Wong constituted conduct for which a physician may be disciplined as a matter of law;

2. Whether a privately owned hospital may establish its own standards concerning physician staff privileges or whether all hospitals in Mississippi operate within the same statutory framework;

3. Whether Dr. Wong had a constitutional right to be represented by counsel at the hospital's administrative hearings;

4. Whether Dr. Wong was afforded due process under the hospital's bylaws;

5. Assuming that Dr. Wong's conduct was punishable, whether the sanctions against him were too severe;

6. Whether Dr. Wong was entitled to supplement the appellate record before the chancery court?

Because the legislature has narrowly confined our scope of review in these types of matters, we only address whether Garden Park complied with its bylaw requirements for due process in Dr. Wong's disciplinary proceedings.

FACTUAL SETTING

This case originates from the annual consideration of physicians for reappointment to staff privileges by the Executive Committee of Garden Park Community Hospital, Inc., of Gulfport, Mississippi (Garden Park). Dr. Sidney Wong is a licensed board certified surgeon who from 1979 to 1984 was a medical staff member of Garden Park. In December, 1984, the executive committee of Garden Park met to discuss medical staff reappointments. In the course of this meeting, they met with Dr. Wong and discussed various allegations concerning his conduct at Garden Park. Among the matters discussed were Dr. Wong's alleged inappropriate admission of a patient, alleged complaints that Dr. Wong had suggested that another patient sue Garden Park, the alleged improper taking of food from the hospital kitchen, the alleged problems which Dr. Wong had in getting along with patients and other physicians, his alleged failure to adequately examine patients, his failure to consult with other physicians, and his alleged failure to cooperate with the hospital administration concerning patient complaints. Based upon these concerns, the committee voted to immediately suspend Wong's privileges pending a complete physical and psychological examination. Wong was notified of these results by certified letter on December 19, 1984.

On December 27, 1984, through his attorney, Wong requested that his suspension be heard by a Judicial Review Committee pursuant to Garden Park's Medical Staff Bylaws. The hearing was set for January 17, 1985. Notice was sent to Dr. Wong on January 11, 1985, and listed the following as issues which would be addressed: (1) the inappropriate admission of a patient; (2) encouragement of a patient to sue Garden Park; (3) unprofessional conduct in advising a patient that he had no sympathy pills to give her; (4) inadequate examination of a patient; (5) unprofessional conduct in removing food from the hospital kitchen; (6) failure to communicate with personnel; and (7) failure to communicate with the hospital administration on patient complaints.

After the hearing, the Judicial Review Committee revoked and terminated all of Dr. Wong's staff privileges with Garden Park. Dr. Wong then sought review by the Appellate Review Committee. That committee found substantial compliance with the hospital's bylaws and affirmed the Judicial Review Committee's decision to revoke Dr. Wong's staff privileges.

On May 2, 1985, Dr. Wong filed a "Complaint for Judicial Appeal" in the Chancery Court for the First Judicial District of Harrison County, Mississippi, pursuant to the provisions of Miss.Code Ann. Secs. 73-25-93, 73-25-95, 73-25-83, and 73-25-29 (1972), to secure judicial review of the hospital's decision. Ultimately, the Chancery Court determined that the hospital had complied with its bylaws in revoking Dr. Wong's staff privileges, that Dr. Wong had received due process, and affirmed the Appellate Review Committee's decision.

JUDICIAL REVIEW OF HOSPITAL PRIVILEGE PROCEEDINGS

Garden Park posits that because it is a privately owned hospital, its standards relative to hospital staff privileges for physicians are beyond judicial reproach. Because Garden Park is licensed pursuant to Miss.Code Ann. Sec. 41-9-1 et seq., its argument is unpersuasive. Miss.Code Ann. Sec. 73-25-93(1) (Supp.1989) states:

Any hospital licensed pursuant to sections 41-9-1 et seq. is authorized to suspend, deny, revoke or limit the hospital privileges of any physician practicing or applying to practice therein, if the governing board of such hospital, after consultation with the medical staff considers such physician to be unqualified because of any of the acts set forth in section 73-25-83; provided, however, that the procedures for such actions shall comply with the hospital and/or medical staff bylaw requirements for due process. (Emphasis added).

The legislature has clearly limited judicial surveillance of hospital disciplinary proceedings to the narrow inquiry of whether the hospital complied with the procedural due process requirements prescribed by its own bylaws. In adopting this narrow scope of review, the legislature has adopted the rationale espoused by the Fifth Circuit Court of Appeals in Truly v. Madison General Hospital, 673 F.2d 763, 765 (5th Cir.1982), cert. denied, 459 U.S. 909, 103 S.Ct. 214, 74 L.Ed.2d 170 (1982), a case involving a public hospital, and imposed this limited review to disciplinary actions arising from "any hospital licensed." In that case, Dr. Truly brought a civil rights suit based, in part, upon the denial of hospital staff privileges at a public hospital. In affirming the judgment in favor of the hospital, that court said, "... Procedural due process must be accorded at administrative hearings concerned with passing on such qualifications ... great latitude must be accorded the hospital's governing authority both in prescribing and in evaluating all such matters." (Emphasis added).

In Lloyd v. Jefferson Davis Memorial Hospital, 345 So.2d 1046, 1048 (Miss.1977), a case involving a public hospital, we adopted this same limited standard of review. In Lloyd, a physician filed a complaint against Jefferson Davis Memorial Hospital and its Board of Trustees praying that the chancery court affirmatively enjoin the hospital to grant him full membership on its medical staff. After a hearing, the chancery court remanded the case to the Board of Trustees of the hospital for further review and consideration. The Board of Trustees voted six-to-one to deny staff privileges to the physician. The chancellor affirmed this decision and the physician appealed to this Court. In affirming the chancellor's decision, we adopted the reasoning of Sosa v. Board of Managers of Val Verde Memorial Hospital, 437 F.2d 173, 177 (5th Cir.1971). Quoting from that...