Opinion

Dorsey, LaToya v. Amazon.com, Inc.

  • 2015 TN WC App. 11
Court
Tennessee Workers' Compensation Appeals Board
Filed
May 14, 2015
Status
Published
On the bench
Marshall L. Davidson III, David F. Hensley, Timothy W. Conner
Cited by
0 cases
Authority
More cited than 12.4%

The opinion

TENNESSEE DIVISION OF WORKERS’ COMPENSATION

WORKERS’ COMPENSATION APPEALS BOARD

Employee: LaToya Dorsey ) Docket No. 2015-01-0017

)

Employer: Amazon.com, Inc. ) State File No. 7541-2015

CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the Appeals Board’s decision in the

referenced case was sent to the following recipients by the following methods of service

on this the 14th day of May, 2015.

Name Certified First Class Via Fax Via Email Address

Mail Mail Fax Number Email

LaToya Dorsey X LatoyaWilson73@yahoo.com

Kristen Stevenson X Kcstevenson@mijs.com

Thomas Wyatt, Judge X Via Electronic Mail

Kenneth M. Switzer, X Via Electronic Mail

Chief Judge

Penny Shrum, Clerk, X Penny.Patterson-Shrum@tn.gov

Court of Workers’

Compensation Claims

Matthew Salyer

Clerk, Workers’ Compensation Appeals Board

220 French Landing Dr., Ste. 1-B

Nashville, TN 37243

Telephone: 615-253-1606

Electronic Mail: Matthew.Salyer@tn.gov

FILED

May 14,2015

TEN:-;ESSEE

WORKERS' CO:\IPE:-;S.-\TIO:-;

APPEALS BOARD

Time: 1:00PM

TENNESSEE DIVISION OF WORKERS' COMPENSATION

WORKERS' COMPENSATION APPEALS BOARD

Employee: LaToya Dorsey ) Docket No. 2015-01-0017

)

Employer: Amazon.com, Inc. ) StateFileNo. 7541-2015

)

)

Appeal from the Court of Workers' )

Compensation Claims )

Thomas Wyatt, Judge )

Affirmed in Part, Vacated in Part

and Remanded- Filed May 14,2015

OPINION AFFIRMING IN PART, VACATING IN PART, AND REMANDING

INTERLOCUTORY ORDER OF COURT OF

WORKERS' COMPENSATION CLAIMS

The employee alleged that repetitive work activities after her return to work in May 2014

caused or aggravated symptoms in her right wrist and arm. The employer provided a

panel of physicians, from which the employee selected Workforce as the authorized

provider. Employee was examined by a nurse practitioner and a physician at Workforce,

but the opinion concerning causation was rendered and signed by the nurse practitioner.

Five days later, the employer denied the claim based on "no medical evidence of a work-

related injury per panel physician." Following an expedited hearing, the trial court

concluded that the employer did not comply with statutory provisions regarding a panel

of physicians and ordered the employer to provide a new panel of physicians to the

employee. Having carefully reviewed the record, we affirm the trial court's exercise of

jurisdiction, vacate the trial court's order for a new panel of physicians, and remand the

case to the Court of Workers' Compensation Claims.

Judge Timothy W. Conner delivered the opinion of the Appeals Board, in which Judge

Marshall L. Davidson, III, and Judge David F. Hensley, joined.

1

Kristen C. Stevenson, Knoxville, Tennessee, for the employer-appellant, Amazon.com,

Inc.

LaToya Dorsey, Chattanooga, Tennessee, prose

Factual and Procedural Background

The employee, LaToya Dorsey ("Employee"), is a 42 year-old resident of

Hamilton County, Tennessee. She is employed by Amazon.com ("Employer") as a

"stower," which requires her to use a hand scanner to scan totes, items, and storage bins.

The hand scanner weighs approximately two pounds and requires a triggering action to

activate the scanner. Employee testified that she uses the hand scanner between 800 and

1,500 times per shift. She is right hand dominant.

Beginning in 2013, Employee experienced pain and symptoms ill'her right hand

and wrist while working for Employer. She was on medical leave for approximately one

year and returned to work in May 2014. Employee testified that "within a couple of

months [of returning to work], I was starting to feel the same pain all over again in my

wrist, which is now going ... towards my elbow." The parties stipulated and the trial

court accepted as a stipulation that the date ofthe alleged work injury was December 21,

2014. The Petition for Benefit Determination also lists December 21, 2014 as the date of

InJury.

Following the filing of the Petition for Benefit Determination, the parties were

unable to reach a compromise and a Dispute Certification Notice ("DCN") was filed on

March 9, 2015. The only issues listed on the DCN were: (1) "whether Employee

sustained an injury that arose primarily out of and in the course and scope of employment

with Employer" and (2) "whether Employee sustained an injury in the course of

employment with Employer." The parties were given an opportunity to include

additional issues and the mediator certified that "none of the parties submitted a list of

additional issues for inclusion in this dispute certification notice after a copy of the notice

was provided to the parties."

On March 9, 2015, Employee filed a Request for Expedited Hearing and requested

an in-person, evidentiary hearing. The hearing occurred on April 6, 2015. At the

expedited hearing, the parties stipulated, and the trial court accepted as stipulations, that

Employer provided a "proper" or "legally compliant" panel of physicians and that

"Workforce" was selected by Employee as the authorized medical provider. On April

17, 2015, the trial court issued an interlocutory order. The trial court concluded that "the

medical records admitted into evidence do not contain medical expert opinion

establishing that the conditions in Ms. Dorsey's right hand and wrist arose primarily out

2

of and in the course and scope of her employment." However, the trial court further

found that Employer failed to provide Employee a sufficient panel because the employer

included on its panel "a facility where the injured worker is primarily examined and

treated by a non-physician practitioner." As a result, the trial court ordered Employer to

"offer [Employee] a panel of physicians who practice in the fields of orthopedics or hand

surgery for future treatment and examination of the right hand and wrist symptoms, if

any, that are related to the repetitive work that she performed on and after she returned to

[Employer] in May, 2014." The court also concluded that it had jurisdiction to hear the

dispute since Employee "testified that she began missing work due to right hand and

wrist symptoms in January, 20 15." Employer timely filed its Notice of Appeal and the

case was submitted to the Clerk of the Appeals Board on May 7, 2015.

Standard of Review

The standard of review applicable in reviewing a trial court's decision is

statutorily mandated and limited in scope. Specifically, "[t]here shall be a presumption

that the findings and conclusions of the workers' compensation judge are correct, unless

the preponderance of the evidence is otherwise." Tenn. Code Ann. § 50-6-239(c)(7)

(2014). The trial court's decision may be reversed or modified and remanded "if the

rights of any party have been prejudiced because findings, inferences, conclusions, or

decisions of a workers' compensation judge:

(A) Violate constitutional or statutory provisions;

(B) Exceed the statutory authority of the workers' compensation judge;

(C) Do not comply with lawful procedure;

(D) Are arbitrary, capricious, characterized by abuse of discretion, or

clearly unwarranted exercise of discretion; or

(E) Are not supported by evidence that is both substantial and material in the

light of the entire record."

Tenn. Code Ann. § 50-6-217(a)(3) (2015).

In applying the standard set forth in subparagraph (E) above, courts have

construed "substantial and material" evidence to mean "such relevant evidence as a

reasonable mind might accept to support a rational conclusion and such as to furnish a

reasonably sound basis for the action under consideration." Clay County Manor, Inc. v.

State of Tennessee, 849 S.W.2d 755, 759 (Tenn. 1993) (quoting Southern Railway Co. v.

State Bd. of Equalization, 682 S.W.2d 196, 199 (Tenn. 1984)). Like other courts

applying the standard embodied in section 50-6-217(a)(3), we will not disturb the

decision of the trial court absent the limited circumstances identified in the statute.

3

Analysis

Jurisdiction ofthe Court

In its Brief in Support of Request for Appeal of Expedited Hearing Order,

Employer included as a disputed issue "whether the court erred in finding that the court

has jurisdiction of the claim." Yet, in its pre-hearing statement, Employer did not raise

the issue of jurisdiction. Instead, Employer reiterated the "contested issues" as reflected

on the DCN, which did not include jurisdiction. Employer did not assert in its pre-

hearing statement that Employee's claim was not subject to post-July 1, 2014 statutes.

Moreover, during the course of the expedited hearing, counsel for Employer did not

expressly challenge the court's authority to hear the case, but merely commented that

"the statute of limitations may be an issue, as well as venue, if we're dealing with a 2013

claim." Counsel then stated that Employee was not entitled to temporary disability

benefits since there was no medical proof of a physician restricting her from work

"arising out of the December 21, 2014, injury that we're here on today." Finally, and

perhaps most telling, Employer stipulated during the expedited hearing that the date of

the alleged injury was .December 21, 2014.

A stipulation is an agreement between the parties regarding business before the

court. It is entered into mutually and voluntarily. A stipulation obviates the need for

evidence regarding the stipulated matter. Although the parties may not stipulate to

questions of law, stipulations within the range of possibly true facts and valid legal

strategies are allowed. On appeal, stipulations are binding on the parties and may not be

altered. Bearman v. Camastos, 385 S.W.2d 91, 93 (Tenn. 1964); Overstreet v. Shoney's,

Inc., 4 S.W.3d 694, 701 (Tenn. Ct. App. 1999).

In the present case, the stipulation concerning the date of injury is binding on the

parties and the court. This stipulated fact, combined with Employee's allegation that her

work activities after July 1, 2014 caused or aggravated her condition, establishes that the

trial court properly exercised jurisdiction over this case.

Sufficiency of the Panel of Physicians/Employer's Denial of Claim

As discussed above, the DCN listed the contested issues in the case. It did not

include whether the panel of physicians given to Employee was legally sufficient. In

accordance with Tennessee Code Annotated section 50-6-239(b ), issues not listed on the

DCN may not be presented for adjudication unless the trial court makes express findings

that the parties did not have knowledge of the issue prior to the issuance of the DCN; that

the parties could not have known of the issue despite reasonable investigation; and that

prohibiting presentation of the issue would result in substantial injustice to the petitioning

party. Tenn. Code Ann. § 50-6-239(b)(l) & (2) (2014). The preconditions to raising

issues other than those identified on the DCN have not been met in this case.

4

Moreover, at the expedited hearing, the parties stipulated, and the trial court

accepted as a stipulation, that the panel provided to Employee was "proper" and "legally

compliant." The legal sufficiency of the panel provided to Employee was not ripe for

adjudication at the expedited hearing. See Bearman, 385 S.W.2d at 93. Therefore, the

trial court's order for a new panel of physicians is vacated.

Nevertheless, Employer listed no valid basis for denial of this claim on its Form

C-23, Notice of Denial, submitted to the Division on or about February 16, 2015. The

medical records from Workforce, introduced without objection as Exhibit 8, do not

contain an opinion from a physician regarding causation, as alleged in Employer's Notice

of Denial. The opinion of the nurse practitioner, as indicated on Employer's "Health

Care Provider Request for Medical Information" form, dated February 11, 2015, did not

and could not provide a valid basis for denial of the claim based on causation. See, e.g.,

Hinson v. Claiborne & Hughes Health Ctr., No. M2006-02306-COA-R3-CV, 2008 Tenn.

App. LEXIS 105, at * 15 (Tenn. Ct. App. Feb. 26, 2008) ("a nurse is not an expert who

can testify as to medical causation"). Therefore, since Employee received a "legally

compliant" panel and selected a provider from that panel, that provider remains

Employee's authorized provider for purposes of this claim.

Finally, Employer alleges in its Brief in Support of Request for Appeal of

Expedited Hearing Order that the Workforce physician, Dr. Jayant Eldurkar, has issued a

report addressing causation. That report is not part of this record and we will not

speculate as to its contents or its impact, if any, on this case. This matter will be

remanded to the trial court for further proceedings as may be necessary.

Conclusion

The trial court properly exercised jurisdiction in this case based on: ( 1) the parties'

express stipulation to a date of injury after July 1, 2014; (2) Employee's allegation that

work activities after July 1, 2014, caused or aggravated her condition; and (3) Employer's

failure to raise the issue ofjurisdiction in the Dispute Certification Notice and/or any pre-

. hearing statements. Moreover, since the parties expressly stipulated that the panel of

physicians provided to Employee was legally compliant, and Employee selected a

provider from that panel, the selected provider remains Employee's authorized provider.

Therefore, the trial court's order for a new panel of physicians is vacated and this matter

is remanded for further proceedings as may be necessary.

Tim t y • Conner, Judge

·s' Compensation Appeals Board

5

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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