Ward v. Allen County Hospital

324 P.3d 1122, 2014 WL 1873884, 50 Kan. App. 2d 280, 2014 Kan. App. LEXIS 30
CourtCourt of Appeals of Kansas
DecidedMay 9, 2014
DocketNo. 110,085
StatusPublished
Cited by5 cases

This text of 324 P.3d 1122 (Ward v. Allen County Hospital) is published on Counsel Stack Legal Research, covering Court of Appeals of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ward v. Allen County Hospital, 324 P.3d 1122, 2014 WL 1873884, 50 Kan. App. 2d 280, 2014 Kan. App. LEXIS 30 (kanctapp 2014).

Opinions

Green, J.:

The claimant, Judy Ward, sustained an injury while working for the respondent, Allen County Hospital (hospital). Ward applied for workers, compensation benefits based on her injuries. The administrative law judge (ALJ) held a hearing to determine, among other tilings, the nature and extent of Ward’s disability. Ultimately, the ALJ awarded Ward permanent partial disability compensation for a 75.50% work disability, up to the statutory maximum compensation award of $100,000 under K.S.A. 44-510f(2). The hospital appealed to the Kansas Workers Compensation Board (Board), which modified Ward’s ALJ award to reflect a credit for her 15% preexisting impairment of function. But instead of reducing Ward’s compensation award by 15%, a majority of the Board decided to merely subtract 15% from her total amount of work disability. Thus, a majority of the Board concluded that Ward was entitled to compensation for a 60.75% work disability, which still resulted in her receiving the statutoiy maximum compensation award of $100,000.

On appeal, the hospital argues that the Board erred in calculating Ward’s permanent partial disability award. Specifically, the hospital contends that we “should find that the [Board] below erroneously interpreted and applied K.S.A. 44-501(c)” when calculating Ward’s disability compensation award. Ward has filed a cross-appeal, arguing that the Board erred in finding that she had a 15% preexisting functional impairment. We determine that Ward’s cross-appeal has no merit. The Board’s factual finding that Ward suffered from a 15% preexisting functional impairment, in light of the record as a whole, is supported to the appropriate standard of proof by substantial evidence. See K.S.A. 2013 Supp. 77-621(c)(7).

Moving to the hospital’s appellate argument, we hold that the Board erred in calculating Ward’s permanent partial disability com[282]*282pensation award. The express language of K.S.A. 44-501(c) requires that a claimant’s award of compensation be reduced by his or her percentage of preexisting functional impairment. Because the express language of K.S.A. 44-501(c) requires the award of compensation to be reduced by the percentage of the preexisting functional impairment, the Board erred in its calculation. Accordingly, we reverse and remand with directions that the Board calculate Ward’s permanent partial disability compensation award consistent with this opinion.

Ward began worldng at Allen County-» Hospital as a shift nurse in 1993. In 2003, Ward underwent a foraminotomy and discectomy at the C6-7 level to repair her cervical spine. During that time, Ward performed post-surgery physical therapy. Ward took between 9 and 12 weeks off before returning to work. Ward did not have any further work restrictions following the surgery, and.she did not seek any medical attention once she returned to work.

On April 22, 2010, Ward reinjured her cervical spine while assisting a patient sitting on the side of a bed. When the patient began to fall after trying to get up, Ward caught the weight of the patient with her right arm. Ward immediately felt pain in her neck and right shoulder. Dr. Nazih Moufarrij treated Ward for her work injury. Specifically, Dr. Moufarrij performed an anterior cervical discectomy and fusion at the C6-7 level. This procedure was in the same area as Ward’s 2003 surgery. Ward did not return to work after the second surgery.

Ward applied for workers compensation benefits. The ALJ held a hearing to determine, among other things, the nature and extent of Ward’s disability. Dr. Paul Stein, a board certified neurosurgeon, evaluated Ward after her work injury.- During Dr.. Stein’s examination, Ward stated that she continued to experience residual numbness in the fingertips of her right hand after her 2003 surgery. After Dr. Stein finished his evaluation, he concluded that Ward had an overall 25% impairment to her body as a whole based on the American Medical Association Guides to the Evaluation of Permanent Impairment 4th ed. 1995) (AMA Guide). Dr. Stein also determined that Ward had a 15% preexisting permanent impairment to the body because of her 2003 radiculopathy and surgery.

[283]*283Regarding Ward’s 2003 injuiy, Dr. Stein explained that Ward fit under Cervicothoracic Category III of the Diagnosis-Related Estimates (DRE) Model because a foraminotomy is performed to reheve nerve root compression resulting in radiculopathy. Consequently, Dr. Stein stated that once a patient has a radiculopathy diagnosis, then that diagnosis and impairment remains with the patient. Dr. Stein then explained that Ward clearly had radicular nerve root compression in 2003 because no competent surgeon would have performed the procedure unless she suffered from that condition. Finally, Dr. Stein concluded that Ward had a 50% task loss.

Ward also was examined by Dr. Edward Prostic after her 2010 work injuiy. Dr. Prostic used a two-point inclinometer to measure Ward’s range of motion. After evaluating Ward, Dr. Prostic concluded that she had a 53% task loss. Dr. Prostic’s testimony, however, was equivocal regarding Ward’s preexisting impairment, and he ultimately refrained from offering an opinion on whether she had suffered a preexisting impairment.

The ALJ concluded that Ward had “suffered personal injuiy by accident, arising out of and in the course of her employment” with the hospital. By averaging the task loss opinions of the parties’ experts, the ALJ concluded that Ward suffered a 51.5% task loss. The ALJ also concluded that Ward had a 100% wage loss and that Ward did not have to prove that her wage loss was caused by her work injuiy.

As for the nature and extent of Ward’s injury, the ALJ believed that Dr. Stein’s report was more credible, and the ALJ concluded that Ward had suffered a 25% impairment of function to the body as a whole. The ALJ determined that 15% of Ward’s impairment of function to the body as a whole predated the 2010 work injury. The ALJ awarded Ward 41.50 weeks of permanent partial disability at a rate of $546 or $22,659 as compensation for 10% functional disability. Then, the ALJ concluded that the average of Ward’s task loss and wage loss resulted in a 75.75% permanent partial general “work” disability. However, the ALJ awarded Ward permanent partial disability compensation for a 75.50% work disability, up to the statutory maximum compensation award of $100,000.

[284]*284The hospital appealed to the Board. The Board modified the ALJ’s award to reflect a credit for Ward’s 15% preexisting impairment of function. But instead of reducing Ward’s compensation award by 15%, a majority of the Board decided to merely subtract 15% from Ward’s total amount of work disability. As a result, a majority of the Board concluded that Ward was entitled to compensation for a 60.75% work disability, which still resulted in Ward receiving the statutory maximum compensation award of $100,000. In reaching its decision, a majority of the Board noted that it would have been “excessive” to reduce Wardls compensation award by 15% as opposed to reducing her work 'disability.

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Bluebook (online)
324 P.3d 1122, 2014 WL 1873884, 50 Kan. App. 2d 280, 2014 Kan. App. LEXIS 30, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ward-v-allen-county-hospital-kanctapp-2014.