PER CURIAM.
In this interlocutory appeal, we are once again asked to consider the scope of the peer review privilege found in MCL 333.20175(8) and MCL 333.21515 of the Public Health Code, MCL 333.1101 et seq. Specifically, we must decide whether the trial court erred by ordering production of the objective facts contained in an incident report authored by an employee of defendant Covenant Healthcare. The trial court's decision was based on Harrison v. Munson Healthcare, Inc., 304 Mich.App. 1, 851 N.W.2d 549 (2014), which held, in part, that the peer review privilege does not protect objective facts gathered contemporaneously with an event.
We hold that §§ 20175(8) and 21515 do not contain an exception to the peer review privilege for objective facts. As a result, this portion of Harrison was wrongly decided. In this case, the trial court erred by relying on Harrison to order production of the objective-facts portion of the incident report. Therefore, we vacate the trial court's May 8, 2014 order and remand for further proceedings.
In September 2008, Pramod K. Sanghi, M.D., performed a cardiac catheterization on 80-year-old decedent Dorothy Krusac, successfully placing stents in Krusac's heart. Immediately following the procedure, however, Krusac began moving her legs around and rolled off the operating table. Three medical personnel were present when this happened: Deborah Colvin, R.N., Heather Gengler, R.N., and Rogers Gomez, the lab technician. According to the deposition testimony of Colvin and Gomez, they were able to catch Krusac and cradle her gently to the floor, where she came to rest on her left side. At that time, Krusac denied hitting her
Plaintiff John Krusac, as personal representative of the estate of Dorothy Krusac, filed a medical malpractice complaint in the Saginaw Circuit Court against defendant, alleging that Krusac died as a result of injuries sustained from the fall. During discovery, it became known that Colvin had filled out an incident report shortly after the event and submitted it to her supervisor. Plaintiff filed a motion in limine on the eve of trial, asking the court to conduct an in camera inspection of the incident report and provide plaintiff with the facts contained in it. Relying on Harrison, plaintiff argued that the facts were necessary to cross-examine the hospital staff and that it would be unethical for defendant to offer a defense inconsistent with the facts contained in the report. Defendant responded that the peer review privilege under §§ 20175(8) and 21515 protected the report from discovery. After hearing oral arguments, the trial court denied plaintiff's motion. Plaintiff thereafter sought reconsideration, which the court granted. The court ordered defendant to produce a copy of the report for in camera review. After reviewing the report, on May 8, 2014, the trial court issued an order requiring defendant to provide plaintiff with the first page of the incident report, which contained only objective facts. The court based its decision on the Court of Appeals' recent holding in Harrison that the peer review privilege does not apply to objective facts contained in an incident report.
Defendant sought leave to appeal in the Court of Appeals, and moved for immediate consideration and a stay of the proceedings. The Court of Appeals granted immediate consideration, but denied defendant's application for leave to appeal for failure to persuade the Court of the need for immediate appellate review. The Court also denied the motion to stay the proceedings. Defendant then sought review by this Court. After granting defendant's motion to stay the trial court proceedings, we granted leave to appeal and directed the parties to address
This case involves a question of statutory interpretation, which we review de novo. Madugula v. Taub, 496 Mich. 685, 695, 853 N.W.2d 75 (2014). As with any statutory interpretation, our goal is to give effect to the Legislature's intent, focusing first on the statute's plain language. Id. at 696, 853 N.W.2d 75. When the language of a statute is unambiguous, the Legislature must have intended the meaning clearly expressed, and the statute must be enforced as written. No further judicial construction is required or permitted. Id. (citation and quotation marks omitted).
The peer review privilege is a creature of statute, not the common law. See Scheutzow & Gillis, Confidentiality and Privilege of Peer Review Information:
MCL 333.21513(d) imposes a duty on hospitals to create peer review committees "for the purpose of reducing morbidity and mortality and improving the care provided in the hospital for patients." Essential to the peer review process is the candid and conscientious assessment of hospital practices. Feyz v. Mercy Mem. Hosp., 475 Mich. 663, 680, 719 N.W.2d 1 (2006). To encourage such an assessment by hospital staff, the Legislature has protected from disclosure the records, data, and knowledge collected for or by peer review committees. Id. at 680-681, 719 N.W.2d 1. To this end, MCL 333.20175(8) reads:
Similarly, MCL 333.21515 provides:
These statutes, and their predecessors,
The Court of Appeals took a more constricted view of the peer review privilege in Harrison. In that case, the plaintiff
In a published opinion, the Court of Appeals addressed whether the peer review privilege applied to the incident report at issue. Relying heavily on caselaw from foreign jurisdictions, the panel found a distinction between "factual information objectively reporting contemporaneous observations or findings and `records, data, and knowledge' gathered to permit an effective review of professional practices." Harrison, 304 Mich.App. at 30, 851 N.W.2d 549. It held that "[o]bjective facts gathered contemporaneously with an event do not fall within [the peer review privilege.]" Id. at 32, 851 N.W.2d 549. It reasoned that "[t]o hold otherwise would grant risk managers the power to unilaterally insulate from discovery firsthand observations that the risk manager would prefer remain concealed" and that "[t]he peer-review statutes do not sweep so broadly." Id. at 34, 851 N.W.2d 549. The panel concluded that the facts recorded on the first page of the incident report were not privileged, but that the remainder of the incident report was protected because it reflected a deliberative review process.
However, contrary to the Harrison panel's conclusion, the peer review statutes do not contain an exception for objective facts contained in an otherwise privileged incident report. Both §§ 20175(8) and 21515 protect the "records, data, and knowledge" collected for or by a peer review committee. While the words "record," "data," and "knowledge" are so common they hardly bear defining, a review of the dictionary definitions of each demonstrates that the Harrison panel's interpretation contradicts the plain language of the peer review statutes. See Spectrum Health Hosp. v. Farm Bureau Mut. Ins. Co. of Mich., 492 Mich. 503, 515, 821 N.W.2d 117 (2012) (recognizing that a court "may consult dictionary definitions to give words their common and ordinary meaning") (citation omitted). "Record" is defined as "an account in writing or the like preserving the memory or knowledge of facts or events." Random House Webster's College Dictionary (2001) (emphasis added). "Data" is defined as "individual facts, statistics, or items of information." Id. (emphasis added). "Knowledge" is defined as "acquaintance with facts, truths, or principles" or "familiarity or conversance, as by study or experience." Id. (emphasis added). Because the ordinary meaning of these statutory terms plainly encompasses objective facts, we hold that objective facts are subject to the peer review privilege.
Plaintiff argues that an interpretation of §§ 20175(8) and 21515 that protects objective facts from disclosure would conflict with MCL 333.20175(1), which requires a hospital to "keep and maintain a record for each patient, including a full and complete record of tests and examinations performed, observations made, treatments provided, and ... the purpose of hospitalization."
The Harrison panel, certain amici, and plaintiff have expressed concern that a holding that the peer review privilege applies to objective facts in an incident report "would grant risk managers the power to unilaterally insulate from discovery firsthand observations that the risk manager would prefer remain concealed." Harrison, 304 Mich.App. at 34, 851 N.W.2d 549. However, although the terms "records," "data," and "knowledge" are broad enough to include objective
For the reasons stated above, we reject the Harrison panel's holding that objective facts gathered contemporaneously with an event do not fall within the peer review privilege. Accordingly, we overrule Harrison to the extent that it is inconsistent with our opinion today.
Because Harrison was wrongly decided and the trial court relied on Harrison to order production of a portion of the incident report, we vacate the trial court's May 8, 2014 order in its entirety. The scope of this interlocutory appeal is limited to whether the trial court erred by relying on Harrison to order production of the objective facts found in the incident report. Having answered that question, we remand to the trial court for further proceedings.
We conclude that Harrison was wrongly decided, and we overrule the portions of it that are inconsistent with this opinion. Because the trial court in the instant case erred by relying on Harrison to order production of the objective facts contained in the incident report authored by Colvin, we vacate the trial court's May 8, 2014 order and remand to the trial court for further proceedings consistent with this opinion.
YOUNG, C.J., and MARKMAN, MARY BETH KELLY, ZAHRA, McCORMACK, and VIVIANO, JJ., concurred.
BERNSTEIN, J., took no part in the decision of this case.