Nippa v. Botsford General Hospital
Nippa v. Botsford General Hospital
Opinion of the Court
This case is before us on remand from our Supreme Court “for reconsideration in light of Cox v Flint Bd of Hosp Mgrs, 467 Mich 1 [; 651 NW2d 356] (2002).” Nippa v Botsford Gen Hosp, 468 Mich 881 (2003). In our opinion, Cox supports our decision in Nippa v Botsford Gen Hosp, 251 Mich App 664; 651 NW2d 103 (2002) (Nippa I), which the Supreme Court, in lieu of granting leave to appeal, vacated in its order of remand. That is, a plaintiff must attach to a medical-malpractice complaint against an institutional defendant an affidavit of merit executed by a physician who specializes or is board-certified in the same specialty as the health professionals on whose conduct the action is based. Thus, we come to the same conclusion as we did in our previous decision where we affirmed the trial court’s order granting summary disposition for defendant.
I. OUR PREVIOUS DECISION IN NIPPA I
In Nippa 1,
pursuant to the plain language of MCL 600.2169(l)(a),[2 ] Dr. Markowitz was competent to testify against defendant.... [PJlaintiff maintained that because the hospital, the only*390 named defendant to the action, was not board certified ... , plaintiff was not required to produce an expert witness with like qualifications [as the doctors she alleged were negligent in her complaint]. [Id. at 666-667.]
We concluded that plaintiffs affidavit of merit in this medical-malpractice case was insufficient because it was not signed by a doctor who specializes or is board-certified in the same specialty as the doctors on whose conduct the action was based. MCL 600.2169; see also Tate v Detroit Receiving Hosp, 249 Mich App 212, 218-219, 220; 642 NW2d 346 (2002), cited in Nippa I, supra at 672-673. We disagreed with plaintiffs position then and we continue to do so now.
II. OUR SUPREME COURT’S DECISION IN COX
In Cox, supra, our Supreme Court held that a hospital may be held vicariously liable for the acts of its agents. Cox, supra at 11. “[A] hospital’s vicarious liability arises because the hospital is held to have done what its agents have done.” Id. at 15. Even when the hospital is the only named defendant, the issue remains whether the hospital’s agents violated the standard of care applicable to them. Id. at 5, 14-15. Our Supreme Court stated:
*391 Vicarious liability is “indirect responsibility imposed by operation of law.” As this Court stated in 1871:
“[T]he master is bound to keep his servants within their proper bounds, and is responsible if he does not. The law contemplates that their acts are his acts, and that he is constructively present at them all.” [Smith v Webster, 23 Mich 298, 299-300 (1871) (emphasis added).]
In other words, the principal “is only liable because the law creates a practical identity with his [agents], so that he is held to have done what they have done.” Id. at 300. See also Ducre v Sparrow-Kroll Lumber Co, 168 Mich 49, 52; 133 NW 938 (1911). [Id. at 11 (citation omitted).]
El. ANALYSIS
After reviewing our Supreme Court’s remand order, we conclude that the Court remanded this case for us to apply the logic of Cox to the present facts.
Again, the Court in Cox held that under a vicarious-liability theory, a principal “ ‘is only liable because the law creates a practical identity’ ” between the principal and its agents. Id., quoting Smith, supra at 300. The principal is held to have done what the agent has done. The law contemplates that the agent’s acts are the principal’s acts and that the principal “ ‘is constructively present at them all.’ ” Id. Applying the logic of Cox to the present case, we hold that the standard of care applicable to the hospital is the same standard of care that is applicable to the physicians named in the complaint. For all practical purposes the hospital stands in the shoes of its agents (the doctors).
Thus, we opine that with regard to vicarious liability, medical-malpractice law applicable to a physician is also applicable to the physician’s hospital. Plaintiff
Consequently, a plaintiff who sues an institutional defendant such as defendant hospital must premise her claim on vicarious liability because the institution itself is incapable of committing any independent actions, including negligence. Cox, supra at 12. Vicarious liability imposes a legal fiction on defendant hospital providing that the principal is only hable because the law creates a practical identity with its agents so that the hospital is held to have done what the agents have done. Id. at 11-12. The law treats the principal and the agent as sharing a single identity, transporting the acts of the doctors (the agents) to the hospital (the principal). Just as an institution itself is incapable of committing any independent actions, including negligence, an institution itself is
IV. THE DISSENTING OPINION
The dissenting opinion
The English language with all its nuances is not as precise or logical a language as the dissenting opinion advocates. The conceptual difficulty that bedevils the dissenting opinion is its dogged, literalist application of a generic term, “party,” to a specific set of facts. By employing an unrealistic approach, the dissent allows itself to wear blinders, losing all peripheral vision and resulting in a collision with reason and common sense. See Houghton Lake, supra; Hoste v Shanty Creek Mgt, Inc, 459 Mich 561, 574; 592 NW2d 360 (1999) (statutory construction should avoid rendering a statute nugatory). The named parties to this lawsuit have asked us to give meaning to § 2169 as it relates
Indeed, the dissent concludes that the proper definition for the term “party” in § 2169 is “party defendant.” Post at 402. Of course, the phrase “party defendant” does not appear in the statute, but that does not stop the dissenting opinion from constructing an impregnable circle that leaves unanswered the issue how our Supreme Court’s opinion in Cox applies to the present case.
We would like to make clear what § 2169 does not state. It is clear that the statute does not state “party defendant” or “party of record” as the dissenting opinion would have one believe.
V. CONCLUSION
In order to commence an action for medical malpractice, a plaintiff is required to file an affidavit of merit. MCL 600.2912d(l). This affidavit must be signed by a doctor who has the same specialty as the doctor who the plaintiff alleges to be negligent. MCL 600.2169(l)(a). Defendant’s physicians involved in this matter are board-certified in general surgery and infectious diseases. Plaintiff’s expert indicates in his affidavit of merit that he is not board-certified in either specialty; therefore, the trial court properly dismissed the complaint.
Affirmed.
For a complete statement of the underlying facts in the present case, see Nippa I, supra at 665-667.
According to MCL 600.2912d(l), “the plaintiff in an action alleging medical malpractice . . . shall file with the complaint an affidavit of merit signed by a health professional who the plaintiff’s attorney reasonably believes meets the requirements for an expert witness under section
If the party against whom or on whose behalf the testimony is offered is a specialist, specializes at the time of the occurrence that is the basis for the action in the same specialty as the party against whom or on whose behalf the testimony is offered. However, if the party against whom or on whose behalf the testimony is offered is a specialist who is board certified, the expert witness must be a specialist who is board certified in that specialty.
But see Kelly-Stehney & Assoc, Inc v MacDonald’s Industrial Products, Inc, 254 Mich App 608, 614 n 4; 658 NW2d 494 (2003) (noting our Supreme Court’s disapproval of the “absurd result” rule of statutory construction).
We agree with the dissenting opinion that the facts of Cox do not neatly apply to the present case, see post at 405, but because our Supreme Court’s order on remand asks us to apply Cox, we are endeavoring to do so. See Nippa v Botsford Gen Hosp, 468 Mich 881 (2003).
While we do not believe in judicial activism, we do believe that the role of the judiciary is more than that of a simple statute-reading machine that spits out the plain language of what is put in. Cf. Sington v Chrysler Corp, 467 Mich 144, 161-162; 648 NW2d 624 (2002) (“[S]tare decisis is not to be applied mechanically to forever prevent the Court from overruling earlier erroneous decisions determining the meaning of statutes. Rather, it is our duty to re-éxamine a precedent where its reasoning ... is fairly called into question.”) (internal quotation marks and citations omitted).
Judging is an art. It is not best served by reaching absurd results or by reaching decisions that lack common sense or violate the intention of the Legislature. We note that writing is “[t]he bare transmission of data” from the writer to the reader. Irving Younger, Culture’s the Thing, 8 Scribes J Leg Writing 137, 138 (2001-2002). It is simply “a mechanical function requiring only a command of grammar, syntax, and vocabulary. Though grammar, syntax, and vocabulary can be programmed into a computer,” no computer will ever be able to replace the role of judge in our society, and no computer or mechanical device can function at the level of a judge. Id. “The reason is that there are demesnes of [judging] closed to computers,” mechanical devices, “and to those who aspire to no more
Tate involved a medical-malpractice action with a hospital as the sole defendant. Id. at 213-214.
We repeat that the unavoidable result of the dissenting opinion’s analysis is that any plaintiff can avoid the primary affidavit-filing procedural requirement of MCL 600.2912d(l) and MCL 600.2169 by filing a lawsuit against an institutional entity only. Clearly, this is not what the Legislature intended. See Frankenmuth Mut Ins Co, supra (the Legislature’s intent is paramount in statutory construction); see also Hoste, supra; Nippa I, supra at 673.
The dissenting opinion’s attempt to amend the plain meaning of the statute may be attributable to the fact that the term “party” has multiple meanings. We note in the following example that the term “party” has three separate meanings:
The “party” of the first part would like to know if the “party” of the second part would like to attend the “party” at the courthouse restaurant on Friday evening.
In Cavalier Mfg Co v Employers Ins of Wausau, 211 Mich App 330, 341; 535 NW2d 583 (1995), remanded 453 Mich 953 (1996), we concluded that the phenomenon of identical words having different meanings (i.e., a homonym), even in a single document, was neither unique to that case nor to the elasticity and inherent limitations of the English language. Random House Webster’s College Dictionary (2001) contains twelve separate definitions for the term “party.” As we referenced in Nippa I, supra at 673-
The dissenting opinion, post at 398, faults the majority opinion for “amend[ing] MCL 600.2169 so that the term ‘party’ in that statute includes the term ‘agent.’ ” We find no support in the law or the majority opinion for the dissenting opinion’s conclusion. We conclude only that the term “party” encompasses the negligent party as set forth in the complaint filed by plaintiff.
We further note that it takes the dissenting opinion numerous pages to attempt to discern the true meaning of the term “party.” If the term was as clear, concise, and logical as the dissenting opinion claims, then no doubt this dilemma could be resolved in a few sentences. See, generally,
Dissenting Opinion
(dissenting). Once again I respectfully dissent. The majority states that it is applying the logic of a recent Michigan Supreme Court opin
I. BASIC FACTS AND PROCEDURAL HISTORY
Sally Nippa (Nippa) sued Botsford General Hospital, and only Botsford General Hospital, in her capacity as the personal representative of Robert Nippa’s estate. In her second amended complaint, Nippa alleged that Botsford was liable for the negligent treatment Drs. Wiley Fan, Gerald Blackburn, and Harris Mainster rendered to Robert Nippa. As the language of Nippa’s second amended complaint makes clear,
With her original complaint, Nippa filed an affidavit of merit from Dr. Arnold Markowitz. Botsford sought dismissal under MCR 2.112(L). Although Dr. Markowitz is board-certified in internal medicine, Botsford pointed out that Drs. Fan and Blackburn are board-certified in infectious diseases and Dr. Mainster is board-certified in general surgery; accordingly, Dr. Markowitz’s board-certified specialty is not the same as those of Drs. Fan, Blackburn, and Mainster. In essence, Botsford argued that while Drs. Fan, Black-bum, and Mainster were themselves not parties, it was their alleged negligence that was being imputed to the hospital under a theory of vicarious liability. Therefore, Botsford argued, MCL 600.2169(l)(a) required Dr. Markowitz’s board-certified specialties to match those of the allegedly offending physicians.
The trial court agreed and granted involuntary dismissal of the second amended complaint. Nippa then appealed the trial court’s order granting involuntary dismissal to this Court. The majority of the first Nippa panel agreed with Botsford and the trial court, and affirmed.* *
[Nippa] raises a novel, yet ultimately unsuccessful, legal argument concerning the proper interpretation of the word*400 “party” in § 2169. Put rather simply, the thrust of [Nippa’s] argument is that the word “party” refers only to those litigants who are parties of record. Therefore, according to [Nippa], because the board-certified physicians who treated [Nippa’s] decedent are not named in the action, [Nippa], by virtue of her artful drafting of the second amended complaint, is absolved from complying with the requirements of § 2169. ro
The majority then went on to conclude, in essence, that the word “party” as used by the Legislature in MCL 600.2169 did not mean a “party” as defined in Black’s Law Dictionary.
In spite of the unique meaning the word “party” has acquired in the law, we do not agree with [Nippa] that by referring to “party,” the Legislature indicated its intention that the requirement that an expert witness share the same board certification as one he intends to testify against extend (sic) only to named parties to the record. In the instant case, a careful review of the second amended complaint reflects that [Nippa] is alleging liability on the part of*401 [Botsford] under a theory of vicarious liability. As our Supreme Court observed in Theophelis v Lansing General Hosp, 430 Mich 473, 483; 424 NW2d 478 (1988) (Griffin, J.), “[vicarious liability is indirect responsibility imposed by operation of law.” Further, a master may not be held liable under a vicarious liability theory where the servant is not liable. Rogers v J B Hunt Transport, Inc, 244 Mich App 600, 608; 624 NW2d 532 (2001), lv gtd 465 Mich [903] (2001). This is because the principal has not committed a tortious act, and is therefore not a “tortfeasor.” Theophelis, supra at 483.
In our view, the acceptance of [Nippa’s] interpretation of the statute would “effectively repeal” § 2169, rendering it nugatory and meaningless, an interpretation that this Court must avoid. Scarsella v Pollak, 461 Mich 547, 550; 607 NW2d 711 (2000). Similarly, if we were to accept [Nippa’s] argument, plaintiffs in medical malpractice actions could routinely avoid the requirements of § 2169 by declining to name individual physicians as defendants. In a different context, our Supreme Court has expressed its dissatisfaction with such gamesmanship, specifically where parties draft pleadings to avoid the procedural medical malpractice requirements. Dorris v Detroit Osteopathic Hosp Corp, 460 Mich 26, 43-47; 594 NW2d 455 (1999); see also Stover v Garfield, 247 Mich App 456, 467-469; 637 NW2d 221 (2001)
(O’Connell, J., dissenting)[6 ]
Dissenting, I placed particular emphasis on Justice Markman’s statement in Robertson v DaimlerChrysler Corp
I also noted that by, in essence, amending the plain words of the statute, the majority was substituting its policy preferences for those of the Legislature, all to make the statute less illogical.*
Nippa then filed an application for leave to appeal to the Supreme Court. In lieu of granting leave to
A hospital may be vicariously liable for the negligence of its agents [citing Cox, supra at 11]. In Cox, the Court stated that a “hospital’s vicarious liability arises because the hospital is held to have done what its agents have done.” Id. at 15. Even when the hospital is the only named defendant, the issue remains whether the hospital’s agents violated the standard of care applicable to them. Id. at 5, 14-15.[15 ]
The majority, not surprisingly, now reaches the conclusion that Cox supports its decision in Nippa I.
Applying the logic of Cox to the present case, we hold that the standard of care applicable to the hospital is the same standard of care that is applicable to the physicians named in the complaint. For all practical purposes, the hospital stands in the shoes of its agents (the doctors).
All procedural requirements are applicable to the hospital in the same manner and form as if the doctor were a named party to the lawsuit. This is so because the law creates a practical identify between a principal and an agent, and, by a legal fiction, the hospital is held to have done what its agents have done [citing Cox, supra at 11], It would be*404 absurd to have one set of legal rules for a hospital and another set of legal rules for its agents.[18 ]
The majority then concludes that, because Botsford’s physicians involved in this matter are board-certified in general surgery and infectious diseases while Nippa’s expert is not board-certified in either specialty, the trial court properly dismissed the complaint.
H. APPLYING THE LOGIC OF COX TO THE FACTS OF THIS CASE
I first note that Cox did not deal at all with an interpretation of MCL 600.2169. Rather, it dealt with the propriety of a jury instruction relating to the neonatal intensive-care unit at Hurley Medical Center. When the trial court instructed the jury, it significantly modified SJI2d 30.01. The trial court stated:
“When I use the words professional negligence or malpractice with respect to the Defendant’s conduct, I mean the failure to do something which a hospital neonatal intensive care unit would do or the doing of something which a hospital neonatal intensive care unit would not do under the same or similar circumstances you find to exist in this case.
“It is for you to decide, based upon the evidence, what the hospital neonatal intensive care unit with the learning, judgment or skill of its people would do or would not do under the same or similar circumstances.”[20 ]
The Supreme Court discussed the concept of vicarious liability, stating that a hospital may be vicariously hable for the negligence of its agents
Applying this logic to the facts of this case would, I readily concede, be difficult, for the simple reason that this case did not go to trial and there was no jury
m. APPLYING THE LOGIC OF COX TO THE LEGAL ISSUE IN THIS CASE
To belabor the point, however, these are not the facts of this case and proceeding down this road is an exercise in futility. The more productive exercise, it seems to me, is to apply the logic of Cox to the legal issue in this case. That legal issue, again, is whether, under MCL 600.2169, a plaintiff suing a hospital, and only a hospital, under a theoiy of vicarious liability is required to file an affidavit of merit signed by a physician who is board-certified in the specialty or specialties of the agent or agents of the hospital that the plaintiff claims engaged in medical malpractice.
When faced with questions of statutory interpretation, our obligation is to discern and give effect to the Legislature’s intent as expressed in the statutory language.*408 DiBenedetto v West Shore Hosp, 461 Mich 394, 402; 605 NW2d 300 (2000); Massey v Mandell, 462 Mich 375, 379-380; 614 NW2d 70 (2000). Undefined statutory terms must be given their plain and ordinary meanings. Donajkowski v Alpena Power Co, 460 Mich 243, 248-249; 596 NW2d 574 (1999). When confronted with undefined terms, it is proper to consult dictionary definitions. Jd[29 ]
In Nippa I, the majority straightforwardly admitted (1) that the term “party” in MCL 600.2169 was not defined in the statute, (2) that it had therefore consulted Black’s Law Dictionary (6th ed), and (3) that the word “party,” as defined in Black’s Law Dictionary, is a “legal term of art that has acquired a particular meaning in the law.”
Applying the logic of Cox to the facts of this case leads ultimately to a blind alley. Cox deals, with respect to the concept of vicarious liability, with an instructional error. There were no instructions in this case and therefore there can be no instructional error. Applying the logic of Cox to the legal issue in this case is possible only if one expands the meaning of the word “party” to include the word “agent.”
With what, then, are we left? I believe we are left with a well-intentioned effort to rewrite MCL 600.2169 to make it less “illogical” and more in accordance with common sense. At the risk of repetition, I return to my conclusion in Nippa I:
[S]uch an amended statute would be logical, fair, and, I would hope, workable. Perhaps the Legislature will enact such an amendment. As yet, however, it has not. There is nothing in our judicial commissions or anywhere to be found in the concept of the separation of powers that empowers us to perfonn this task as the Legislature’s surrogate. It is not within our judicial responsibilities to undertake to do what the Legislature should have done, but did not do. The majority chooses to embark on just such an undertaking. I do not. I would, therefore, reverse.[32 ]
The majority again raises, in responding to this dissent, the issue of the definition of the word “party,” suggesting that the dissent uses a “pigeonholed definition” and “destroys the intended purpose and meaning of the statute.”
The majority’s statement that it has resolved the “linguistic problem” with a “straightforward, commonsense approach” is, however, certainly true.
Cox v Flint Bd of Hosp Managers, 467 Mich 1; 651 NW2d 356 (2002).
Paragraph 11, relating to Nippa’s allegation of negligence in Count n of her complaint, stated:
That at all times relevant herein, defendant, botsford hospital, by its employees, agents, servants, officers and/or representatives,*399 owed a duty to the plaintiff’s decedent, Robert nippa, as a primary medical care facility, and that said duty was breached by a deviation from the standard of practice of medicine, proximately causing the damages stated herein .... [Emphasis supplied.]
Nippa v Botsford Gen Hosp, 251 Mich App 664; 651 NW2d 103 (2002) (Nippa I).
The majority in Nippa I, supra at 674, quoted the following definition of a “party” from Black’s Law Dictionary (6th ed), p 1122:
“A person concerned, or having or taking part in any affair, matter, transaction, or proceeding, considered individually. A party to an action is a person whose name is designated on record as plaintiff or defendant. Term, in general, means one having right to control proceedings, to make defense, to adduce and cross-examine witnesses, and to appeal from judgment.
Party is a technical word having a precise meaning in legal parlance; it refers to those by or against whom a legal suit is brought, whether in law or in equity, the party plaintiff or defendant, whether composed of one or more individuals and whether natural or legal persons; all others who may be affected by the suit, indirectly or consequently, are persons interested but not parties.” [Emphasis supplied; citations and internal quotation marks omitted.]
Robertson v DaimlerChrysler Corp, 465 Mich 732; 641 NW2d 567 (2002).
Id. at 758 (emphasis in the original).
Nippa 1, supra at 680.
Id. at 686.
Id. at 690-691.
I used the term “derivative” liability as a synonym for “vicarious” liability.
Id. at 689-690.
Id. at 690.
Nippa v Botsford Gen Hosp, 468 Mich 881 (2003) (vacating and remanding in lieu of granting leave to appeal).
Ante at 389.
Ante at 391.
Ante at 391, 392, citing, as an example, Houghton Lake Area Tourism & Convention Bureau v Wood, 255 Mich App 127, 142-143, 150; 662 NW2d 758 (2003) (statutory construction should avoid an illogical or absurd result).
Ante at 397.
Cox, supra at 10 (emphasis supplied).
Id. at 14 n 14.
Id. at 10.
Id. at 12.
Id. at 11.
Id. at 5, 14-15.
Id. at 15.
In its footnote 6, the majority notes that Tate v Detroit Receiving Hosp, 249 Mich App 212, 213; 642 NW2d 346 (2002), involved a medical-
Surely the Legislature did not intend to eradicate a plaintiffs ability to bring a meritorious malpractice action against a defendant physician who happens to have board certifications in several different fields. [Tate, supra at 219 (emphasis supplied).]
Both the majority and I agree that Tale did not involve a defendant physician. Rather, it involved a hospital as the sole defendant. It is difficult to see, therefore, how Tale helps us here; rather, it appears simply to compound the confusion.
The majority denies that it is amending the statute so that the term “party” includes the term “agent.” Ante at 396 n 9. Rather, it concludes “only that the term ‘party’ encompasses the negligent party as set forth in the complaint filed by plaintiff.” Id. The majority will forgive me if I fail to comprehend the difference between that which it claims not to do and that which it does.
Cox, supra at 18.
See Random House Webster’s College Dictionary (1997): A “party” is “one of the litigants in a legal proceeding; a plaintiff or defendant... a signatory to a legal instrument.” See also Gamer, A Dictionary of Modern Legal Usage (New York: Oxford University Press, 2d ed, 1995) (a “party” is “a legalism that is unjustified when it merely replaces person. If used as an elliptical form of party to the contract or party to the lawsuit, party is quite acceptable as a teem op aet”) (emphasis in the original).
Ante at 397.
See Donajkowski, supra.
Black’s, supra, p 1122. See also Random House Webster’s College Dictionary, supra, and A Dictionary of Modern Legal Usage, supra.
Nippa 1, supra at 396-396.
Id. at 396.
Id.
Cox, supra at 18.
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