Opinion

Simmons, Patrick v. RHA/Trenton, Inc.

  • 2016 TN WC 295
Court
Tennessee Court of Workers' Compensation Claims
Filed
Dec 8, 2016
Status
Published
On the bench
Allen Phillips
Cited by
0 cases
Authority
More cited than 12.5%

The opinion

FILED

December 8, 2016

TN COURT OF

WORKERS’

COMPENSATION

CLAIMS

Time: 3:10 PM

TENNESSEE BUREAU OF WORKERS’ COMPENSATION

IN THE COURT OF WORKERS’ COMPENSATION CLAIMS

AT JACKSON

PATRICK SIMMONS, ) Docket No. 2016-07-0249

Employee, )

V. )

RHA/TRENTON, INC., ) State File No. 83151-2015

Employer, )

And )

PMA INS. CO., ) Judge Allen Phillips

Insurance Carrier. )

EXPEDITED HEARING ORDER FOR MEDICAL BENEFITS

This matter came before the undersigned Workers’ Compensation Judge on

November 22, 2016, upon the Request for Expedited Hearing filed by Patrick

Simmons pursuant to Tennessee Code Annotated section 50-6-239 (2016). Mr.

Simmons requested medical and temporary disability benefits for an alleged back

injury on August 5, 2015. RHA contended he failed to provide adequate notice of

his alleged injury and failed to prove causation. Accordingly, the central legal

issues are whether Mr. Simmons provided proper notice of his alleged injury and

whether he came forward with sufficient causation evidence at this interlocutory

stage of the case. For the following reasons, the Court holds Mr. Simmons

provided proper notice and that he came forward with sufficient evidence for

entitlement to certain medical benefits. Mr. Simmons, however, did not come

forward with sufficient evidence, at this time, of any entitlement to temporary

disability benefits.’

' The Court provides a complete listing of the Technical Record and Exhibits admitted at the Expedited

Hearing in an Appendix attached to this Order.

History of Claim

Mr. Simmons worked for RHA, a residential facility for mentally-

challenged adults. Mr. Simmons was a “direct services provider,” or “DSP.” His

job required him to tend to the personal needs of residents, including feeding,

bathing, and assisting them to the restroom. On August 5, 2015, at approximately

7:45 p.m., Mr. Simmons was assisting a resident from the restroom back to his

chair when the resident began falling. When the resident fell, he pulled and twisted

Mr. Simmons’ back. There were no witnesses.

Mary Crayton, a co-employee, testified by deposition that she saw Mr.

Simmons when she reported to relieve him at 11:45 p.m. (Ex. 7 at 10-11.) Mr.

Simmons was leaning against a “dresser” and Ms. Crayton recognized he was

“hurt.” Jd. at 11. However, Mr. Simmons did not tell her why he was in pain. Jd. at

12. Thinking he was suffering from “his diabetes,” Ms. Crayton admonished Mr.

Simmons to call his wife rather than attempt to drive himself home. Jd.

After returning home, Mr. Simmons’ condition worsened to the point that,

on the afternoon of August 6, his wife summoned an ambulance. After transport to

Jackson Madison County General Hospital, Mr. Simmons, “told [the] nurse that he

was walking a patient yesterday and the patient fell to one side and he had to twist

his back a little.” (Ex. 1 at 1.) Mr. Simmons added he “didn’t start hurting until he

got home.” /d. His pain “start[ed] in right lower back and radiat[ed] to [his] right

hip and right knee.” Jd. at 2. The “active” diagnosis was “back pain.” Jd. The

record contained no details of an examination.

On that same date, Mr. Simmons’ wife sent his supervisor, Eric Yarbrough,

a text message to advise Mr. Simmons was to be off work per a physician’s

orders.” (Ex. 6.) A series of subsequent text messages between August 6 and

September 24 discussed the provision of FMLA leave papers and inquiries as to

Mr. Simmons’ condition. There is no mention of a work injury.

Mr. Simmons testified Mr. Yarbrough called to “check on him” on August

6. Mr. Simmons stated he reported the injury to Mr. Yarbrough at that time; Mr.

Yarbrough testified he did not.

Mr. Simmons sought care from his primary physician, who referred him for

an MRI. The MRI, performed on August 11, was interpreted as showing a right

L4-L5 paracentral disc herniation and possible “free fragment.” (Ex. 2.) Several

* The Court notes the first text message was sent at 9:51 a.m. on August 6. This indicates Mr. Simmons

sought medical attention at a facility on the night of August 5. There is no medical record of that visit in

evidence.

days later, Mr. Simmons again spoke with Mr. Yarbrough, who advised Mr.

Simmons would have to use vacation and sick time while off from work. In line

with the text messages, Mr. Yarbrough provided FMLA paperwork. Mr. Simmons

believed the FMLA paperwork was the paperwork for workers’ compensation.

(Ex. 11 at 8.)

In early October 2015, Mr. Simmons consulted his attorney. Thereafter, on

October 7, he specifically reported his injury of August 5 to RHA. His intent was

to “get the correct papers for workers’ comp.” RHA completed an “Unusual

Occurrence Initial Report Form” that noted an accident on August 5 at 7:00 p.m.

and that Mr. Simmons reported the injury on October 7. (Ex. 12.) The description

of injury was that Mr. Simmons transferred a resident who “sat down abruptly.”

Id. RHA’s carrier completed a First Report of Injury on October 13 and noted the

same date and description of injury. (Ex. 3.) The First Report included: “[Mr.

Simmons] did not report to his supervisor and requested FMLA on 8/11 without

telling HR it was due to work related injury. EE has been out of work for almost 2

months; please assign . . . for investigation.” Jd.

On October 16, RHA’s carrier filed a “Notice of Denial of Claim for

Compensation” and listed as the basis: “Failure to timely report a work

incident/injury to the employer.” (Ex. 4.) Since that time, Mr. Simmons has not

worked.

RHA offered the testimony of Mr. Yarbrough, who denied receiving any

notice of an injury until October 7. On that day, Gina Horner, RHA’s Human

Resources manager, summoned him from a staff meeting to advise him Mr.

Simmons had reported an injury. Mr. Yarbrough testified he was “surprised”

because Mr. Simmons had been off work on FMLA leave. He noted he had no

reason to keep Mr. Simmons from reporting a claim and convincingly testified he

would like to “have him back” as an employee. During his two years as a

manager, no one had reported an injury to him, but he noted RHA taught

employees to report all injuries to their supervisor.

Ms. Horner testified Mr. Simmons appeared on October 7 to request

“workers’ comp papers.” She did not know what he was talking about, to which he

replied that “Eric [Yarbrough] knew.” She then contacted Mr. Yarbrough, who

told her that Mr. Simmons had not reported any injury to him. Ms. Horner knew

Mr. Simmons had been off work but did not know of any injury. She confirmed all

employees are to immediately report any injury to their supervisor. Ms. Horner

described Mr. Simmons as a “good employee” and that RHA would “like to have

him back.”

RHA offered the depositions of three co-employees, who either did not

know of Mr. Simmons’ injury or learned of it several weeks later. (Exs. 7, 8 and

9.) Mary Crayton did testify that, when she called to “check on [Mr. Simmons]”

three days after the alleged incident, he told her he was “hurt at work.” (Ex. 7 at

12.) Ms. Crayton did not “have any conversations with anybody else” at RHA

regarding this discussion. /d. at 14. She heard “nothing” from her supervisor, Mr.

Yarbrough, as to why Mr. Simmons did not return to work. /d. at 15.

Based upon this proof, Mr. Simmons contended he provided proper notice

to Mr. Yarbrough within two or three days of the injury. He argued this case was a

“classic example” of a misunderstanding of which benefits were being requested:

Mr. Simmons believed he was requesting workers’ compensation, and Mr.

Yarbrough believed it was FMLA. However, even if he did not timely report, Mr.

Simmons argued RHA suffered no prejudice from his reporting approximately

sixty days later on October 7. He pointed to the recent case of Buckner v. Eaton

Corp., No. 2016-01-0303, 2016 TN Wrk. Comp. App. Bd. LEXIS 84 (Tenn.

Workers’ Comp. App. Bd. Nov. 9, 2016), which held that a trial court must

consider the extent and effect of any prejudice to the employer of late reporting.

Mr. Simmons requested a panel of physicians to evaluate his back and temporary

disability benefits from October 7, 2015, and ongoing until he reaches maximum

medical improvement.

RHA countered that Mr. Simmons did not timely report his injury pursuant

to the statutory requirements. It also contended that the current Workers’

Compensation Law removed any consideration of “equity” in favor of Mr.

Simmons and that, accordingly, the question of any prejudice to the employer did

not survive the 2013 Reform Act. It requested Mr. Simmons’ claim be denied in

its entirety.

Findings of Fact and Conclusions of Law

Standard applied

Because this case is in a posture of an Expedited Hearing, Mr. Simmons

need not prove every element of his claim by a preponderance of the evidence in

order to obtain relief. McCord v. Advantage Human Resourcing, No. 2014-06-

0063, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Tenn. Workers’ Comp.

App. Bd. Mar. 27, 2015). Instead, he must come forward with sufficient evidence

from which this Court might determine he is likely to prevail at a hearing on the

merits. /d.; Tenn. Code Ann. § 50-6-239(d)(1) (2015).

Notice

Tennessee Code Annotated section 50-6-201(a)(1) (2016) requires “every

injured employee” to “immediately upon the occurrence of an injury, or as soon

thereafter as is reasonable and practicable,” to give notice of the injury to their

employer and, if the employee fails to do so, “no compensation shall be payable.”

Id. The notice must “state in plain and simple language . . . the time, place, nature,

and cause of the accident resulting in injury.” Tenn. Code Ann. § 50-6-201(a)(2)

(2015). The employee must provide “reasonable excuse” as to why written notice

is not given within thirty days of the accident. Jd.

When the employer raises lack of notice as a defense, the burden is on the

employee to show either the employer had actual notice, that he provided notice,

or that his failure to give notice was reasonable under the circumstances. Hosford

v. Red Rover Preschool, No. 2014-05-0002, 2014 TN Wrk. Comp. App. Bd.

LEXIS 1, at *15 (Tenn. Workers’ Comp. App. Bd. Oct. 2, 2014). Our Appeals

Board explained the notice requirement “exists so that an employer will have an

opportunity to make a timely investigation of the facts while still readily

accessible, and to enable the employer to provide timely and proper treatment for

an injured employee.” Jd. Guided by this authority, the Court must determine

whether Mr. Simmons rebutted RHA’s notice defense.

The Court first finds RHA had no “actual notice” of the injury. There is no

evidence that any representative of RHA authorized to receive notice knew of the

incident when it occurred.

Second, the Court turns to whether Mr. Simmons provided notice to RHA

within thirty days. On this point, Mr. Simmons testified he reported his injury to

Mr. Yarbrough, his supervisor, two days later; Mr. Yarbrough denied he did so.

The Court finds both men credible. Hence, the proof is equipoise, leaving the

Court unable to determine whether Mr. Simmons definitively reported the incident

within days of its occurrence. Further, there is no evidence Mr. Simmons reported

his injury to any other representative of RHA management within thirty days of

August 5, 2015. Accordingly, the Court finds Mr. Simmons did not provide timely

notice of his injury to RHA.

Next, the Court finds no reasonable excuse for Mr. Simmons’ failing to

provide timely notice of his injury. In Buckner, the employee sustained an injury

on July 21, 2015. Buckner, at *3. He was injured at a “specific time and place

performing a specific task.” He noted, “I hurt my back that night.” Jd. at 11.

However, that employee did not report his injury until September 2, 2015, forty-

three days later. Jd. at *3. Under such circumstances, the Appeals Board

concluded, “that Employee’s excuse for failing to provide timely notice of his

work injury was not ‘reasonable,’ the standard mandated by the legislature in

section 50-6-201(a)(1).” Jd. at *11. Specifically, “this was not a case where

symptoms developed gradually over time or were not immediately apparent”;

rather, the employee “was immediately aware he hurt his back and shortly

thereafter was .. . unable to work.” Id.

The facts of the instant case are strikingly similar. Like the employee in

Buckner, Mr. Simmons alleges an injury at a specific time and place while

performing a specific task. He testified without doubt that he was injured on the

evening of August 5, 2015, while assisting a patient. He reiterated this history the

next afternoon at an emergency room. (Ex. | at 1.) Thus, any delayed reporting of

his injury is not excusable on grounds that his “symptoms developed gradually

over time or were not immediately apparent.” See Buckner, at *11.

However, as instructed by Buckner, “the inquiry does not end there.” Jd.

Contrary to RHA’s argument, the question of whether late notice is prejudicial to

the employer did survive the 2013 Reform Act. Specifically,

Tennessee Code Annotated section 50-6-201(a)(3) provides that the

failure to give timely notice of a work-related injury will not bar

compensation “unless the employer can show, to the satisfaction of

the workers' compensation judge before which the matter is pending,

that the employer was prejudiced by the failure to give the proper

notice, and then only to the extent of the prejudice.”

Id. at *11-12 (Internal citations omitted). Because the trial court in Buckner failed

to address whether that employer suffered prejudice, and if so to what extent, the

Appeals Board remanded the matter for the trial court’s consideration. Jd. at *12.

Accordingly, this Court will address whether RHA suffered prejudice, and if so, to

what extent any such prejudice affects the benefits to which Mr. Simmons may be

entitled.

There is scarce Tennessee authority regarding what constitutes prejudice by

late notice. However, York v. Federal Chemical Co., 216 S.W.2d 725 (Tenn.

1949), provides an early insight. There, the employee lacerated his thumb but

failed to report the injury for two months. Swelling of the digit prompted

amputation, and subsequent infection led to death. Jd. at 726. Because the

employee did not provide notice at the time he sought medical attention, the court

found it “clear . . . that the employer was prejudiced, owing to the lack of notice,

because he was deprived of the privilege of securing proper medical attention in

time.” Jd. at 727. Specifically, quoting the court of another state, our Supreme

Court found timely notice would have provided “an opportunity not only for a

prompt general investigation of the alleged circumstances of the accident but

[also] of the employee’s story thereof.” Further, the employee might have received

medical attention to prevent infection. /d. Under those facts, the court affirmed

dismissal on grounds of inadequate notice. Jd. at 728.

The logic of York extends to our own Appeals Board’s finding in Hosford

that proper notice allows for both expeditious investigation and prompt provision

of medical benefits. However, the Board in Buckner recognized a forty-three day

delay justified consideration of any prejudice to the employer by late notice. This

Court must address a sixty-three day delay in reporting by Mr. Simmons.

Regarding the effect, if any, of his late notice, RHA points only to Mr.

Simmons’ delayed reporting. It provides no facts as to why it was harmed thereby.

It argued it could not know what may have happened to Mr. Simmons’ back in the

sixty days between the incident of August 5 and the date of his reporting on

October 7. However, this Court finds, unlike York, there is nothing to demonstrate

that RHA’s knowledge of the incident on August 5, within the statutorily-

prescribed thirty days would have changed the course of the claim. Mr. Simmons’

MRI of August 11, 2015, revealed a herniated disc; thus, the anatomic lesion at

issue was present shortly after the incident.

Likewise, the Court finds Mr. Simmons’ description of the event credible.

Ms. Crayton corroborated Mr. Simmons’ testimony of him being in pain on the

night in question. Moreover, the proof shows RHA considered Mr. Simmons a

valued employee who is sorely missed at the residence facility. RHA does not

view him as an untrustworthy individual pursuing a spurious claim. Further, the

Court believes Mr. Simmons’ testimony that he believed he completed the proper

paperwork and that he mistook what was FMLA paperwork for workers’

compensation paperwork. This finding is bolstered by the agreed trustworthiness

of Mr. Simmons and the novelty of workers’ compensation claims at RHA.

Taken in its totality, the Court finds the evidence demonstrates no prejudice

to RHA by Mr. Simmons’ late reporting. Accordingly, he has rebutted the notice

defense.

Causation

Mr. Simmons must show his alleged injury arose primarily out of and in the

course and scope of his employment at RHA. Tenn. Code Ann. § 50-6-102(14)

(2015). He also must show his injury was caused by an incident, or specific set of

incidents, identifiable by time and place of occurrence Tenn. Code Ann. § 50-6-

102(14)(A) (2015). Further, he must show, “to a reasonable degree of medical

certainty that [his alleged work injury] contributed more than fifty percent (50%)

in causing the . . . disablement or need for medical treatment, considering all

causes.” Tenn. Code Ann. § 50-6-102(14)(C) (2015). “Shown to a reasonable

degree of medical certainty” means that, in the opinion of the treating physician, it

is more likely than not considering all causes as opposed to speculation or

possibility. Tenn. Code Ann. § 50-6-102(14)(D) (2015).

Taking the requirements in turn, the Court finds Mr. Simmons established

the occurrence of a specific incident on August 5, 2015. He described an incident

where he was assisting a resident in moving to a chair when the resident fell

forward causing him to twist his back. Ms. Crayton corroborated his testimony to

the effect that he appeared in pain when she saw him leaning against a piece of

furniture. (Ex. 7 at 10.) The Court finds Mr. Simmons to be credible as to how he

was injured and finds his history at the hospital consistent with his testimony.

Accordingly, Mr. Simmons established the specific-incident criterion of the

statutory definition of injury.

Turning to the “arising primarily out of” requirement, the Court finds Mr.

Simmons has not, at this interlocutory stage of the proceedings, established that

his injury contributed more than fifty percent to his disablement or need for

medical treatment. Mr. Simmons submitted only one hospital record and an MRI

report. Neither contains a causation opinion. Thus, the Court finds Mr. Simmons,

at this time, has not established that he sustained an injury arising primarily out of

his employment.

However, at this Expedited Hearing, Mr. Simmons need not prove every

element of his claim by a preponderance of the evidence. Instead, he must come

forward with sufficient evidence from which the court might determine he is likely

to prevail at a hearing on the merits. Tenn. Code Ann. § 50-6-239(d)(1) (2015);

McCord v. Advantage Human Resourcing, No. 2014-06-0063, 2015 TN Wrk.

Comp. App. Bd. LEXIS 6, at *9 (Tenn. Workers’ Comp. App. Bd. Mar. 27, 2015).

This lesser evidentiary standard “does not relieve an employee of the burden of

producing evidence of an injury by accident that arose primarily out of and in the

course and scope of employment at an expedited hearing, but allows some relief to

be granted if that evidence does not rise to the level of a ‘preponderance of the

evidence.’” Buchanan v. Carlex Glass Co., No. 2015-01-0012, 2015 TN Wrk.

Comp. App. Bd. LEXIS 39, at *6 (Tenn. Workers’ Comp. App. Bd. Sep. 29,

2015).

Guided by this authority, the Court turns to whether Mr. Simmons came

forward with sufficient evidence from which it might determine he would prevail

at a hearing on the merits regarding his claim for any medical benefits. As noted,

Mr. Simmons established a specific incident and that he provided RHA notice of

his injury. After an employee provides notice of an injury to an employer,

Tennessee Code Annotated section 50-6-204(a)(1)(a) (2015) requires an

“employer or the employer’s agent . . . [to] furnish, free of charge to the employee,

such medical and surgical treatment . . . made reasonably necessary by accident.”

“The injured employee shall accept the medical benefits . . . provided that in any

case when the employee has suffered an injury and expressed a need for medical

care, the employer shall designate a group of three (3) or more independent

reputable physicians . . . from which the employee shall select one (1) to be the

treating physician.” Tenn. Code Ann. § 50-6-204(a)(3)(A)(i) (2015).

In McCord, the formative case on the parties’ obligations at the expedited

hearing stage, our Appeals Board held:

To date, there is no proof in the record that Employee’s medical

condition is causally-related to the alleged work accident. However,

whether the alleged work accident resulted in a compensable injury

has yet to be determined. Therefore, while Employee has not

proven by a preponderance of the evidence that she suffered an

injury arising primarily out of and in the course and scope of

employment, she has satisfied her burden at this interlocutory stage

to support an Order compelling Employer to provide a panel of

physicians.

McCord, at *17.

In McCord, as in this case, the employee established a specific work

incident. Likewise, both the McCord employee and Mr. Simmons provided notice

of the incident. This proof is sufficient to require RHA to provide a panel of

physicians to Mr. Simmons. See McCord, at *17; see also Lewis v. Merry Maid,

No. 2015-06-0456, 2016 TN Wrk. Comp. App. Bd. LEXIS 19 (Tenn. Workers’

Comp. App. Bd. Apr. 20, 2016)(panel ordered when employer did not refute

employee’s testimony that she felt back pain while working and told her

supervisors of her pain).

Taken in its totality, the Court finds Mr. Simmons has come forward with

sufficient evidence to show he is likely to prevail at a hearing on the merits

regarding entitlement to a panel of physicians.

Temporary disability benefits

Mr. Simmons requested temporary total disability (TTD) from October 7,

2015, and ongoing. Under Tennessee law, to establish entitlement to TTD, Mr.

Simmons must show (1) he was totally disabled to work by a compensable injury;

(2) a causal connection between the injury and his inability to work; and, (3) the

duration of that period of disability. Jones v. Crencor Leasing and Sales, No.

2015-06-0332, 2015 TN Wrk. Comp. App. Bd. LEXIS 48, at *7 (Tenn. Workers’

Comp. App. Bd. Dec. 11, 2015). At this time, Mr. Simmons has not come forward

with any medical evidence providing a causal connection between his alleged

injury and any inability to work. Thus, his claim for temporary disability benefits

is denied at this time.

IT IS, THEREFORE, ORDERED as follows:

1. Mr. Simmons shall receive medical benefits from RHA for treatment of his

August 5 injury by RHA providing a panel of physicians qualified to treat

back injuries from which he might choose the authorized physician.

2. Mr. Simmons’ request for temporary disability benefits is denied at this

time.

3. This matter is set for a Scheduling (Status) Hearing on February 22, 2017,

at 10:00 a.m. Central time.

7

ENTERED this the 8" day of Dece she) 7

Allen Phillips, Judge\”

Court of Workers’ Compé¢nsation Claims

Scheduling (Status) Hearing:

A Scheduling/Status Hearing has been set with Judge Allen Phillips,

Court of Workers’ Compensation Claims. You must call toll-free at 731-422-

5263 or toll-free 855-543-5038 to participate in the Hearing.

Please Note: You must call in on the scheduled date/time to

participate. Failure to call in may result in a determination of the issues

without your further participation.

Right to Appeal:

10

Tennessee Law allows any party who disagrees with this Expedited

Hearing Order to appeal the decision to the Workers’ Compensation Appeals

Board. To file a Notice of Appeal, you must:

lL.

Complete the enclosed form entitled: “Expedited Hearing Notice of

Appeal.”

File the completed form with the Court Clerk within seven business

days of the date the Workers’ Compensation Judge entered the

Expedited Hearing Order.

Serve a copy of the Expedited Hearing Notice of Appeal upon the

opposing party.

The appealing party is responsible for payment of a filing fee in the

amount of $75.00. Within ten calendar days after the filing of a

notice of appeal, payment must be received by check, money order,

or credit card payment. Payments can be made in person at any

Bureau office or by United States mail, hand-delivery, or other

delivery service. In the alternative, the appealing party may file an

Affidavit of Indigency, on a form prescribed by the Bureau, seeking

a waiver of the filing fee. The Affidavit of Indigency may be filed

contemporaneously with the Notice of Appeal or must be filed

within ten calendar days thereafter. The Appeals Board will consider

the Affidavit of Indigency and issue an Order granting or denying

the request for a waiver of the filing fee as soon thereafter as is

practicable. Failure to timely pay the filing fee or file the

Affidavit of Indigency in accordance with this section shall result

in dismissal of the appeal.

The parties, having the responsibility of ensuring a complete record

on appeal, may request, from the Court Clerk, the audio recording of

the hearing for the purpose of having a transcript prepared by a

licensed court reporter and filing it with the Court Clerk within ten

calendar days of the filing of the Expedited Hearing Notice of

Appeal. Alternatively, the parties may file a joint statement of the

evidence within ten calendar days of the filing of the Expedited

Hearing Notice of Appeal. The statement of the evidence must

convey a complete and accurate account of what transpired in the

Court of Workers’ Compensation Claims and must be approved by

the workers’ compensation judge before the record is submitted to

the Clerk of the Appeals Board.

11

If the appellant elects to file a position statement in support of the

interlocutory appeal, the appellant shall file such position statement

with the Court Clerk within five business days of the expiration of

the time to file a transcript or statement of the evidence, specifying

the issues presented for review and including any argument in

support thereof. A party opposing the appeal shall file a response, if

any, with the Court Clerk within five business days of the filing of

the appellant’s position statement. All position statements pertaining

to an appeal of an interlocutory order should include: (1) a statement

summarizing the facts of the case from the evidence admitted during

the expedited hearing; (2) a statement summarizing the disposition

of the case as a result of the expedited hearing; (3) a statement of the

issue(s) presented for review; and (4) an argument, citing

appropriate statutes, case law, or other authority.

12

APPENDIX

Exhibits:

Medical record of Jackson-Madison Co. General Hospital;

MRI report of Jackson Clinic;

First Report of Injury dated October13, 2015;

Notice of Denial of Claim for Compensation;

Wage Statement;

Screen-shots of text messages from Mr. Simmons’ spouse and RHA;

Deposition of Mary Crayton;

Deposition of Larry Simmons;

Deposition of Aireale Donald;

10. Deposition of Eric Yarbrough;

11. Deposition of Patrick Simmons;

12.RHA’s “Unusual Occurrence Initial Report Form” (dated October 7, 2015);

13. RHA “Witness Statement” of Eric Yarbrough; and

14. Memorandum completed by Gina Horner, RHA’s Human Resources

Director detailing notice issues.

CO RPNIDARWN

Technical record:°

1. Petition for Benefit Determination;

2. Dispute Certification Notice;

3. Request for Expedited Hearing; and

4. Employer’s Response to Petition for Benefit Determination (May 3, 2016).

> The Court did not consider attachments to Technical Record filings unless admitted into evidence during

the Expedited Hearing. The Court considered factual statements in these filings or any attachments to them

as allegations unless established by the evidence.

13

CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of this Expedited Hearing Order

was sent to the following recipients by the following methods of service on this the

8" day of December, 2016.

Name Via Email Service Sent To:

Gregory D. Mangrum, Esq., Xx mangrumlaw@comcast.com

Attorney for Employee

Alex Elder, Esq., Xx alex@holleyelder.com

Attorney for Employer

Sane de ap

Peuny Sh Shr

, Clerk of Court

Court of rkers’ Compensation Claims

WC.CourtClerk@tn. gov

14

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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