# Petition for Writ of Certiorari — Craven v. University of Colorado Hospital Authority

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## Record

- **Collection:** Supreme Court brief
- **Document type:** Petition for Writ of Certiorari
- **Published:** January 1, 2002
- **Citation:** 535 U.S. 927

## Text

Omi Court, U.S. 2
FILED
01 889 DEC 1 12001
———— OBIE OF Tile et
Dn the
Supreme Court of the Anited States

No.

PATRICIA S. CRAVEN,
Petitioner,

V.

UNIVERSITY OF COLORADO
HOSPITAL AUTHORITY,
Respondent.

On PETITION For Writ OF CERTIORARI
To Tue UNitep States Court OF APPEALS
For THe TENTH CIRCUIT

PETITION FOR WRIT OF CERTIORARI

Barry D. ROSEMAN

Counsel of Record
ROSEMAN & KAZMIERSKI, LLC
899 LOGAN STREET
Surre 203
DENVER, CoLoRADO 80203
(303) 839-1771

Counsel for Petitioner

- BECKER GALLAGHER LEGAL PUBLISHING, INC.,
CINCINNATI, OHIO 800-890-5001

QUESTION PRESENTED

Does a federal court of appeals impermissibly depart
from the accepted and usual course of judicial proceedings by
deciding an appeal on non-jurisdictional grounds not raised or
argued by any of the parties in their appellate briefs?

ean

PARTIES TO THE PROCEEDINGS
Petitioner

Patricia S. Craven is the former Manager of Safety
and Risk Management for University Hospital in Denver,
Colorado.

Respondent

The University of Colorado Hospital Authority is a
body corporate and political subdivision of the State of
Colorado. It operates University Hospital in Denver,
Colorado.

ee

TABLE OF CONTENTS

eb yy eB)

PARTIES TO THE PROCEEDINGS ............
ee eee eee
eee nk cg ke be! a6 486 00
CONSTITUTIONAL PROVISIONS INVOLVED ..
STATEMENT OF THECASE .......... tebe
REASONS FOR GRANTING THE WRIT .........
I, The General Rule in the Fenth Circuit and in
Other Circuits Is That an Appellate Court Will
Not Consider Arguments Not Made in Any of
ee ee
II. The Court of Appeals Departed from the
Accepted and Usual Course of Judicial

Proceedmmes ini This Case... 2. cece ee

III. | This Court Should Exercise Its Supervisory
ee ee ee

I Se Ge hy Sie aid a6 040 oe we 0

iii

Adler v. Wal-Mart Stores, Inc.,
144 F.3d 664 (10th Cir. 1998) ......

Albertson's, Inc. v. Kirkingburg,

Sat Was POP CRTOOD 6 hese ser anes

Andersen v. McCotter,

205 F.3d 1214 (10th Cir. 2000) .....

Arcadia v. Ohio Power Co.,

a Ee ae

Bd. of County Comm'rs v. Umbehr,

PES We COO CIPO 6 6c i wees vee

Bickel v. Korean Air Lines Co., —

96 F.3d 151 (6th Cir. 1996) ........

Carducci v. Regan, 230 U.S. App. D.C. 80,

714 F.2d 171 (D.C. Cir. 1983) ......

City of St. Louis v. Praprotnick,

GS a BEE ee 6 0 wh ep ee wet

Cleveland Bd. of Education v. Loudermill,

peice See eee eee er

Connick v. Myers, 461 U.S. 138 (1983) ......

iV

Considine v. Bd. of Co: -*» Comm'rs,
910 F.2d 695 (ie Cir. 1990) .....:...... 14

Continental Ill. Nat’l Bank & Trust Co. v.
Chicago, Rock Island & Pac. Ry. Co.,
Se UB, GER Ce 6 bob ve es Cv kk y
David C. v. Leavitt, 242 F.3d 1206 (10th Cir. 2001) .. 5 -

Edmonson v. Leesville Concrete Co.,

wee are eee Ce 6s ob ce ee. 8
Flast v. Cohen, 392 U.S. 83 (1968) .............. 8
Florida v. Rodriguez, 469 U.S. 1 (1984) .......... 13

Friends of the Earth, Inc. v.
Laidlaw Environmental Svces. (TOC), Inc.,
pee Ue WO es 6 AR i oa os. 8

Gaines-Tabb v. ICI Explosives, USA, Inc.,
160 F.3d 613 (10th Cir. 1998) ............ 5

Gardetto v. Mason, 100 F.3d 803 (10th Cir. 1996)... . 15

Glover v. United States, 531 U.S. 198 (2001) ....... 6
Goldstein v. Chestnut Ridge Volunteer Fire Co..,

218 F306: 3a) (4 Cle. 2000) 2. eee ee 14
Greenwood v. FAA, 28 F.3d 971 (9th Cir. 1994) ..... 6
Hall v. Beals, 396 U.S. 45 (1969) ............... 8

Hartsfield v. Lemacks, 50 F.3d 950 (11th Cir. 1995) .. 6

Vv

Headrick v. Rockwell Internat’! Corp..,

24 F.3d 1272 (10th Cir. 1994) ............ 5
Heckler v. Campbell, 461 U.S. 458 (1989) ......... 9
H.J. Inc. v. Northwestern Bell Tel. Co.,

ae 2 re 9
Hoffman v. Caterpillar, Inc.,

yo RR ye ee ere 6
Johnsen v. Independent School Dist. No. 3, ;

891 F.2d 1485 (10th Cir. 1989) ........... 14
Kennedy v. Tangipahoa Parish Library Bd. of Control,

224 F.3d 359 (Sth Cir. 2000) ............. 14
Laborers’ Internat’l Union v. Foster Wheeler Corp..,

ae F.26 see 6 Gy Be as ve See Cs 6
Lee v. Nicholl, 197 F.3d 1291 (10th Cir. 1999) ...... 14
Lexecon Inc. v. Milberg Weiss Bershad Hynes & Lerach,

SEP ta. Be CH h 6. REA RANA oe BS 10
Mansfield, C. & L. M. Ry. Co. v. Swan,

B31 U.S, STO CIRR®) 2 wot ec ess chee eens 13
Myers v. Hasara, 226 F. 3d 821 (7th Cir. 2000) ..... 14
Nealon v. Stone, 958 F.2d 584 (4th Cir. 1992) ...... 6

Neb. State Legislative Bd. v. Slater,
2S F.56 Cae Gs Fee ovis occ eens 6

vi

Pembaur v. City of Cincinnati,
Ce a MP OU o bt cate ei Wee twee ees 3

Phillips Petroleum Co. v. Shutts,
5 ef A Ree er rarer 7

Pickering v. Bd. of Educ., 391 U.S. 563 (1968) . . . passim
Rankin v. McPherson, 483 U.S. 378 (1987) ........ 15
Richards v. Jefferson County, 517 U.S. 793 (1996) ... 7
Sniadach v. Family Fin. Corp., 395 U.S. 337 (1969) .. 7
Taylor v. Freeland & Kronz, 503 U.S. 638 (1992) .... 7

Terry v. Reno, 322 U.S. App. D.C. 124,
Don Fee Ween Gre CO. TSU ww ec cee es 6

Tolbert v. Queens College,
en eee Oe Ue es ED ho wk eek kk eiess 6

U.F.C.W. Local 751 v. Brown Group,
ee er er ee 8

United States v. Zannino, 895 F.2d 1 (1st Cir. 1990) . 5-6

Yohey v. Collins, 985 F.2d 222 (Sth Cir. 1993) ...... 6
Constitutional Provisions

Sue eee es Pe Se Sa icc cu es l
U.S. Const., First Amendment .............. passim
Ee en 2

Vii

Statutes

Rs bbs vs bee nee baw nee 59 9-10
I IR od gg 93 -eate wo are g ahs wae aie l
Rules

en le I I oy nao o's do wn Se whe 9 04,089 8
eS 0 SPREE ETE EU LAL TE Tree 13
ray a 6 So a 6 9 eo 08 0 6 Se ee eR 7
RE 6 ceo re ee owe CEN Ces ek os 7
Other Authorities

S. Allred, From Connick to Confusion: The Struggle
to Define Speech on Matters of Public Concern,
ff RA 2 ree eee ee 14

T. Massaro, Significant Silences: Freedom of Speech
in the Public Sector Workplace,
Oe A Cis Bis nS SO ow os Slee'oe os 14

R. Stern, E. Gressman, S. Shapiro & K. Geller,
Supreme Court Practice (7th ed. 1993) ....... 13

T. Eisenberg and S. J. Schwab,-Double Standard
on Appeal: An Empirical Analysis of
Employment Discrimination Cases in the
U.S. Court of Appeals,
http://www. findjustice.com/ms/pdf/
ar are 17-18

Viii

Patricia S. Craven respectfully requests that this Court
issue a writ of certiorari to review the opinion and judgment
entered in this case by the United States Court of Appeals for
the Tenth Circuit.

OPINIONS BELOW

The opinion of the court of appeals on the merits is
reported at 260 F.3d 1218 (10th Cir. 2001), and is
reproduced in App. B at 3a-28a. The rulings of the United
States District Court for the District of Colorado on
respondent’s motions for judgment as a matter of law during
the trial in this case are unreported and are reproduced in
App. C at 29a-32a. The decision of the court of appeals
denying the petition for rehearing and suggestion for
rehearing en banc is unreported and is reproduced in App. A
at la-2a.

JURISDICTION

The opinion of the United States Court of Appeals for
the Tenth Circuit'was issued on August 13, 2001. A timely
petition for rehearing and suggestion for rehearing en banc
was denied by that court on September 12, 2001. This Court
has jurisdiction under 28 U.S.C. § 1254(1).

CONSTITUTIONAL PROVISIONS INVOLVED

Article III, Section 2 of the Constitution of the United
States provides, among other things, that “[t]he judicial
Power shall extend to all Cases, in Law and Equity, arising
under this Constitution, the Laws of the United States, and
Treaties made, or which shall be made, under their
Authority.”

The Fifth Amendment to the Constitution of the United
States provides, among other things, that “[nJo person shall
... be deprived of life, liberty, or property, without due
process of law.”

STATEMENT OF THE CASE

Dr. Patricia Craven filed a civil action against the
University of Colorado Hospital Authority (hereinafter,
“Authority” or “Hospital”), in which she alleged that the
Authority’s decision to terminate her employment was made
in retaliation for her exercise of her protected free speech
rights (App. B at 9a). The Authority decided to terminate the
petitioner’s employment after and, according to her dismissal
letter, because of a telephone conversation she had (/d.) with
Dr. Ed Hendrick, then the Chief of the Radiological Services
Division of the University of Colorado Health Sciences
Center (hereinafter, “HSC”), a sister institution. The
petitioner also asserted a state-law claim of wrongful
discharge in violation of public policy, and state-law claims
of breach of an implied contract and promissory estoppel
(Id.).

The district court granted summary judgment for the
Authority on Dr. Craven’s public policy claim, and denied
summary judgment on her free speech retaliation and contract
claims (App. B at 9a-10a). The respondent moved twice at
trial for judgment as a matter of law, each time arguing that
the petitioner’s speech did not implicate any matters of public
concern and that its interests in promoting the efficiency of its
services outweighed Dr. Craven’s interests in speaking on
matters of public concern (App. B at 10a). The district court
denied both of those motions (/d.). The jury returned a
verdict in favor of the Authority on both of those claims, and
the district court entered judgment in its favor on all of the

2

petitioner’s claims for relief.

The petitioner appealed that judgment to the United
States Court of Appeals for the Tenth Circuit. The only
grounds asserted in the petitioner’s opening brief in that court
were that the district court had erred in instructing the jury on
the First Amendment retaliation claim (App. D at 50a-59a)
and that it had erred in granting summary judgment to the
Authority on her public policy claim (App. D at 59a-63a).
The Authority responded to thors arguments (App. E). It did
not contend in its answer brief that the district court should
have granted either of its motions for judgment as a matter of
law. It did not discuss or cite the Supreme Court’s decisions
in Connick v. Myers, 461 U.S. 138 (1983), or Pickering v.
Bd. of Educ., 391 U.S. 563 (1968). The petitioner did not
discuss those motions and did not discuss or cite either
Connick or Pickering in her reply brief (App. F).

The principal ground asserted by the petitioner in
support of her claim of instructional error was that the jury
instruction that outlined the elements of her First Amendment
retaliation claim required her to establish that the respondent
“had an official policy or custom which required [her] to
report all health and safety concerns associated with her job
duties only to a supervisor ....” (App D at 52a-57a). She
contended that this element of liability was unnecessary and
inappropriate in a case such as this one, in which she claimed
that the employment decision and the basis for it were made
or approved by a person with final policymaking authority
(App. D at 53a-55a).'

' See Pembaur v. City of Cincinnati, 475 U.S. 469, 480-81 (1986);
City of St. Louis v. Praprotnick, 485 U.S. 112, 127 (1998).

3

The petitioner also claimed instructional error in five
other respects (App. D at 57a-58a). One of those arguments
was that the instruction in question limited her liability claim
just to her one conversation with Dr. Hendrick, and did not
include her earlier speech concerning indoor air quality
(hereinafter, “IAQ”) problems resulting from construction
activities immediately adjacent to Hospital wards, the storage
and disposal of biohazardous wastes, and other matters (App.
D at 57a). The district court had limited that instruction to
Dr. Craven’s telephone conversation with Dr. Hendrick
because it concluded that “that’s what she reported” and that
that was her “version of what happened” (App. C at 32a).

The court of appeals decided that the district court had
erred in denying the respondent’s motions for judgment as a
matter of law, and that any instructional errors “were
harmless and we need not address them” because, it
concluded, the petitioner’s First Amendment retaliation claim
“should never have been submitted to the jury” (App. B at
23a). That court reasoned that the “underlying premise” of
the petitioner’s objection to the limited scope of the
instruction in question was “that the district court erred when
it ruled that the telephone call was protected, but that her
speech regarding the IAQ problem, the infectious waste
room, and other safety matters was not” (App. B at 14a).
That court then stated that, “[iJn order to assess the merits of
the objection, we must therefore determine whether any or all
of the above-referenced speech was protected” (/d.).

The court of appeals concluded that Dr. Craven’s
speech concerning the Hospital’s storage and disposal of
biohazardous wastes did not involve matters of public concern
(App. B at 15a-16a). That court went on to conclude that the
Pickering balance favored the Authority with respect to both
Dr. Craven’s speech concerning IAQ problems and

4

concerning the Hospital’s radiation safety officer (App. B at
17a-23a). It held that “of the four categories of speech cited
in Dr. Craven's brief, none can provide an adequate basis for
her retaliatory discharge claim” (App. B at 23a). It did not
discuss the petitioner’s argument of instructional error, except
in setting forth the standards for review (see App. B at 12a-
13a, 14a).

REASONS FOR GRANTING THE WRIT

I. The General Rule in the Tenth
Circuit and in Other Circuits Is That
an Appellate Court Will Not
Consider Arguments Not Made in
Any of the Parties’ Briefs.

It is settled in the Tenth Circuit that arguments not
raised in a party’s opening brief are waived. See, e.g., David
C. v. Leavitt, 242 F.3d 1206, 1212 n. 4 (10th Cir. 2001);
Gaines-Tabb v. ICI Explosives, USA, Inc., 160 F.3d 613, 624
(10th Cir. 1998); Adler v. Wal-Mart Stores, Inc., 144 F.3d
664, 679 (10th Cir. 1998). That court will not allow an
appellant to raise new arguments in a reply brief, both
because such a practice would be “manifestly unfair to the
appellee who, under our rules, has no opportunity for a
written response,” and because this would “run the risk of an
improvident or ill-advised opinion given our dependence as an
Article III court on the adversarial process for sharpening the
issues for decision.” Headrick v. Rockwell Internat’l Corp.,
24 F.3d 1272, 1278 (10th Cir. 1994) (citations and internal
quotation marks omitted).

Every circuit follows that same rule. See, e.g., United
States v. Zannino, 895 F.2d 1, 17 (1st Cir. 1990) (“Issues
adverted to in a perfunctory manner, unaccompanied by some

5

effort at developed argumentation, are deemed waived.”);
Tolbert v. Queens College, 242 F.3d 58, 75-76 (2d Cir. 2001)
(same); Laborers’ Internat’l Union v. Foster Wheeler Corp..,
26 F.3d 375, 398 (3d Cir. 1994) (“An issue is waived unless
a party raises it in its opening brief, and for those purposes a
passing reference to an issue ... will not suffice to bring that
issue before this court.”) (internal quotation marks omitted);
Nealon v. Stone, 958 F.2d 584, 590 n. 4 (4th Cir. 1992)
(argument waived that was not raised below or in any brief in
that court); Yohey v. Collins, 985 F.2d 222, 224-25 (Sth Cir.
1993) (party abandoned arguments by not including them in
body of his brief); Bickel v. Korean Air Lines Co. , 96 F.3d
151, 153 (6th Cir. 1996) (declining to address issue not raised
in party’s briefs); Hoffman v. Caterpillar, Inc. , 256 F.3d 568,
578 (7th Cir. 2001) (that court “will deem an issue waived
where the argument on appeal is undeveloped and not
supported with pertinent authority”); Neb. State Legislative
Bd. v. Slater, 245 F.3d 656, 658 n. 3 (8th Cir. 2001)
(“claims not raised in an initial brief are waived, and we
generally do not consider issues raised for the first time on
appeal in a reply brief”); Greenwood v. FAA, 28 F.3d 971,
977 (9th Cir. 1994) (“We review only issues which are
argued specifically and distinctly in a party's opening brief”);
Hartsfield v. Lemacks, 50 F.3d 950, 953 (11th Cir. 1995)
(“issues that clearly are not designated in the initial brief
ordinarily are considered abandoned”); Terry v. Reno, 322
U.S. App. D.C. 124, 101 F.3d 1412, 1415 (D.C. Cir. 1996)
(party waived issues that were listed in “Statement of Issues”
but that were not argued in brief).

This Court generally follows the same rule. It has
held repeatedly that it does not decide issues outside the
questions presented by a petition for certiorari. See, e.g.,
Glover v. United States, 531 U.S. 198, 205 (2001);
Albertson's, Inc. v. Kirkingburg, 527 U.S. 555, 563 n. 9

6

(1999); Bd. of County Comm’rs v. Umbehr, 518 U.S. 668,
677 n. * (1996); Taylor v. Freeland & Kronz, 503 U.S. 638,
645-46 (1992). This Court’s Rule 14.1(a) provides that
“[o]nly the questions set forth in the petition, or fairly
included therein, will be considered by the Court.” In
addition, this Court’s Rule 24.1 prohibits a brief on the merits
from “rais[ing] additional questions or chang[ing] the
substance of the questions already presented” in the petition.
This Court “decides which questions to consider through
well-established procedures; allowing the able counsel who
argue before us to alter these questions or to devise additional
questions at the last minute would thwart this system.”
Taylor, 503 U.S. at 646.

The rule of waiver for non-briefed appellate issues is
based on fundamental principles of due process. A court
must provide notice before it can grant preclusive effect to an
earlier judgment, Richards v. Jefferson County, 517 U.S.
793, 797-805 (1996), extinguish an absent class member’s
cause of action, Phillips Petroleum Co. v. Shutts, 472 U.S.
797, 812 (1985), or garnish a person’s wages, Sniadach v.
Family Fin. Corp. , 395 U.S. 337 (1969), among other things.
The core of due process are the rights to notice and a
meaningful opportunity to be heard. Cleveland Bd. of
Education v. Loudermill, 470 U.S. 532, 542 (1985). A party
does not, indeed cannot, receive notice of the grounds for an
appellate court’s decision if that court decides the case on a
ground not raised by any of the parties on appeal.

In addition, this rule ensures that judicial decisions are -
based on the presentation of facts and the articulation of legal
disputes that are at the heart of the adversarial process:

The premise of our adversarial system 3
is that appellate courts do not sit as self-

7

directed boards of legal inquiry and research,
but essentially as arbiters of legal questions
presented and argued by the parties before
them. Thus, Rule 28(a) (4) of the Federal
Rules of Appellate Procedure requires that the
appellant’s brief contain “the contentions of
the appellant with respect to the issues
presented, and the reasons therefor, with
Citations to the authorities, statutes and parts of
the record relied on.” Failure to enforce this
requirement will ultimately deprive us in
substantial measure of that assistance of
counsel which the system assumes - a
deficiency that we can perhaps supply by other
means, but not without altering the character
of our institution.

Carducci v. Regan, 230 U.S. App. D.C. 80, 714 F.2d 171,
177 (D.C. Cir. 1983).

The standing requirement is based in substantial part
on the policy of adjudicating only disputes that are presented
through the adversarial process. Flast v. Cohen, 392 U.S.
83, 101 (1968). See also U.F.C.W. Local 751 v. Brown
~ Group, 517 U.S. 544, 556 (1996) (associational standing);
Edmonson v. Leesville Concrete Co., 500 U.S. 614, 628-31
(1991) (third-party standing). The mootness doctrine is based
on the same principles. Friends of the Earth, Inc. v. Laidlaw
Environmental Svces. (TOC), Inc., 528 U.S. 167, 212-13
(2000) (Scalia, J., dissenting). For the same reasons, federal
courts are to avoid issuing advisory opinions on abstract
propositions of law. Hall v. Beals, 396 U.S. 45, 48 (1969)
(per curiam).

On occasion, this Court has discussed and sometimes
decided cases on the basis of arguments noi raised by any of
the parties. These exceptional cases, see Heckler v.
Campbell, 461 U.S. 458, 468-69 n. 12 (1989), have involved
subsidiary matters encompassed within the issue or issues
upon which certiorari was granted and which at least one
amicus has argued in its brief, H.J. Inc. v. Northwestern Bell
Tel. Co., 492 U.S. 229, 243 (1989); involved an issue that
was “antecedent” to the issues presented in the petition and
that was “ultimately dispositive of the present dispute,”
Arcadia v. Ohio Power Co., 498 U.S. 73, 77 (1989); or
concerned the constitutional validity of the statute on which
the claim was based, Continental Ill. Nat'l Bank & Trust Co.
v. Chicago, Rock Island & Pac. Ry. Co., 294 U.S. 648, 667
(1935).

Those decisions merely demonstrate that, on occasion,
this Court feels it necessary to include, in the issues “fairly
included” in a petition for writ of certiorari, those that have
been argued in this Court or that are subsumed within the
issues specifically presented. For example, in Arcadia, a case
in which the petitioner claimed that § 318 of the Federal
Power Act, 16 U.S.C. § 825q, deprived the FERC of
jurisdiction to enter a rate order because of an alleged conflict
between the authority of that agency and the SEC, this Court
decided that a conflict covered by § 318 did not exist in that

2 To the extent this Court decided in those cases to review non-
subsumed issues that none of the parties and none of the amici had
briefed, it may have undertaken that review because of its unique
role in the federal judicial system to resolve inter-circuit disputes
and to provide definitive guidance to the lower federal courts. In
addition, due to its limited docket, this Court may need to decide a
spectrum of subsidiary questions that otherwise might not arise
again in this Court for years, if at all.

9

case. 498 U.S. at 77-85. In contrast, this Court has refused
to consider arguments similar to the grounds upon which the
court of appeals in this case based its decision - that a claim
that went forward to trial should have been dismissed in
pretrial proceedings. Lexecon Inc. v. Milberg Weiss Bershad
Hynes & Lerach, 523 U.S. 26, 43 n. 5 (1998).

Il. The Court of Appeals Departed from
the Accepted and Usual Course of
Judicial Proceedings in This Case.

The court of appeals based its decision on Dr.
Craven’s First Amendment retaliation claim on the Connick
and Pickering tests (App. B at 14a-23a), even though the
Authority had not raised those issues in its answer brief (App.
E) and even though Dr. Craven had not discussed or argued
them in either her opening brief (App. D) or reply brief (App.
F).? It attempted to link those issues to Dr. Craven’s
argument of instructional error through the following
reasoning:

The underlying premise of Plaintiff's objection
to the limited scope of Instruction 22 is that the
district court erred when it ruled that the
telephone call was protected, but that her
speech regarding the IAQ problem, the
infectious waste room, and other safety
matters was not. In order to assess the merits
of the objection, we must therefore determine
whether any or all of the above-referenced

3 The court of appeals noted that the Authority had not filed a cross
appeal on those issues, even though it had raised them in the district
court (App. B at 14a-15a & n. 7).

10

een eee ee

speech was protected. This is a purely legal
inquiry, which we conduct on the basis of the
trial record, notwithstanding UH’s failure to
file a cross-appeal on this point.

(App. B at 14a) (citations and footnote omitted).

This reasoning is based on a false premise. The
district court’s decision on the scope of this instruction was
not based on any conclusion that Dr. Craven’s speech on
other issues was not protected. Instead, the district court
limited that instruction to that one télephone call because it
believed that limitation was Dr. Craven’s “version of what
happened” (App. C at 32a).

The court of appeals’ reasoning is belied by that
court’s own analysis and decision. It noted initially that the
district court had denied the Authority’s motions for judgment
as a matter of law, motions that were based in substantial part
on Connick and Pickering (App. B at 10a).° It stated in
conclusion that Dr. Craven’s First Amendment retaliation
claim “should never have been submitted to the jury” (App.
B at 23a). Either the district court concluded that Dr.
Craven’s speech on IAQ issues and on the storage and

* The court of appeals cited Connick, 461 U.S. at 148 n. 7 & at
150 n. 10) in that paragraph. Both the district court and the court
of appeals had concluded in that case that the plaintiff's speech
involved a matter of public concern. /d. at 142. This Court did not
intimate that it or any other court could decide that issue if it had
been waived or abandoned by not being briefed in the court of
appeals or in this Court.

> The court of appeals stated that the district court’s ruling on those
motions was limited to Dr. Craven’s speech concerning the
Hospital’s radiation safety officer (App. B at i0a).

11

disposal of biohazardous wastes was protected or it did not
decide that issue. In either event, the Connick and Pickering
issues, which neither of the parties had briefed, were not
subsumed in the question of whether the district court had
committed reversible error by limiting the key First
Amendment liability instruction to Dr. Craven’s telephone
discussion about the Hospital’s radiation safety officer.°

Even if the court of appeals was justified in reviewing
the protected status of Dr. Craven’s speech in order to
determine that issue, this justification did not apply to the
balance of her arguments of instructional error. Dr. Craven’s
principal contention in that section of her opening brief (App.
D at 52a-57a) and four of her five subsidiary points (App. D
at 57a-58a) were based only on her claim that the Authority
had terminated her employment in retaliation for what she
allegedly had said to Dr. Hendrick about the work
performance of the Hospital’s radiation safety officer.’’ The

® The limited scope of that instruction was not Dr. Craven’s
principal appellate argument of instructional error. She devoted
most of that section of her opening brief to her argument that the
district court had erred by refusing to instruct the jury on her theory
of the case, that of First Amendment retaliation (App. D at 52a-
57a). She devoted only one paragraph to her contention that the
district court erred by limiting that instruction to one telephone
conversation.

” Dr. Craven summarized that telephone call, in her opening brief,
as concerning what she understood to be a spill of radioactive
iodine on one of the Hospital’s wards, the unavailability of the
Hospital’s radiation safety officer to advise nurses in that ward
about the proper and safe procedures for cleaning up that
radioactive material, emergency responses to these kinds of
situations, and a résumé for that position that she had received by

12

court of appeals admitted that the district court had concluded
that this speech was protected (App. B at 22a n. 9). The
Connick and Pickering tests were not subsumed in Dr.
Craven’s major argument (App. D at 52a-57a) that the district
court had erred by requiring her to prove the existence of a
prior policy or practice of restraint of free speech in order to
establish post hoc unconstitutional retaliation by a person with
final policymaking authority.*

III. This Court Should Exercise Its
Supervisory Authority in This Case.

One of the grounds for granting certiorari is that a
court of appeals “has so far departed from the accepted and
usual course of judicial proceedings ... as to call for an
exercise of this Court’s supervisory authority.” Sup. Ct. R.
10.1(a)(1). “As the Court of last resort in the federal system,
we have supervisory authority and therefore must occasionally
perform a pure error-correcting function in federal litigation.”
Florida v. Rodriguez, 469 U.S. 1, 7 (1984) (Stevens, J.,
dissenting). See generally R. Stern, E. Gressman, S. Shapiro
& K. Geller, Supreme Court Practice 191-92 (7th ed. 1993).

The court of appeals’ use of a non-argued basis to
reverse the district court’s Connick and Pickering rulings
deprived Dr. Craven of property without due process of law.
Whether particular public employee speech touches on matters

mistake (App. D at 44a).

® The grounds upon which the court of appeals decided Dr.
Craven’s First Amendment claim did not involve that court’s
subject matter jurisdiction, which that court could have decided on
its own motion. Mansfield, C. & L. M. Ry. Co. v. Swan, 111 U.S.
379, 382 (1884). ,

13

- of public concern and whether the balance of interests favor
the employee or the governmental employer are highly fact-
specific questions, on which there are both intra-circuit and
inter-circuit splits in very similar fact situations.? For
example, the court of appeals in this case decided that Dr.
Craven’s speech concerning the storage and disposal of
biohazardous waste at the Hospital did not involve a matter of
public concern (App. B at 15a-16a). Yet in other cases, the
Tenth Circuit has held that public employee speech
concerning public health and safety involved matters of public
concern. See, e.g., Lee v. Nicholl, 197 F.3d 1291, 1296
(10th Cir. 1999) (traffic safety and snow removal at an
intersection); Considine v. Bd. of County Comm'rs, 910 F.2d
695, 699-700 (10th Cir. 1990) (highway project); Johnsen v.
Independent School Dist. No. 3, 891 F.2d 1485, 1490 (10th
Cir. 1989) (school district’s medication policy). That is also
the law in other circuits. See, e.g., Goldstein v. Chestnut
Ridge Volunteer Fire Co., 218 F.3d 337, 353 (4th Cir. 2000)
(“Matters relating to public safety are quintessential matters
of ‘public concern.’”); Myers v. Hasara, 226 F.3d 821, 826-
27 (7th Cir. 2000) (speech concerning public health
inspections); Kennedy v. Tangipahoa Parish Library Bd. of
Control, 224 F.3d 359, 372-75 (Sth Cir. 2000) (speech
concerning public safety at library).

® One commentator has claimed that, in this area, this “Court has
fashioned doctrine that is vague” and “internally inconsistent.” T.
Massaro, Significant Silences: Freedom of Speech in the Public
Sector Workplace, 61 SO. CAL. L. REV. 1, 25 (1987). Another has
noted that “lower federal courts have been anything but consistent
in their determination of what speech is protected” under Connick.
S. Allred, From Connick to Confusion: The Struggle to Define
Speech on Matters of Public Concern, 64 IND. L. J. 43, 75 (1988).

14

The Pickering balancing test is even more fact-
specific. While a public employer can rely on “predictions of
harm ... to justify restriction of employee speech,” Umbehr,
518 U.S. at 676, the employer must make a reasonable
prediction, based on specific evidence, that the statement
would “impair[ ] discipline by superiors or harmony among
co-workers, ha[ve] a detrimental impact on close working
relationships for which personal loyalty and confidence are
necessary, or “impede[ ] the performance of the speaker’s
duties or interfere{ ] with the regular operation of the
enterprise.” Rankin v. McPherson, 483 U.S. 378, 388
(1987). See also Gardetto v. Mason, 100 F.3d 803, 811 (10th
Cir. 1996) (governmental employer cannot “rely on purely
speculative allegations that certain statements caused or will
cause disruption”); Andersen v. McCotter, 205 F.3d 1214,
1218 (10th Cir. 2000) (“the government must articulate
specific concerns about the impact of an employee’s speech,
and those concerns must be reasonable and formed in good
faith”) (citations omitted).

The court of appeals based its holding that Dr.
Craven’s speech concerning biohazardous waste at the
Hospital did not involve a matter of public concern on its
conclusion that she “was obviously speaking as an employee
- not a citizen,” at least in part because she had described
photographs of leaking bags of such waste as “really gross”
(App. B at 15a-16a). That court also held that the Pickering
balancing test favored the employer in connection with her
discussion with an HSC employee concerning the work
performance of the Hospital’s radiation safety officer - an
HSC employee who did that work on a contract basis for the
Hospital - based on predictions of future problems made by
Dr. Craven’s immediate supervisor (App. B at 20a-23a).

15

Dr. Craven presented no arguments on either of those
issues in her opening brief (App. D) or her reply brief (App.
F). She summarized the facts surrounding her speech on
biohazardous waste and the radiation safety officer in the
“Statement of the Case” section of her opening brief (App. D
at 40a-45a), but presented no case authority or argument as to
why those facts supported the district court’s denial of the
Authority’s motions for judgment as a matter of law. She did
not do so in her opening brief because the Authority had not
raised those issues in a cross-appeal. She did not address
those issues in her reply brief for the same reason - the
Authority had presented no argument on those issues, and had
not even cited Connick or Pickering, in its answer brief.'°

In addition, the court of appeals’ decision effectively
constituted an advisory opinion on the Connick and Pickering
issues on which that decision was based. The Authority, for
reasons known best to itself, decided not to raise those issues
on appeal. It is not the purpose of the courts in this country
to decide issues that the parties have chosen not to assert,
unless those issues involve the very power of a court to decide
a particular controversy. Carducci, 714 F.2d at 177. The
technique used by the court of appeals in this case might be
appropriate in a civil-law system, in which judges play a far
more activist role than is true in the United States, but it is
foreign to the American judicial system.

'0 One could imagine an appellate system in which a prudent party
would argue every possible ground upon which the court of appeals
could base its decision, whether or not any of those grounds had
been contained in a notice of appeal or cross-appeal and whether or
not they had been argued in the opposing party’s brief(s). Such
tactics would require a court of appeals to wade through a myriad
of irrelevant issues and arguments presented precisely to avoid the
kind of decision made in this case.

16

But the court of appeals’ decision does not implicate
merely the parties to this case and merely this dispute.
According to a recent empirical study, the reversal rate in
federal courts of appeals for defense trial victories in
employment discrimination cases is only 5.8%, the lowest
reversal rate for any category of cases other than prisoner
habeas corpus trials. T. Eisenberg and S. J. Schwab, Double
Standard on Appeal: An Empirical Analysis of Employment
Discrimination Cases in the U.S. Courts of Appeals, p. 2,
http://www. findjustice.com/ms/pdf/double-standard. PDF
(accessed Dec. 7, 2001). The reversal rate for plaintiff trial
victories is 43.61%, the highest reversal rate for any category
of cases other than “other civil rights cases.” J/d.'' The
37.81% gap between plaintiffs’ and defendants’ reversal rates
is greater for employment discrimination cases than for any
other category of cases for which the Administrative Office of
the United States Courts maintains statistics. '*

These statistics suggest that many judges in the courts
of appeals are applying a results-based approach in
employment litigation, one in which different substantive and
procedural standards exist based on which side prevailed in
the district court. They suggest that many judges in those
courts search for reasons to reverse plaintiff trial victories and
to affirm defense trial victories. As the authors of that study
conclude, this gap “raises the specter that appellate courts
have a double standard for employment discrimination cases,

'! The statistics for “other civil rights cases,” which would include
Dr. Craven’s First Amendment claim, is 48.04% for plaintiff trial
victories and 13.86% for defense trial victories. /d., pp. 8-9.

12 The gap for “other civil rights cases” is almost as large -
34.18%.

17

harshly criticizing employee victories at trial while gazing
benignly at employer victories at trial.” /d., p. 6.

The court of appeals’ use of non-argued, non-briefed
issues enabled it to affirm the result below. Had it not done
sO, it might have - and Dr. Craven submits it would have -
reversed the district court on the basis of the argument she
and the Authority did brief.'? This decision therefore is an
example of a more pervasive and serious pattern of results-
and party-oriented appellate decisions. This Court should
exercise its supervisory power in order to review and to
reverse that decision.

13 The court of appeals agreed that a party is entitled to an
instruction on her theory of the case if she has offered sufficient
evidence for the jury to find in her favor (App. B at 12a-13a). It
agreed that Dr. Craven explained repeatedly at trial that she was not
attempting to show the existence of a pre-existing policy that
restricted her rights of free speech, but rather that she had been
terminated in retaliation for protected speech (App. B at 21a n. 9).
It also agreed that there was no evidence that anyone ever expressly
prohibited her from speaking with other people in addition to Ms.
Cashman (App. B at 8a n. 3). Had the court of appeals not decided
this case on the basis of Connick and Pickering, it appears it would
have been compelled to reverse the jury’s verdict and remand this
case for a new trial based upon proper jury instructions.

18

CONCLUSION
The petition for a writ of certiorari should be granted.
Respectfully submitted,

Barry D. Roseman

Counsel of Record

ROSEMAN & KAZMIERSKI, LLC
899 Logan Street, Suite 203
Denver, Colorado 80203

(303) 839-1771

Attorney for Petitioner
Patricia S. Craven

19

APPENDIX A

UNITED STATES COURT OF APPEALS
FOR THE TENTH CIRCUIT

No. 99-1519
(D.C. No. 97-D-258)

Filed, September 12, 2001

PATRICIA CRAVEN,
Plaintiff-Appellant,

Vv.

UNIVERSITY OF COLORADO HOSPITAL
AUTHORITY,
Defendant-Appellee.

a a a ae a a a

Before TACHA, KELLY, Circuit Judges, and
LUNGSTRUM,, District Judge.

ORDER

Appellant’s petition for rehearing is denied.

* The Honorable John W. Lungstrum, District Judge,
United States Court for the District of Kansas, sitting by
designation.

la

The petition for rehearing en banc was transmitted to
all of the judges of the court who are in regular active service
as required by Fed. R. App. P. 35. As no member of the
panel and no judge in regular active service on the court
requested that the court be polled, that petition is also denied.

Entered for the Court

PATRICK FISHER,
Clerk of Court

By:

Deputy Clerk

APPENDIX B

UNITED STATES COURT OF APPEALS FOR THE
TENTH CIRCUIT

No. 99-1519

August 13, 2001, Filed

PATRICIA CRAVEN,
Plaintiff-Appellant,

VS.

UNIVERSITY OF COLORADO
HOSPITAL AUTHORITY,
Defendant-Appellee.

Appeal from
The United States District Court
For the District of Colorado
(D.C. No. 97-D-258)
- D.C. Judge Wiley Y. Daniel

JUDGES:
Before TACHA, KELLY, Circuit Judges, and
LUNGSTRUM*, District Judge.

* The Honorable John W. Lungstrum, District Judge, United
States District Court for the District of Kansas, sitting by
designation.

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Tenth Circuit Court of Appeals Opinion - 08/13/01
OPINION

KELLY, Circuit Judge.

Dr. : Patricia Craven filed this action against the
University of Colorado Hospital Authority ("UH" or "the
hospital"), asserting: (1) a federal claim under 28 U.S.C. §
1983 for retaliatory discharge in violation of the First and
Fourteenth Amendments ("retaliatory discharge claim" or
"$1983 claim"); (2) a pendent state claim for wrongful
discharge in violation of public policy ("public policy claim"
or "pendent state claim"); and (3) a second pendent state
claim for breach of implied contract. The court granted
summary judgment for UH on Dr. Craven's public policy
claim; the others were tried to a jury, which returned a
verdict for UH on both claims. The district court denied
Plaintiff's Motion for a New Trial or, in the Alternative, to
Amend or Alter the Judgment ("Rule 59 Motion"), and she
appeals only as to the § 1983 and public policy claims. For
the reasons stated below, we affirm.

Background
From March 21 through November 8, 1994, Dr.

Craven was employed by UH as the Manager of Safety and
Risk Management. IV Aplt. App. 1149.' In that capacity, she

Plaintiff's initial and supplemental appendices, both filed
June 5, 2000, are cited herein as "I Aplt. App." and “II Aplt.
App.", respectively. Her second supplemental appendix, filed
August 29, 2000, is cited as "III Aplt. App." Plaintiff's third
supplemental appendix, filed June 4, 2001, and erroneously titled
"Second Supplemental Appendix," is cited as "IV Apit. App."

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Tenth Circuit Court of Appeals Opinion - 08/13/01

was responsible for "assessing, developing, implementing,
and monitoring the effectiveness of safety, security, and risk
management programs for University Hospital." II Aplt. App.
1. The plaintiff became involved in a number of issues during
her tenure at UH. For the purpose of this appeal, her
involvement with problems relating to internal air quality, the
infectious waste room, and radiation safety are the most
significant.

I. Internal Air Quality

Almost immediately upon assuming her position at
UH, the plaintiff became concerned about fumes emissions
from a construction project in the Barbara Davis Center,
which was adjacent to the hospital. The Barbara Davis Center
was part of the University of Colorado's Health Science
Center ("HSC"), a separate but affiliated entity of UH. IV
Aplt. App. 605. Fumes were seeping into UH's ventilation
system, causing internal air quality ("IAQ") problems within
the hospital. The record shows that Dr. Craven's approach to
the IAQ problem was confrontational and inflexible, and that
she was consistently demeaning to HSC and other project
personnel. After an early meeting with project personnel, the
plaintiff circulated a memorandum to all affected areas of the
hospital and to several high level officials at UH and HSC,
reporting her conclusion that the fumes must be halted
immediately. She did not consult her then-supervisor, Dr.
Ann Jones, before circulating the memorandum. A few weeks
later, the plaintiff invited ten to fifteen angry hospital
employees to another meeting with project personnel. The
record contains overwhelming evidence that Plaintiff's
conduct at that meeting was abrasive and uncooperative. E.g.,
id. at 200-03, 620-22, 664, 1110-12. According to one

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Tenth Circuit Court of Appeals Opinion - 08/13/01

attendee, the "meeting turned into havoc" when Dr. Craven
and the hospital employees began “chanting[:] Who wants to
shut them down, let's take a vote, who wants to shut them
down." /d. at 664. As a result of these and other incidents,
the plaintiff was repeatedly advised to develop a more
effective problem-solving approach. E.g., id. at 1109
(5/24/94 letter); id. at 1130 (5/28/94 e-mail); id. at 1105
(6/1/94 letter);? id. at 1004-05 (6/4/94 e-mail).

II. Infectious Waste Room

By July 1994, Dr. Craven had become aware that "the
refrigerated infectious waste room on the dock [was] being
improperly used[,] resulting in an increased risk of blood
borne pathogen exposure." Id. at 1017. In addition to
reporting to the safety committee and consulting with

2 Although the June 1 letter included a directive that Dr.
Craven "direct all comments about the safety of the Hospital to me
as your immediate supervisor," IV Aplt. App. 1106, the record
indicates that this directive was subsequently modified or withdrawn
as impracticable. See id. at 224-26 (testimony of Dr. Craven,
describing meeting on or about June 29 with Ruth Sens, Dr. Jones,
and Donna Koeppel, a human resources representative, about the
plaintiff's upcoming transfer to Ms. Sens' department, during
which Ms. Koeppel had informed the plaintiff that after discussing
the June 1 letter, she and both supervisors had agreed that "it would
have been impossible for [Dr. Craven] to tell [Dr. Jones] even one-
tenth of everything that was going on in safety," and that the June
1 directive "was to be disregarded"); id. at 729-30 (testimony of
Dr. Jones that she never intended to prevent Dr. Craven from
making safety-related comments to others in the hospital, only to
require that the plaintiff keep her immediate supervisor informed of
those concerns).

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Tenth Circuit Court of Appeals Opinion - 08/13/01

appropriate hospital personnel to remedy the problem, id. at
274, Dr. Craven and her staff took a number of photographs
to be used in a presentation to the hospital's management
council at their monthly meeting in August. Id. at 275-76,
399. Her then-supervisor, Ruth Sens, advised against the
presentation on the grounds that given the management
council's inability to solve the problem, the presentation
"would have been a complete waste of time and cause nothing
but stirring the group up." /d. at 549. Although plaintiff was
allowed to compile a poster display, stand with it outside the
meeting, and answer various managers' questions as they
entered or left the meeting, id. at 277, 400, she was
ultimately dissatisfied with the arrangement: "I wanted to
present [the problem] to everyone, not just people that had the
time to stop and talk." /d. at 278.

III. Radiation Safety Officer

Finally, Dr. Craven also clashed with her supervisors
regarding the hospital's Radiation Safety Officer ("RSO"),
Dr. Tim Johnson. In addition to her concerns about Dr.
Johnson's performance, e.g., id. at 294, 550-51, 1104, the
plaintiff disagreed with the placement of the RSO position in
the hospital's overall organizational structure. /d. at 398-99,
871-72. Plaintiff was advised to express these concerns to
Joyce Cashman - her second-line supervisor and the hospital's
then-Chief Operating Officer. /d. at 733-34. A few days later,
Dr. Craven called Dr. Ed Hendrick, then-Chief of HSC's
Radiological Sciences Division, to discuss her concerns about

Tenth Circuit Court of Appeals Opinion - 08/13/01

the RSO.? /d. at 306-11. Dr. Craven told Dr. Hendrick that
nurses had been unable to reach Dr. Johnson to respond to a
radioactive iodine spill in a chemotherapy patient's room. The
plaintiff noted that another employee had responded to the
incident, but expressed concern as to who should be called
upon in the future.

On November 3, 1994, Ms. Sens posted a note on Dr.
Craven's door, informing her that her "communications with
Ed Hendrick{}" had caused "major problems . . . between UH
Administration and the Health Sciences Center" and
requesting "copies of all notes, E-Mails, and the context of all
phone messages that you have had with [Dr. Hendrick]
concerning the role of the RSO." /d. at 1114. Plaintiff
responded in writing, id. at 1115, and met with Ms. Sens the
following day. After initially placing Dr. Craven on leave,
Ms. Sens terminated Plaintiff's employment on November 8,

3 There is no evidence that anyone ever expressly

prohibited Dr. Craven from speaking with other people in addition
to Ms. Cashman. Thus, UH's claim that Dr. Craven's telephone
call to Dr. Hendrick constituted an act of direct insubordination is
not supported by the evidence. Nonetheless, unless Dr. Craven was
discharged in retaliation for engaging in protected speech activities,
"a federal court is not the appropriate forum in which to review the
wisdom of a personnel decision taken by a public agency allegedly
in reaction to the employee's behavior." Connick v. Myers, 461
U.S. 138, 147, 75 L. Ed. 2d 708, 103 S. Ct. 1684 (1983); see also
id. at 146 ("Government officials should enjoy wide latitude in
managing their offices, without intrusive oversight by the judiciary
in the name of the First Amendment. Ordinary dismissals from
government service . . . are not subject to judicial review even if
the reasons for the dismissal are alleged to be mistaken or
unreasonable.) (citations omitted).

8a

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Tenth Circuit Court of Appeals Opinion - 08/13/01

1994, due to her "lack of professional behavior and
insubordination." /d. at 1102. The termination letter described
Dr. Craven's conversation with Dr. Hendrick as "extremely
inappropriate" and "in direct conflict with the information you
[had] received from Joyce Cashman, Vice President of
Operations, telling you to address issues regarding the
radiation safety officer directly to her." /d.; see supra, note
3. Plaintiff's internal appeal was unsuccessful. /d. at 1051,
1116-19.

Procedural History

This action was originally filed in state court. In her
complaint, Dr. Craven alleged state claims for breach of
implied contract and wrongful discharge in violation of public
policy, as well as a federal claim for retaliatory discharge in
violation of the First and Fourteenth Amendments.‘ I Aplt.
App. 1-6. After removing the case to federal court, UH
moved for summary judgment as to each claim for relief. /d.
at 12-13. With respect to Plaintiff's §1983 claim, UH argued,
inter alia, that the speech for which Dr. Craven was allegedly
terminated did not touch on matters of public concern, id. at
39-41, and that UH's interests in maintaining an efficient
workplace - specifically, in maintaining collegial relations
with HSC and its employees - outweighed Dr. Craven's
interests in engaging in the speech at issue. /d. at 41-43, 149-
51. Although the record before us does not contain the

* The complaint contained allegations as to her speech
regarding internal air quality and radiation safety, but not as to
infectious waste. I Aplt. App. 2-3, PP 7, 9-11. Her third claim for
relief did not specify the speech upon which her retaliatory
discharge claim was premised. /d. at 4-5.

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Tenth Circuit Court of Appeals Opinion - 08/13/01

complete transcript of the hearing on that motion, it appears
that UH's only successful argument on summary judgment
was its claim of immunity under the Colorado Governmental
Immunity Act ("CGIA") with respect to the state tort claim.
Id. at 154-58. Thus, a jury trial was held on the implied
contract and §1983 claims.

At the close of Dr. Craven's case and again at the
close of all the evidence, UH moved for judgment as a matter
of law under Rule 50(a) of the Federal Rules of Civil
Procedure. IV Aplt. App. 504-27, 876-79. In both motions,
the hospital's primary contention was that the speech upon
which Plaintiff's §1983 claim was premised could not legally
support a retaliatory discharge claim. As in its motion for
summary judgment, UH argued that Dr. Craven's speech did
not relate to matters of public concern and that UH's interests,
as an employer, in maintaining an efficient workplace
outweighed her interests, as a citizen, in speaking out as she
did. /d. at 504-05, 517-22, 877. The court rejected both
motions, but limited its ruling as to the protected status of
Plaintiff's speech to her telephone call to Dr. Hendrick. /d.
at 518, 520-21, 523-24, 878-79. Both claims were then
submitted to the jury, which returned a general verdict for the
defendant on each theory. /d. at 1170-71.

On appeal, Plaintiff challenges the jury's verdict on
her §1983 claim on the basis of six alleged errors in Jury
Instruction No. 22.

10a

Tenth Circuit Court of Appeals Opinion - 08/13/01
Discussion

I. Federal Claim: Retaliatory Discharge
in Violation of First and Fourteenth
Amendments

An individual public employer is liable for retaliatory
discharge when he terminates an employee because she
engaged in protected speech. Lybrook v. Members of
Farmington Mun. Schools Bd. of Educ. , 232 F.3d 1334, 1338
(10th Cir. 2000). If the court determines that the speech at
issue was not protected, the defendant is entitled to judgment
as a matter of law.’ If the speech was protected, the claim is
then submitted to the jury, which must decide whether that
speech “was a substantial or motivating factor in the
termination," Bd. of County Comm'rs, Wabaunsee County,
Kan. v. Umbehr, 518 U.S. 668, 675, 135 L. Ed. 2d 843, 116
S. Ct. 2342 (1996), and if so, whether the employer "would
have taken the same action even in the absence of the
protected” speech. /d. (citing Mt. Healthy City School Dist.
Bd. of Educ. v. Doyle, 429 U.S. 274, 287, 50 L. Ed. 2d 471,
97 S. Ct. 568 (1977)). If the jury resolves the foregoing
Causation issues in the employee's favor, the individual who
made the termination decision may be liable for damages. /d.

> A determination that speech is “unprotected” in the
context of a retaliatory discharge claim does not mean that the
speech "is totally beyond the protection of the First Amendment. .
. . We in no sense suggest that speech on private matters falls into
one of the narrow and well-defined classes of expression which
carries so little social value, such as obscenity, that the state can
prohibit and punish such expression by all persons in its
jurisdiction." Connick, 461 U.S. at 147 (citations omitted).

lla

Tenth Circuit Court of Appeals Opinion - 08/13/01

Because the mere fact "that a plaintiff has suffered a
deprivation of federal rights at the hands of a [public]
employee will not alone permit an inference of [governmental]
culpability and causation," Bd. of County Comm'rs of Bryan
County, Okla. v. Brown, 520 U.S. 397, 406-07, 137 L. Ed.
2d 626, 117 S. Ct. 1382 (1997), a plaintiff who seeks to reach
beyond an individual defendant to the employer - as a public
entity - must also show that the constitutional violation is
attributable to that entity. See, e.g., City of St. Louis v.
Praprotnik, 485 U.S. 112, 121-23, 99 L. Ed. 2d 107, 108 S.
Ct. 915 (1988) (plurality opinion); Pembaur v. City of
Cincinnati, 475 U.S. 469, 480-83 & n.12, 89 L. Ed. 2d 452,
106 S. Ct. 1292 (1986) (plurality opinion); Monell v. Dep't of
Social Servs., 436 U.S. 658, 694, 56 L. Ed. 2d 611, 98S. Ct.
2018 (1978).

We begin our analysis with the plaintiff's most
fundamental objection: that the district court refused to
instruct the jury on her theory of the case.° See FDIC v.

® In pertinent part, the challenged instruction, No. 22, read
as follows:

In order for the Plaintiff * . . to recover from the
Defendant . . . on her claim of violation of the
Plaintiff's constitutional right to freedom of
speech, you must find [that]... :

(1) The Plaintiff reported to Dr. Hendrick
substantial concerns she had regarding a radiation
spill at 8 North of University Hospital, how that
spill was handled, its adverse impact on patient
care and overall hospital safety, and the

12a

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Tenth Circuit Court of Appeals Opinion - 08/13/01

Schuchmann, 235 F.3d 1217, 1222 (10th Cir. 2000)
(recognizing that "a party is entitled to an instruction on [her]
theory of the case . . . if he has offered sufficient evidence for
the jury to find in his favor") (internal quotations and citations
omitted). Specifically, Plaintiff claims that Instruction 22
erroneously:

limited the scope of expressive activities on
which [her] First Amendment retaliation claim
was based just to her one telephone
conversation with Dr. Hendrick. That was not
the theory of Dr. Craven's case. She claimed
retaliation based not only on that [1] one
conversation, but also upon her earlier speech
in connection with [2] indoor air quality
problems resulting from construction activities
at the Barbara Davis Center, [3] the storage

unavailability of the Radiation Safety Officer to
attend to such emergencies;

(2) The Defendant terminated the Plaintiff
following this contact with Dr. Hendrick;

(3) The Plaintiff's expression of her views to Dr.
Hendrick on the issues specified in paragraph (1)
above was a substantial or motivating factor in the
Defendant's decision to terminate the Plaintiff;

“ee

I Aplt. App. 362.

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Tenth Circuit Court of Appeals Opinion - 08/13/01

and disposal of bio-hazardous waste, and [4]
other matters.

Aplt. Br. at 16-17 (emphasis added). Because Dr. Craven
raised this objection to the trial court before the jury retired,
see IV Aplt. App. 818, our review is de novo. Karnes v. SCI
Colo. Funeral Serv., Inc., 162 F.3d 1077, 1079 (10th Cir.
1998); see also Fed. R. Civ. P. 51. In de novo review, we
consider the "instructions in their entirety and reverse only if
we determine that the error was prejudicial in light of the
record as a whole." Giron v. Corrections Corp. of Am., 191
F.3d 1281, 1287 (10th Cir. 1999).

The underlying premise of Plaintiff's objection to the
limited scope of Instruction 22 is that the district court erred
when it ruled that the telephone call was protected, but that
her speech regarding the IAQ problem, the infectious waste
room, and other safety matters was not. See IV Aplt. App.
520, 523-24, 878-79. In order to assess the merits of the
objection, we must therefore determine whether any or all of
the above-referenced speech was protected. Cf. Connick, 461
U.S. at 150 n.10 (noting that courts are obligated to "examine
. . . the statements in issue and the circumstances under which
they are made to see whether or not they .. . are of a
character which the principles of the First Amendment. . .
protect," and therefore "cannot avoid making an independent
constitutional judgment on the facts of the case") (internal
quotations and citations omitted, first omission in original).
This is a purely legal inquiry, see id. at 148 n.7, which we
conduct on the basis of the trial record, notwithstanding UH's

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Tenth Circuit Court of Appeals Opinion - 08/13/01

failure to file a cross-appeal on this point.’ See Koch v. City
of Hutchinson, 847 F.2d 1436, 1441 n.14 (10th Cir. 1988)
(en banc).

Of the four categories of speech upon which Plaintiff
seeks to base her §1983 claim, we must reject two at the
outset. First, Dr. Craven's allegation that she was terminated
in retaliation for her speech on "other matters" is patently
inadequate. See Fed. R. App. P. 28(a)(9)(A). It is the place of
counsel, not the Court of Appeals, to identify the specific
instances of speech upon which the plaintiff seeks to base her
claim. "We will not manufacture arguments for an appellant,
and a bare assertion does not preserve a claim, particularly
when, as here, a host of other issues are presented for
review." Entertainment Research Group, Inc. v. Genesis
Creative Group, Inc., 122 F.3d 1211, 1217 (9th Cir. 1997);
see also United States v. Dunkel, 927 F.2d 955, 956 (7th Cir.
1991) (per curiam) ("Judges are not like pigs, hunting for
truffles buried in briefs.").

Second, the plaintiff's reliance on her speech
concerning the infectious waste room is misplaced. In any
retaliatory discharge case, the threshold inquiry is whether the
speech at issue involved a matter of public concern. Connick,
461 U.S. at 146-47. Although it is not entirely clear from
Plaintiff's brief, she appears to argue that she was terminated, _
in part, for the proposal she made to Ms. Sens regarding a
presentation to the management council about "the storage and

” Notably, UH has contested the protected status of the
speech at issue throughout the course of this litigation. I Aplt. App.
39-43, 149-51 (Mot. for Summ. J.); IV Aplt. App. 504-05, 517-22
(first Rule 50(a) Mot.); id. at 877 (second Rule 50(a) Mot.).

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Tenth Circuit Court of Appeals Opinion - 08/13/01

disposal of bio-hazardous waste." Aplt. Br. at 17. Although
it is well-settled that a public employee need not "spread [her]
views before the public" in order to pursue a claim for
retaliatory discharge, Givhan v. W. Line Consol. Sch. Dist.,
439 U.S. 410, 415-16, 58 L. Ed. 2d 619, 99 S. Ct. 693
(1979), it is equally weil-settled that "in deciding whether a
particular statement involves a matter of public concern, the
fundamental inquiry is whether the plaintiff speaks as an
employee or as a citizen." David v. City & County of Denver,
101 F.3d 1344, 1355 (10th Cir. 1997) (citing Connick, 461
U.S. at 147). In consulting with Ms. Sens regarding the
propriety of presenting certain photographs to a group of
managers with no direct responsibility for the photographs'
subject matter, Plaintiff was obviously speaking as an
employee - not as a citizen. /d. at 277, 549; see also id. at
277 (testimony of Dr. Craven, describing photographs as
"really gross"). The Supreme Court has firmly rejected the
view that "all matters which transpire within a government
office are of public concern," noting that such a presumption
"would mean that virtually every remark . . . would plant the
seed of a constitutional case." Connick, 461 U.S. at 149. This
is not the law. "The First Amendment does not require a
public office to be run as a roundtable for employee
complaints over [such] internal office affairs" as the pooper
forum and composition for a presentation on infectious waste.*
n8 /d.

® To the extent Plaintiff's argument is based on the poster
display, we reject it as well. The record before us contains no
evidence that anyone with the oy to terminate Dr. Craven
ever saw the display.

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Tenth Circuit Court of Appeals Opinion - 08/13/01

Strictly for the sake of analysis, we assume without
deciding that Dr. Craven's speech regarding internal air
quality and radiation safety did involve matters of public
concern, and we proceed to the second component of our
inquiry: whether Dr. Craven's interests, "as a citizen, in
commenting upon matters of public concern" outweigh "the
interest of the State, as an employer, in promoting the
efficiency of the public services it performs through its
employees." Pickering v. Bd. of Educ., 391 U.S. 563, 568,
20 L. Ed. 2d 811, 88 S. Ct. 1731 (1968). We have held that
the balance of interests may favor the employer when "some
restriction is necessary to . . . insure effective performance by
the employee." Gardetto v. Mason, 100 F.3d 803, 815 (10th
Cir. 1996) (internal quotations and citations omitted).
Relevant considerations include: "whether the {employee's
speech] impairs discipline by superiors or harmony among co-
workers, has a detrimental impact on close working
relationships for which personal loyalty and confidence are
necessary, or impedes the performance of the speaker's duties
or interferes with the regular operation of the enterprise."
Rankin v. McPherson, 483 U.S. 378, 388, 97 L. Ed. 2d 315,
107 S. Ct. 2891 (1987) (citing Pickering, 391 U.S. at 570-
73).

Because "the government's interest in achieving its
goals as effectively and efficiently as possible is elevated from
a relatively subordinate interest when it acts as sovereign to a
significant one when it acts as employer," Umbehr, 518 U.S.
at 676 (quoting Waters v. Churchill, 511 U.S. 661, 675, 128
L. Ed. 2d 686, 114 S. Ct. 1878 (1994) (plurality opinion)),
courts have "consistently given greater deference to
government predictions of harm used to justify restriction of
employee speech than to predictions of harm used to justify

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restrictions on the speech of the public at large." /d. (quoting
Waters, 511 U.S. at 673). The employer cannot, however,
"rely on purely speculative allegations that certain statements
caused or will cause disruption . . . ." Gardetto, 100 F.3d at
815. “Instead, the government must articulate specific
concerns about the impact of an employee's speech, and those
concerns must be reasonable and formed in good faith."
Andersen v. McCotter, 205 F.3d 1214, 1218 (10th Cir. 2000)
(citations omitted). The government need not "allow events to
unfold to the extent that the disruption of the [operation] and
the destruction of working relationships is manifest .
Connick, 461 U.S. at 152; accord Moore v. City of
Wynnewood, 57 F.3d 924, 934 (10th Cir. 1995) (noting that
employer need not "wait for speech actually to disrupt core
operations before taking action"). With these legal standards
in mind, we turn to the speech at issue.

A. Internal Air Quality

Plaintiff's speech regarding the IAQ problem had a
significantly adverse impact on her relationship with various
HSC personnel involved in the Barbara Davis Center
construction project. Because UH and HSC have, in many
senses, a "Common mission," it is "extremely important" that
employees of both institutions maintain "good collegial
relationships” and "respect and trust each other." IV Aplt.
App. 736 (testimony of Ms. Cashman). Negative relationships
between UH and HSC employees create "a lot of tension. . .
[and] distrust,” and have an adverse effect on the institutions’
abilities to resolve problems. /d. at 737. With respect to the
IAQ problem, it was particularly important for Dr. Craven to
have a comfortable and coilegial relationship with John
Allison, HSC's project manager for the Barbara Davis Center,

Tenth Circuit Court of Appeals Opinion - 08/13/01

as well as the other HSC employees and contractors involved.
Dr. Craven made no attempt to foster such a relationship. In
fact, it appears that she went out of her way to antagonize Mr.
Allison and his team, first by copying a memorandum that
concerned him directly to his supervisor and other high level
Officials, id. at 980, then by bringing angry staff members to
a meeting at which she was rude and disrespectful to her HSC
colleagues, eventually becoming so emotional that she had to
withdraw from participating in the meeting in order to collect
herself. /d. at 203 (testimony of Dr. Craven).

As a result, the colleagues with whom the plaintiff was
Supposed to be working in harmony to resolve problems and
further a common goal came to view her as "snide,"
"abrasive," "unprofessional," "unwilling to help,"
"degrading," "nonrespectful," id. at 620-22 (testimony of Mr.
Allison), "completely inappropriate," "cynical,"
"argumentative," "uncooperative," incorporating "vigilante-
ism,” id. at 1110-12 (5/19/94 e-mail from Mr. Allison to Mr.
Pauline), and tending to create "havoc". /d. at 664 (testimony
of Mr. Kohler). Dr. Jones expressed her concerns about Dr.
Craven's approach to the IAQ problem on numerous
occasions. /d. at 1108-09 (5/24/94 letter, advising the plaintiff
"to slow down and think clearly," to be more sensitive to "the
appropriate manner in dealing with patients, staff and
faculty," to employ procedures that would "keep people calm
rather than contribute to their anxiety," and commenting: "I
find the surprise appearance of employées at a construction
meeting to be thoroughly inappropriate and need to advise you
that it should not reoccur"); id. at 1130 (5/28/94 e-mail:
"Your effectiveness has little to do with where you sit, but a
lot to do with how you approach people."); see also id. at
1105-07 (6/1/94 letter); id. at 1004-05 (6/4/94 e-mail). On the

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record before us, it was more than reasonable for UH to
conclude that Plaintiff's manner, including the manner in
which she expressed herself to others, was having a negative
impact both on her performance and on the hospital's
operations. See Umbehr, 518 U.S. at 676. Because there is no
basis for us to second-guess that judgment, we hold that the
Pickering balance favors the defendant as to Dr. Craven's
IAQ-related speech, and that her speech on that issue was not
entitled to First Amendment protection for purposes of her
retaliatory discharge claim.

B. Radiation Safety

There is no dispute as to the substance of the plaintiff's
telephone conversation with Dr. Hendrick. See IV Aplt. App.
307-09; cf. Waters, 511 U.S. at 668. Several of the facts
asserted by Dr. Craven in that conversation, however, were
controverted by Dr. Johnson. He testified that the incident at
issue did not involve a spilt infusion of intravenous radioactive
iodine, cf. IV Aplt. App. 307 (testimony of Dr. Craven), but
rather, a patient's reaction to radioactive iodine in capsule
form. /d. at 686 ("What had happened was that the patient
had thrown up."). Dr. Johnson also clarified the procedures
to be followed when a radiation incident occurred. He
explained that the hospital maintained a "call-down list" of
several people - including him - that could be called upon to
respond in the event of a radiation emergency. /d. at 680.
Regardless, inadvertently false speech on a matter of public
concern may still provide a basis for a retaliatory discharge
claim. See, e.g., Pickering, 391 U.S. at 572-73.

Even assuming that the call did involve matters of
public concern, UH's interests in efficiency far outweigh the

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Tenth Circuit Court of Appeals Opinion - 08/13/01

plaintiff's interests, as a citizen, in commenting on the
radiation incident at issue to Dr. Hendrick. From the record
before us, it appears that Plaintiff's conversation with Dr.
Hendrick had a “detrimental impact on close working
relationships for which personal loyalty and confidence are
necessary, . . . interfered with the regular operation of the
enterprise," and "impeded the performance of the speaker's
duties . . . ." Rankin, 483 U.S. at 388. As noted, it is
essential that UH and HSC employees maintain collegial
relationships so that they can work with, rather than against,
one another in solving problems that affect both institutions.
See IV Apit. App. 736-37. According to Ms. Sens, "major
problems developed between UH Administration and the
Health Sciences Center because of [Dr. Craven's]
communications with Ed Hendrick[] concerning the radiation
safety officer." Jd. at 1114. Ms. Cashman testified that the
plaintiff's conversation with Dr. Hendrick would lead to
misunderstandings between UH and HSC's radiology
department and call Ms. Cashman's credibility as a manager
into question. Jd. at 845-47.

With respect to the plaintiff's own performance, Ms.
Sens testified that she had "explicitly advised Dr. Craven to
make her concerns known to Joyce Cashman and then let it
rest," id. at 553, but that Dr. Craven "would just not give it
up,” id., and that her persistence eventually went "from
annoying to destructive." /d. at 574. After Dr. Craven's
telephone call to Dr. Hendrick, Ms. Sens realized that if Dr.
Craven was to continue in her position, she would require
“very intense” supervision on a “day to day” basis, obligating
Ms. Sens to constantly "check{] what she had said [and] who
She had spoken to, a very inappropriate level of supervision”
for a manager. /d. at 570-71. Simply put, Ms. Sens felt that

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Tenth Circuit Court of Appeals Opinion - 08/13/01

she could no longer trust the plaintiff's judgment. /d. at 571.
We find the foregoing evidence sufficient to tip the Pickering
balance in favor of the hospital with respect to the plaintiff's
telephone call to Dr. Hendrick.’ Accordingly, that call

® Due in large part to its misconception of this case as
involving an alleged prior restraint, the district court reached a
different conclusion as to the balance of interests with respect to the
telephone call. IV Aplt. App. 523-24, 878-79. Instead of
considering whether and to what extent the hospital's efficiency
interests were compromised by speech in which the plaintiff had
actually engaged, the court framed the question as whether the
hospital's interests were directly furthered by the alleged
requirements that Dr. Craven report only to her immediate
supervisor or - with respect to radiation safety issues - only to Ms.
Cashman. Id. at 510-11, 517, 519, 523-24, 878-79; cf. supra, notes
2-3. It also appears that the court conflated the Pickering balancing
inquiry with the separate and distinct analysis required to determine
whether a constitutional violation by an individual government
employee - if proven - can be attributed to the governmental entity.
See, e.g., IV Aplt. App. 508 (statement by the court: "I'm trying
to understand what custom or policy was in place by the hospital
authority that prevented the plaintiff from speaking out on a matter
of public concern . . . ."); id. at 523 (statement by the court,
concluding that the alleged reporting requirements did "in fact
constitute a custom or policy that . . . fwas] designed in a way that
doesn't promote the efficiency of the public service being
performed by the hospital authority"); cf. Monell, 436 U.S. at 694
("It is when execution of a government's policy or custom, whether
made by its lawmakers or by those whose edicts or acts may fairly
be said to represent official policy, inflicts the injury that the
government as an entity is responsible under § 1983.") (emphasis
added). As Plaintiff's counsel explained repeatedly, however, Dr.
Craven was not attempting to show that she had been "prevented
from speaking out," IV Aplit. App. 508, but rather, that she had

Tenth Circuit Court of Appeals Opinion - 08/13/01

provides no basis for Dr. Craven's §1983 claim.
C. Conclusion

In sum, of the four categories of speech cited in Dr.
Craven's brief, none can provide an adequate basis for her
retaliatory discharge claim. Her argument regarding speech
on “other matters" is too vague, her speech concerning
infectious waste did not involve a matter of public concern,
and even assuming that her IAQ- and radiation safety-related
speech touched on matters of public concern, UH's interests,
as an employer, clearly outweighed the plaintiff's interests, as
a citizen, in commenting on those matters as she did.
Accordingly, we hold that UH was entitled to judgment as a
matter of law on Dr. Craven's §1983 claim. Because the
§1983 claim should never have been submitted to the jury, the
other five errors alleged in Dr. Craven's brief were harmless,
and we need not address them. See Aplt. Br. at 16-17. We
now turn to the plaintiff's pendent claim for wrongful
discharge in violation of public policy.

II. Pendent State Claim: Wrongful
Discharge in Violation of Public
Policy

Dr. Craven's public policy claim never reached the
jury. Instead, the district court granted summary judgment for
UH on sovereign immunity grounds, I Aplt. App. 154-55,
rejecting Plaintiff's argument that § 24-10-106(1)(b) of the
Colorado Governmental Immunity Act ("CGIA") waived

been terminated in retaliation for protected speech. Id. at 509.
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Tenth Circuit Court of Appeals Opinion - 08/13/01

UH's immunity as to her claim. Plaintiff renews this argument
on appeal.

We review an award of summary judgment de novo,
applying the same standard as the district court. Stamper v.
Total Petroleum, Inc. Retirement Plan for Hourly Rated
Emplsyees, i188 F.3d 1233, 1237 (10th Cir. 1999). Summary
judgment is appropriate only "if the pleadings, depositions,
answers to interrogatories, and admissions on file, together
with the affidavits, if any, show that there is no genuine issue
as to any material fact and that the [appellee is] entitled to a
judgment as a matter of law." Fed. R. Civ. P. 56(c) (emphasis
added). Plaintiff's appeal involves a narrow question of pure
law: whether §106(1)(b) waives the State's sovereign
immunity with respect to a wrongful discharge action against
a public hospital by a former employee whose job duties did
not include patient care. Because the Colorado Supreme Court
has not yet considered this question, we must predict what that
court would do in order to resolve Plaintiff's claim. See Lytle
v. City of Haysville, Kan., 138 F.3d 857, 868 (10th Cir.
1998).

Under §106(1)(b) of the CGIA, "sovereign immunity
is waived by a public entity in.an action for injuries resulting
from: . . . (b) The operation of a public hospital, correctional
facility, . . . or jail by such public entity . . . ." Colo. Rev.
Stat. §24-10-106(1). The statute defines "operation" as "the
act or omission of a public entity or public employee in the
exercise and performance of the powers, duties, and functions
vested in them by law with respect to the purposes of any
public hospital, [or] jail . . . ." Colo. Rev. Stat. §24-10-
103(3)(a). Neither the CGIA nor any other statute defines "the
purpose of [a] public hospital," cf. Neiberger v. Hawkins, 70

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ee

Tenth Circuit Court of Appeals Opinion - 08/13/01

F. Supp. 2d 1177, 1194 (D. Colo. 1999) (citing statutory
purpose of particular hospital), nor has the Colorado Supreme
Court articulated a definition of a public hospital's purpose.
The Colorado Court of Appeals, however, has held that "the
primary purpose of a hospital is to provide medical or surgical
care to sick or injured persons." Sereff v. Waldman, 2000
Colo. App. LEXIS 2146, No. 99CA1193, 99 CA1497, 2000
WL 1785165, at *4 (Colo. App. 2000) (citing Plummer vy.
Little, 987 P.2d 871, 874 (Colo. App. 1999)). While not
binding on this court, "decisions by a state's intermediate
appellate courts provide evidence of how the state's highest
court would rule on the issue, and we can consider them as
such.” Stauth v. Nat'l Union Fire Ins. Co. of Pittsburgh, 236
F.3d 1260, 1267 (10th Cir. 2001); accord West v. Am. Tel. &
Tel. Co., 311 U.S. 223, 237, 85 L. Ed. 139, 61 S. Ct. 179
(1940) ("Where an intermediate appellate state court rests its
considered judgment upon the rule of law which it announces,
that is a datum for ascertaining state law which is not to be
disregarded by a federal court unless it is convinced by other
persuasive data that the highest court of the state would decide
otherwise. ").

In contrast to the dearth of case law as to the purposes
of a public hospital, the Colorado courts have considered the
purposes of a jail or correctional facility - also referenced in
§ 106(1)(b) - on more than one occasion. In both Flores y.
Colo. Dep't of Corrections, 3 P.3d 464 (Colo. App. 2000),
and Pack v. Arkansas Valley Correctional Facility, 894 P.2d
34 (Colo. App. 1995), the courts held that "the purpose of a
correctional facility is to manage convicts Safely and
effectively . . . ." Flores, 3 P.3d at 466; accord Pack, 894
P.2d at 37 ("purpose of the correctional facility [is] to confine
inmates safely and effectively"). Although the purpose of a

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Tenth Circuit Court of Appeals Opinion - 08/13/01

correctional facility has no bearing on the present case, the
courts’ decisions in Flores and Pack are instructive on a
related, yet more subtle, point. Taken together, those cases
stand for the proposition that the alleged injury underlying the
action must be “directly related to the purpose, as distinct
from the operation," Pack, 894 P.2d at 37, of the §106(1)(b)
facility before the court will find that the State's sovereign
immunity has been waived.

In Flores, for example, the court held that the State's
sovereign immunity had been waived where the plaintiff
alleged that she had slipped and fallen "on a wet floor inside
the secure visitor's area of the [correctional] facility." 3 P.3d
at 465. "Because the purpose of a correctional facility is to
manage convicts safely and effectively, and [because]
visitation within the facility directly assists in meeting that
purpose, the maintenance of the visitor area within the
custodial facility here is directly related to the purpose of the
correctional facility." Jd. at 466 (emphasis added). In Pack,
however, the court had held that sovereign immunity was not
waived with respect to a claim arising from a slip and fall in
the correctional facility's parking lot. 894 P.2d at 37. In so
holding, the court of appeals carefully distinguished the
operation of the facility from its purpose:

The maintenance of visitor parking areas in
order to facilitate prison visitation is not
directly related to the purpose, as distinct from
the operation, of a correctional facility. . . .

Although the [Department of
Corrections] has established and is maintaining
a visitors’ parking lot, such function merely is

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ies a ”

Tenth Circuit Court of Appeals Opinion - 08/13/01

ancillary to the purpose of the correctional
facility. Therefore, it is not part of the
operation of the correctional facility as defined
under the CGIA .....

Pack, 894 P.2d at 37 (emphasis added). We believe the
Colorado Supreme Court would agree with this distinction.

Further, we believe that the Court would agree with
the court of appeals' conclusion that "the primary purpose of
a hospital is to provide medical or surgical care to sick or
injured persons. " Sereff, 2000 Colo. App. LEXIS 2146, *10,
2000 WL 1785165, at *4: see also Plummer, 987 P.2d at 874.
Just as a parking lot is "merely . . . ancillary" to the safe and
effective confinement of persons convicted of crimes, Pack,
894 P.2d at 37, the personnel action at issue here is only
remotely related to UH's primary purpose. The relation
between a hospital employee's discharge and the provision of
"medical or surgical care to sick Or injured persons" is
particularly tenuous with respect to administrative employees
like Dr. Craven. See, é.g., If Aplt. App. 1. Accordingly, we
cannot construe §106(b)(1) as a waiver of the State's CGIA
immunity with respect to Plaintiff's claim. Although Plaintiff
Correctly notes that Colorado Supreme Court "broadly
construes the CGIA provisions that waive immunity in the
interest of compensating victims of governmental negligence, "
Springer v. City & County of Denver, 13 P.3d 794, 798
(Colo. 2000) (citations omitted); accord Corsentino y.
Cordova, 4 P.3d 1082, 1086 (Colo. 2000), State v. Nieto, 993
P.2d 493, 506 (Colo. 2000), the Court has also cautioned that
"nonetheless, our primary task in construing a statute is to
determine and give effect to the intent of the legislature."
Nieto, 993 P.2d at 506 (citation omitted). As explained, we do

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Tenth Circuit Court of Appeals Opinion - 08/13/01

not believe the Colorado General Assembly intended
§106(1)(b) to be applied to claims like the one before us.

Accordingly, the jury's verdict on the plaintiff's §1983
claim is VACATED and that claim is REMANDED to the
district court for the entry of judgment as a matter of law in
favor of the defendant. The district court's award of summary
judgment in favor of the defendant on plaintiff's public policy
claim is AFFIRMED.

APPENDIX C

District court’s ruling at trial on defense motion for judgment
as a matter of law, after the plaintiff had rested (trial
transcript, pp. 520-21, 523-24):

THE COURT: Here’s my ruling on this. The issue,
is, that, of course, RSO Johnson, radiation -

MR. RICE: Radiation safety officer.

THE COURT: Radiation safety officer Johnson really
wasn’t someone over whom she had direct authority. He was
employed by the Health Sciences Center and was on contract
to University Hospital. And there’s enough evidence on the
record to show that there were safety concerns about whether
or not he had a beeper, or a Pager and was reachable. So
that’s sort of a backdrop.

And when you have a specific incident where there
was a radiation spill and because of the plaintiff's concern
about that radiation spill and how it was handled and her
belief on a concomitant basis that the handling of that
jeopardized Safety and was a matter of public concern, I’m
going to make a legal finding that the employee’s speech for
which she was fired can be fairly characterized as constituting
speech in a matter of public concern for the reasons I’ve just
Stated.

So let’s go to the second issue.

** *

29a

District Court Ruling

Here’s what I’m going to do. I’m not going to
foreclose another Rule 50 motion after all the evidence is in.
But based on the motion you made now rather than at the
close of all the evidence, the Court believes that viewing the
evidence in the light most favorable to the nonmoving party,
the plaintiff, there is sufficient evidence on the record that the
directive from Ann Jones, coupled with the directive from
Miss Cashman that the plaintiff communicate her safety
concerns in all instances to Miss Jones as to all issues and then
to Miss Cashman as to the issues concerning things that may
relate to RSO Johnson and environmentally things that involve
radiation spills, does in fact constitute a custom or policy that
again, for purposes of this case, is designed in a way that
doesn’t promote the efficiency of the public service being
performed by the hospital authority.

So I’m going to find that - and I’ll make a ruling
under the Pickering analysis that the second prong of the test
has been established such that, in this case, the employee’s
interests, Dr. Craven’s interests as a citizen in commenting
upon matters of public concern outweighs the interests of the
state as an employer in performing the public service it
performs through its employees based on this custom the
Court has articulated. Which means, then, that the jury will
have to decide questions three and.four.

And what I would urge counsel to do, if he wishes to,
is revisit this, the Court’s ruling, or ask me to revisit it after
the [sic] all the evidence is in, because I don’t have enough
evidence to put it in context. I’m not going to rule against the
plaintiff at this stage of the case, because I don’t have all the
evidence.

District Court Ruling

District court’s ruling at trial on defense motion for judgment
as a matter of law, after both parties had rested (trial
transcript, pp.878-79): !

THE COURT: I’m going to deny the motions. First
incorporate by reference all my prior statements. So | deny
the motion for Rule 50 judgment as to the breach of implied
contract for all the reasons previously stated.

Also incorporate by reference everything I said
regarding the Pickering balancing test, and I add these
factors. I believe there is sufficient evidence for the jury to
decide the fact questions. I will reaffirm my legal ruling that
with respect to the first two prongs of the Pickering test that
the Court make legal findings that free speech issues were
implicated in a way that gives rise to a valid claim.

And even though there’s been evidence that there was
justification from the employer’s standpoint to preclude Dr.
Craven from reporting directly outside of her chain of
command, we still have the testimony of the plaintiff which
has been unrebutted that there was a radiation spill
immediately preceding her communication to Dr. Hendrick,
and the jury will have to decide if in fact that occurred or
didn’t occur.

But taking the plaintiff's testimony as truthful just for
purposes of this motion, I still believe that the hierarchy that
was in place and the directives given by Miss Cashman, as
chief operating officer, which required the plaintiff to go
through her before she could comment on any RSO safety
issues did in fact constitute a policy that had the potential for
restraining free speech. So I believe the first two prongs of

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District Court Ruling

the Pickering test are met for legal reasons, and I’ll let the
jury decide questions three and four.

District court’s ruling at trial on scope of speech covered in
paragraph 1 of instruction 22 (trial transcript, p. 805):

MR. ROSEMAN: And, Your Honor, I know you said
not to go back to 22, but we also ask you to look at the [sic]
paragraph 1, in our proposed, tender [sic] 2 because we
submit that the first paragraph - that subparagraph 2 is too
narrow in terms of my client’s free speech claim.

THE COURT: You mean you want it to be broader.

MR. ROSEMAN: We want the language that I think
is [sic] the version that’s in front of the Court. I’m not sure
what the exact language is.

THE COURT: This is the proposed instruction no. 2.

I’m going to reject that. What I’m going to do is I’m
going to give it the way it is because that’s what she reported.
I went back and looked carefully at her testimony. So she’s
going to either win or lose based on her version of what
happened, and that’s the way it should be in trial.

32a

APPENDIX D

IN THE UNITED STATES COURT OF APPEALS
FOR THE TENTH CIRCUIT

‘
Civil Action No. 99-1519-

PATRICIA CRAVEN,
Plaintiff-Appellant,

Vv.

UNIVERSITY OF COLORADO HOSPITAL
AUTHORITY,

)
)
)
)
)
)
)
Defendant-Appellee. )
)

PLAINTIFF-APPELLANT’S OPENING BRIEF

COMES NOW the Plaintiff-Appellant, by and through
her attorneys, Roseman & Kazmierksi, LLC, and respectfully
submits the following Opening Brief herein:

TIONS P ED F Ww

The following questions are presented for review in
this case:

1. Whether the district court erred in refusing to

instruct the jury on Dr. Craven’s theory that University
Hospital was liable for a single decision, allegedly made in

33a

Plaintiff-Appellant’s Opening Brief

retaliation for the exercise of her First Amendment rights, if
a person with final policymaking authority approved that
decision and the basis for it; and

2. Whether the district court erred in concluding
that University Hospital was not liable on Dr. Craven’s claim
of termination of employment in violation of public policy, on
the ground that the termination of her employment did not
result from the operation of a public hospital.

STATEMENT OF THE CASE

Summary of the Facts. Patricia A. Craven, Dr.
P.H. (Aplt. App. 298), worked for the University of Colorado

Hospital Authority (hereinafter, “University Hospital”) in
1994 as the hospital’s Manager of Safety and Risk
Management. Her Position Description (Aplt. Supp. App. 1-
2) provided, inter alia, that she served as the hospital’s Safety
Officer and as its Risk Manager. The former set of
responsibilities included assessing, developing, implementing
and monitoring the effectiveness of the hospital-wide Safety
Management Program; monitoring the effectiveness of
hospital-wide and departmental safety policies and procedures;
and monitoring compliance with applicable codes, standards
and regulations (Aplit. Supp. App.. 1).

Dr. Craven began working at University Hospital on
March 21, 1994 (Aplit. App. 181). Her immediate
predecessor, Beverly Rahorst, showed her a thick file labeled
“Frustrations, Stumbling Blocks, and Problems” that
contained documents about indoor air quality, asbestos
removal, leakage of bio-hazardous substances, and other
health and safety issues (Aplt. App. 185-187). Ms. Rahorst

34a

Plaintiff-Appellant’s Opening Brief

described indoor air quality, ~blems, dating back to October
1993, resulting from construcion activity at the adjacent
Barbara Davis Center (Aplt. App. 183-184), since an air
intake for the hospital was located a short distance from that
construction site. At a meeting on April 12, 1994 (see Aplt.
App. 303-304), Dr. Craven reported that the Barbara Davis
Center fumes were causing employees and patients in the
hospital’s west wing to become ill, that those employees said
they were “putting up with it,” but did not know how much
longer they would take it (Aplt. App. 188).

The Barbara Davis Center is affiliated with the
University of Colorado Health Sciences Center (hereinafter,
“Health Sciences Center”). The project manager for the
renovation work on that facility in 1993 and 1994 was John
Allison, a Health Sciences Center employee (Aplt. App. 243,
244). Dr. Craven met with Mr. Allison, other employees of
the Health Sciences Center, and representatives of the general
contractor for the project on April 29 and May 2, 1994, in
connection with these indoor quality problems (Apit. App.
305). She provided a written report (/d.) to University
Hospital employees on May 2, 1994, in which she described
the efforts that were being taken to deal with those problems.
Between May 2 and 5, 1994, 72 University employees
completed a survey form (Aplt. App. 306-14), in which they
reported a series of symptoms, including fatigue, headaches,
burning eyes and nausea, which they attributed to the Barbara
Davis Center construction work. Dr. Craven spoke with
approximately half of those persons, who related their health
problems to her quite emotionally (Aplt. App. 189). Dr.
Craven informed her immediate supervisor, Ann Jones, that
the problem was bigger than imagined (Aplt. App. 190).

35a

Plaintiff-Appellant’s Opening Brief

Dr. Craven attended a meeting with Health Sciences
Center and contractor representatives on May 10, 1994 (Apt.
App. 191). Although she emphasized the urgency of
resolving this long-standing problem, she testified that the
construction representatives at the meeting did not want to
admit there was a problem (Apit. App. 192-94). Between
May 10 and 19, 1994, Dr. Craven sent Mr. Allison and other
construction representatives a series of e-mail messages (Aplt.
App. 315-23), in an attempt to learn the status of the
contractor’s mitigation efforts and to urge that that work be
expedited. On May 18, 1994, Dr. Jones gave Dr. Craven
authority to shut down the Barbara Davis Center project any
time she felt it was appropriate (Aplt. App. 323).

Dr. Craven continued to receive complaints of
emission-related symptoms from employees, and began
receiving complaints from patients, after she received
authority to shut down this project (Aplt. App. 195). She
testified that Mr. Allison had no problem with her inviting
University Hospital employees to a meeting on May 19, 1994
(Aplt. App. 196).' Some employees were planning to picket
the hospital building and to contact the media if something
was not done about the indoor air quality problem (Aplt. App.
228).? Dr. Craven hoped that providing these employees with

' Mr. Allison claimed that he had no prior knowledge that she
would be inviting hospital employees to that meeting (Aplt. App.
245).

2 James Robert Kohler, a project manager for the general
contractor (Aplit. App. 249), testified that he had heard talk of
employees’ picketing the hospital and calling investigative reporters
at television stations in connection with this problem (Aplt. App.
251). :

36a

Plaintiff-Appellant’s Opening Brief

a forum to discuss their concerns and an Opportunity to hear
about the mitigation efforts directly from the persons
responsible for implementing them would help to defuse this
Situation (/d.)

That meeting became emotional.’ Although Mr.
Allison wrote his immediate supervisor an e-mail message
about Dr. Craven’s alleged conduct during that meeting (Apt.
App. 350-52), Dr. Jones sent Dr. Craven an e-mail message
(Aplt. App. 324) the following Monday, May 23, 1994, in
which she stated that she thought that Dr. Craven was “doing
a nice job, and it is nice to have you here.”

Dr. Jones sent Dr. Craven a memorandum (Aplt. App.
348-49) on May 24, 1994, the purpose of which was to make
Suggestions that she felt would make Dr. Craven more
effective in her work (Apit. App. 264).* On June 2, 1994,

: University Hospital’s witnesses contradicted each other about the
hospital employees’ demeanor and conduct during that meeting.
Mr. Allison, who claimed to have no problem with the attendance
of those employees at that meeting (Aplt. App. 246), testified that
they were civil and that they understood that progress was being
made (Aplt. App. 247). Mr. Kohler testified that the meeting
turned into havoc after two minutes, with the employees wanting to
shut the construction site down and not wanting to discuss the
efforts to mitigate the indoor air quality problem (Aplt. App. 250).

* Dr. Jones also testified that she had written that memorandum
because Dr. Craven had suggested in the May 19 meeting that the
Health Sciences Center stop construction, allegedly without
involving Dr. Jones in advance (Apit. App. 259-60). Dr. Jones
admitted under cross-examination that she had given Dr. Craven the
authority to shut down that project the day before that meeting
(Aplt. App. 263).

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Plaintiff-Appellant’s Opening Brief

Dr. Jones’ secretary signed a memorandum, entitled a
“Written Warning” letter (Aplit. App. 345-47), concerning
Dr. Craven’s decision to send her May 2 memorandum (Apt.
App. 305) to senior management without notifying Dr. Jones
in advance and concerning an alleged discussion outside Dr.
Jones’ office (Aplit. App. 266-67).° Dr. Jones testified that a
letter that serious is not one that she would have had her
secretary sign and that she did not recall giving her secretary
the authority to sign that letter on her behalf (Apit. App. 265).
Dr. Jones did not recall contributing some of the language
contained in that document (/d.).

This June 2 memorandum stated that one of the
corrective actions Dr. Jones should take was to “[dJirect all
comments about the safety of the Hospital to me as your
immediate supervisor” (Aplt. App. 346). Dr. Jones admitted
under cross-examination that she was not saying that Dr.
Craven could not discuss safety issues with members of the
safety committee or the disaster committee, with her own
employees, with employees of the hospital’s Engineering
Services Department, with employees at the Health Sciences
Center who were involved in those safety issues, or with
employees of regulatory agencies (Aplt. App. 267-68). Dr.
Jones testified that all that she meant by that statement was
that she wanted to be sure she.was informed about the
comments Dr. Craven made to other people about safety
issues (Aplit. App. 268).

Dr. Craven recalled that, in a meeting held on June
25, 1994, Donna Koeppel, a representative of the hospital’s

> Dr. Craven denied having made the statement outside Dr. Jones’
office alleged in that memorandum (Aplt. App. 198).

38a

Plaintiff-Appellant’s Opening Brief

Human Resources Department, stated that she and other
management employees were in agreement that it would not
be realistic for Dr. Craven to direct her safety-related
comments only to her immediate supervisor (Aplt. App. 201).
Dr. Craven testified that both Dr. Jones and her new
supervisor, Ruth Sens, agreed with that statement (Aplt. App.
202).

In June 1994, Dr. Jones ceased being Dr. Craven’s
supervisor. Both Dr. Craven (Aplt. App. 199-200) and Dr.
Jones (Aplt. App. 261-62) testified that this change occurred
because of the inherent conflict of interest between Dr. Jones’
supervision of Dr. Craven as the hospital’s Safety Officer and
Dr. Jones’ role in supervising the construction activities for
which Dr. Craven had safety responsibilities. Ms. Sens was
the Director of Quality Management at University Hospital
(Aplt. App. 234-35), and reported to Joyce Cashman.

This indoor air quality matter was far from the only
safety-reiated issue in which Dr. Craven was involved, either
before or after her department was transferred to Ms. Sens’
supervision. University Hospital had extensive problems with
asbestos exposure, due to renovation work in areas of the
hospital in which asbestos was hanging out of the walls
exposed and was airborne (Aplt. App. 203-04). In early April
1994, she began efforts to have speed bumps installed in the
parking structure for the hospital. She took that action
because the hospital exit and patient pick-up area was located
next to the bottom of a spiral-shaped exit ramp, exposing
wheelchair-bound patients to the risk of injury from speeding
motorists (Apit. App. 213-14). On April 5, 1994, Dr. Craven
sent Mr. Allison a memorandum, with Dr. Jones’ approval,

concerning toddler-high, non-childproof electrical outlets in

39a

Plaintiff-Appellant’s Opening Brief

a walkway between the parking structure and the hospital
building (Aplt. App. 215). Dr. Craven had to send a follow-
up e-mail message to Mr. Allison on May 10, 1994, asking
him about the status of the speed bumps and the childproof
outlets that she had addressed in her April 5 memorandum to
him (Aplit. App. 248). The speed bumps, but not the
childproof outlets, had been installed by August 9, 1994
(Aplt. App. 325).

Dr. Craven also had to deal with serious problems
concerning the storage of bio-hazardous waste. Although
University Hospital had a well designed, refrigerated and
locked storage room, the door to that room frequently was left
unlocked (Aplit. App. 205). Hypodermic needles and other
“sharps” also were stored in the bags left in that room (/d.).
Dr. Craven’s assistants took photographs of the leaking,
decayed bags that were stored in that room and on the loading
dock (/d.).

After bringing this issue to the attention of the
hospital’s safety committee and other employees involved with
the issue of infection control and after arriving at some
proposed solutions (Apit. App. 206), Dr. Craven decided to
bring this issue to the attention of University Hospital’s
management council (Aplt. App. 207). She wanted to show
the photographs to this group, which consisted of peers of
hers who supervised hospital units that generated this bio-
hazardous waste, in order to illustrate the seriousness of this
problem (Apit. App. 207-08). Dr. Craven testified that Ms.
Sens responded to that proposal by telling her that “you’re
treading on thin ice there” and by telling her that Ms.
Cashman did not like photographs -- especially of bio-
hazardous waste -- to be presented at meetings (Aplt. App.

40a

Plaintiff-Appellant’s Opening Brief

208-09). Dr. Craven also testified that Ms. Sens warned Dr.
Craven that it could be real dangerous for her to do this (Aplt.
App. 209). Dr. Craven proposed having the photographs
displayed on a poster board outside the management council’s
meeting room (/d.). Ms. Sens removed the photographs that
she felt to be “really gross,” in Dr. Craven’s words, told her
not to put captions or locations on them, and to stand in the
hall in case someone had questions for her (/d.).°

This was not the first time that one of Dr. Craven’s
supervisors had told her not to discuss safety issues with
others. In addition to the June 2 memorandum (Aplt. App.
345-47), Dr. Jones had told Dr. Craven that she should not
have brought other hospital employees to the meeting on May
19, 1994 (Aplt. App. 197). Dr. Jones also had forbidden Dr.
Craven from meeting with her counterpart at the Department
of Veterans Affairs Medical Center, a hospital located
immediately next to University Hospital (Aplt. App. 210-11),
because those employees were federal employees (Aplt. App.
212-13).

In September and October 1994, an issue arose
concerning Dr. Timothy Johnson, the designated Radiation
Safety Officer (hereinafter “RSO”) for University Hospital
(Aplt. App. 217, 330). Under a cost allocation contract with
the Health Sciences Center, Dr. Johnson was responsible for
emergency responses in the hospital, radiation safety drills,

6 Ms. Sens confirmed that Dr. Craven had asked her about
presenting this photographic evidence to the management counsel,
and that she had discouraged Dr. Craven from doing so. (Aplt.
App. 236-37).

4la

Plaintiff-Appellant’s Opening Brief

and other matters (Aplit. App. 216). Under a different
contract, Dr. Harry Cullings was responsible for matters such
as file badges and certain investigations (/d.). In September
1994, Dr. Craven informed Ms. Cashman that Dr. Johnson
was not wearing a pager and was not available in the event of
spills of radioactive materials or other similar accidents (ApIt.
App. 218). ’

At 11:09 a.m. on October 27, 1994, Ms. Cashman
sent a e-mail message to Dr. Craven (Aplit. App. 333), in
which she discussed the recruitment for a new RSO and stated
that “[i)f you find areas not being addressed please send me
details of the issues and I will address them.” Dr. Craven
responded in an e-mail message at 12:14 p.m. that same day
(/d.), in which he stated that the Emergency Room, the Health
Sciences Center, and she had “many issues that are not being
addressed” and that Dr. Johnson “is simply not doing the
job.” Ms. Cashman responded in an e-mail message at 12:35
p.m. that same day (/d.), in which she stated:

’ This was not a new issue. When Dr. Craven began her

employment at University Hospital, Ms. Rahorst showed her
minutes of meetings in which Dr. Johnson was sanctioned by the
head of the disaster committee for being unavailable and not
wearing a pager (Apit. App. 182). Dr. Johnson admitted that he
did ‘iot weer a pager (Apit. App. 254) and that the only way to
reach un outside of his normal working hours was through a call
to tse “larversity Hospital police department, which had his home
teleptiwne number (Aplt. App. 257). He also admitted that he
wanted to discontinue serving as the hospital’s RSO because of his
receipt of a five-year research grant and other increased duties in
his faculty position at the Health Sciences Center (Apit. App. 252-
53). ,

42a

Plaintiff-Appellant’s Opening Brief

Pat, The kRSO [sic] position is a radiology
position hired by the school of medicine, as I
told you. It remains a separate position form
[sic] the general hospital safety function. You
may need to be a member of the radiation
safety committee. Please address your issue to
me and I will review with Tim Johnson. |
assume by your info that you have raised all
the issues with him to date. I’ll look forward
to reading your summary of the issues yuou
{sic] refer to.

Ms. Cashman testified at trial that she did not tell Dr.
Craven, in these e-mail messages or otherwise, not to talk or
speak with anyone else about her concerns, and did not forbid
her from talking to Dr. Ed. Hendrick of the Health Sciences
Center (Aplt. App. 294-95). In her deposition, Ms. Sens
testified that she did not tell Dr. Craven not to speak with
anyone other than Ms. Cashman about the RSO issue (Aplt.
App. 240-41). Dr. Craven understood Ms. Cashman’s
comment, in her second e-mail message on October 27 to
“address your issue to me and I will review with Tim
Johnson,” to mean that she should include these issues in the
report she was preparing for Ms. Cashman (Aplt. App. 219).
Dr. Craven decided to contact Dr. Johnson, since she had not
raised all of her issues with him by that date (/d.).

At 4:33 p.m. on that same date, Dr. Johnson sent an
e-mail message to Dr. Craven, in response to an earlier
message she had sent to him about the status of the RSO
position at University Hospital (Aplt. App. 333-34). Dr.
Johnson suggested in that message that she contact either Dr.
Ed Hendrick, the Health Sciences Center’s Division Chief of

43a

Plaintiff-Appellant’s Opening Brief

Radiological Services, or Dr. Michael Manco-Johnson, the
Department Chair, since they were responsible for hiring the
new RSO (Apit. App. 334). He stated: “Maybe if you talked
to them you could prod things along a little faster. Somebody
needs to light a fire under them!” (/d.).

Dr. Craven left a telephone message with Dr.
Hendrick, to which he responded (Aplt. App. 220). She
discussed a spill of radioactive iodine involving a patient on
8 North of University Hospital, which she described as being
the cancer ward (Aplt. App. 221). She understood that the
nurses were terrified to go into the room because they were
not skilled in radioactive cleanup (/d.). Because they could
not reach Dr. Johnson, they evidentially called Dr. Cullings,
who had done the cleanup even though that was not part of his
responsibilities (Aplt. App. 222). He stated that he did not
want to be called out in the middle of the night for a job that
was not his responsibility to perform (/d.).° Dr. Craven and
Dr. Hendrick discussed emergency responses to these kinds
of situations and a résumé for the RSO position that she had
received by mistake (Aplt. App. 222-23).

Dr. Craven described her tone of voice during that
telephone conversation as being “conversational” (Aplt. App.
224). Dr. Hendrick did not recall Dr. Craven as being angry,
upset or saying anything in a loud or confrontational tone of

® Ms. Cashman testified that no radiation therapy was done on 8
North, since that was a gastrointestinal ward (Aplit. App. 272). Dr.
Johnson testified that the incident had occurred on 8 West (Aplt.
App. 255). He claimed that this was not a radiation emergency
(Apit. App. 256) and blamed the nurses on that ward for not
“choos[ing] to learn” what he had attempted to teach them (Aplt.
App. 257-58).

Plaintiff-Appellant’s Opening Brief

voice (Apit. App. 229). He recalled there being nothing
unusual about that conversation (/d.). He did not recall being
upset or angry as a result of that conversation (/d.).

On November 3, 1994 (Aplit. App. 227), Ms. Sens
taped a memorandum to the door to Dr. Craven’s office on a
day that Dr. Craven was not at work due to a doctor’s
appointment (Aplt. App. 225). In that memorandum (Aplt.
App. 353), she requested copies of all notes, e-mail messages,
and the context of all telephone messages that Dr. Craven had
had with Dr. Hendrick concerning the role of the RSO. Dr.
Craven responded the same day with a typewritten
memorandum (Aplit. App. 354) that summarized her
conversation with Dr. Hendrick. The next day, Ms. Sens
prepared a draft memorandum for a five-day suspension of
Dr. Craven (Apit. App. 335-37). The only incident that she
discussed in that document in terms of needed improvement
by Dr. Craven involved her telephone conversation with Dr.
Hendrick (Aplt. App. 335).

On November 8, 1994, Ms. Sens wrote a letter (Aplt.
App. 344) to Dr. Craven terminating her employment “due to
a lack of professional behavior and insubordination.” The
only event listed in that letter that had occurred under Ms.
Sens’ supervision of Dr. Craven was that she had contacted
Dr. Hendrick “and proceeded to have an extremely
inappropriate phone discussion with him” (/d.). Ms. Sens
claimed that this “was in direct conflict with the information”
Dr. Craven had received from Ms. Cashman, “telling you to
address issues regarding the radiation safety officer directly to
her” (/d.).

Dr. Craven submitted a written appeal (Aplt. App.

Plaintiff-Appellant’s Opening Brief

359-61) from that decision. On November 30, 1994, Ms.
Cashman -- University Hospital’s Vice President of
Operations -- sent Dr. Craven a letter (Apit. App. 355-58),
denying that appeal. Ms. Cashman informed Dr. Craven that
her decision was based, in whole or in part, on the fact that
she believed that Dr. Craven had acted inappropriately in
speaking with Dr. Hendrick (Aplt. App. 355-56). Dennis
Brimhall, the President of University Hospital, upheld Dr.
Craven’s termination after a “complete review” of her
grievance material and after intensive interviews with the
individuals directly involved with the termination decision
(Aplt. App. 343).

Summary of the Proceedings. Dr. Craven filed a
Complaint (Aplt. App. 1-6) against University Hospital.’ The
claims asserted in that Complaint included termination of
employment in violation of public policy and in violation of
her First amendment rights." On December 2, 1997,
University Hospital moved for summary judgment on all of
Dr. Craven’s claims for relief.'' Judge Daniel ruled from the

® Dr. Craven filed that Complaint in state court. University
Hospital removed the case to federal district court (Aplt. App.
407). ‘

'© Dr. Craven also included claims for breach of implied contract
and promissory estoppel in that Complaint. The jury reached a
verdict for University Hospital on the implied contract claim and
the district court found in favor of University Hospital on the
promissory estoppel claim. Dr. Craven is not appealing those
decisions in this case.

'! Appellant’s Appendix contains the briefs filed by the parties in
connection with that Motion for Summary Judgment, and those

46a

Plaintiff-Appellant’s Opening Brief
bench on those claims at a hearing held on January 13, 1999.

The district court dismissed Dr. Craven’s public policy
claim on the ground that University Hospital, a political
subdivision of the State of Colorado, §23-21-503(1), C.R.S.,
was immune from liability pursuant to the Colorado
Governmental Immunity Act (“CGIA”).'? The district court
concluded that Dr. Craven’s public policy claim did not
“flow[] from the operation of a public hospital,” and that
instead what “it flows from is that she had a dispute and
disagreement with her supervisors which led to her
termination” (Aplit. App. 155). It elaborated on that
conclusion by stating that the claim she was asserting “really
does not go to the true purpose for which the public hospital
was operational” (Aplt. App. 158).

University Hospital moved for judgment as a matter of
law at the close of Dr. Craven’s case in chief at trial. The
district court ruled that the speech for which Dr. Craven’s
employment was terminated could be fairly characterized as
constituting speech on a matter of public concern (Aplt. App.
230-31). The district court also found that Dr. Craven’s
interests as a citizen in commenting upon matters of public
concern outweighed the interests of University Hospital as an
employer in performing the public services it performs

exhibits or attachments to the briefs that concerned Dr. Craven's
public policy claim.

'? As discussed in more detail infra at 18-20, the CGIA provides
that sovereign immunity is waived in an action for injuries resulting
from a public entity’s “operation” of a public hospital. §24-10-
106(1)(b), C.R.S.

47a

Plaintiff-Appellant’s Opening Brief

through its employees (232-33)."? The district court reached
the same conclusion with respect to the second of these two
issues in its ruling on University Hospital’s motion for
judgment as a matter of law at the close of all the evidence at
trial (Apit. App. 296-97).

Dr. Craven objected (Aplt. App. 273-80, 285-88) to
Instruction No. 22, which had been drafted by the district
court. That instruction set forth the elements for Dr.
Craven’s First Amendment retaliation claim. Dr. Craven will
discuss that instruction and her objections in more detail infra
at 12-17. The district court overruled those objections and
decided to give that instruction (Aplt. App. 291-93).

The jury entered a verdict in favor of University
Hospital on Dr. Craven’s First Amendment retaliation claim
(Aplt. App. 366). Dr. Craven filed a post-trial motion (Aplt.
App. 368-79), in which she argued, inter alia, that the district
court had erred in giving Instruction No. 22. The district
court denied that motion on October 15, 1999 (Aplt. App.
397-403).

Dr. Craven filed a timely notice of appeal to this Court
on November 12, 1999 (Aplt. App. 404-05).

STANDARD OF REVIEW

When a party objects to instructions at trial, this Court
conducts “a de novo review to determine whether, as a whole,

'3 Since University Hospital has not cross-appealed from those
decisions, Dr. Craven will not discuss them any further in this
brief. :

48a

Plaintiff-Appellant’s Opening Brief

the instructions correctly stated the governing law and
provided the jury with an ample understanding of the issues
and applicable standards.” Advantor Capital Corp. v. Yeary,
136 F.3d 1259, 1265 (10th Cir. 1998). This Court’s reviews
the trial court’s conclusions on legal issues in connection with
jury instructions de novo, and needs not defer to its decisions
on questions of law.” Roberts v. Progressive Independence
Inc., 183 F.3d 1215, 1222 (10th Cir. 1999). Assuming that
an instruction properly sets forth the relevant law, this Court
reviews the district court’s decision to give the particular
instruction for an abuse of discretion. Kinser v. Gehl Co., 184
F.3d 1259, 1273 (10th Cir. 1999), cert. denied, 120 S.Ct.
985 (2000).

This Court grants de novo review of an order granting
summary judgment. Universal Money Centers, Inc. v. A.T.&
T., 22 F.3d 1527, 1529 (10th Cir. 1994), cert. denied, 513
U.S. 1052 (1994). Summary judgment is appropriate only if
the record contains no evidence of a genuine issue of material
fact and demonstrates that the moving party is entitled to
judgment as a matter of law. See Woodman v. Runyon, 132
F.3d 1330, 1337 (10th Cir. 1997). This Court requires that
the nonmovant be given “wide berth to prove a factual
controversy exists.” Ulissey v. Shvartsman, 61 F.3d 805, 808
(10th Cir. 1995). Neither this Court nor the district court can
weigh the evidence, but instead must determine “whether the
evidence presents a sufficient disagreement to require
submission to a jury or whether it is so one-sided that one
party must prevail as a matter of law.” Bingaman v. Kansas
City Power & Light Co., 1 F.3d 976, 980 (10th Cir. 1993)
(internal quotation marks and citation omitted). In making
this determination, this Court and the district court must view
the record and all reasonable inferences drawn therefrom in

49a

the light most favorable to the nonmoving party. See Thomas
v. Internat'l Business Machines, 48 F.3d 478, 484 (10th Cir.

1995).

Plaintiff-Appellant’s Opening Brief

ARGUMENT

THE DISTRICT COURT ERRED IN
REFUSING TO INSTRUCT THE JURY
ON DR. CRAVEN’S THEORY THAT
UNIVERSITY HOSPITAL WAS LIABLE
FOR A SINGLE DECISION, ALLEGEDLY
MADE IN RETALIATION FOR THE
EXERCISE OF HER FIRST
AMENDMENT RIGHTS, IF A PERSON
WITH FINAL POLICYMAKING
AUTHORITY APPROVED THAT
DECISION AND THE BASIS FOR IT.

Instruction No. 22 set forth the elements of Dr.
Craven’s claim that University Hospital had terminated her
employment in violation of her First Amendment rights. That

instruction (Aplt. App. 362-63) read as follows:

In order for the Plaintiff, Patricia Craven, to
recover from the Defendant, University of
Colorado Hospital Authority, on her claim of
violation of the Plaintiff's constitutional right
to freedom of speech, you must find all of the
following have been proved:

(1) The Plaintiff reported to Dr. Hendrick

substantial concerns she had regarding
a radiation spill at 8 North of

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Plaintiff-Appellant’s Opening Brief

University Hospital, how that spill was
handled, its adverse impact on patient
care and overall hospital safety, and the
unavailability of the Radiation Safety
Officer to attend to such emergencies;

(2) | The Defendant terminated the Plaintiff
following this contact with Dr.
Hendrick:

(3) The Plaintiff's expression of her views
to Dr. Hendrick on the issues specified
in paragraph (1) above was a
substantial or motivating factor in the
Defendant's decision to terminate the
Plaintiff;

(4) The Defendant had an official policy or
custom, which required the Plaintiff to
report all health and safety concerns
associated with her job duties only to a
supervisor, and such policy or custom
deprived the Plaintiff of her
constitutional right of freedom of

speech.

If you find that any one or more of these four
Propositions has not been proved by a
preponderance of the evidence, then your
verdict must be for the Defendant.

On the other hand, if you find that all of these
four propositions have Seen proved by a

Sla

Plaintiff-Appellant’s Opening Brief

preponderance of the evidence then your
verdict must be for the Plaintiff unless you also
find that the Defendant’s affirmative defense of
termination for other constitutionally
permissible reasons or motives has been
proved by a preponderance of the evidence, in
which event, your verdict must be for the
Defendant.

Dr. Craven argued at trial that subparagraph (4) of this
instruction was erroneous (Aplt. App. 273-74, 276-77, 279-
80, 283-90).'* That subparagraph required Dr. Craven to
prove by a preponderance of the evidence that University
Hospital “had an official policy or custom which required
[her] to report all health and safety concerns associated with
her job duties only to a supervisor ....”(Aplt. App. 362). To
subject a governmental entity such as University Hospital to
liability, “a municipal policy must be a ‘policy statement,
ordinance, regulation, or decision officially adopted and
promagated by [its] officers.’” Murrell v. School Dist. No. 1,
186 F.3d 1238, 1249 (10th Cir. 1999); Lankford v. City of
Hobart, 73 F.3d 283, 286 (10th Cir. 1986). In the absence of
such an official policy, a public entity such as University
Hospital can be held liable if the practice in question is “so
permanent and well settled as to constitute a ‘custom or usage’
with the force of law.” Murrell, 186 F.3d at 1249; Lankford,
73 F.3d at 286. These same principles apply in First

'* Instruction No. 22, as given to the jury, consolidated into
subparagraph (4) the language that had been contained in
subparagraphs (4) and (5) of the draft of that instruction that the
district court and the parties’ attorneys discussed on the record at
the end of the prior day’s testimony (Aplt. App. 282-83).

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Plaintiff-Appellant’s Opening Brief

Amendment retaliation cases. See, e.g., Schalk v. Gallemore,
906 F.2d 491, 498 (10th Cir. 1990).

Dr. Craven presented no evidence, and did not
contend at trial, that University Hospital had adopted a formal
policy or had a custom of requiring any person in her position
or any person in a s

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40386009_0910%3A1. Public record. Not legal advice.
