Dunham v. Univ. of Md. Med. Ctr., No. 260, 1443, Sept. Term, 2017

CourtCourt of Special Appeals of Maryland
Writing for the CourtGraeff, J.
Citation187 A.3d 752,237 Md.App. 628
Docket NumberNo. 260, 1443, Sept. Term, 2017
Decision Date28 June 2018
Parties Stanley DUNHAM, et al. v. UNIVERSITY OF MARYLAND MEDICAL CENTER, et al.

237 Md.App. 628
187 A.3d 752

Stanley DUNHAM, et al.
v.
UNIVERSITY OF MARYLAND MEDICAL CENTER, et al.

No. 260, 1443, Sept. Term, 2017

Court of Special Appeals of Maryland.

June 28, 2018


Argued by: Damien R. Banks (Marissa B. Joelson, Law Office of Peter Angelos on the brief) all of Baltimore, MD, for Appellant.

Argued by: Anthony J. Breschi (Kaitlan M. Skrainar, Waranch & Brown, LLC on the brief) all of Lutherville, MD, for Appellee.

Panel: Eyler, Deborah S., Graeff, Nazarian, JJ.*

Graeff, J.

187 A.3d 755
237 Md.App. 633

This consolidated appeal arises from a medical malpractice action filed by appellants, Stanley and Renee Dunham, against the University of Maryland Medical Center, LLC ("UMMC"), Maryland General Hospital, Inc., d/b/a University of Maryland Medical Center Midtown Campus ("Midtown"), and the University of Maryland Medical System Corporation ("UMMS") (collectively, appellees). The Dunhams allege that appellees breached the standard of care in failing to implement procedures to prevent pressure ulcers from developing and/or progressing and failing to treat the pressure ulcers once they developed.

The claim initially was filed in the Health Care Alternative Dispute Resolution Office ("HCADRO") and transferred to the Circuit Court for Baltimore City, which granted appellees' motion to strike the certificate of qualified expert and motion to dismiss, without prejudice ("Dunham I "). Mr. and Mrs. Dunham appealed the dismissal of Dunham I.

The Dunhams then filed in the HCADRO, using the same claim number as the initial claim, a motion for extension of time for filing a certificate of qualified expert. The HCADRO

237 Md.App. 634

granted an extension, the Dunhams filed a second certificate, and the claim was transferred to the circuit court, which again dismissed the claim ("Dunham II ").

On appeal from the rulings in Dunham I and Dunham II , Mr. and Mrs. Dunham present the following questions for this Court's review, which we have rephrased slightly, as follows:

1. Did the circuit court err in dismissing Dunham I for failure to identify individual health care providers in the certificate of qualified expert, even though the only defendants were the named institutional health care providers?

2. Did the circuit court err in Dunham I in failing to grant the Dunhams an extension to file a proper certificate of qualified expert pursuant to Md. Code (2013 Repl. Vol.) § 3–2A–04(b)(1)(ii) of the Courts and Judicial Proceedings Article ("CJP"), in lieu of dismissing the case?

3. Did the circuit court err in dismissing Dunham II on the basis of res judicata when no final judgment had been entered in Dunham I ?

For the reasons set forth below, we shall vacate the judgment of the circuit court in Dunham I and dismiss as moot the appeal in Dunham II.

FACTUAL AND PROCEDURAL BACKGROUND

Medical Care

This is a medical malpractice action relating to the care of Mr. Dunham from October 28, 2013, through February 6, 2014. Because the issues on appeal are procedural in nature and do not involve the merits of the underlying dispute, we provide only a brief synopsis of Mr. Dunham's medical history, as set forth in the pleadings.

On October 28, 2013, Mr. Dunham was admitted to UMMC for a medical procedure to replace his aortic heart valve. Upon his admission, he was "assessed using the Braden Scale for predicting pressure ulcer risk and was given a score of less

237 Md.App. 635

than 15," which indicated that Mr. Dunham was "at a high risk for developing pressure ulcers."

Following the completion of his medical procedure, Mr. Dunham's medical care was complicated by hypotension, and he later required treatment for ESBL Klebsiella pneumonia, which ultimately resulted

187 A.3d 756

in a tracheostomy.1 Mr. Dunham was in the intensive care unit at UMMC until November 15, 2013.

On November 2, 2013, during his stay at UMMC, Mr. Dunham began developing bilateral pressure ulcers on his buttocks. By November 5, the ulcers had worsened, resulting in skin tears and peeling, and by November 11, Mr. Dunham had "full thickness skin necrosis."

On November 15, 2013, Mr. Dunham was transferred to Midtown for further care to address the pressure ulcers. On February 6, 2014, after receiving additional treatment for the pressure ulcers, he was discharged with instructions to receive intravenous antibiotics and continue at-home wound care.

Procedural History

Dunham I

On October 14, 2016, Mr. and Mrs. Dunham filed a statement of claim with the HCADRO "alleging medical negligence on the part of [UMMC], Midtown, and UMMS" relating to the development and progression of pressure ulcers. On November 16, 2016, Mr. and Mrs. Dunham filed a certificate of qualified expert and report ("certificate") and then waived arbitration.2

237 Md.App. 636

The certificate, completed by Antonios P. Gasparis, M.D., stated, in pertinent part:

Based upon my review of this matter, and upon my knowledge, training, and experience in the field of vascular surgery and wound care, and as set forth more fully in the attached Report, it is my opinion to a reasonable degree of medical probability that Health Care Providers, University of Maryland Medical Center, LLC, Maryland General Hospital, Inc, d/b/a University of Maryland Medical Center Midtown Campus, and University of Maryland Medical System Corporation, through their agents, servants, and/or employees, breached the applicable standard of care in their care and treatment of Stanley Dunham in and around October 28, 2013 through February 6, 2014, and that these breaches of the standard of care caused injury to Mr. Dunham.

Although the certificate named UMMC, Midtown, and UMMS, "through their agents, servants, and/or employees," as responsible for the breach of the standard of care, which caused Mr. Dunham's injury, it did not identify the specific agents, servants, or employees whose care was at issue. In his corresponding report, Dr. Gasparis again identified the health care

187 A.3d 757

providers generally as UMMC, Midtown, and UMMS, "through their agents, servants, and/or employees," without specifying which of appellees' individual health care providers he believed to have provided deficient care.3

237 Md.App. 637

On December 1, 2016, after the Dunhams waived arbitration and the HCADRO issued an order of transfer, Mr. and Mrs. Dunham filed a two-count complaint against appellees, case number 24–C–16–006500 ("Dunham I "). The first count asserted a claim of negligence, alleging that appellees, and their "agents, servants, and employees," owed a duty to Mr. Dunham to "render and provide health care within the ordinary standards of medical, hospital and nursing care," to exercise care in its selection of personnel, and to supervise and provide patients with treatment "commensurate with the condition from which the patient suffers." It alleged that appellees and their agents were under a duty to provide care "in accordance with the standards of practice among members of the nursing profession," but the "actions and inactions of the [appellees], through their agents, servants, and employees, breached the applicable standards of nursing care," and as a result of the negligence of appellees, "acting through their agents, servants and employees, Mr. Dunham suffered severe and permanent injuries." The second count alleged loss of consortium, incorporating the allegations set forth in the first count and stating that the damages were caused by "the wrongful acts and omissions of the [appellees] directly and by and through their actual and apparent agents, servants, and/or employees."

On February 2, 2017, appellees filed a Motion to Strike Plaintiffs' Certificate of Merit and Report and Motion to Dismiss and Request for Hearing. They argued that Dr.

237 Md.App. 638

Gasparis' certificate and report "fail[ed] to meet the mandatory minimum requirements set forth by the Health Care Malpractice Claims Act" because they "fail[ed] to identify by name [or specialty] any licensed professional health care provider(s) at [UMMC], [Midtown], and [UMMS] who [we]re alleged to have breached the standard of care." Appellees also argued that a proper certificate and report was an " ‘indispensable step’ and a condition precedent to the medical malpractice process," and "when a plaintiff fails to file an appropriate certificate and report, her case must be dismissed by the Circuit Court."

The Dunhams filed an opposition, asserting that their certificate sufficiently stated the health care providers that breached the standard of care,...

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10 practice notes
  • DeBlois v. Corizon Health, Inc., Civil Action ELH-20-1816
    • United States
    • United States District Courts. 4th Circuit. United States District Court (Maryland)
    • July 23, 2021
    ...In particular, a claimant must first file a claim with the HCADRO. C.J. § 3-2A-04(a)(1)(i); see Dunham v. Univ. of Maryland Med. Ctr., 237 Md.App. 628, 645-46, 187 A.3d 752, 762 (2018) (“To initiate a claim under the Act, ‘a person with a medical malpractice claim [must] first file that cla......
  • Dolan v. Kemper Independence Ins. Co., No. 0084, Sept. Term, 2017
    • United States
    • Court of Special Appeals of Maryland
    • June 28, 2018
    ...first time in a reply brief. Jones v. State , 379 Md. 704, 713, 843 A.2d 778 (2004). But even if we were to consider it, we would reject 237 Md.App. 628it, because there are literally dozens of reported decisions, scholarly publications, and other authorities that describe 187 A.3d 752what ......
  • DeBlois v. Corizon Health, Inc., Civil Action No. ELH-20-1816
    • United States
    • United States District Courts. 4th Circuit. United States District Court (Maryland)
    • November 30, 2020
    ...information necessary for evaluating whether [Corizon] Page 11breached the standard of care." Dunham v. Univ. of Maryland Med. Ctr., 237 Md. App. 628, 646, 187 A.3d 752, 762 (Md. Ct. Spec. App. 2018), cert. denied, 461 Md. 507, 194 A.3d 948 (2018). To be sure, Mr. DeBlois cites portions of ......
  • In re Estate of Castruccio, No. 69
    • United States
    • Court of Special Appeals of Maryland
    • July 16, 2019
    ...interpretation, not one that is absurd, illogical or incompatible with common sense."' Dunham v. Univ. of Md. Medical Center, 237 Md. App. 628, 654-55 (quoting State v. Bey, 452 Md. 255, 265 (2017)), cert. denied, 461 Md. 507 (2018). Rule 7-507(a) sets forth the grounds for dismissing an ap......
  • Request a trial to view additional results
10 cases
  • DeBlois v. Corizon Health, Inc., Civil Action ELH-20-1816
    • United States
    • United States District Courts. 4th Circuit. United States District Court (Maryland)
    • July 23, 2021
    ...In particular, a claimant must first file a claim with the HCADRO. C.J. § 3-2A-04(a)(1)(i); see Dunham v. Univ. of Maryland Med. Ctr., 237 Md.App. 628, 645-46, 187 A.3d 752, 762 (2018) (“To initiate a claim under the Act, ‘a person with a medical malpractice claim [must] first file that cla......
  • Dolan v. Kemper Independence Ins. Co., No. 0084, Sept. Term, 2017
    • United States
    • Court of Special Appeals of Maryland
    • June 28, 2018
    ...first time in a reply brief. Jones v. State , 379 Md. 704, 713, 843 A.2d 778 (2004). But even if we were to consider it, we would reject 237 Md.App. 628it, because there are literally dozens of reported decisions, scholarly publications, and other authorities that describe 187 A.3d 752what ......
  • DeBlois v. Corizon Health, Inc., Civil Action No. ELH-20-1816
    • United States
    • United States District Courts. 4th Circuit. United States District Court (Maryland)
    • November 30, 2020
    ...information necessary for evaluating whether [Corizon] Page 11breached the standard of care." Dunham v. Univ. of Maryland Med. Ctr., 237 Md. App. 628, 646, 187 A.3d 752, 762 (Md. Ct. Spec. App. 2018), cert. denied, 461 Md. 507, 194 A.3d 948 (2018). To be sure, Mr. DeBlois cites portions of ......
  • In re Estate of Castruccio, No. 69
    • United States
    • Court of Special Appeals of Maryland
    • July 16, 2019
    ...interpretation, not one that is absurd, illogical or incompatible with common sense."' Dunham v. Univ. of Md. Medical Center, 237 Md. App. 628, 654-55 (quoting State v. Bey, 452 Md. 255, 265 (2017)), cert. denied, 461 Md. 507 (2018). Rule 7-507(a) sets forth the grounds for dismissing an ap......
  • Request a trial to view additional results

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