16-006583
Christine N. Monkhouse vs.
Davita Healthcare Partners, Inc.
Status: Closed
Recommended Order on Tuesday, May 16, 2017.
Recommended Order on Tuesday, May 16, 2017.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8CHRISTINE N. MONKHOUSE,
11Petitioner,
12vs. Case No. 16 - 6583
18DAVITA HEALTHCARE PARTNERS,
21INC.,
22Respondent.
23_______________________________/
24RECOMMENDED ORDER
26Pursuant to notice, a f ormal hearing was held in this case
38on February 22, 2017, in Deland, Florida, and on March 15, 2017,
50by telephone conference in Tallahassee and Deland, Florida,
58before Suzanne Van Wyk, the duly - designated Administrative Law
68Judge of the Division of Adminis trative Hearings.
76APPEARANCES
77For Petitioner: Christine N. Monkhouse, pro se
841512 Clapton Drive
87Deland, Florida 32720
90For Respondent: Gretchen M aria Lehman, Esquire
97Ogletree, Deakins, Nash,
100Smoak & Stewart, P.C.
104100 North Tampa Street, Suite 3600
110Tampa, Florida 33602
113STATEMENT OF THE ISSUE
117Whether Davita Healthcare Partners, Inc., is liable to
125Petitioner for employm ent discrimination based on race in
134violation of the Florida Civil Rights Act of 1992.
143PRELIMINARY STATEMENT
145Petitioner, Christine N. Monkhouse, filed a Charge of
153Discrimination with the Florida Commission on Human Relations
161(FCHR) on March 18, 2016, alleg ing that her employer, Davita
172Healthcare Partners, Inc., discriminated against her on the basis
181of her race when Petitioner was given a final written warning on
193February 1, 2016. The allegations were investigated, and on
202October 5, 2016, FCHR issued its D etermination of No Cause
213(Determination).
214On November 5, 2016, Petitioner filed a Petition for Relief
224requesting an administrative hearing regarding FCHRÓs
230Determination pursuant to section 760.11(7), Florida Statutes. 1/
238The matter was referred to the D ivision of Administrative
248Hearings on November 10, 2016, for assignment of an
257Administrative Law Judge to conduct a final hearing. The final
267hearing was initially scheduled to commence on January 18, 2017,
277but was subsequently rescheduled to, and convened on,
285February 22, 2017.
288At the final hearing, Petitioner testified on her own behalf
298and offered the testimony of Pamela Maniec. PetitionerÓs
306Exhibits LL, W1, W2, and W3 were admitted in evidence. 2/
317Respondent presented the testimony of Fluerette Dakin - Davis,
326Kelly Jacobs, Karen Corn, and Sharon Alpizar. RespondentÓs
334Exhibits R1, R2, R4, R6, R8 through R16, and R20 through R22 were
347admitted in evidence.
350A three - volume Transcript of the final hearing was filed on
362April 3, 2017. Both parties timely file d Proposed Recommended
372Orders which have been considered in preparation of this
381Recommended Order.
383FINDING S OF FACT
3871. Respondent, Davita Health Care Partners, Inc. (Davita),
395is a subsidiary of Total Renal Laboratory, which treats patients
405with end - stage renal disease who require kidney dialysis
415treatment. Davita processes lab specimens for patients receiving
423kidney dialysis services. Processing lab specimens involves
430performing laboratory tests on the tissue, blood, and other
439specimens taken from patien ts.
4442. Petitioner, who is African - American, has been employed
454by Davita since July 2007. PetitionerÓs current position is
463Compliance Specialist in the Compliance Department, which she has
472held since March 2016.
4763. Petitioner previously held the position of Payer Rules
485Specialist II within the Payer Rules team in Patient
494Accounting. 3/
4964. The general job description of the Payer Rules
505Specialist II was to ensure that Davita was billing compliantly
515based on the payerÓs rules and regulations.
5225. The Payer Rules team consisted of four teammates,
531Petitioner, Pamela Maniec, and two additional employees.
5386. Ms. Maniec held the pos ition of Payer Rules
548Specialist III and became the Ðteam leadÑ in mid - 2015. As team
561lead, Ms. Maniec was responsible to assign, and oversee
570completion of, tasks for the other teammates.
5777. The Payer Rules team was responsible for ensuring the
587accuracy of certain information on which Davita bases its patient
597billing. For example, government payers, such as Medicare, issue
606bulletins s pecifying what types of tests will be covered and how
618frequently the tests may be ordered. If Davita issued bills to
629Medicare patients charging for tests which were not covered, or
639tests that had been ordered too frequently, Medicare would deny
649the claim and Davita would not be paid. Moreover, frequent
659billing errors may result in investigations of Davita by
668government payers.
6708. The Payer Rules team was responsible to ensure that the
681current version of government - payer rules was updated in DavitaÓs
692bill ing system.
6959. For Medicare billings, two sets of rules are most
705critical: National Coverage Determinations (NCDs), which specify
712covered tests from Federal Medicare; and Local Coverage
720Determinations (LCDs), which track state - specific rules governing
729co vered tests. NCDs and LCDs are published quarterly by the
740Centers for Medicare and Medicaid Services (CMS) and are
749available for download through the CMS website. The Payer Rules
759team was charged with the responsibility to review NCDs and LCDs
770quarterly and upload any changes to the Davita billing system.
78010. The Payer Rules team was also responsible for uploading
790changes in the ÐCodeMap medical necessityÑ database to the Davita
800billing system. The Codemap database contains a list of testing
810procedures which may only be performed with specific associated
819diagnoses. The team was responsible for reviewing the quarterly
828CodeMap updates and uploading the data to the Davita billing
838system.
83911. Finally, the Payer Rules team was responsible for
848Correct Coding Initiatives updates, or CCIs. CCIs are published
857by CMS within days of the quarterly NCDs and LCDs, and ÐeditÑ the
870information in those publications related to what types of test
880can and cannot be billed together.
886Q4 2015 CodeMap Issue
89012. DavitaÓs Pati ent Accounting Supervisor is Fleurette
898Dakin - Davis, who is African - American and who supervises the Payer
911Rules team, including Petitioner.
91513. In late December 2015, Karen Jacobs, Director of
924Patient Accounting, asked Ms. Dakin - Davis why the fourth quarte r
9362015 CodeMap file (Q4 2015), which had been received in late
947September, had not been uploaded to the Davita billing system.
957Ms. Dakin - Davis replied that she would look into it.
96814. Ms. Dakin - Davis approached Ms. Maniec and inquired
978about the delay in u ploading the Q4 2015. Ms. Maniec indicated
990she would ask the Petitioner what was taking so long.
100015. Ms. Maniec asked Petitioner about the delay in the
1010Q4 2015 update, and Petitioner explained she had not uploaded the
1021Q4 2015 because of discrepancies bet ween that file and recently -
1033updated diagnosis codes known as the ICD - 10.
104216. On January 5, 2016, Ms. Maniec sent an email to
1053Ms. Dakin - Davis, with copies to Ms. Jacobs and Karen Corn , the
1066Patient Accounting Manager, relaying her conversation with
1073Petition er and PetitionerÓs explanation for the delay. In the
1083email, Ms. ManiecÓs email noted, ÐThis was an error on
1093ChristineÓs part.Ñ
109517. On January 12, 2016, Ms. Dakin - Davis and Ms. C orn met
1109with Petitioner and discussed th e error in not uploading the
1120Q4 2015 , the potential impact the error had on patient billing,
1131and the expectations going forward. Ms. Dakin - Davis described
1141this ÐdiscussionÑ with Petitioner as a Ðverbal warning.Ñ
114918. That same date, Ms. Dakin - Davis completed a corrective
1160action form, provid ing written documentation of PetitionerÓs
1168verbal warning for failing to timely upload the Q4 2015. In the
1180section titled ÐExpectations Moving Forward,Ñ Ms. Dakin - Davis
1190noted, as follows:
1193It is expected that the medical necessity
1200file will be updated withi n the first two
1209weeks of file receipt.
1213It is expected that if you are unable to
1222perform a task due to other priorities, that
1230this is communicated to both the team lead
1238and supervisor.
124019. The follow ing day, January 13, 2016, Ms. C orn sent the
1253following email to Petitioner, copying Ms. Dakin - Davis and
1263Ms. Maniec:
1265Christine -- per our conversation yesterday
1271afternoon n ew goals were established for
12782 processes you are responsible for and are
1286listed below. The goals will ensure we have
1294reviewed and submitted any applicable changes
1300in a timely manner. This will prevent any
1308future misses for these updates on our team.
1316 NCD/LCD & LMRP review and update: The LMRP
1325file will be saved on the network and an
1334email will be sent to Christine on a
1342quarterly basis when t he file is available.
1350Christine will pull the NCD/LCD list directly
1357from CMS.
1359GOAL: The LMRP & NCD/LCDÓs will be reviewed,
1367edits suggested, a QA performed and final
1374edits suggested within the first 2 weeks
1381after the file is available.
1386 NCCI Edits: NCCI edits are published within
1394the last several days of a Qtr. up until the
1404first few days of every new Qtr. Christine
1412will pull the updated list directly from CMS
1420on a quarterly basis.
1424GOAL: NCCI edits will be reviewed, edits
1431suggested, a QA performed and f inal edits
1439completed by the 7th calendar day of every
1447new quarter.
1449If you are unable to meet the goals specified
1458due to other priorities, it is expected you
1466communicate this with both the team lead and
1474Supervisor prior to the due date.
1480Although the payer bulletins may be
1486reallocated to compliance at a later date, I
1494will be setting up some time to further
1502discuss this process. If we currently do not
1510have one, we will need to establish a
1518schedule to ensure these are being reviewed
1525and actions are taken time ly.
153120. Davita procedure does not require that the employee be
1541given a copy of, or even sign, a documented Ðverbal warning.Ñ
1552Petitioner was not provided a copy of the January 12, 2016,
1563verbal warning. At final hearing, Petitioner testified that she
1572was unaware of the written verbal warning until that document was
1583revealed during the FCHR investigation of her Charge of
1592Discrimination.
159321. The written verbal warning was not placed in
1602PetitionerÓs human resources file. This documentation of the
1610verbal wa rning was placed only in the managerÓs file.
162022. Petitioner received no suspension, demotion, reduction
1627in pay, or change in job duties based on the written verbal
1639warning.
1640January CCI Edit Error
164423. On January 20, 2016, Susan McNeice, an employee in a
1655different team, brought to Ms. ManiecÓs attention some denials of
1665Medicare claims which appeared to be a CCI edit issue.
1675Ms. McNeice asked Ms. Maniec to review the system data to
1686determine the source of the error.
169224. Ms. Maniec reviewed the edits in th e system and could
1704not find any discrepancy. She then brought the denial to
1714PetitionerÓs attention and requested Petitioner to review the
1722text file she would have uploaded for the prior quarter. After
1733her review, Petitioner told Ms. Maniec that she had u ploaded the
1745wrong file into the Davita billing system.
175225. Ms. Maniec informed Petitioner she would have to report
1762the error to Ms. Dakin - Davis. In response, Petitioner said to
1774Ms. Maniec something to the effect of, ÐDonÓt open your mouth
1785until I have l ooked at it more.Ñ
179326. Petitioner does not deny asking Ms. Maniec to hold off
1804on reporting the error to management, but testified that she only
1815wanted the time to figure out how the error occurred and
1826calculate the financial impact on billing prior to rep orting the
1837error.
183827. Petitioner proceeded to investigate how the error
1846occurred, as well as its impact on DavitaÓs billings. At around
18572:30 p.m. that day, Petitioner emailed Ms. Dakin - Davis, her
1868supervisor, explaining that Ms. McNeice had brought some payer
1877denials to the teamÓs attention, and that she had investigated
1887and discovered that the October 2015 CCI edit upload was
1897incorrect. Further, Petitioner related that she had isolated the
1906particular diagnosis codes affected and was running a query to
1916d etermine how many incorrect bills were generated.
192428. In her email, Petitioner stated, as follows:
1932This appears to have happened by the
1939ÒduplicatesÓ being uploaded instead of
1944deleted from the file after the process file
1952was complete for upload. The proce ss calls
1960for the duplicate to be removed.
1966In order to prevent this from happening in
1974the future an additional QA step was added to
1983the process for the file to be QA after
1992upload.
199329. In response to PetitionerÓs email, Ms. Dakin - Davis
2003wrote, ÐThe current P&P states that once the data is uploaded, a
2015QA of the upload is supposed to be done. What additional QA are
2028you referring to?Ñ In reply, Petitioner wrote, ÐWe normally QA
2039prior to upload. IÓll double check the P&P.Ñ
204730. The ÐP&PÑ is a reference to Da vita Policy PAP 1006:
2059CCI Edits. The purpose of the policy is to ÐMaintain the most
2071current CMS CCI edits for accurate billing. Ensure compliance
2080with all federal billing guidelines.Ñ The Policy sets out the
2090procedural steps for downloading CCI edits f rom the CMS website,
2101manipulating the data, saving it as a text file, and uploading it
2113to the Davita billing system.
211831. The final step in the process is to Ð[p]erform a
2129quality check on the newly updated data confirming accurate
2138uploading.Ñ
213932. Petiti oner is the author of PAP 1006, which she created
2151in 2013.
215333. Ms. Dakin - Davis was justifiably surprised at
2162PetitionerÓs apparent unfamiliarity with the post - upload QA
2171requirement. It i s easy to understand how PetitionerÓs
2180suggestion that a post - upload Q A step be added to the P&P could
2195be seen as an effort to conceal her error.
220434. Ms. Maniec reported the error to Ms. Dakin - Davis in her
2217office following lunch. Ms. Dakin - Davis instructed Ms. Maniec to
2228document the issue, which Ms. Maniec did by email to Ms. Dakin -
2241Davis the following day, January 21, 2016. Ms. Dakin - Davis
2252forwarded Ms. ManiecÓs email to Ms. Jacobs.
225935. Ms. Jacobs and Ms. Dakin - Davis met with Petitioner that
2271same day and confronted her about the statement, ÐDonÓt open your
2282mouth until I look at it further,Ñ that she had made to
2295Ms. Maniec. Ms. Jacobs and Ms. Dakin - Davis construed this
2306statement as an effort by Petitioner to conceal her CCI edit
2317error. Ms. Jacobs counseled Petitioner about appropriate
2324language to be used with other team mates, as well as the
2336importance of reporting any error, no matter the dollar amount,
2346to the Director.
234936. On February 1, 2016, Ms. Corn issued Petitioner a Final
2360Written Warning regarding the incident, using the companyÓs
2368Universal Corrective Action For m. The following description of
2377the incident is particularly relevant:
23821/20/2016 - [I]t was discovered via another
2389team receiving denials that the CCI edit
2396changes that were made in October 2015 were
2404incorrect. The changes to the CCI edits are
2412the respon sibility of Christine to complete
2419and QA once the changes are made to the
2428[Accounts Receivable] AR system. The team
2434lead discovered the error and went to
2441Christine to review her process as the data
2449was incorrect in the AR system. ChristineÓs
2456reply to the team lead was ÐdonÓt open your
2465mouth until I have looked at it more.Ñ The
2474leadÓs reply was that these type of errors
2482effect appropriate billing and will be
2488reported immediately to the leadership team.
2494The Supervisor was made aware of the issue by
2503the te am that receives the denials,
2510Supervisor questioned Christine about the
2515error and why the final QA was not performed
2524on the data that is part of the formal policy
2534and procedure. ChristineÓs reply was that
2540she was not aware a final QA was expected.
2549Superv isor pushed back as Christine was the
2557teammate that wrote the P&P detailing a final
2565QA is expected.
25681/21/2016 - Director of [Patient Accounting]
2574and Supervisor had a verbal conversation with
2581Christine in regards to her comment ÐdonÓt
2588open your mouth until I have looked at it
2597more.Ñ Director asked Christine if she ever
2604made that comment to the team lead. She
2612stated that she cannot confirm that she used
2620those exact words and meant that she wanted
2628to identify the dollar impact before it
2635should be shared. D irector counseled her on
2643being aware of her language when she
2650communicates to other teammates.
2654Director also informed Christine that
2659regardless of the dollar amount of an error,
2667she, Director, should be informed of any
2674error that pertains to billing. The
2680expectation is for Christine to be
2686transparent and disclose immediately when an
2692issue is identified.
269537. In the section of the Corrective Action Form titled
2705ÐExpectations Moving Forward,Ñ Ms. Corn noted:
2712Immediately and on a sustained basis it is
2720our e xpectation that you perform your job
2728duties at a satisfactory level to include the
2736following:
2737It is expected that all tasks assigned to
2745Christine are completed within the
2750appropriate time frame and the policy and
2757procedure for each is followed.
2762It is exp ected that if you are unable to
2772perform a task due to other priorities, that
2780this is communicated to both the team lead
2788and supervisor.
2790It is expected that Christine demonstrate our
2797core value of integrity and immediately
2803disclose an issue when it is iden tified.
2811Going forward, any behaviors not
2816demonstrating our core values, and most
2822specifically integrity, will not be
2827tolerated.
2828In addition, it is our expectation that you
2836adhere to all Davita Policies, Procedures and
2843Guidelines and exemplify the Core Va lues.
285038. Ms. Corn presented the Final Written Warning to
2859Petitioner in her office with Ms. Dakin - Davis present.
2869Petitioner refused to sign the acknowledgment section of the
2878corrective action.
288039. Neither party introduced DavitaÓs disciplinary policy
2887into evidence. There is enough record evidence to find that
2897Davita follows a progressive discipline program. There is no
2906reliable record evidence of the effect on an employeeÓs status
2916based on issuance of a final written warning. 4/
292540. Petitioner receiv ed no change in job duties or salary,
2936demotion, or suspension, based on the final written warning.
2945Petitioner received a merit pay increase in 2016 following the
2955issuance of the final written warning. Petitioner speculated
2963that her pay increase would hav e been higher without the final
2975written warning on her record.
2980Responsibility for the Errors
298441. PetitionerÓs case centers on her argument that both
2993Petitioner and Ms. Maniec, who is Caucasia n, were equally
3003responsible for the Q4 2015 upload and the CCI e dits, but only
3016Petitioner was disciplined for the errors. Petitioner maintains
3024that she was selectively disciplined based upon her race.
303342. Ms. Maniec is the Payer Rules team l ead, responsible
3044for assigning and overseeing tasks of the P ayer R ules team mates.
305743. With regard to the Q4 2015, Petitioner argued that she
3068and Ms. Maniec had agreed not to upload the Q4 2015 because of
3081conflicts with the diagnosis codes in the ICD 10, which would be
3093corrected by the next quarterly update. Ms. Maniec denied t hat
3104she had ever agreed to hold off on uploading the Q4 2015.
3116Neither Petitioner nor Ms. Maniec had authority to decide not to
3127upload the Q4 2015. That is a decision that would have had to be
3141made by management.
314444. Ms. Maniec testified, credibly, that her responsibility
3152with both the Q4 2015 and the CCI e dits was quality assurance,
3165not initial data download and manipulation.
317145. PetitionerÓs testimony that she and Ms. Maniec had
3180agreed together not to upload the Q4 2015 was simply not
3191credible.
319246. Petitioner had the r esponsibility to perform the
3201Q4 2015 update and failed to do so.
320947. With respect to the CCI e dits, Ms. Maniec was
3220responsible to perform a QA check of the data file following
3231PetitionerÓs manipulations, but prior to the upload.
323848. On October 6, 2015, Petitioner emailed Ms. Maniec, ÐI
3248have completed the October 2015 NCCI edits for upload, can you
3259please QA.Ñ Petitioner attached a file titled ÐNCCI New/October
32682015.Ñ
326949. On October 13, 2015, Ms. Maniec replied, ÐI have QAÓd
3280the d ata and agree with your findings. The file is ready for
3293upload.Ñ
329450. That same day, Petitioner replied, ÐUpload is complete.
3303See you next quarter.Ñ
330751. PAP 1006 requires a final QA to be performed on the
3319Ðnewly updated data confirming accurate upload ing.Ñ Petitioner
3327did not refute testimony that the final QA on the uploaded data
3339was PetitionerÓs responsibility.
334252. Petitioner did not prove that Ms. Maniec was
3351responsible for QA of the final uploaded data, or that Ms. Maniec
3363was oth erwise responsibl e for the CCI e dit error that created the
3377incorrect billings.
337953. Petitioner did not perform the final QA, even though
3389she authored the policy requiring it. Furthermore, when
3397confronted with the error, Petitioner suggested that she was
3406adding a final QA step to the process to prevent similar errors
3418in the future. Ms. Dakin - DavisÓ met this suggestion as suspect
3430given PetitionerÓs familiarity with the policy.
3436PetitionerÓs Transfer
343854. In March 2016, Davita dissolved the Payer Rules team
3448for reasons unrel ated to the instant case. Each of the Payer
3460Rules teammates was allowed to transfer to another position with
3470Davita.
347155. Petitioner transferred to the Compliance Department in
3479her current position of Compliance Specialist.
3485CONCLUSIONS OF LAW
348856. The Di vision of Administrative Hearings has
3496jurisdiction over the parties and the subject matter of this
3506cause pursuant to sections 120.569 and 120.57(1), Florida
3514Statutes.
351557. The Florida Civil Rights Act of 1992 (ÐFCRAÑ) prohibits
3525discrimination in the workpl ace. Among other things, FCRA makes
3535it unlawful for an employer:
3540To limit, segregate, or classify employees or
3547applicants for employment in any way which
3554would deprive or tend to deprive any
3561individual of employment opportunities, or
3566adversely affect any individualÓs status as
3572an employee, because of such individualÓs
3578race, color, religion, sex, pregnancy,
3583national origin, age, handicap, or marital
3589status.
3590§ 760.10(1)(b), Fla. Stat.
359458. FloridaÓs chapter 760 is patterned after Title VII of
3604the Civil Rig hts Act of 1964, as amended. Consequently, Florida
3615courts look to federal case law when interpreting chapter 760.
3625Valenzuela v. Globe Ground N. Am., LLC , 18 So. 3d 17 (Fla. 3rd
3638DCA 2009).
364059. Petitioner claims she was discriminated against by
3648Da vita b ased on her race (African - American) in violation of FCRA.
3662Specifically, Petitioner alleges that race was a motivating
3670factor in RespondentÓs decision to discipline Petitioner.
367760. Section 760.11(7) permits a party who receives a no
3687cause determination t o request a formal administrative hearing
3696before the Division of Administrative Hearings. ÐIf the
3704administrative law judge finds that a violation of the Florida
3714Civil Rights Act of 1992 has occurred, he or she shall issue an
3727appropriate recommended order to the commission prohibiting the
3735practice and recommending affirmative relief from the effects of
3744the practice, including back pay.Ñ Id.
375061. Petitioner claims disparate treatment (as opposed to
3758disparate impact) under the FCRA; in other words, she clai ms she
3770was treated differently because of her race. Petitioner has the
3780burden of proving by a preponderance of the evidence that
3790Respondent discriminated against her. See Fla. DepÓt of Transp.
3799v. J.W.C. Co. , 396 So. 2d 778 (Fla. 1st DCA 1981).
381062. A p arty may prove unlawful race discrimination by
3820direct or circumstantial evidence. Smith v. Fla. DepÓt of
3829Corr. , Case No. 2:07 - cv - 631, (M.D. Fla. May 27, 2009); 2009 U.S.
3844Dist. LEXIS 44885 (M.D. Fla. 2009). When a petitioner alleges
3854disparate treatment un der the FCRA, the petitioner must prove
3864that her race Ðactually motivated the employerÓs decision. That
3873is, the [petitionerÓs race] Òmust have actually played a role
3883[in the employerÓs decision making] process and had a
3892determinative influence on the outc ome.ÓÑ Reeves v. Sanderson
3901Plumbing Prods., Inc. , 530 U.S. 133, 141 (2000) (alteration in
3911original).
391263. Direct evidence is evidence that, Ðif believed, proves
3921[the] existence of [a] fact in issue without inference or
3931presumption.Ñ Burrell v. Bd. of Tr s. of Ga. Mil. Coll. ,
3942125 F.3d 1390, 1393 (11th Cir. 1997). Direct evidence consists
3952of Ðonly the most blatant remarks, whose intent could be nothing
3963other than to discriminateÑ on the basis of an impermissible
3973factor. Carter v. City of Miami , 870 F.2d 578, 582 (11th Cir.
39851989).
398664. The record in this case did not establish unlawful
3996race discrimination by direct evidence.
400165. To prove unlawful discrimination by circumstantial
4008evidence, a party must establish a prima facie case of
4018discrimination by a preponderance of the evidence. If
4026successful, this creates a presumption of discrimination. Then
4034the burden shifts to the employer to offer a legitimate, non -
4046discriminatory reason for the adverse employment action. If the
4055employer meets that burden, the presumption disappears and the
4064employee must prove that the legitimate reasons were a pretext.
4074Valenzuela v. GlobeGround N. Am., LLC , supra . Facts that are
4085sufficient to establish a prima facie case must be adequate to
4096permit an inference of discriminat ion. Id.
410366. Accordingly, Petitioner must prove discrimination by
4110indirect or circumstantial evidence under the McDonnell Douglas
4118framework. Petitioner must first establish a prima facie case
4127by showing: (1) she is a member of a protected class; (2) she
4140was qualified for the position held; (3) she was subjected to an
4152adverse employment action; and (4) other similarly - situated
4161employees, who are not members of the protected group, were
4171treated more favorably than Petitioner. See McDonnell Douglas
4179Corp . v. Green , 411 U.S. 792, 802 (1973). ÐWhen comparing
4190similarly situated individuals to raise an inference of
4198discriminatory motivation, these individuals must be similarly
4205situated in all relevant respects.Ñ Jackson v. BellSouth
4213Telecomm. , 372 F.3d 1250 , 1273 (l1th Cir. 2004).
422167. Thus, in order to establish a prima facie case of
4232disparate treatment based on race, Petitioner must show that
4241Davita treated similarly situated non - African - American employees
4251differently or less severely. Valdes v. Miami - Da de Coll. ,
4262463 Fed. Appx. 843, 845 (11th Cir. 2012); Camara v. Brinker
4273IntÓl , 161 Fed. Appx. 893 (11th Cir. 2006).
428168. The Findings of Fact here are not sufficient to
4291establish a prima facie case of discrimination based on race.
4301Petitioner did establish the first two elements: she is a
4311member of a protected class -- African - American -- and she was
4324qualified for the position of Payer Rules Specialist II.
4333However, Petitioner did not establish the third element -- that
4343she suffered an adverse employment action.
434969. ÐNot all conduct by an employer negatively affecting
4358an employee constitutes adverse employment action.Ñ Davis v.
4366Town of Lake Park Fla. , 245 F. 3d 1232, 1238 (11th Cir.
43782001)(Plaintiff, who received one oral reprimand, one written
4386reprimand, the wi thholding of a bank key, and a restriction on
4398cashing non - account - holder checks, did not suffer an adverse
4410employment action). ÐThe asserted impact cannot be speculative
4418and must at least have a tangible adverse effect on the
4429plaintiffÓs employment.Ñ Id. at 1239. An employee is required
4438to show a Ðserious and material change in the terms, conditions,
4449or privileges of employment.Ñ Id.
445470. In this case, the record does not support a finding
4465that Petitioner suffered an adverse employment action. Neither
4473the verbal warning nor the final written warning had any
4483tangible effect on PetitionerÓs employment. Neither action
4490resulted in her termination, demotion, suspension, a reduction
4498in pay, or a change in job duties. Despite the final written
4510warning, Petit ioner received a merit pay increase in 2016.
4520While Petitioner speculated that she would have been eligible
4529for a greater pay increase without the final written warning,
4539such speculation is insufficient to establish a tangible adverse
4548effect on PetitionerÓ s employment. See Barnett v. Athens RegÓl
4558Med. Ctr. , 2013 U.S. App. LEXIS 248677 (11th Cir. Dec. 16,
45692013)(Although Plaintiff speculated that his written reprimands
4576and negative performance reviews might have been used by his
4586employer as grounds for futur e adverse employment action, he did
4597not establish that they actually led to any tangible effect on
4608his employment).
461071. The fact that the final written warning was a step in
4622DavitaÓs progressive disciplinary policy was also an
4629insufficient basis to conclu de that it constituted an adverse
4639employment action. See Barnett , 2013 U.S. App. LEXIS 24867 *5 - 6
4651(Plaintiff Ós argument that the written reprimands and the
4660negative performance evaluation were steps in the employerÓs
4668progressive disciplinary policy , which could have led to harsher
4677disciplinary action , was insufficient to establish an adverse
4685employment action.) The Petitioner must establish that the
4693actions actually led to any tangible effect on his or her
4704employment. Id.
470672. Assuming, arguendo, that ei ther the verbal or final
4716written warning did constitute an adverse employment action,
4724Petitioner still failed to establish a prima facie case because
4734she did not establish that similarly - situated employees outside
4744of her protected class were treated more f avorably.
475373. Petitioner presented evidence attempting to show that
4761Davita treated Caucasian team lead Ms. Maniec more favorably
4770than it did her when the error in uploading the CCI e dits came
4784to light. To be a proper comparator, Ms. ManiecÓs conduct mus t
4796have been Ðnearly identicalÑ to PetitionerÓs. Vickers v.
4804Hyundai Motor Mfg. Ala., LLC , 2016 U.S. App. LEXIS 6741 (11th
4815Cir. Apr. 14, 2016); and Stone & Webster Constr., Inc. v. U.S.
4827DepÓt of Labor , 684 F.3d 1127, 1134 - 35 (11th Cir. 2012). This
4840requirem ent prevents courts from Ðsecond - guessing employersÓ
4849reasonable decisions and confusing apples with oranges.Ñ
4856Maniccia v. Brown , 171 F.3d 1364, 1368 (11th Cir. 1999).
486674. The evidence shows that Ms. ManiecÓs conduct was not
4876at all similar to PetitionerÓ s. First, PetitionerÓs contention
4885that the two employees were e qually responsible for the CCI e dit
4898error was unsupported by the record evidence. Petitioner was
4907responsible to download the edits from CMS and manipulate the
4917data to remove duplicates and ed it incorrect diagnostic codes,
4927which she did. Ms. Maniec was responsible to QA the data prior
4939to upload to ensure accuracy, which she did. Petitioner was
4949clearly responsible to perform the post - upload QA, which she
4960failed to do. The employeesÓ actions w ere not at all similar --
4973only Petitioner failed to perform h er duty with regard to the
4985CCI e dit.
498875. Further, PetitionerÓs behavior when confronted with
4995the error was significantly different from Ms. ManiecÓs. While
5004Ms. Maniec recognized the responsibili ty to immediately report
5013the error to management to prevent further erroneous billing,
5022Petitioner wanted to wait until she had the details of the
5033fiscal impact prior to reporting. The record is clear that
5043PetitionerÓs discipline was related more to her at tempt to
5053conceal the error than the commission of the error itself.
5063Thus, Ms. ManiecÓs behavior was diametrically opposed to
5071PetitionerÓs since Ms. Maniec did not engage in any effort to
5082delay reporting the error to management.
508876. In short, Ms. Maniec was not a proper comparator, and
5099Petitioner fell short of establishing her prima facie case.
5108See Robinson v. Colquitt EMC , 2016 U.S. App. LEXIS 10040 (11th
5119Cir. June 2, 2016) (summary judgment for the employer affirmed
5129in race discrimination action where the plaintiff failed to
5138present sufficient evidence of a proper comparator).
514577. Even assuming, arguendo, that Petitioner established a
5153prima facie case of discrimination, Respondent presented
5160persuasive documentary and testimonial evidence that it
5167disc iplined Petitioner because of its reasonable belief she had
5177exhibited a lack of integrity in failing to disclose the CCI
5188e dit error immediately, and that she engaged in unprofessional
5198conduct when she instructed Ms. Maniec to do the same. As such,
5210Davita has met its burden to establish legitimate, non -
5220discriminatory business reasons for its decision to discipline
5228Petitioner.
522978. Petitioner did not present any credible evidence that
5238RespondentÓs reason for disciplining her was a pretext for
5247discrimination . Petitioner expressed her belief that her
5255discipline was unfair because it was based upon facts with which
5266she disagreed, but disagreement with the employerÓs decision
5274falls short of the showing necessary to establish pretext.
5283Chambers v. Walt Disney Wo rld Co. , 132 F. Supp. 2d 1356, 1366
5296(M.D. Fla. 2001). Courts Ðdo not sit as a super - personnel
5308department that examines an entityÓs business decisions.Ñ
5315Chapman v. AI Transport , 229 F.3d 1012, 1033 (11th Cir. 2000)
5326(en banc) (citations omitted).
533079. ÐTh e ultimate burden of persuading the trier of fact
5341that the [employer] intentionally discriminated against the
5348[employee] remains at all times with the [employee].Ñ Texas
5357DepÓt of Cmty. Affairs v. Burdine , 450 U.S. at 253. In this
5369case, Petitioner failed to meet her burden.
5376RECOMMENDATION
5377Based on the foregoing Findings of Fact and Conclusions of
5387Law, it is RECOMMENDED that the Florida Commission on Human
5397Relations dismiss the Petition for Relief from an Unlawful
5406Employment Practice filed against Responden t.
5412DONE AND ENTERED this 1 6 th day of May , 2017 , in
5424Tallahassee, Leon County, Florida.
5428S
5429SUZANNE VAN WYK
5432Administrative Law Judge
5435Division of Administrative Hearings
5439The DeSoto Building
54421230 Apalachee Parkway
5445Tallahassee , Florida 32399 - 3060
5450(850) 488 - 9675
5454Fax Filing (850) 921 - 6847
5460www.doah.state.fl.us
5461Filed with the Clerk of the
5467Division of Administrative Hearings
5471this 1 6 th day of May , 2017 .
5480ENDNOTE S
54821/ All references to the Florida Statutes are to the 2016
5493version, unless otherwise noted herein.
54982/ The balance of PetitionerÓs exhibits were excluded because
5507she did not comply with the undersignedÓs Order of Pre - hearing
5519Instructions which directed the parties to exchange, no later
5528than seven days before the final he aring, copies of all documents
5540which they intended to offer as exhibits. As of the date of
5552final hearing, Petitioner had not disclosed to Respondent any
5561documents she intended to offer as exhibits.
55683/ Davita eliminated the Payer Rules team in March 2016 , thus
5579the past tense is used in reference to the team.
55894/ Petitioner testified that, due to the final written warning,
5599she was ineligible for the bonus pool in 2016 and unable to apply
5612for a transfer to a new position for six months. However,
5623Petitione rÓs knowledge was based solely on what she read or was
5635told through the Davita personnel system. PetitionerÓs hearsay
5643testimony was not corroborated by any non - hearsay evidence.
5653COPIES FURNISHED:
5655Tammy S. Barton, Agency Clerk
5660Florida Commission on Hum an Relations
5666Room 110
56684075 Esplanade Way
5671Tallahassee, Florida 32399
5674(eServed)
5675Dorothy Parson, Esquire
5678Ogletree, Deakins, Nash,
5681Smoak, and Stewart, P.C.
5685Suite 4600
5687111 Monument Circle
5690Indianapolis, Indiana 46204
5693Christine N. Monkhouse
56961512 Clapton Dr ive
5700Deland, Florida 32720
5703(eServed)
5704Gretchen Maria Lehman, Esquire
5708Ogletree, Deakins, Nash,
5711Smoak & Stewart, P.C.
5715Suite 3600
5717100 North Tampa Street
5721Tampa, Florida 33602
5724(eServed)
5725Cheyanne Costilla, General Counsel
5729Florida Commission on Human Relatio ns
57354075 Esplanade Way, Room 110
5740Tallahassee, Florida 32399
5743(eServed)
5744NOTICE OF RIGHT TO SUBMIT EXCEPTIONS
5750All parties have the right to submit written exceptions within
576015 days from the date of this Recommended Order. Any exceptions
5771to this Recommende d Order should be filed with the agency that
5783will issue the Final Order in this case.
- Date
- Proceedings
- PDF:
- Date: 08/04/2017
- Proceedings: Agency Final Order Dismissing Petition for Relief from an Unlawful Employment Practice filed.
- PDF:
- Date: 05/16/2017
- Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
- PDF:
- Date: 05/16/2017
- Proceedings: Recommended Order (hearing held February 22 and March 15, 2017). CASE CLOSED.
- PDF:
- Date: 04/12/2017
- Proceedings: Plaintiff Motion to Deny Respondent Motion for Extension of Time to Submit Post-Hearing Briefs filed.
- PDF:
- Date: 04/11/2017
- Proceedings: Davita Healthcare Partners Inc.'s Motion for Extension of Time to Submit Post-hearing Briefs filed.
- Date: 04/03/2017
- Proceedings: Transcript of Proceedings (not available for viewing) filed.
- Date: 03/15/2017
- Proceedings: CASE STATUS: Hearing Held.
- PDF:
- Date: 03/13/2017
- Proceedings: Respondent's Response In Opposition to Petitioner's Motion for Rebuttal Evidence filed.
- PDF:
- Date: 03/09/2017
- Proceedings: Notice of Telephonic Hearing on Petitoner's Motion for Rebuttal Evidence.
- PDF:
- Date: 03/09/2017
- Proceedings: Order Re-scheduling Hearing by Telephone (hearing set for March 15, 2017; 10:00 a.m.).
- Date: 02/22/2017
- Proceedings: CASE STATUS: Hearing Partially Held; continued to date not certain.
- PDF:
- Date: 02/16/2017
- Proceedings: Amended Order Re-scheduling Hearing (hearing set for February 22, 2017; 10:30 a.m.; Deland, FL).
- PDF:
- Date: 01/25/2017
- Proceedings: Order Re-scheduling Hearing (hearing set for February 22, 2017; 9:30 a.m.; Deland, FL).
- PDF:
- Date: 01/17/2017
- Proceedings: Respondent's Motion for Extension of Time to Submit Status Update filed.
- PDF:
- Date: 12/27/2016
- Proceedings: Order Granting Continuance (parties to advise status by January 17, 2017).
Case Information
- Judge:
- LAWRENCE P. STEVENSON
- Date Filed:
- 11/10/2016
- Date Assignment:
- 02/15/2017
- Last Docket Entry:
- 08/04/2017
- Location:
- Deland, Florida
- District:
- Northern
- Agency:
- ADOPTED IN TOTO
Counsels
-
Tammy S Barton, Agency Clerk
Florida Commission on Human Relations
Room 110
4075 Esplanade Way
Tallahassee, FL 32399
(850) 907-6808 -
Christine N. Monkhouse
1512 Clapton Drive
Deland, FL 32720 -
Dorothy Parson, Esquire
Ogletree, Deakins, Nash, Smoak, and Stewart, P.C.
Suite 4600
111 Monument Circle
Indianapolis, IN 46204 -
Gretchen Maria Lehman, Esquire
Ogletree, Deakins, Nash,
Suite 3600
100 North Tampa Street
Tampa, FL 33602
(813) 289-1247 -
Christine Monkhouse
1512 Clapton Drive
Deland, FL 32720
(386) 748-0532 -
Tammy S Barton, Agency Clerk
Address of Record -
Gretchen Maria Lehman, Esquire
Address of Record -
Dorothy Parson, Esquire
Address of Record -
Tammy S. Barton, Agency Clerk
Address of Record