SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-6230-99T5
PETER SCAFFIDI,
Plaintiff-Appellant,
v.
LEWIS L. HORVITZ, M.D.,
CARDIOVASCULAR ASSOCIATES OF
THE DELAWARE VALLEY, P.A.,
and OUR LADY OF LOURDES
MEDICAL CENTER,
Defendants-Respondents.
___________________________________
Argued July 24, 2001 - Decided August 9, 2001
Before Judges Skillman and Lisa.
On appeal from Superior Court of New Jersey,
Law Division, Camden County, Docket No. L-
8864-99.
Benedict A. Casey argued the cause for
appellant (Beasley, Casey & Erbstein,
attorneys; Mr. Casey, on the brief).
Sharon K. Galpern argued the cause for
respondents Lewis Horvitz, M.D. and
Cardiovascular Associates of the Delaware
Valley, P.A. (Stahl & DeLaurentis, attorneys;
John A. Talvacchia and Ms. Galpern, on the
brief).
Timothy P. O'Brien argued the cause for
respondent Our Lady of Lourdes Medical Center
(Paarz, Master, Koernig, Crammer, O'Brien &
Bishop, attorneys; Mr. O'Brien, on the
brief).
The opinion of the court was delivered by
SKILLMAN, P.J.A.D.
The Affidavit of Merit Statute, N.J.S.A. 2A:53A-26 to 29,
states that a plaintiff in a malpractice action may be relieved
of the obligation to provide the defendant with an affidavit of
merit if the defendant fails to provide medical records or other
information "having a substantial bearing on preparation of the
affidavit" within forty-five days of a request for such
information. N.J.S.A. 2A:53A-28. The issue presented by this
appeal is whether the plaintiff must give the defendant
reasonable notice that particular medical records or other
information are needed to prepare an affidavit of merit in order
to obtain relief from this requirement. We conclude that such
notice is required and that, because the plaintiff in this action
received all the medical records required to prepare an affidavit
of merit within forty-five days after giving the defendants this
notice, the trial court correctly concluded that plaintiff was
not entitled to relief from the requirement of providing an
affidavit of merit within the time allowed under N.J.S.A. 2A:53A-
27.
Plaintiff's complaint alleged that defendants Lewis L.
Horvitz, M.D., Cardiovascular Associates of the Delaware Valley,
P.A. (Cardiovascular Associates) and Our Lady of Lourdes Medical
Center (Medical Center) were "negligent in the performance of
Electro Physiology procedures on October 16, 1997 and October 17,
1997 and January 6, 1998 and in failing to warn of the risks of
injury resulting in radiation burns to plaintiff's back, the
risks of heart damage and ultimate need for open heart surgery."
The complaint served on the Medical Center on December 29, 1999,
was accompanied by uniform interrogatories and a multi-part
notice to produce documents. The seventh entry on the notice to
produce stated:
Kindly provide the procedure log from
the [Electro Physiologic] laboratory for the
procedures of October 16, 1997, October 17,
1997 and January 6-7, 1998.
The notice demanded production of these documents "within
sixty (60) days." Horvitz and Cardiovascular Associates filed
their answer to the complaint on January 19, 2000, and the
Medical Center filed its answer on February 4, 2000.
On February 3, 2000, plaintiff filed a motion for an
extension of time to file an affidavit of merit. The supporting
affidavit of plaintiff's attorney stated in part:
3. In order to complete a review of
this issue by an expert, it is necessary to
obtain the procedure log from the electro
physiologic laboratory for a procedure on
October 16 and 17, 1997 and January 6, 1998
as well as records of radiation monitoring
for the above dates.
4. This information was requested from
the defendant hospital in plaintiff's
Interrogatories and Notice to Produce which
were served on the Hospital on December 29,
1999 but have [not] yet been responded to.
More than 45 days will have passed by the
date on which this motion is returnable.
. . . .
7. The information requested has "a
substantial bearing on preparation of the
Affidavit" as required by 2A:53A-28.
The motion sought to extend the time for filing an affidavit of
merit for sixty days from when Medical Center responded to
plaintiff's notice to produce. However, defendants' answering
papers contended that plaintiff was only entitled to a sixty day
extension from the expiration of the "initial sixty day time
period." By letter dated February 23, 2000, plaintiff's counsel
indicated that he agreed with this contention and noted his
understanding that this meant the extended date for plaintiff
filing an affidavit of merit would be May 16, 2000. In
conformity with this letter, the trial court entered an order
which extended the time for plaintiff to serve an affidavit of
merit to May 16, 2000.
On March 3, 2000, the Medical Center provided the documents
demanded by plaintiff's notice to produce, including the logs for
the procedures performed on October 16 and 17, 1997, and January
6, 1998. Plaintiff acknowledges that he received those documents
on March 8, 2000.
On May 16, 2000, plaintiff filed a motion for a second sixty
day extension of time for filing an affidavit of merit. The
supporting affidavit of plaintiff's counsel acknowledged that
"[p]ursuant to an agreement of counsel an Order was entered on
March 3, 2000 granting plaintiff until May 16, 2000 for filing of
an 'Affidavit of Merit'," and that plaintiff received the
documents needed to provide an affidavit of merit on March 8,
2000. Nevertheless, the affidavit asserted that additional time
was required to provide an affidavit of merit:
Because this matter requires a review by
a neurophysiologist to verify the accuracy of
the equipment as well as an analysis by an
invasive cardiologist familiar with the
electro physiology procedure, plaintiff has
been unable to secure the necessary review by
the present deadline of May 16, 2000.
Defendants opposed the motion on the ground that N.J.S.A. 2A:53A-
27 only authorizes a court to grant a single sixty day extension
of the time for filing an affidavit of merit. Defendants also
filed cross motions to dismiss plaintiff's complaint.
In an answering affidavit, plaintiff asserted for the first
time that because the Medical Center had not provided the logs of
the procedures performed on plaintiff within forty-five days of
service of the notice to produce that accompanied the complaint,
plaintiff was not required to provide an affidavit of merit "at
any time."See footnote 11
The trial court denied plaintiff's motion for a second
extension of time to file an affidavit of merit on the ground
that N.J.S.A. 2A:53A-27 only authorizes a single sixty day
extension. The court also concluded that under the circumstances
of this case, plaintiff was not excused from filing an affidavit
of merit because the Medical Center failed to produce the logs of
the procedures performed on plaintiff within forty-five days of
service of his notice to produce. Accordingly, the court granted
defendants' cross-motions to dismiss plaintiff's complaint.
The Affidavit of Merit Statute provides in pertinent part:
In any action for damages for personal
injuries, wrongful death or property damage
resulting from an alleged act of malpractice
or negligence by a licensed person in his
profession or occupation, the plaintiff
shall, within 60 days following the date of
filing of the answer to the complaint by the
defendant, provide each defendant with an
affidavit of an appropriate licensed person
that there exists a reasonable probability
that the care, skill or knowledge exercised
or exhibited in the treatment, practice or
work that is the subject of the complaint,
fell outside acceptable professional or
occupational standards or treatment
practices. The court may grant no more than
one additional period, not to exceed 60 days,
to file the affidavit pursuant to this
section, upon a finding of good cause.
[N.J.S.A. 2A:53A-27.]
However, the Statute also provides:
An affidavit shall not be required
pursuant to [N.J.S.A. 2A:53A-27] if the
plaintiff provides a sworn statement in lieu
of the affidavit setting forth that: the
defendant has failed to provide plaintiff
with medical records or other records or
information having a substantial bearing on
preparation of the affidavit; a written
request therefor along with, if necessary, a
signed authorization by the plaintiff for
release of the medical records or other
records or information requested, has been
made by certified mail or personal service;
and at least 45 days have elapsed since the
defendant received the request.
[N.J.S.A. 2A:53A-28.]
Plaintiff's sole argument on appeal is that he was excused from
filing an affidavit of merit pursuant to N.J.S.A. 2A:53A-28
because the Medical Center failed to produce the logs for the
procedures performed upon him within forty-five days of his
request.
Although N.J.S.A. 2A:53A-27 has been the subject of
considerable judicial attention over the last few years, see,
e.g., Hubbard v. Reed,
168 N.J. 387 (2001); Galik v. Clara Maass
Med. Ctr.,
167 N.J. 341 (2001); Burns v. Belafsky,
166 N.J. 466
(2001), the only reported case that contains any discussion of
N.J.S.A. 2A:53A-28 is Davies v. Imbesi,
328 N.J. Super. 372 (App.
Div. 2000). Davies noted that N.J.S.A. 2A:53A-28 does not
address the question whether a defendant's failure to respond to
a request for records required to complete an affidavit of merit
entirely relieves the plaintiff "of the obligation to file an
affidavit of merit or whether the defendant's lack of cooperation
acts to toll the running of the statutory time frame within which
the affidavit of merit would otherwise be required." Id. at 376.
However, the court found it unnecessary to resolve this question
because the plaintiff had failed to avail herself of the
procedures set forth in N.J.S.A. 2A:53A-28 for relief from the
requirement of filing a timely affidavit of merit. Id. at 376-
78. For the same reason, the court in Davies had no occasion to
consider the question presented by this appeal, which is whether
a plaintiff must give a defendant reasonable notice that medical
records or other information are required for the preparation of
an affidavit of merit in order to be entitled to relief under
N.J.S.A. 2A:53A-28. Consequently, we are writing on a clean
slate.
N.J.S.A. 2A:53A-28 does not specifically indicate what form
a request for the production of documents must take in order to
excuse or postpone a plaintiff's obligation to file an affidavit
of merit. Consequently, we must construe this provision in a
sensible manner that furthers the underlying purpose of the
statute. See Hubbard v. Reed, supra, ___ N.J. at ___ (slip op.
at 6).
The essential purpose of the Affidavit of Merit Statute is
"to weed out frivolous lawsuits at an early stage" by requiring
"a plaintiff in a malpractice case to make a threshold showing
that the claims asserted are meritorious." Galik v. Clara Maass
Med. Ctr., supra, 167 N.J. at 350. N.J.S.A. 2A:53A-28 reflects a
legislative recognition that a plaintiff may be prevented from
making this showing if a defendant fails to produce essential
medical records or other information. See Barreiro v. Morais,
318 N.J. Super. 461, 470-71 (App. Div. 1999); Davies, supra, 328
N.J. Super. at 376. However, a plaintiff is not relieved of the
obligation to provide an affidavit of merit simply because a
defendant has failed to respond to a document request within
forty-five days; N.J.S.A. 2A:53A-28 applies only to "medical
records or other records or information having a substantial
bearing on preparation of the affidavit[.]" A plaintiff may
request a great variety of documents to assist in the preparation
of a case that are not essential for the preparation of an
affidavit of merit. Moreover, it generally would be difficult,
if not impossible, for a defendant to distinguish between
documents that have "a substantial bearing on preparation of the
affidavit [of merit]" and documents that may simply aid the
plaintiff in the eventual proof of a case at trial. Therefore,
N.J.S.A. 2A:53A-28 must be construed to require a plaintiff to
identify with specificity any medical records or other
information he believes are needed to prepare an affidavit of
merit, in order to trigger the running of the forty-five day
period for a response.
Plaintiff's request for the logs of the medical procedures
performed upon him was merely one of eight items listed on a
notice to produce served upon the Medical Center together with
the complaint. There was no indication in the notice that
plaintiff needed these logs or any of the other requested
documents to prepare an affidavit of merit. Moreover, the notice
requested production of the documents within sixty days, rather
than the forty-five day period provided under N.J.S.A. 2A:53A-28.
Consequently, plaintiff's notice to produce failed to give the
Medical Center reasonable notice that the procedure logs were
required for preparation of an affidavit of merit. The first
notice defendants received that the logs were needed for this
purpose was the affidavit of plaintiff's attorney supporting
plaintiff's motion for an extension of time to file an affidavit
of merit, which was not served until February 3, 2000, more than
one month after service of the complaint. After receiving this
notice, the Medical Center produced the logs on March 8, 2000,
which was well within the forty-five day period allowed under
N.J.S.A. 2A:53A-28. Plaintiff had more than sixty days after
receipt of those records before expiration of the extended May
16, 2000 deadline for providing an affidavit of merit, but failed
to do so. Therefore, we conclude that the request for the
production of documents that accompanied plaintiff's complaint
did not constitute a "written request" for "medical records . . .
having a substantial bearing on preparation of the affidavit [of
merit]" and that plaintiff may not invoke N.J.S.A. 2A:53A-28 to
excuse his failure to file a timely affidavit of merit.
Affirmed.
Footnote: 1 1 Consistent with this position, plaintiff has never provided defendants with an affidavit of merit.