SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-2271-00T5
STEPHANIE BURT, Administratrix
of the Estate of MILDRED POLLAK,
Plaintiff-Respondent,
v.
WEST JERSEY HEALTH SYSTEMS,
and/or BETTY SHAW, R.N., and/or
DONNA WOODHULL, R.N.,
Defendants-Appellants,
and
SOUTH JERSEY ANESTHESIA ASSOCIATES,
TOMAS MANALO, M.D. and DOROTHY
PETRACCI, C.R.N.A.,
Defendants-Respondents,
and
DOLORES VAN STEENACKER, R.N.
and/or MADELYN CANAVA, R.N.,
and/or MARCELLA BLAND, R.N.,
Defendants.
Argued March 14, 2001 - Decided April 20,
2001
Before Judges Keefe, Steinberg and Weissbard.
On appeal from Superior Court of New Jersey,
Law Division, Camden County, L-364-97.
Thomas M. Walsh argued the cause for
appellants (Parker, McCay & Criscuolo,
attorneys; Stacy L. Moore, Jr., on the brief).
Jamie M. Kaigh argued the cause for respondent
Stephanie Burt (Hockfield, Hasner & Kaigh,
attorneys; Barry J. Hockfield, on the brief).
Sharon K. Galpern argued the cause for
respondents West Jersey Health Systems, Betty
Shaw and Donna Woodhull (Stahl & DeLaurentis,
attorneys; Ms. Galpern, on the brief).
The opinion of the court was delivered by
STEINBERG, J.A.D.
Defendants West Jersey Health Systems, Donna Woodhull, R.N.,
and Betty Shaw, R.N. (the Hospital defendants) appeal from an order
barring them from referring to South Jersey Anesthesia Associates,
Dorothy Petracci, C.R.N.A., and Tomas Manalo, M.D. (the
Anesthesiology defendants) as former defendants, and from an order
barring them from offering testimony at trial regarding any
negligence of the Anesthesiology defendants. We reverse each
order.
The procedural history of this case is complex and convoluted.
In fact, this is the second time we have granted leave to appeal
interlocutory orders. In the prior appeal, we affirmed an order
denying the Hospital defendants' motion to dismiss the complaint
for failure to supply an affidavit of merit. However, we also
reversed an order denying the Anesthesiology defendants' motion to
dismiss the complaint against them for failure to supply an
affidavit of merit. The result of that prior appeal was that all
claims were dismissed against the Anesthesiology defendants, and
the case was permitted to proceed against the Hospital defendants.
For the purposes of this opinion, we will set forth only those
facts necessary for resolution of the limited issues impacted by
this interlocutory appeal. On December 26, 1995, plaintiff
Stephanie Burt's decedent, Mildred Pollak, underwent right total
knee replacement surgery at West Jersey Health Systems. After the
surgery, Pollak was administered a drug, Buprvacine, by order of
the Anesthesiology defendants, specifically Dr. Tomas Manalo.
According to the epidural analgesia order form, if Pollak's SBPSee footnote 11
fell below ninety, the epidural pump was to be disconnected and
Anesthesia Pain Service was to be called. Pollak's blood pressure
fell below that rate. That evening Woodhull twice noted that
Pollak's systolic blood pressure had fallen below ninety. However,
the Buprvacine was not discontinued. Woodhull's notes set forth on
Pollak's chart indicated that she notified "Anesthesia" of the drop
in blood pressure at 10:30 p.m.
According to Woodhull, she had been instructed that she had no
authority to disconnect the epidural pump. Shaw also took blood
pressure readings of Pollak, once obtaining a reading of eighty,
but she did not disconnect the pump or again call Anesthesia.
Thereafter, Pollak sustained a spinal infarction which resulted in
paraplegia.
Petracci did not recall receiving a phone call from the
hospital nurses. However, she acknowledged that as part of her
duties she was required to make rounds, and adjust the pump up or
down, as required. Essentially, the Hospital defendants claim it
was their responsibility to monitor the patient, and advise the
Anesthesiology defendants if the patient's blood pressure fell
below ninety. The Hospital defendants claim that they notified
Anesthesiology upon determining that the patient's blood pressure
had fallen below ninety. On the other hand, the Anesthesiology
defendant claimed to have no recollection of receiving a call from
the Hospital defendants regarding Pollak.
In their answer to plaintiff's amended complaint, the Hospital
defendants filed a cross-claim seeking indemnity from the
Anesthesiology defendants, or, alternatively, for contribution, or
"settlement credit."
Prior to trial, as a result of our prior opinion which
effectively mandated dismissal against the Anesthesiology
defendants, on an Affidavit of Merit issue, plaintiffs moved to bar
the Hospital defendants from seeking to assert any negligence of
the Anesthesiology defendants, or even referring to the
Anesthesiology defendants as "former defendants." The motion judge
granted both applications, resulting in this interlocutory appeal,
in which the Hospital defendants contend that the motion judge has
incorrectly deprived them of their statutory rights to contribution
and indemnification, as well as "their right to allocation of
negligence and damages by the jury."
This case presents questions of first impression requiring us
to consider the interplay between the Comparative Negligence Act,
N.J.S.A. 2A:15-5.1 to -5.4, the Joint Tortfeasors Contribution Law,
N.J.S.A. 2A:53A-1 to -5, and the Affidavit of Merit Act, N.J.S.A.
2A:53A-27 to -29. The purpose of the Joint Tortfeasors Contribution
Law is "to promote fair sharing of the burden of judgment by joint
tortfeasors and to prevent a plaintiff from arbitrarily selecting
his or her victim." Holloway v. State,
125 N.J. 386, 401 (1991)
(citations omitted). Contribution is designed to reflect a sharing
of "common responsibility according to equity and natural justice."
Sattelberger v. Telep.,
14 N.J. 353, 367-68 (1954). The Joint
Tortfeasors Contribution Law is intended to promote those purposes.
Arcell v. Ashland Chemical Co., Inc.,
152 N.J. Super. 471, 485 (Law
Div. 1977). The Comparative Negligence Act has the same purpose.
Ibid. The Joint Tortfeasors Contribution Law is also designed to
"alleviate the evident harshness and inequity of the common-law
rule . . . pursuant to which there was no right of joint
tortfeasors to seek allocation among themselves of the burden of
their fault." Markey v. Skog,
129 N.J. Super. 192, 199 (Law Div.
1974). Thus, the Legislature enacted the Joint Tortfeasors
Contribution Law to comport with "basic equitable notations that
those whose fault caused the injury should, in good conscience,
bear their just shares of the burden." Dunn v. Praiss,
139 N.J. 564, 575 (1995) (citations omitted).
The Affidavit of Merit Act requires a plaintiff, in
malpractice actions filed against certain specifically designated
licensed professionals, to file an affidavit of merit within sixty
days following the filing of an answer to the complaint by the
defendant. N.J.S.A. 2A:53-A-27. The plaintiff's failure to
provide an affidavit of merit is tantamount to a failure to state
a cause of action. N.J.S.A. 2A:53-29. The Affidavit of Merit Act
was part of "a package of five tort reform bills intended to 'bring
common sense and equity to the State's civil litigation system.'"
Alan J. Cornblatt, P.A. v. Barow,
153 N.J. 218, 228 (1998) (citing
Office of the Governor, News Release 1 (June 29, 1995)). Absent
extraordinary circumstances, a failure to comply with the statute
requires the complaint to be dismissed, with prejudice. Id. at
247.
In construing statutes relating to the same subject matter, we
must strive to harmonize them. In the Matter of J.W.D.,
149 N.J. 108, 115 (1997). Thus, "[s]tatutes in pari materia, are to be
construed together when helpful in resolving doubts or
uncertainties and the ascertainment of legislative intent." Ibid.
(citations omitted).
With these principles of law in mind, we conclude that the
judge erred in precluding the Hospital defendants from seeking to
assert the negligence of the Anesthesiology defendants. That
determination denied the Hospital defendants the opportunity,
through no fault of their own, to proceed on their cross-claim and
seek to shift some of the blame for plaintiff's injuries to the
Anesthesiology defendants simply because plaintiff failed to
perfect her claim against the Anesthesiology defendants. That
result is inconsistent with the Joint Tortfeasor Contribution Law
and the Comparative Negligence Act.
When read together, the purposes of those statutes are to
ameliorate the harshness of the common-law contributory negligence
bar to recovery, and permit a plaintiff to recover even though he
or she may be negligent to some degree, yet, at the same time,
provide that ordinarily each tortfeasor will respond in damages
according to its own adjudicated percentage of fault. Accordingly,
we reverse and remand and direct that at trial the Hospital
defendants shall be permitted to assert the alleged negligence of
the Anesthesiology defendants, provided they have competent
evidence to support that contention. To hold otherwise would deny
them the right to pursue their statutory right to contribution.
A contrary holding would also deny them the protection afforded
under the Comparative Negligence Act, which ordinarily would limit
their contribution to plaintiff's damages to the percentage of
negligence allocated to them by the jury.
We reject any notion that the Hospital defendants are
precluded from asserting the negligence of the Anesthesiology
defendants by virtue of their failure to comply with the Affidavit
of Merit Act. Simply put, that statute, by its very terms, applies
to plaintiffs, not cross-claimants.See footnote 22 We decline to extend the
Affidavit of Merit Act and require cross-claimants to file an
Affidavit of Merit in order to assert a cross-claim.
Indeed, in a related context, we have held that a plaintiff's
failure to comply with the Tort Claims Act, N.J.S.A. 59:8-1 to -11,
by failing to timely file the requisite notice of claim thereby
barring her claims against public entities, did not preclude other
defendants from asserting a third-party action against those public
entities for common law and contractual indemnification. S.P. v.
Collier High School,
319 N.J. Super. 452, 470-76 (App. Div. 1999).
See also Markey v. Skog, supra, 129 N.J. Super. at 196 (holding
that the right of a non-public defendant to seek contribution from
a public entity as a joint tortfeasor is not dependent upon
plaintiffs having complied with the notice requirements of the Tort
Claims Acts.)
We next consider the effect of our determination upon the
trial which remains to be conducted. Plaintiff contends that the
negligence of the Anesthesiology defendants should not be submitted
to the jury in light of the fact that her complaint has been
dismissed against them. Alternatively, she contends that if the
negligence of the Anesthesiology defendants is submitted to the
jury, she should still be entitled to recover all of the damages
awarded to her from the Hospital defendants, if any, deducted by
the percentage of negligence attributable to her, if any. At that
point, she further contends that the dispute becomes one between
the Hospital defendants and the Anesthesiology defendants whether
the Hospital defendants are entitled to monetary contribution from
the Anesthesiology defendants. The Hospital defendants, on the
other hand, contend that the negligence of the Anesthesiology
defendants should be submitted to the jury, and plaintiff's
recovery, if any, should be reduced by that percentage of
negligence attributable to the plaintiff, if any, as well as that
percentage of negligence attributable to the Anesthesiology
defendants, if any. Alternatively, the Hospital defendants contend
that if plaintiff is entitled to full recovery from them, they
should be entitled to pursue their claim for monetary contribution
against the Anesthesiology defendants. The Anesthesiology
defendants contend that since plaintiff's claims against them are
barred for failure to serve an Affidavit of Merit, the Hospital
defendants "derivative claims" for contribution are also barred.
As previously noted, the purpose of the Joint Tortfeasors
Contribution Law is to afford relief from the harsh consequences of
the common-law and afford a tortfeasor the right to seek
contribution from another tortfeasor whose negligence may have
contributed to the damages suffered by an injured party. On the
other hand, the effect and purpose of the doctrine of comparative
negligence is to impose upon each tortfeasor the obligation to pay
damages in accordance with the percentage of fault attributed to it
by the fact-finder. Young v. Latta,
123 N.J. 584, 592 (1991);
Cartel Capital Corp. v. Fireco of New Jersey,
81 N.J. 548, 569-70
(1980); Johnson v. American Homestead Mortg. Corp.,
306 N.J. Super. 429, 436 (App. Div. 1997); Rogers v. Spady,
147 N.J. Super. 274,
277 (App. Div. 1977). Here, the ultimate question for our
resolution is the effect of plaintiff's failure to comply with the
Affidavit of Merit Act upon the Hospital defendants' right to
contribution, or, more appropriately, the Hospital defendants'
right to the benefit of the Comparative Negligence Act, namely that
they only be required to respond in damages in accordance with the
percentage of negligence allocated to them by the fact-finder. We
hold that if the jury finds the Hospital defendants and the
Anesthesiology defendants negligent, plaintiff's recovery must be
diminished by the percentage of negligence allocated to the
Anesthesiology defendants. The effect of this conclusion
accommodates the Affidavit of Merit Act, the Comparative Negligence
Act, and the Joint Tortfeasors Contribution Law. Obviously, in the
unlikely event plaintiff is found negligent, her recovery would
also be diminished by the percentage of negligence attributable to
her.
In effect, this result is the same as in a case involving a
settlement with one tortfeasor. Young v. Latta, supra, 123 N.J. at
584; Cartel Capital Corp., supra, 81 N.J. at 569 (holding that when
one defendant settles, the remaining tortfeasor or tortfeasors are
chargeable with the total verdict less the percentage of negligence
attributable to the settling defendant); Rogers v. Spady, supra,
147 N.J. Super. at 277 (holding that when a plaintiff settles with
a tortfeasor, the percentage of negligence found attributable to
the settling tortfeasor is deducted from the verdict returned
against the other tortfeasors found liable so that the remaining
joint tortfeasors will be liable for that percentage of negligence
only attributable to them). To hold otherwise would mean that
plaintiff's failure to comply with the Affidavit of Merit against
the Anesthesiology defendants deprived the Hospital defendants,
through no fault of their own, of the opportunity to shift some, if
not all, of the blame for plaintiff's injuries to the
Anesthesiology defendants. In our view, allowing plaintiff's non-
compliance with the act to deprive the Hospital defendants of their
right to contribution and their right to respond in damages only
to the extent they are found negligent, strikes at the very heart
of both laws and cannot be allowed.
Although not briefed by the parties, we raised at oral
argument the impact of N.J.S.A. 2A:15-5.3(a), which allows a
plaintiff to recover the full amount of damages from any party
determined by the trier of fact to be sixty percent or more
responsible for the total damages. Since the parties were
permitted to address the issue at oral argument, we elect to
address it in this opinion for the sake of completeness and for
guidance of the parties at trial. We conclude that a plaintiff who
fails to file an Affidavit of Merit against a licensed professional
is not entitled to recover the full amount of damages from a
remaining licensed professional who is deemed to be sixty percent
or more responsible for the total damages. To hold otherwise would
deprive the Hospital defendants of their right to seek contribution
from the Anesthesiology defendants, even though the Hospital
defendants are found to be sixty percent or more responsible for
the total damages. Again, the Hospital defendants should not be
prejudiced by the failure of plaintiff to file the required
Affidavit of Merit. Moreover, to hold otherwise would not only
make the Anesthesiology defendants potentially responsible for
damages notwithstanding the dismissal of the case against them with
prejudice, but would also require them to participate in the trial.
We believe the Affidavit of Merit Act was intended not only to
insulate a licensed professional from the possibility of responding
in damages unless an Affidavit of Merit is timely filed, but also
to insulate them from the expense and inconvenience of litigation.
We recognize that this conclusion may result in harsh
consequences to the plaintiff. However, the Affidavit of Merit Act
involves the potential, on occasion, for unfortunate consequences.
Nevertheless, the Legislature has provided for a dismissal of the
claim with prejudice in the event of a failure to comply with the
act. We believe the conclusions we have reached further that goal,
notwithstanding the potential effect upon plaintiff in this case.
Our goal in construing a statute is to determine the intent of
the Legislature. Medical Soc. v. Dept. of Law and Public Safety,
120 N.J. 18, 26 (1990); N.J.E.A. v. Bd. of Trustees, PERS,
327 N.J.
Super. 326, 333 (App. Div. 2000). The primary goal in interpreting
a statute is to determine the Legislature's intent. James v. Bd.
of Trustees of PERS,
164 N.J. 396, 404 (2000); Higgins v. Pascack
Valley Hosp.,
158 N.J. 404, 418 (1999). We must strive to
effectuate the legislative intent, considering the language used,
as well as the objectives sought to be achieved. Jacobitti v.
Jacobitti,
135 N.J. 571, 580 (1994). As we have recently observed,
"the wisdom, prudence and good sense of the Legislature in the
enactment of law are not questions for the judiciary to resolve."
Wnuck v. N.J. Div. of Motor Vehicles,
337 N.J. Super. 52, 57 (App.
Div. 2001) (internal citations omitted). In addition, as
previously noted, when one or more statutes relate to the same or
similar subject matter, we must attempt to reconcile them and
interpret them harmoniously. Oches v. Township of Middle Town
Police Dept.,
155 N.J. 1, 5 (1998); In re Failure by Dept. of
Banking,
336 N.J. Super. 253, 266 (App. Div. 2001); Jackson Tp. Bd.
of Educ. v. Jackson Educ. Ass'n,
334 N.J. Super. 162, 171, certif.
denied,
165 N.J. 678 (2000).
Our decision harmonizes the legislative intent. The effect of
our decision is that the only remaining defendants, the Hospital
defendants, will be required to respond to damages in accordance
with the percentage of liability allocated to it by the jury. That
is consistent with the purposes of the Joint Tortfeasors
Contribution Act and the Comparative Negligence Act. We recognize
that we have denied plaintiff the ability to recover all her
damages from the Hospital defendants if the jury found them to be
sixty percent or more responsible for plaintiff's damages.
However, to hold otherwise, would deny the Hospital defendants
their right of contribution from the Anesthesiology defendants in
the event the Hospital defendants were required to pay more than
the percentage share allocated to them by the jury. As previously
noted, if the Anesthesiology defendants were required to respond in
damages, either to the plaintiff, or to the Hospital defendants by
way of contribution, the purposes of the Affidavit of Merit Act
would be frustrated. While we acknowledge that one of the purposes
in enacting the Affidavit of Merit Act was to eliminate groundless
malpractice filings, the practical effect of the Act is to deny a
plaintiff the right to sue in those instances where there is non-
compliance with the Act. Today's result is consistent with that
purpose.
Pursuant to R. 2:6-11(d), plaintiff has brought to our
attention the recent Supreme Court decision in Burns v. Belafsky,
166 N.J. 466 (2001), suggesting we "may wish to reconsider the
entire interlocutory dismissal order filed in favor of the
Anesthesia Associates." In essence, plaintiff contends that, as in
Burns, she filed a motion within the sixty-day extension period
seeking to extend the time for service of an Affidavit of Merit,
and included with her motion, two Affidavits of Merit. In
addition, she asserts that she also had in her possession at the
time the motion was filed an expert report of Dr. Andrew Liebowitz,
a Board Certified Anesthesiologist.
Preliminarily, we note that it is inappropriate to bring to
our attention, by letter, a new opinion and ask that we reconsider
a prior order. Rather, a motion should have been made for
reconsideration pursuant to R. 2:11-6(a), which may have prompted
us to seek a response pursuant to that rule. Here, the issue has
not been briefed and we elect not to consider it in light of the
fact that the record does not provide adequate basis for
disposition. Indeed, we have previously held that "review of
interlocutory orders by the court prior to the final judgment . .
. [i]s a matter committed to the sound discretion of the court."
Johnson v. Cyklop Strapping Corp.,
220 N.J. Super. 250, 263 (App.
Div. 1987), certif. denied,
110 N.J. 196 (1988). That discretion
should only be exercised "for good cause shown and in the service
of the ultimate goal of substantial justice." Id. at 263-64.
Accordingly, our denial of reconsideration on procedural grounds is
not intended to preclude the trial court from considering a motion
for reconsideration, if one is made, notwithstanding the fact that
we have previously ruled upon the issue. Our prior opinion was
interlocutory, and does not necessarily bar an application for
reconsideration. The present record on appeal does not contain the
pleadings submitted to the motion judge when the initial motions
were made. Thus, we believe a motion for reconsideration of the
initial order that resulted in the prior interlocutory appeal
should first be addressed to the Law Division. The Law Division
judge will not be reconsidering our prior opinion. Rather, if a
motion is made the Law Division judge will be asked to reconsider
his own prior order.
In light of our conclusion that the judge incorrectly barred
the Hospital defendants from offering evidence regarding any
negligence of the Anesthesiology defendants, we also reverse the
order barring the Hospital defendants from referring to the
Anesthesiology defendants as former defendants. Initially, we note
that the order was premature and should have been decided in the
context of a trial, where the judge would have had a feel for the
case and been in a better position to determine its relevancy. We
leave to the discretion of the trial judge the manner in which the
Anesthesiology defendants should be referred.
Reversed and remanded for further proceedings not inconsistent
with this opinion.See footnote 33
Footnote: 1 1We assume this to mean systolic blood pressure. Footnote: 2 2We express no opinion as to whether a defendant who seeks to implead a new defendant by way of third-party complaint pursuant to R. 4:8-1(a), must file an Affidavit of Merit. Footnote: 3 3Shortly prior to oral argument, plaintiff moved to strike portions of the Hospital defendants appendix based upon her contention that the challenged portions were not part of the record submitted to the motion judge. In response, the Hospital defendants concede that the hospital records and portions of the depositions of Nurse Woodhull and Nurse Shaw were not presented to the motion judge. However, they contend that those items substantiate what has been submitted, and support the same arguments that were made before the motion judge. Ordinarily, on appeal, we generally confine ourselves to the record. State v. Harvey, 151 N.J. 117, 201-02 (1997). Accordingly, we grant plaintiff's motion to strike pages forty through sixty-two of the Hospital defendants' appendix. However, we note that this decision does not affect our determination that the motion judge erred in precluding the Hospital defendants from attempting to assert the negligence of the Anesthesiology defendants by competent, relevant and admissible evidence.