WISE, Justice.
AFFIRMED. NO OPINION.
STUART, BOLIN, PARKER, SHAW, MAIN, and BRYAN, JJ., concur.
MOORE, C.J., and MURDOCK, J., dissent.
MOORE, Chief Justice (dissenting).
W. David Lindsay appeals from a summary judgment entered for Baptist Health System, Inc., d/b/a Shelby Baptist Medical Center ("SBMC"), in his action alleging negligence, wantonness, breach of contract, and defamation. Because I believe that Lindsay has established the existence of genuine issues of material fact, I respectfully dissent from affirming the summary judgment.
Andy Alexander made a series of harassing prank telephone calls to the emergency department at Shelby Baptist Medical Center on December 12 and 13, 2008, pretending to be Lindsay, an orthopedic surgeon at Shelby Baptist Medical Center. The strange content of the calls should have alerted the hospital that the caller, who succeeded in speaking to one of Lindsay's patients, was not Lindsay. As a result of the calls, Wilma Scott, a nursing supervisor at the medical center who allegedly harbored a grudge against Lindsay, reported him to hospital management for "possible impairment and potentially inappropriate conversations involving a patient." Scott committed suicide on January 24, 2009, six weeks after her report triggered the events in this case.
Upon returning from supper on Saturday night, December 13, Lindsay received a telephone call from David Wilson, president of SBMC, who informed him that because of harassing telephone calls he was reported to have made to a patient's room, Lindsay was being summarily suspended and ordered off the hospital grounds. The following Monday SBMC reported the temporary suspension of privileges to the Alabama Board of Medical Examiners, which reacted by suspending Lindsay's medical license. On receiving that report, SBMC automatically revoked Lindsay's privileges at the hospital.
Lindsay immediately sought injunctive relief to restore his medical license and hospital privileges. The Montgomery Circuit
Lindsay amended his original complaint to allege negligence and willful and wanton conduct against SBMC and also breach of contract and defamation. SBMC moved for a summary judgment arguing immunity under federal and state statutes that protect from judicial review documentation and proceedings of peer-review and quality-assurance processes. See §§ 6-5-333, 22-21-8, and 34-24-58, Ala.Code 1975, and 42 U.S.C. §§ 11111 and 11112. Finding that certain documents Lindsay used to prove his case were absolutely immune from disclosure under these statutes, the trial court struck them as inadmissible. The court also struck Lindsay's affidavit in its entirety as being of no evidentiary value and without further explanation entered a summary judgment for SBMC.
A trial court's summary judgment is reviewed de novo, and the judgment is given no presumption of correctness. Baldwin v. Branch, 888 So.2d 482, 484 (Ala.2004). A summary judgment is proper when there is "no genuine issue as to any material fact and ... the moving party is entitled to a judgment as a matter of law." Rule 56, Ala. R. Civ. P.
SBMC has not contested by affidavit or otherwise Lindsay's statement of the harm its actions caused him. In any case I am required to accept Lindsay's version of the facts: "[T]he court is to view the evidence in a light most favorable to the nonmoving party and to draw all reasonable inferences in favor of that party." Capital Alliance Ins. Co. v. Thorough-Clean, Inc., 639 So.2d 1349, 1350 (Ala.1994). SBMC seeks to bypass Lindsay's allegations of harm by arguing that it is immune from suit under statutory provisions that shield peer-review and quality-assurance activities. Although SBMC largely treats these statutory provisions as providing absolute immunity from suit, they, in fact, contain substantial qualifications that give rise to factual questions unsuitable for resolution at the summary-judgment stage.
Section 6-5-333, Ala.Code 1975, states that any physician who serves on a medical-care peer-review committee shall not be liable in damages as a result of "any action taken or recommendation made by him within the scope of his function" on the committee "if such action was taken or recommendation made without malice and in a reasonable belief that such action or recommendation is warranted by the facts
Alexander made his first prank telephone calls to Shelby Baptist Medical Center on Friday, December 12. Lindsay states that during that evening he "was never contacted by any nurses or employees of SBMC regarding any strange or disturbing phone calls or unusual events regarding the treatment of my patients...." His privileges were suspended by Wilson the next evening. The only communication SBMC had with Lindsay before the suspension was a demeaning and accusatory telephone interrogation by the chief of surgery, Dr. Clement Cotter. In his affidavit Lindsay states: "While [I was] speaking to Dr. Cotter, he began asking me extremely unusual questions. Dr. Cotter asked me if I was taking any drugs and also asked me to count backwards from ten, twice, which I did. Dr. Cotter was very accusatory. None of this made any sense to me."
The shortened time frame in which SBMC made its suspension decision and its failure to seek an explanation from Lindsay raise factual questions as to whether it conducted any investigation at all, let alone a "reasonable" one, before suspending Lindsay's privileges. Lindsay thus has raised a genuine issue of material fact as to whether the statutory conditions for granting § 6-5-333 immunity exist in this case. Additionally, the statute applies only to individual practitioners who sit on or assist peer-review committees. The statute by its terms does not immunize corporate entities such as SBMC, the defendant in this case.
Section 34-24-58, Ala.Code 1975, protects from legal action the acts of any physicians' committee of a licensed hospital, but only if the committee's decisions were made "in good faith and without malice and on the basis of facts reasonably known or reasonably believed to exist." The qualifying phrase raises factual questions that cannot be resolved at the summary-judgment stage in the circumstances of this case. "The qualified immunity, however, is not absolute. In a majority of cases immunity only applies when the investigation is conducted in good faith, without malice, and based upon the reasonable belief that the committee's action is warranted." George E. Newton II, Maintaining the Balance: Reconciling the Social and Judicial Costs of Medical Peer Review Protection, 52 Ala. L.Rev. 723, 730 (2001).
Section 22-21-8, Ala.Code, 1975, which privileges from discovery accreditation and quality-assurance materials, states that "[i]nformation, documents, or records otherwise available from original sources" are available for discovery regardless of whether they were "presented or used in preparation" of quality-assurance materials. § 22-21-8(b). Additionally, any person involved in the preparation and review of such materials may still testify "as to matters within his knowledge." § 22-21-8(b). Section 6-5-333 contains similar qualifications. "Nothing contained herein shall apply to records made in the regular course of business by a hospital ... or records available from original sources" even though "presented during proceedings" of a peer-review committee. § 6-5-333(d).
In Ex parte Fairfield Nursing & Rehabilitation Center, L.L.C., 22 So.3d 445 (Ala. 2009), this Court held that certain documents were privileged under § 22-21-8 based on a nursing-home affidavit that "the requested documents are not kept in the ordinary course of business and do not become a part of a resident's medical chart." 22 So.3d at 454. We noted, however, that those statements were "unopposed." Id. In this case Claire Owens, Director of Risk Management and Corporate Compliance for SBMC, stated by affidavit that documents relating to the investigation of Lindsay were "not kept by [SBMC] in the ordinary course of business." Lindsay in his affidavit disagreed. He stated that "[s]ome, if not all of the various documents ... and the audio recordings of calls to the Emergency Department are records kept in the ordinary course of business at the Hospital."
To establish his personal knowledge of those facts, Lindsay stated that he had been a physician at Shelby Baptist Medical Center since 1993 and that as a trauma surgeon he "learn[ed] firsthand how the emergency room works."
Unlike in Fairfield Nursing, the factual averments in this case as to privilege are not unopposed. On the motion of SBMC the trial court struck Lindsay's affidavit on the basis that "said testimony is supported by neither a factual basis nor personal knowledge sufficient to support the conclusory, speculative assertion that the quality assurance materials are not quality assurance materials." Given the detailed statements in Lindsay's affidavit based on his many years of personal experience as an emergency-room surgeon at Shelby Baptist Medical Center, I cannot agree that his affidavit is so insubstantial as to warrant being stricken from the record.
Alabama requires a party opposing a summary-judgment motion to offer "substantial evidence" of the existence of a genuine issue of material fact, i.e., "evidence of such quality and weight that fair-minded persons in the exercise of impartial judgment can reasonably infer the existence of the fact sought to be proved." West v. Founders Life Assurance Co. of Florida, 547 So.2d 870, 871 (Ala.1989). See also § 12-21-12(d), Ala.Code 1975. "[T]he dispute about a material fact is `genuine' ... if the evidence is such that a reasonable jury could return a verdict for the nonmoving party." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).
A fair-minded juror, mindful of Lindsay's credentials and experience, could reasonably infer that at least some of the documents and recordings are business records that are exempt from the peer-review privilege. The Owens affidavit, in fact, makes no mention of the critical audio recordings of the prank telephone calls as documents not kept in the ordinary course of business. The trial court might have felt that SBMC had the better argument as to the categorization of the evidence and that SBMC's determination in this regard should be respected. However, "at the summary judgment stage the judge's function is not himself to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial." Anderson, 477 U.S. at 249, 106 S.Ct. 2505.
In connection with seeking medical privileges at SBMC, Lindsay signed a release in 2008 extending absolute immunity to SBMC "[t]o the fullest extent permitted by law ... for any matter relating to appointment, reappointment, clinical privileges, or my qualifications for the same." A contractual waiver of liability that immunizes a party from future intentional tortious conduct is void as against public policy. Reece v. Finch, 562 So.2d 195, 200 (Ala. 1990). See also Barnes v. Birmingham Int'l Raceway, Inc., 551 So.2d 929, 933 (Ala.1989) (holding that "pre-race releases, although valid and consistent with public policy as to negligent conduct, are invalid and contrary to public policy as to wanton or willful conduct"). Because the issue of willfulness in this case is fact-bound and Lindsay has presented evidence from which an inference of willfulness may reasonably arise, immunity based on the release must also await development of the facts.
To utilize the original-source exception to the peer-review privilege, Lindsay filed a Rule 56(f), Ala. R. Civ. P., motion for a continuance to depose SBMC employees who had firsthand knowledge of the events at issue. "A typical situation for the application
Lindsay has raised triable issues of fact under the relevant statutes as to whether SBMC acted in good faith and conducted a reasonable investigation or indeed any investigation at all before erroneously suspending his privileges and reporting that fact to the medical board. Lindsay's affidavit also raises a genuine factual question as to whether certain evidence claimed to be privileged is in fact discoverable under the business-records exception. He also is entitled to depose witnesses who have personal knowledge of the relevant facts regardless of whether they provided any information to the hospital about these events.
For the above reasons I respectfully dissent from affirming the trial court's summary judgment.