LASSIE M. SHARPE
v.
DAVID ERIC WORLAND, GREENSBORO ANESTHESIA ASSOCIATES, P.A.,
WESLEY LONG COMMUNITY HOSPITAL, INC., JOHN DOES I through XXV,
AND JANE DOES I through XXV
On discretionary review pursuant to N.C.G.S. § 7A-31 of a
unanimous decision of the Court of Appeals, 132 N.C. App. 223,
511 S.E.2d 35 (1999), dismissing as interlocutory the appeal of a
24 February 1998 order entered by Freeman, J., in Superior Court,
Guilford County. Heard in the Supreme Court 20 September 1999.
Faison & Gillespie, by O. William Faison and John W. Jensen,
for plaintiff-appellee.
Carruthers & Roth, P.A., by Richard L. Vanore and Norman F.
Klick, Jr., for defendant-appellants David Eric Worland and
Greensboro Anesthesia Associates.
Lawing, Sharpless & Stavola, P.A., by Joseph M. Stavola and
Joseph P. Booth, III, for defendant-appellant Wesley Long
Community Hospital.
Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan,
L.L.P., by Michael E. Weddington, on behalf of North
Carolina Physicians Health Program, Inc., amicus curiae.
MARTIN, Justice.
On 5 March 1997 plaintiff, Lassie M. Sharpe, initiated this
medical malpractice action against named defendants David Eric
Worland, M.D. (Dr. Worland), Greensboro Anesthesia Associates,
P.A. (Greensboro Anesthesia), and Wesley Long Community Hospital,
Inc. (the Hospital) for personal injuries she received while
being treated at the Hospital. Plaintiff alleges that
Dr. Worland, an employee of Greensboro Anesthesia and apracticing anesthesiologist at the Hospital, negligently
supervised the administration of an epidural for post-surgery
pain management resulting in injury to plaintiff's spine.
On 22 December 1997, pursuant to North Carolina Rule of
Civil Procedure 30(b)(5), plaintiff served a notice of deposition
upon the Hospital, requesting, among other things, that the
Hospital produce [a]ll documents related to all complaints and
incident reports and [a]ll minutes of any meeting or hearing of
the Board of Trustees relating to Dr. Worland. On 29 December
1997 the Hospital moved for a protective order. In the trial
court, the Hospital asserted that certain documents pertaining to
Dr. Worland's participation in the Physician's Health Program
(PHP) were privileged and, therefore, protected from disclosure.
On 24 February 1998 the trial court denied the motion for a
protective order and ordered the Hospital to produce all
documents concerning Defendant Worland's participation in the
Physician's Health Program. Defendants appealed.
The Court of Appeals dismissed defendants' appeal as
interlocutory and not affecting a substantial right. See Sharpe
v. Worland, 132 N.C. App. 223, 225, 511 S.E.2d 35, 37 (1999). On
6 May 1999 we allowed defendants' petitions for discretionary
review.
Interlocutory orders and judgments are those made during
the pendency of an action which do not dispose of the case, but
instead leave it for further action by the trial court to settle
and determine the entire controversy. Carriker v. Carriker, 350
N.C. 71, 73, 511 S.E.2d 2, 4 (1999); accord Veazey v. City of
Durham, 231 N.C. 357, 361-62, 57 S.E.2d 377, 381 (1950).
Generally, there is no right of immediate appeal frominterlocutory orders and judgments. Travco Hotels v. Piedmont
Natural Gas Co., 332 N.C. 288, 291, 420 S.E.2d 426, 428 (1992);
Goldston v. American Motors Corp., 326 N.C. 723, 725, 392 S.E.2d
735, 736 (1990); Veazey, 231 N.C. at 362, 57 S.E.2d at 381;
Sherrill v. Amerada Hess Corp., 130 N.C. App. 711, 718, 504
S.E.2d 802, 807 (1998); accord Quackenbush v. Allstate Ins. Co.,
517 U.S. 706, 712, 135 L. Ed. 2d 1, 10 (1996) (discussing appeal
of interlocutory orders under federal rules). The purpose of
this rule is to prevent fragmentary and premature appeals that
unnecessarily delay the administration of justice and to ensure
that the trial divisions fully and finally dispose of the case
before an appeal can be heard. Bailey v. Gooding, 301 N.C. 205,
209, 270 S.E.2d 431, 434 (1980); accord Waters v. Personnel,
Inc., 294 N.C. 200, 207, 240 S.E.2d 338, 343 (1978). As we have
noted, [t]here is no more effective way to procrastinate the
administration of justice than that of bringing cases to an
appellate court piecemeal through the medium of successive
appeals from intermediate orders. Veazey, 231 N.C. at 363, 57
S.E.2d at 382.
Notwithstanding this cardinal tenet of appellate practice,
immediate appeal of interlocutory orders and judgments is
available in at least two instances. First, immediate review is
available when the trial court enters a final judgment as to one
or more, but fewer than all, claims or parties and certifies
there is no just reason for delay. N.C.G.S. § 1A-1, Rule 54(b)
(1990); DKH Corp. v. Rankin-Patterson Oil Co., 348 N.C. 583, 585,
500 S.E.2d 666, 668 (1998); Oestreicher v. American Nat'l Stores,
290 N.C. 118, 121-22, 225 S.E.2d 797, 800 (1976). When the trial
court certifies its order for immediate appeal under Rule 54(b),appellate review is mandatory. DKH Corp., 348 N.C. at 585, 500
S.E.2d at 668. Nonetheless, the trial court may not, by
certification, render its decree immediately appealable if [it]
is not a final judgment. Lamb v. Wedgewood South Corp., 308
N.C. 419, 425, 302 S.E.2d 868, 871 (1983); see Tridyn Indus. v.
American Mut. Ins. Co., 296 N.C. 486, 491, 251 S.E.2d 443, 447
(1979) (That the trial court declared it to be a final,
declaratory judgment does not make it so.). Second, immediate
appeal is available from an interlocutory order or judgment which
affects a substantial right. N.C.G.S. § 1-277(a) (1996);
N.C.G.S. § 7A-27(d)(1) (1995); Bowden v. Latta, 337 N.C. 794,
796, 448 S.E.2d 503, 505 (1994); Oestreicher, 290 N.C. at 124,
225 S.E.2d at 802.
In the instant case, the trial court's discovery order
is interlocutory because it does not dispose of the case, but
instead leave[s] it for further action by the trial court in
order to settle and determine the entire controversy. Carriker,
350 N.C. at 73, 511 S.E.2d at 4. Since the trial court did not
certify its order under Rule 54(b), immediate review is
foreclosed unless the order affects a substantial right under
sections 1-277(a) and 7A-27(d)(1). It is well settled that an interlocutory order affects
a substantial right if the order deprive[s] the appealing party
of a substantial right which will be lost if the order is not
reviewed before a final judgment is entered. Cook v. Bankers
Life & Cas. Co., 329 N.C. 488, 491, 406 S.E.2d 848, 850 (1991);
see Waters, 294 N.C. at 207, 240 S.E.2d at 343. Essentially a
two-part test has developed -- the right itself must be
substantial and the deprivation of that substantial right must
potentially work injury . . . if not corrected before appeal from
final judgment. Goldston, 326 N.C. at 726, 392 S.E.2d at 736.
This Court in Oestreicher adopted the dictionary definition of
substantial right: 'a legal right affecting or involving a
matter of substance as distinguished from matters of form: a
right materially affecting those interests which a [person] is
entitled to have preserved and protected by law: a material
right.'" Oestreicher, 290 N.C. at 130, 225 S.E.2d at 805
(quoting Webster's Third New International Dictionary 2280 (1971)).
Nevertheless, [i]t is usually necessary to resolve the question
in each case by considering the particular facts of that case and
the procedural context in which the order from which appeal is
sought was entered. Waters, 294 N.C. at 208, 240 S.E.2d at 343.
An order compelling discovery is generally not
immediately appealable because it is interlocutory and does not
affect a substantial right that would be lost if the ruling were
not reviewed before final judgment. Mack v. Moore, 91 N.C. App.
478, 480, 372 S.E.2d 314, 316 (1988), disc. rev. denied, 323 N.C.
704, 377 S.E.2d 225 (1989); Benfield v. Benfield, 89 N.C. App.415, 418, 366 S.E.2d 500, 502 (1988); Walker v. Liberty Mut. Ins.
Co., 84 N.C. App. 552, 554, 353 S.E.2d 425, 426 (1987); Dunlap v.
Dunlap, 81 N.C. App. 675, 676, 344 S.E.2d 806, 807, disc. rev.
denied, 318 N.C. 505, 349 S.E.2d 859 (1986).
This Court recognized one exception to the general rule
prohibiting immediate review of interlocutory discovery orders in
Willis v. Duke Power Co., 291 N.C. 19, 229 S.E.2d 191 (1976). In
Willis the trial court ordered the defendant to produce and
permit the plaintiff to inspect, among other things, the
defendant's investigation files on the accident that was the
subject of the wrongful death action. Id. at 26, 229 S.E.2d at
194. When the defendant failed to fully comply, the trial court
adjudged the defendant to be in contempt under North Carolina
Rule of Civil Procedure 37(b). Id. at 26-27, 229 S.E.2d at
195-96. On appeal, the Court of Appeals concluded that the trial
court's discovery order was not immediately appealable and
dismissed the defendant's appeal. Id. at 27, 229 S.E.2d at 196.
Reversing the Court of Appeals, we recognized that the
trial court's contempt order affected a substantial right of the
defendant under sections 1-277(a) and 7A-27(d)(1) and held that
when a civil litigant is adjudged to be in
contempt for failing to comply with an
earlier discovery order, the contempt
proceeding is both civil and criminal in
nature and the order is immediately
appealable for the purpose of testing the
validity both of the original discovery order
and the contempt order itself where, as here,
the contemptor can purge himself of the
adjudication of contempt only by, in effect,
complying with the discovery order of which
he essentially complains.
Id. at 30, 229 S.E.2d at 198. The principle we recognized in
Willis has been followed in numerous cases. See, e.g., Wilson v.
Wilson, 124 N.C. App. 371, 374-75, 477 S.E.2d 254, 256 (1996)
(litigant held in contempt); Mack, 91 N.C. App. at 480, 372
S.E.2d at 316 (discovery order not immediately appealable due to
lack of enforcement sanctions); Benfield, 89 N.C. App. at 418-19,
366 S.E.2d at 502 (same); Walker, 84 N.C. App. at 554-55, 353
S.E.2d at 426 (discovery order immediately appealable when
enforced by sanctions under Rule 37(b)).
Willis and its progeny, however, do not necessarily
represent the singular exception to the general rule that
interlocutory discovery orders are not ordinarily appealable
prior to entry of a final judgment. See, e.g., Lockwood v.
McCaskill, 261 N.C. 754, 757, 136 S.E.2d 67, 69 (1964) (discovery
order affected substantial right where patient-physician
privilege asserted); Shaw v. Williamson, 75 N.C. App. 604, 606,
331 S.E.2d 203, 204 (discovery order affected substantial right
where constitutional right against self-incrimination asserted),
disc. rev. denied, 314 N.C. 669, 335 S.E.2d 496 (1985); cf. In re
Ford Motor Co., 110 F.3d 954 (3d Cir. 1997); In re Grand Jury
Proceedings, 43 F.3d 966 (5th Cir. 1994). Rather, the Willis
line of cases merely represents one example of how a discovery
order may affect a substantial right pursuant to sections
1-277(a) and 7A-27(d)(1).
In the present case, defendants assert that the PHP
documents are protected by a statutory privilege. The statute onwhich defendants rely pertains to doctors participating in an
impaired physician program and provides:
Any confidential patient information and
other nonpublic information acquired,
created, or used in good faith by the Academy
or a society pursuant to this section shall
remain confidential and shall not be subject
to discovery or subpoena in a civil case. No
person participating in good faith in the
peer review or impaired physician or impaired
physician assistant programs of this section
shall be required in a civil case to disclose
any information acquired or opinions,
recommendations, or evaluations acquired or
developed solely in the course of
participating in any agreements pursuant to
this section.
N.C.G.S. § 90-21.22(e) (1997).
We need not decide here whether the PHP documents fall
within the statutory privilege set forth within section
90-21.22(e). Rather, in determining whether a substantial right
is affected by the challenged order, it suffices to observe that,
if the Hospital is required to disclose the very documents that
it alleges are protected from disclosure by the statutory
privilege, then 'a right materially affecting those interests
which a [person] is entitled to have preserved and protected by
law' -- a substantial right -- is affected. Oestreicher, 290
N.C. at 130, 225 S.E.2d at 805 (quoting Webster's Third New
International Dictionary 2280). Moreover, the substantial right
asserted by defendants will be lost if the trial court's order is
not reviewed before entry of a final judgment. See Cook, 329
N.C. at 491, 406 S.E.2d at 850; Waters, 294 N.C. at 207, 240
S.E.2d at 343. In Lockwood, defendant Macon sought, in the trial
court, an order authorizing the deposition of the plaintiff's
psychiatrist concerning the plaintiff's mental and emotional
health. 261 N.C. at 755-56, 136 S.E.2d at 67-68. The trial
court ruled that the defendant was authorized to proceed with his
deposition, and the plaintiff appealed, asserting the physician-
patient privilege created by N.C.G.S. § 8-53. Id. at 756-57, 136
S.E.2d at 68-69. Reversing the trial court, this Court stated:
Undoubtedly, Judge McConnell's order
purports to compel Dr. Wright to testify
concerning matters which otherwise would be
privileged. Whether Dr. Wright's deposition
is offered in evidence is immaterial. If and
when Dr. Wright is required to testify
concerning privileged matters at a deposition
hearing, eo instante the statutory privilege
is destroyed. This fact precludes dismissal
of the appeal as fragmentary and premature.
Id. at 757, 136 S.E.2d at 69.
In the present case, the Court of Appeals concluded
that application of Lockwood was inappropriate because [t]he
trial court reviewed the material in camera, found no applicable
privilege, and ordered protective measures to insure the material
would be restricted to the parties and their experts. Sharpe,
132 N.C. App. at 226, 511 S.E.2d at 37.
At the outset, we note that the record does not
disclose whether the trial court conducted an in camera review of
the PHP documents.
(See footnote 1)
Moreover, we do not believe that the
existence of protective measures renders the application ofLockwood inappropriate within this context. Specifically,
section 90-21.22(e) provides that [a]ny confidential patient
information and other nonpublic information acquired, created, or
used in good faith by the Academy or a society pursuant to this
section shall remain confidential and shall not be subject to
discovery or subpoena in a civil case and that [n]o person
participating in good faith in the peer review or impaired
physician or impaired physician assistant programs . . . shall be
required in a civil case to disclose any information acquired or
opinions, recommendations, or evaluations acquired or developed
solely in the course of participating in any agreements pursuant
to this section. N.C.G.S. § 90-21.22(e). Therefore, our
decision in Lockwood controls for purposes of determining whether
a substantial right is affected by the trial court's order.
Accordingly, when, as here, a party asserts a statutory
privilege which directly relates to the matter to be disclosed
under an interlocutory discovery order, and the assertion of such
privilege is not otherwise frivolous or insubstantial, the
challenged order affects a substantial right under sections
1-277(a) and 7A-27(d)(1). To the extent such cases as Kaplan v.
Prolife Action League of Greensboro, 123 N.C. App. 677, 474
S.E.2d 408 (1996), differ, they are overruled.
Because the discovery order entered by the trial court
on 24 February 1998 affected a substantial right, the Court of
Appeals erred in dismissing defendants' appeal.
REVERSED.
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