Salvagno v. Frew

857 A.2d 506, 158 Md. App. 315, 2004 Md. App. LEXIS 129
CourtCourt of Special Appeals of Maryland
DecidedSeptember 3, 2004
DocketNo. 859
StatusPublished
Cited by1 cases

This text of 857 A.2d 506 (Salvagno v. Frew) is published on Counsel Stack Legal Research, covering Court of Special Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Salvagno v. Frew, 857 A.2d 506, 158 Md. App. 315, 2004 Md. App. LEXIS 129 (Md. Ct. App. 2004).

Opinion

KENNEY, Judge.

Dr. Ralph T. Salvagno, Michael Fitzgerald, and the Altizer-Salvagno Center for Surgery at Robinwood appeal from an order of the Circuit Court for Washington County nullifying and vacating a decision of the Health Claims Arbitration Office (the “HCAO”). Appellants ask two questions, which we have slightly reworded:

I. Did the circuit court err by denying appellants’ motion to dismiss?
II. Did the circuit court err by vacating the order of the HCAO?

For the reasons below, we shall remand the case to the circuit court with instructions to remand the claim to the IICAO for arbitration.

Overview of the Health Care Malpractice Claims Act

The Health Care Malpractice Claims Act (the “Act”), embodied in Md.Code (1974, 2002 Repl.Vol.), §§ 3-2A-01 through 3-2A-09 of the Courts and Judicial Proceedings Article (“C.J.”), was enacted in 1976 in response to the malpractice insurance crisis.1 Carrion v. Linzey, 342 Md. 266, 274-75, 675 A.2d 527 (1996). The primary feature of the Act was to “ ‘require the submission of certain [medical malpractice] claims to an arbitration panel for initial ascertainment of liability and damages before resort [could] be had to a court of law for final determination.’ ” Id. at 276, 675 A.2d 527 (quoting Attorney Gen. v. Johnson, 282 Md. 274, 277, 385 A.2d 57 (1978)). The purpose of the Act was to “screen malpractice claims, ferret out meritless ones, and, in theory, ... lower the cost of malpractice insurance and the overall costs of health care.” Adler v. Hyman, 334 Md. 568, 575, 640 A.2d 1100 (1994). In short, medical malpractice claims are to be submitted to “mandatory arbitration as a pre-condition to any court [320]*320action.” Watts v. King, 143 Md.App. 293, 306, 794 A.2d 723 (2002).2

“All claims, suits and actions” in which damages of more than $5,000 are sought against a health care provider for medical injury allegedly suffered by a claimant are subject to the Act. C.J. § 3-2A-02(a)(l). Claims filed with the Director of the HCAO are referred to a panel of three arbitrators. See C.J. § 3-2A-03. In any action for damages filed under the Act,

the health care provider is not liable for the payment of damages unless it is established that the care given by the health care provider is not in accordance with the standards of practice among members of the same health care profession with similar training and experience situated in the same or similar communities at the time of the alleged act giving rise to the cause of action.

C.J. § 3-2A-02(c).

Except when the issue is solely the lack of informed consent, a claimant must file with the Director a certificate of a qualified expert “attesting to departure from standards of care” and that the departure was “the proximate cause of the alleged injury.” C.J. § 3-2A-04(b)(l)(i). Failure to file such a certificate “shall” result in dismissal of the claim without prejudice. Id. To dispute liability, a defendant must file a certificate “attesting to compliance with standards of care,” or that the departure was not the proximate cause of the alleged injury, within one hundred twenty days from the date the claimant “served the certificate of a qualified expert ... on the defendant.” C.J. § 3-2A-04(b)(2). Ordinarily, the claimant’s certificate must be filed within ninety days from the date of the claim, but an extension of time to file a certificate of a qualified expert “shall be granted for good cause shown.” C.J. § 3-2A-04(b)(l)(i) and (5).

[321]*321The arbitration panel determines whether the health care provider is liable and, if so, “consider[s], itemizelsl, assess[es], and apportion[s]” the appropriate damages, and incorporates into the award an assessment of costs, including the arbitrators’ fees. C.J. §§ 3-2A-05(e) and (f)(1). If no party rejects the award, it becomes “final and binding,” is filed in the appropriate circuit court, and constitutes a final judgment when confirmed by that court. C.J. § 3-2A-05(i). Any party, however, can reject the award “for any reason” by filing a “notice of rejection” with the Director of the HCAO and the arbitration panel and, also, an “action to nullify” the award in an appropriate circuit court within thirty days “after the award is served on the rejecting party.” C.J. § 3-2A-06(a) and (b).

A party may elect to have the case tried by a jury. C.J. § 3-2A-06(b)(2). Prior to the trial, the circuit court may modify, correct, or vacate an award. C.J. § 3-2A-06(c). If the circuit court finds, for example, that the “arbitrators exceeded their powers,” it “shall vacate the award, and trial of the case shall proceed as if there had been no award.” C.J. §§ 3-224(b)(3) and 3-2A-06(c). If not vacated, the award is admissible as evidence at trial. C.J. § 3-2A-06(d). It is presumed to be correct and the “burden is on the party rejecting it to prove that it is not correct.” Id.

FACTUAL AND PROCEDURAL BACKGROUND

The complaint alleges that Dr. Ralph Salvagno, while performing surgery on William Frew’s right ankle on March 26, 1997, improperly applied a tourniquet. The result was an “injury to the right calf and lost sensation to the right foot.” In March 2000, William and his wife, Debra, (“claimants”), filed a two-count statement of claim with the HCAO, alleging negligence (“Count I”) and loss of consortium (“Count II”). On April 11, 2000, the claimants requested an extension of time for filing a certificate of a qualified expert (the “certificate”), which the Director granted, extending the time to September 17, 2000. On August 29, 2000, the claimants requested “an additional ninety (90) days within which to [322]*322secure” the certificate. The Director granted an extension to November 1, 2000.

On October 31, 2000, the claimants filed an amended statement of claim, adding a count for lack of informed consent (“Count III”). They also requested another extension of time to file the certificate, averring:

1. Claimants have had this case reviewed by an expert.
2. Claimants’ initially retained experts indicated that claimants’ claim [had] merit, but claimants’ specialist who has reviewed the case commented on the case in such a manner that claimants’ counsel was directed to file the Amended Complaint alleging lack of informed consent, a change in theory of the case.
3. Under such a theory, claimants would not need a certificate .... However, claimants did not wish to foreclose any theory of recovery.
4. Consequently, claimants will need additional time to secure an expert opinion to provide a second look at claimants’ Count One [negligence] cause of action.
5. Claimants have been proceeding with due diligence in their quest to move this case along.
Wherefore ..., claimants request an additional extension of time within which to file an expert’s certificate as to Count One.

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Related

Salvagno v. Frew
881 A.2d 660 (Court of Appeals of Maryland, 2005)

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Bluebook (online)
857 A.2d 506, 158 Md. App. 315, 2004 Md. App. LEXIS 129, Counsel Stack Legal Research, https://law.counselstack.com/opinion/salvagno-v-frew-mdctspecapp-2004.