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12/27/95 LARRY CLAY v. LITTLE COMPANY MARY HOSPITAL

December 27, 1995

LARRY CLAY, ET. AL., PLAINTIFFS-APPELLANTS,
v.
LITTLE COMPANY OF MARY HOSPITAL, ET. AL., DEFENDANTS-APPELLEES. SANDRA MCCORD, ET. AL., PLAINTIFFS-APPELLANTS V. OAK PARK HOSPITAL, ET. AL., DEFENDANTS- APPELLEES.



Appeal from the Circuit Court of Cook County. Honorable Lester D. Foreman, Judge Presiding.

The Honorable Justice Tully delivered the opinion of the court: Rizzi, and Cerda, J.j., concur.

The opinion of the court was delivered by: Tully

The Honorable Justice TULLY delivered the opinion of the court:

Plaintiffs filed two separate actions in the circuit court of Cook County. Plaintiffs sought relief under section 8-2001 of the Code of Civil Procedure (hereinafter section 8-2001) (Ill. Rev. Stat. 1991, ch. 110, par. 8-2001 (now 735 ILCS 5/8-2001 (West 1994))) and the Illinois Consumer Fraud and Deceptive Business Practices Act (Ill. Rev. Stat. 1991, ch. 121 1/2, par. 261 et seq. (now 815 ILCS 505/1 et seq. (West 1994))). In the first action, Clay v. Little Company of Mary Hospital (Cir. Ct. Cook Co.), No. 91-CH-3135, seven plaintiffs sued eight hospital-defendants and a private record copy service company, Hospital Correspondence Copiers/Complex Health Care Services (hereinafter HCC). In the second action, McCord v. Oak Park Hospital (Cir. Ct. Cook Co.), No. 91-CH-3205, ten plaintiffs sued nine hospital-defendants and a private record copy service company, Smart Corporation (hereinafter Smart). The circuit court consolidated these cases. Defendants moved to dismiss the complaint for failure to state a cause of action pursuant to section 2-615 of the Code of Civil Procedure. (Ill. Rev. Stat. 1991, ch. 110, par. 2-615 (now 735 ILCS 5/2-615 (West 1994))). The circuit court granted defendants' motion to dismiss. It Is from this judgment that both the original sets of plaintiffs now separately appeal pursuant to Supreme Court Rule 301 (134 Ill. 2d R. 301). We consolidated the two appeals for appellate review.

STATEMENT OF FACTS

Plaintiffs allege that each of them had been a patient in at least one of each defendant-hospitals. Each plaintiff, after being released from the hospital, had requested in writing that their various medical records be sent to themselves, their respective attorneys or their respective agents in order to copy the data. The hospitals complied with the request and sent the documents to be photocopied by one of the photocopy shops, Smart or HCC. However, the hospitals sent the medical records Smart and HCC, without the written approval of plaintiffs. The hospitals then transmitted these photocopies prepared by Smart and HCC to plaintiffs. Plaintiffs were then billed for the cost of copying the records, and some incurred finance charges for not paying the bills on time.

Plaintiffs allege that the hospitals cannot give photocopy shops access to medical records without giving the same access to the patient. Furthermore, plaintiffs state that photocopying a patient's records without the patient's explicit authorization is in breach of the implied confidentiality provisions of section 2-8001.

Plaintiffs further claim that they do not have a contractual relationship with certain photocopy shops, and if they are obligated to pay the copy bills, plaintiffs would incur damages. Plaintiffs argue that they never agreed to pay the copy shops for the services provided. Plaintiffs also allege that defendants have breached the confidentiality of plaintiffs' records. The trial court entered judgment in favor of defendants based upon there being no cause of action. The trial court held that section 8-2001 was an access statute, and that plaintiffs received the required access to their records, and thus no damages were incurred.

Plaintiffs' amended complaint was dismissed by the circuit court for failure to state a cause of action pursuant to section 2-615 of the Code of Civil Procedure (Ill. Rev. Stat. 1987, ch. 110, par 2-615 (now 735 ILCS 5/2-615 (West 1994))). A motion to dismiss under section 2-615 challenges the legal sufficiency of the complaint. ( Urbaitis v. Commonwealth Edison, Inc. (1991), 143 Ill. 2d 458, 159 Ill. Dec. 50, 575 N.E.2d 548.) The relevant inquiry is whether sufficient facts are contained in the pleadings which, if proved, would entitle the plaintiff to relief. ( Urbaitis, 143 Ill. 2d at 475.) Upon review of an order granting a section 2-615 motion, all well-pleaded facts are taken as true. ( Boyd v. Travelers Insurance Co. (1995), 166 Ill. 2d 188, 209 Ill. Dec. 727, 652 N.E.2d 267.) In reviewing orders on motions to dismiss, we apply a de novo standard of review. Dace International, Inc. v. Apple Computer, Inc. (1995), 275 Ill. App. 3d 234, 237, 211 Ill. Dec. 591, 655 N.E.2d 974.

Count I of the amended complaint presents the question of whether section 8-2001 creates a statutory duty wherein a hospital must provide access to the original records for copying upon a patient's request. Section 8-2001 provides as follows:

"Examination of records. Every private and public hospital shall, upon the request of any patient who has been treated in such hospital and after his or her discharge therefrom, permit the patient, his or her physician or authorized attorney to examine the hospital records, including but not limited to the history, bedside notes, charts, pictures and plates, kept in connection with the treatment of such patient, and permit copies of such records to be made by him or her or his or her physician or authorized attorney. A request for examination of the records shall be in writing and shall be delivered to the administrator of such hospital." (Ill. Rev. Stat. 1991, ch. 110, par. 8-2001 (now 735 ILCS 5/8-2001 (West 1994))).

Case law has held that this particular section gives patients access to their records, not necessarily the original records.

The first important case addressing this issue is Cannell v. Medical & Surgical Clinic (1974), 21 Ill. App. 3d 383, 315 N.E.2d 278, wherein an attorney had asked a medical clinic for the medical information of one of his clients. The clinic refused to provide the attorney with the information, and a lawsuit ensued. The Cannell court held that under the physician-patient relationship, a hospital or clinic is required to disclose medical information to a patient or agent upon request. ( Cannell, 21 Ill. App. 3d at 384-5.) The court went on to state "although information must be given, the physician's records themselves need not be turned over to the patient." ( Cannell, 21 Ill. App. 3d at 385.) Thus, Cannell held that clinics and hospitals do not have to give the original records in order to comply with section 8-2001.

In Rabens v. Jackson Park Hospital Foundation (1976), 40 Ill. App. 3d 113, 351 N.E.2d 276, the court upheld Cannell in that hospitals have a common law duty to disclose, upon request, medical data to a patient or his agent. However, the court found that there is no statutory requirement that a patient's medical information be released at no charge. The Rabens court did find a cause of action in part of the plaintiff's amended complaint where he had requested that the administrator specify a reasonable time and place for the examination of the plaintiff's records. The court emphasized that "we do not believe that the statute was intended to require the physician or attorney to physically appear at the hospital and be refused ...


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