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S8 | MONDAY, AUGUST 25, 2014 | Court of Appeals and Appellate Practice
| NYLJ.COM








COURT OF APPEALS: TORTS






By Jefrey S. Lichtman 
And Richard A. Menchini


Medical Monitoring 



Cause of Action 



Rejected in One of hree 


Stand-Out Cases






O

ver the past year, the New York closing information regarding the sexually safekeeping a patient’s conidential medical 
Court of Appeals has handed down transmitted disease for which Doe was being information is limited to those risks that are 
three decisions that provide clear treated. Doe sued the clinic for common law reasonably foreseeable and to actions within 
and broadly applicable interpretation of both breach of iduciary duty to maintain the con- the scope of employment.” The court sought 
statutory rules and common law principles identiality of personal health information, to maintain consistency with other cases 
in tort cases. These cases deal with a medi- breach of contract, negligent hiring, negli- in which it had declined to hold a medical 
cal facility’s duty to protect patients’ medical gent inliction of emotion distress, intentional corporation to a “heightened duty” for an 

records and the employer’s vicarious liabil- inliction of emotional distress, and breach of employee’s conduct under the doctrine of 
ity for acts of employees performed outside duty to maintain the conidentiality of person- respondeat superior. The court noted the 
the scope of their employment, whether al health information under three statutes.2 general rule that an employer may only be 
New York recognizes medical monitoring The clinic moved to dismiss.
held vicariously liable for the tortious acts of 
as an independent cause of action or as an
At irst instance, the Western District of its employees if those acts were committed in 
New York granted the clinic’s 12(b)(6) motion furtherance of the employer’s business and 
to dismiss all eight claims.3 Doe appealed the within the scope of employment.
dismissal of ive of the eight causes of action The court referred to its earlier decision 

to the Second Circuit. On appeal, the Second in N.X. v. Cabrini Med. Ctr.,6 which involved 
Circuit afirmed the dismissal of four of the a physician employee who had sexually 
remaining ive causes of action, inding that assaulted a sedated patient. The court held 
the nurse’s actions were not foreseeable there that, since the sexual assault commit- 
to the clinic, nor were her actions taken ted by the hospital employee was outside the 
within the scope of her employment.4 The scope of employment, having been commit- 
court explained that in his complaint Doe ted for wholly personal motives, the hospital 
had alleged that the nurse was motivated by could not be held vicariously liable. Seek- 
purely personal reasons which had nothing ing to avoid creating a “heightened duty,”7 

to do with Doe’s treatment and care and, as the court rejected the Third Department’s 
such, those actions could not be imputed to 2000 decision in Doe v. Community Health 
the clinic on the basis of respondeat superior. Plan-Kaiser,8 declining to adopt a rationale 
The court concluded that the inal cause of which imposes absolute liability on a medi- 
action concerning the availability of a com- cal corporation for any disclosure through 
mon law cause of action directly against the an employee’s dissemination of a patient’s 
clinic for breach of iduciary duty was a ques- conidential medical information.
tion for the New York Court of Appeals, and The court stated that where a plaintiff’s 
stayed the appeal pending an answer to this case against a medical corporation employer element of damages, and the liability of a 

certiied question:
fails because an employee was acting outside product manufacturer after substantial but 
Whether, under New York law, the com- the scope of employment, such a inding does foreseeable modiications have been made 
mon law right of action for breach of the not prevent an action in tort for the negligent to an allegedly defectively designed product.
iduciary duty of conidentiality for the actions of the medical corporation’s own con- In John Doe v. Guthrie Clinic,1 the court 
unauthorized disclosure of medical infor- duct, including “negligent hiring, supervision
considered an employer’s vicarious respon- 
mation may run directly against medical sibility for the actions of its employees in the 
corporations, even when the employee context of a medical facility’s duty to protect 
responsible for the breach is not a physi- patients’ medical records. Guthrie Clinic’s 
JEFFREY S. LICHTMAN and RICHARD A. 
cian and acts outside the scope of her MENCHINI are partners at O’Hare Parnagian. patient John Doe (proceeding in this action 
employment?5
FIONA LEY, special counsel with the irm, assisted under a ictitious name to protect his privacy 
The Court of Appeals, with Chief Judge interests) iled a federal court action against 
Jonathan Lippman writing for the major- with the preparation of this article.
the clinic after one of its employed nurses, 
ity, answered the question in the negative, who was also Doe’s girlfriend’s sister-in-law, 
holding that “a medical corporation’s duty of
sent text messages to Doe’s girlfriend dis-




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