KAREN KING MITCHELL, Judge.
This is a breach of contract, defamation, and tortious interference case. The primary issues are whether the defendants published true statements about the plaintiff and whether the plaintiff released the defendants from liability for the publication of confidential information. We hold that, as a matter of law, the statements were either true or substantially true and that, under the circumstances of this case, the plaintiff released the defendants from liability for the publication of accurate information to the entity that requested it. Accordingly, we affirm the circuit court's grant of summary judgment in the defendants' favor.
Appellant Dr. T. Lee Nigro is a surgeon who was a member of the medical staff of Respondent St. Joseph Medical Center ("St. Joseph"). Nigro allegedly failed to respond to a call to treat a patient ("the patient") who ultimately died.
St. Joseph's quality assurance committee reviewed the incident. Nigro appeared before the quality assurance committee and stated that he had received only one call from the emergency department, that he had been told only that the patient had a thigh infection, and that he had never been informed that the patient had necrotizing fasciitis.
The quality assurance committee also recommended that the medical executive committee
At the second executive committee meeting, Fulton appeared and gave his version of the incident. Fulton stated that he had informed Nigro that the patient had necrotizing fasciitis, that the patient needed to be seen, and that he had contacted Nigro four times regarding the patient. In addition, Sanders provided the executive committee members with a summary of telephone conversations that he had conducted with other individuals who had knowledge of the incident. The executive committee recommended that Nigro be removed from the staff. Specifically, the minutes of the executive committee's meeting state:
(Italics in original.)
Nigro requested and received a hearing and appeal of his suspension. During the course of the hearing, the parties entered into a memorandum of understanding that settled the dispute. In the memorandum of understanding, Nigro "abandon[ed] his appeal of the summary suspension and waive[d] all rights ... to ... the hearing, which was underway."
St. Joseph agreed that it would maintain peer review materials confidential and that it would release them as required by law. It also agreed to recommend to the executive committee "that the summary suspension be lifted." St. Joseph also agreed that, if the executive committee lifted the summary suspension, it would report to the National Practitioner Data Bank as follows: "The Medical Executive Committee terminated the summary suspension. Dr. T. Lee Nigro's medical staff privileges lapsed."
Two years later, St. Joseph received a letter ("the request" or "Blue Cross's request") from Blue Cross Blue Shield of Kansas City ("Blue Cross"), stating that Nigro had sought network participation with Blue Cross. In the request, Blue Cross asked whether Nigro's staff privileges had been "restricted, denied, revoked, suspended, not renewed, been put
The request was accompanied by a document entitled "Blue Cross and Blue Shield of Kansas City Attestation, Authorization and Release," ("the authorization and release") which was signed by Nigro. In the authorization and release, Nigro gave his consent for Blue Cross to "solicit information" concerning his "professional qualifications, credentials, clinical competence, character, ethics, behavior, or any other matter related to [his] application" from "health care facilities" or their employees. The authorization and release then stated: "
Upon St. Joseph receiving the request and the authorization and release from Blue Cross, Respondent Sheryl Davis, Director of Medical Staff Services, responded by letter ("the letter"). The letter stated:
On December 9, 2009, Nigro sued St. Joseph and Davis for breach of contract, defamation, and tortious interference. The petition alleged that the statements contained in the letter were false in the following respects: (1) Nigro did not fail to respond to a call on the subject night; (2) Nigro was truthful with all investigators during review of the matter; (3) there were no "previous valid instances of failing to respond to call"; (4) Nigro was truthful to the quality assurance committee and the executive committee; (5) there was no "pattern of quality concerns" in that, although St. Joseph investigated thirteen allegations of surgical complications, "no quality concerns were raised on any of these thirteen cases." The petition alleged further that Nigro was damaged in that he has been unable to obtain credentialing with Blue Cross and that he has been unable to obtain staff privileges at Menorah Medical Center.
On November 19, 2010, Nigro filed a motion seeking additional time to conduct discovery and seeking "enforcement of discovery" ("the discovery motion").
After a hearing, the circuit court denied the discovery motion.
Nigro then responded to the motion for summary judgment, and the circuit court granted the motion. This appeal follows.
Nigro appeals both the circuit court's denial of the discovery motion and the court's grant of the motion for summary judgment. Our review of the denial of the discovery motion is governed by an abuse of discretion standard. Chouteau Auto Mart, Inc. v. First Bank, 91 S.W.3d 655, 660 (Mo.App. W.D.2002). A circuit court abuses its discretion when its ruling shocks the sense of justice, shows a lack of consideration, and is obviously against the logic of the circumstances. River City Dev. Assocs., LLC v. Accurate Disbursing Co., LLC, 345 S.W.3d 867, 871 (Mo.App. E.D.2011). "If reasonable persons can differ as to the propriety of the trial court's action, then it cannot be said that the trial court abused its discretion." Wilkerson v. Prelutsky, 943 S.W.2d 643, 648 (Mo. banc 1997). The appellant bears the burden of establishing that the circuit court abused its discretion. W. Cent. Concrete, LLC v. Reeves, 310 S.W.3d 778, 782 (Mo.App. W.D.2010) (quoting State ex rel. Webster v. Lehndorff Geneva, Inc., 744 S.W.2d 801, 804 (Mo. banc 1988)).
Our review of the circuit court's grant of the motion for summary judgment is essentially de novo, and we will use the same criteria that applied to the circuit court's review of the motion. ITT Commercial,
Id. at 381 (emphasis in original).
Nigro first argues that the circuit court abused its discretion in denying his motion seeking additional time to conduct discovery and seeking "enforcement of discovery" in that further discovery would have revealed that the executive committee's stated basis for recommending that he be removed from the staff was false. We disagree.
The issue here is not whether Nigro was entitled to discovery regarding the veracity of the committees' findings. Rather, the issue is whether the circuit court abused its discretion in denying a continuance after the motion for summary judgment had been filed and after eleven months had elapsed since Nigro had filed his petition.
As noted above, whether to allow (or compel) further discovery once a summary judgment motion has been filed is in the discretion of the circuit court. State ex rel. Thomas v. Olvera, 987 S.W.2d 373, 376 (Mo.App. W.D.1999).
Curnutt v. Scott Melvin Transp., 903 S.W.2d 184, 193 (Mo.App. W.D.1995). A party moving for such a continuance may not rest on the bare assertion that further discovery might produce a dispute of material fact; rather, the party must set out the evidence that he seeks to obtain and must show how that evidence would create a genuine issue of material fact. Chouteau, 91 S.W.3d at 660; Olvera, 987 S.W.2d at 376.
Here, the court did not abuse its discretion for two reasons: (a) Nigro had the means and the time to conduct the discovery he sought without court intervention, yet he did not use them; and (b) the evidence he sought to establish was either immaterial or insufficiently definite to warrant relief under Rule 74.04(f).
Under Rule 74.04(f), a circuit court does not abuse its discretion in refusing to grant a continuance to allow for additional discovery when the party seeking the discovery had adequate means and ample time to conduct it without court intervention. See Curnutt, 903 S.W.2d at 193 (affirming the circuit court's denial of a Rule 74.04(f) motion in part because the parties were less than diligent in initiating discovery,
Here, Nigro did not avail himself of the time and resources he had to obtain discovery. He filed the discovery motion eleven months after he filed the petition. In the discovery motion, Nigro primarily argued that he needed more time to prove that the committees' findings were false. The parties had an ongoing dispute regarding Nigro's entitlement to the sought-after discovery, but Nigro had never filed any motion to compel discovery prior to the November 19, 2010, discovery motion (filed approximately one month after the defendants' motion for summary judgment). Nigro stated in the discovery motion that he believed the parties' dispute regarding the written discovery would have been resolved by depositions and that the discovery motion was meant to compel the defendants to "present themselves" for depositions.
But Nigro's argument ignored the fact that court intervention is not necessary to compel parties to make themselves available for depositions. Rule 57.03(a) provides:
(Emphasis added.) Thus, it was within Nigro's own power to compel depositions once thirty days had expired from the date of service upon any defendant,
In order to warrant relief under Rule 74.04(f), the movant must (1) set out the evidence that the sought-after discovery would adduce; and (2) show that that evidence would create a genuine issue of material fact. Chouteau, 91 S.W.3d at 660. As noted, it is insufficient to allege that the sought-after discovery might produce evidence establishing a genuine issue of material
Here, most of the information that Nigro claims would create a genuine issue of material fact is immaterial. Nigro alleges that further discovery would have revealed that what the committees found to be true was not true: essentially that he was guilty of no wrongdoing, and that, to the extent the committees stated otherwise, the statements were false. But as explained further below, the letter was accurate in stating what the committees found, and the accuracy of their findings is immaterial to whether Davis accurately reported them. See Rice v. Hodapp, 919 S.W.2d 240, 243-44 (Mo. banc 1996) (holding that a supervisor's statement that an employee was found guilty of sexual harassment was true, irrespective of whether the sexual harassment had in fact occurred, because management had conducted an investigation and had concluded that the latter had committed sexual harassment).
Nigro does claim that he "is confident" that further discovery would reveal that Davis issued the letter in bad faith, which would be material to Nigro's breach of contract claim in that Nigro arguably released St. Joseph and Davis from liability only for disclosures made in good faith. However, Nigro's alleging that he "is confident" that further discovery would reveal Davis's bad faith is tantamount to alleging that further discovery might reveal a dispute of material fact, which, as noted, is insufficient to warrant relief under Rule 74.04(f). Nigro did not set out what evidence, if obtained or established, would show that St. Joseph and Davis sent the letter in bad faith.
Nigro next argues that the circuit court erred in granting summary judgment in that St. Joseph and Davis violated section 537.035
Nigro next argues that the circuit court erred in granting summary judgment in
"The elements of defamation in Missouri are: 1) publication, 2) of a defamatory statement, 3) that identifies the plaintiff, 4) that is false, 5) that is published with the requisite degree of fault, and 6) damages the plaintiff's reputation." Overcast v. Billings Mut. Ins. Co., 11 S.W.3d 62, 70 (Mo. banc 2000).
In any defamation case, the truth of the allegedly defamatory statement may be submitted as evidence, MO. CONST. art. I, § 8, and our supreme court has interpreted that to mean that the truth is an absolute defense to a defamation claim. Rice, 919 S.W.2d at 243. Thus, for the purposes of defamation, it does not matter whether a statement was made in bad faith, so long as it was true.
In arguing that the letter was defamatory, Nigro asserts, not that Davis inaccurately reported the committees' findings, but that the findings themselves are inaccurate. The issue of whether, for the purposes
Here, the statements in the letter
"After a meeting of the Quality Assurance Committee on December 7, 2005, Dr. Nigro was summarily suspended for a failure to respond to call and a question of his truthfulness during their investigation." That is true: Nigro was called before the quality assurance committee to discuss his alleged
"On December 9, the Medical Executive Committee met and upheld the summary suspension pending a thorough investigation of these matters." That is true: the medical executive committee met, upheld the suspension, and decided it needed further information before making a final determination. Nigro claims that no "thorough investigation" occurred, but his argument is meritless. An investigation — wherein the committee questioned Nigro, Fulton, and heard the results of Sanders's telephone conversations with other witnesses — unquestionably occurred. Whether the investigation was "thorough" is a matter of opinion, which cannot form the basis of a viable defamation claim. Castle Rock Remodeling, LLC v. Better Bus. Bureau of Greater St. Louis, Inc., 354 S.W.3d 234, 244 (Mo.App. E.D.2011) ("[S]tatements of opinion are protected by an absolute privilege even if the statements are `made maliciously or insincerely.'") (quoting Pape v. Reither, 918 S.W.2d 376, 380 (Mo.App. E.D.1996)).
"On December 13, 2005, the Medical Executive Committee met and recommended revocation of Dr. Nigro's Medical Staff Membership and Clinical Privileges." That is indisputably true.
"This was based on a failure to respond to call, previous instances of failing to respond to call, lack of truthfulness to the QA Committee and Medical Executive Committee, and a pattern of quality concerns raised in the past." Nigro concedes that this statement is virtually a verbatim repetition of the medical executive committee's minutes. Again, the alleged inaccuracy and injustice of the committee's findings and actions does not alter the fact that Davis accurately reported what the committee found and did. Cf. Rice, 919 S.W.2d at 244-45.
"The summary suspension remained in effect and Dr. Nigro requested a hearing." The statement is indisputably true.
"On the second day of the hearing, Dr. Nigro requested adjournment of the hearing." Nigro argues that this statement is false in that the parties mutually agreed to terminate the proceeding. However, Nigro has not explained how the truth is materially different or less damaging than what Davis wrote, particularly given the next sentence, which clarifies that the committee lifted the suspension in response to the hearing being terminated. Whether Nigro himself requested that the hearing be terminated and the suspension lifted, or whether the parties mutually agreed to that outcome, is immaterial in that both notions carry the same "sting": Nigro was successful in getting the suspension lifted, though he did not carry the hearing on the committee's findings to its fruition. The difference between Davis's statement and the "truth," to the extent that there is a difference, is therefore insufficient to support a defamation claim. See Turnbull, 459 S.W.2d at 519.
"On May 2, 2006, the Executive Committee lifted the summary suspension and Dr. Nigro withdrew his application for reappointment." The statement is indisputably true.
Accordingly, we hold that the statements in the letter were either true or substantially true and that the circuit court therefore did not err in granting summary
Nigro argues that the circuit court erred in granting summary judgment in that there were disputed issues of material fact regarding whether St. Joseph and Davis breached the memorandum of understanding. We disagree.
In their motion for summary judgment, St. Joseph and Davis argued that judgment as a matter of law was appropriate in that they had established the defense of release. Release is an affirmative defense, and, initially, the defendant bears the burden to prove it. Rice v. Bol, 116 S.W.3d 599, 605 (Mo.App. W.D.2003). In order to prove the defense of release, defendants must show that the plaintiff intended to release them from liability for the subject conduct and that the plaintiff used clear, precise, and unequivocal language in so doing. Ensminger v. Burton, 805 S.W.2d 207, 217 (Mo.App. W.D.1991).
Here, the memorandum of understanding obligated St. Joseph to "maintain the peer review materials
The letter was indisputably responsive to Blue Cross's request. Blue Cross asked whether Nigro's staff privileges had been "restricted ... suspended, not renewed,... [or] been subjected to disciplinary action." Blue Cross also asked if Nigro had "ever been subject to disciplinary action(s) by a Quality Assurance Committee, Credentials Committee, Peer Review Committee,
Furthermore, the letter was written "without malice based on a reasonable belief that the information is true." Malice, in this context, means "actual knowledge of the falsity of the statements or reckless disregard for the truth in making the statements." Willman v. Dooner, 770 S.W.2d 275, 281 (Mo.App. W.D.1989). Thus, the fact that the statements in the letter were either true or substantially true satisfies both the "without malice" and the "reasonable belief that the information is true" components of the release Nigro signed.
Moreover, under the circumstances of this case, we hold that a true and accurate report of the committees' findings satisfies the "good faith" contemplated by the authorization and release. In general, good faith requires honesty of purpose, lack of malice, and fidelity to one's duty or obligation. Dishman v. Joseph, 14 S.W.3d 709, 717 (Mo.App. W.D. 2000). Under some circumstances, true statements could be deemed to have been given in bad faith if the publisher of the statement omitted material details while having a duty to disclose them. See Watts v. State, 206 S.W.3d 413, 417 (Mo.App. S.D.2006) (holding that, under some circumstances, an omission could be deemed a material misrepresentation); Martin v. McNeill, 957 S.W.2d 360, 363 (Mo.App. W.D.1997) ("[I]f a party has a duty to speak, silence can amount to misrepresentation.").
Here, Davis was asked by a health insurer whether Nigro had ever been suspended or otherwise subjected to disciplinary proceedings by St. Joseph, and, if he had, to provide details. The purpose of the inquiry was to ensure that Blue Cross had a clear understanding of the medical record of a person who had applied to participate in Blue Cross's network. Under these circumstances, good faith required Davis to respond "yes" and to provide accurate details of what the committees actually found and did.
In reporting, virtually verbatim, the committees' actions and findings, Davis was (1) responding directly to Blue Cross's inquiry; (2) acting pursuant to a reasonable reading of the authorization and release, and, most importantly, (3) participating in a process that provides an obvious benefit to society, a benefit that arguably would have been undermined by editorializing about the accuracy of the committees' findings. Under these facts, we hold that Davis satisfied the good faith obligation imposed by the authorization and release. Point denied.
Nigro next argues that the circuit court erred in granting summary judgment in that St. Joseph and Davis were not justified in sending the letter. Again, Nigro cites no relevant authority for his point on appeal, but we will exercise our discretion and address the merits. See Lunceford, 326 S.W.3d at 62. In doing so, we will assume that this point relates to the tortious interference claim.
The elements of a tortious interference claim are: (1) a contract or other valid business expectancy; (2) defendant's knowledge of the expectancy; (3) intentional interference with the expectancy, resulting in the expectancy not being realized; (4) lack of justification; and (5) damages proximately caused by the defendant's conduct. Londoff v. Walnut St. Secs., Inc., 209 S.W.3d 3, 7 (Mo.App. E.D. 2006). For the reasons stated above, the authorization and release applied to the letter. Our decision on that issue disposes of the "lack of justification" element. Nigro cannot claim that St. Joseph and Davis lacked justification because he authorized the very action of which he complains. Point denied.
The letter was not defamatory because the statements in it were either true or substantially true. St. Joseph and Davis are not liable for breaching the memorandum of understanding because Nigro released them from any liability associated with sending the letter. For the same reason, St. Joseph and Davis were justified in sending the letter, and therefore they cannot be held liable for tortious interference. Accordingly, we affirm the circuit court's judgment.
CYNTHIA L. MARTIN, Presiding Judge, and THOMAS H. NEWTON, Judge, concur.
Nigro also complains that the letter did not make clear that the committees' findings were mere allegations never finalized by the hearing. Again, we think that the letter made clear that Nigro had appealed the findings and that the hearing ended without a final determination: "the Executive Committee lifted the summary suspension and Dr. Nigro withdrew his application for reappointment." Davis did not breach any contractual duty to release information in good faith by making that accurate statement.