Rebecca M. BIVINS and Nancy J. Enox, Co-Administrators of the Estate of Rosemary Williams, Deceased, Plaintiffs-Appellants, v. STATE of Oklahoma ex rel. OKLAHOMA MEMORIAL HOSPITAL; Sherri Durica, M.D.; Donald Carter, M.D.; Randy Eichner, M.D.; Tim Hepner, M.D.; R. Parham, M.D.; Selby, M.D. (first name unknown); L. Brooks, M.D.; John Doe, M.D. (radiologist); J. Raunikar, M.D.; T. Ingmire, M.D.; R. Elwood, M.D.; Silvester, M.D., Defendants-Appellees.
No. 81319
Supreme Court of Oklahoma
Jan. 16, 1996
Rehearing Denied May 30, 1996
917 P.2d 456
Inona J. Harness, Haven Tobias, Pierce Couch Hendrickson Baysinger & Green, Oklahoma City, for Appellee Physicians.
Charles L. Waters, General Counsel, Richard W. Freeman, Jr., Assistant General Counsel, Department of Human Services, Oklahoma City, for Appellee Oklahoma Memorial Hospital.
OPALA, Justice.
This public-law controversy presents three questions, the first two of which are dispositive of the appeal: (1) Does the Governmental Tort Claims Act [GTCA]1 shield faculty physicians, student physicians and medical-school interns—who are either teaching or participating in a graduate medical education program at Oklahoma Memorial Hospital [OMH]—from tort liability to a patient for negligence in providing medical or surgical services? (2) Did the agency‘s post-notice request for additional information to be supplied about the claim, followed by the claimants’ timely submission of supplemental data, extend the statutorily-prеscribed time for the government‘s undisturbed consideration of the tort claim—the 90-day bar during which no suit may be filed?2 and (3) Did the trial court err in giving summary judgment to the defendant physicians and in dismissing the suit against OMH? We answer the first question in the negative, both the second and third in the affirmative, and remand the cause for further proceedings not inconsistent with this opinion.
I
THE ANATOMY OF LITIGATION
Rosemary Williams [Williams] died on September 23, 1991 from complications of a bone marrow transplant procedure performed at OMH.3 In the course of a two-step procedure administered to her,4 the tip of a central venous “Hickman catheter”5 lacerated Williams’ vena cava superior,6 producing death-dealing hemorrhage.
The medical treatment in question was administered by four resident physicians—Drs. Thomas Ingmire, Sherri Durica, Timothy Hepner and John Raunikar—and a resident intern, Dr. Robert Parham [collectively called students or student physicians]. These five individuals were participating in a graduate medical education program at
The next of kin and co-administrators of Williams’ estate [collectively called claimants or plaintiffs] notified OMH of their wrongful death claim by letter that was received December 9, 1991. At some point later, claimants were contacted by the Risk Management Division [Division] of the Office of Public Affairs and requested to supplement their notice by submitting a “Claimant‘s Report” form. They completed the form and sent it to the Division on January 3, 1992. On September 17, 1992 the claimants commenced this wrongful death action against the five student physicians (Drs. Ingmire, Durica, Hepner, Raunikar, and Parham), the four faculty physicians (Drs. Selby, Elwood, Carter, and Eichner), OMH, and three other defendants.8
The trial court‘s order (filed January 25, 1993) dismissed with prejudice the claim against OMH as time-barred.9 On April 26 of that year the trial court gave summary judgment to the faculty10 and student11 physicians by two journal entries. The trial court‘s summary relief was grounded on GTCA-conferred immunity from tort liability.12 The trial court concluded that all these defendants, when rendering medical services to Williams, were either engaged in teaching and performing administrative duties or were participating as students in an education program at OUHSC.13 The plaintiffs, who voluntarily dismissed below their suit against the remaining defendants in the case,14 timely appeal for review of (a) their OMH claim‘s dismissal and of (b) the two summary judgment entries giving victory to the nine (student and faculty) physicians.15
II
THE GTCA DOES NOT CONFER IMMUNITY UPON A PHYSICIAN FOR NEGLIGENCE OCCURRING IN THE DELIVERY OF HEALTH-CARE SERVICES
This court‘s pronouncement in Anderson v. Eichner16 is dispositive of all the issues pressed by the defendant physicians for the summary rulings’ affirmance.17 Anderson, which construes the 1986 and 1989 versions of the GTCA, holds that faculty physicians engaged in teaching or in administrative duties (аnd resident physicians as well as interns participating in a graduate medical education program) are employees of the state who, while on duty, are deemed acting within the scope of their employment except when they are practicing medicine.18 In short, the purview of protection from liability created by the GTCA19 does not encompass the practice of the healing art by providing medical or surgical services to patients.20
Anderson applies with equal force to the statutory scheme in effect when the alleged injuries occurred in this case—September 23, 1991. We know оf no post-1989 amendment of the GTCA—made effective before the critical date in 1991—whose terms abrogate Anderson‘s teachings in whole or in part, and none has been urged in the briefs. Under the authority and rationale of Anderson, summary judgment entries for all the defendant physicians must hence be reversed. We so hold. This part of today‘s opinion (Part II) disposes only of summary judgment for the faculty and student physicians. The remainder of our pronouncement will address itself to the dismissal of the plaintiffs’ claim against OMH.
III
A CLAIMANT‘S COMPLETED SUBMISSION OF THE EARLIER TIMELY CLAIM‘S NOTICE, MADE AT THE GOVERNMENT‘S REQUEST AND WITHIN A REASONABLE OR STATED TIME, OPERATES TO TRIGGER A NEW STATUTORY 90-DAY BAR FOR CONSIDERATION OF THE CLAIM UNDISTURBED BY SUIT
A.
OMH pressed below for its dismissal from the suit on the sole ground that the plaintiffs’ malpractice action was time-barred when brought.21 According to OMH, (a) its request for more information had absolutely no legal effect upon the length of the 90-day bar prescribed by
For the reasons to be stated we hold that a claimant—who, while pressing for statutory tort redress against a public agency, responds within a reasonable or stated time to (оr gives the reason for not complying with) a government‘s post-notice request for more information about the claim—has in law a legitimate expectation to assume that (1) the agency request is made in good-faith pursuit of necessary information and not for the purpose of lulling the claimant into a sense of false security, (2) the perceived deficiency to be supplied in response to the request will be treated as submission of a completed claim‘s notice that is to be considered anew, and (3) the new submission‘s processing will take the full statutory time of 90 days during which the investigation and
B.
In every public entity‘s post-notice request for more information dwells its implied declaration that the earlier notice is to be regarded as deficient (or otherwise unfit for consideration) and is hence, at best, to be treated as only an inchoate filing. The mere transmission of such request is patently consistent with the notion that the initial notice‘s content is viewed as legally clouded. A post-notice request for more complete information can never logically be equated with the government‘s silence, i.e. with its lack of response which the statute requires to be taken as the claim‘s denial.24 Rathеr, it must be regarded as clearly incompatible not only with the notion of denial—this so because no rational agency official would press to know more about a patently unmeritorious claim—but also with the initial submission‘s continued consideration. No prudent person would believe that risk managers will continue to process notice they deem deficient or one they view as having no semblance of validity. In short, an agency‘s post-notice request to be better informed about the claim at hand negates the efficacy of the earlier notice and eloquently signals an end of the initially triggerеd cycle of consideration undisturbed by litigation.
The time of the completed submission clearly must be viewed as triggering anew the 90-day bar. A government-declared deficiency in the first notice and the agency‘s expressed interest in being better informed about the claim erase the time that may have run and invite the transmission of a completed (or consummated) notice. Once a complete submission has been timely effected, both the government and the claimant may reasonably expect to benefit from a full 90-day period prescribed by law for investigation and processing to take place undisturbed by forensic combat. In short, the 90-day bar of suit should be regarded as running from the timely filing of a completed claim‘s notice made at the government‘s request, rather than from the earlier receipt of one found deficient or otherwise perceived as unsuitable for processing.
C.
The GTCA‘s text neither authorizes25 the government to seek nor prohibits it from inviting a needed amendment of the claim‘s notice beyond the quantum of data required to be furnished by
We accordingly hold that when a public entity, after receiving timely notice of a claim, calls for more information, the claimant should cooperate within a reasonable or stated time by supplying the available data requested or by giving a satisfactory reason for not complying with the request. Prompt responses and more complete submissions must be encouraged to prevent premature forensic disputes over claims that, though initially perceived as legally deficient, later unfold themselves as meritorious. During the interval between the request for further information and its timely submission, the then-pending 90-day period—initially triggered by the earlier (perceived as deficient or flawed) notice—must be treated as legally arrested and erased. The time bar will not start running again until the critical information is supplied (within some reasonable or stated time) or the claimant timely explains satisfactorily why this cannot be done.29 Since the effect we ascribe to an agency‘s post-notice request for more data is drawn from the government‘s perceived need for more time to evaluate the completed information about a claim, today‘s rule will neither benefit nor apply to any claimant-initiated (voluntary) submission of additional data.
D.
Extant GTCA jurisprudence, Trent v. Board of County Commissioners,30 Sanchez v. City of Sand Springs,31 and Doe v. Independent School Dist. No. 1-89,32 has dealt with some aspects of an agency‘s post-notice request for additional information. Although these cases appear to militate against today‘s result, we find them clearly distinguishable on the point sub judice when viewed in light of the record in this case. The Trent claimants utterly failed to rеspond to the government‘s request for further information; in Sanchez, the data was not tendered until some five months later; and in Doe, there is no indication in the opinion‘s text that the claimant ever responded to the request. In contrast to these cases, the claimants in the present case mailed to OMH the additional information on January 3, 1992, less than one month from the date of their initial notice of claim.
In support of the nisi prius dismissal OMH points out that the Attorney General, upon receiving a copy of the initial notice of claim, informed the claimants by letter that their “right to sue accrues on March 10,
Lastly, we must observe that a public agency is not without means to protect itself from an open-ended effect which may flow from an initial notice (found deficient) that is to be supplemented at the agency‘s request. It may (a) direct that supplemental information must be received on or before a stated date and (b) make it clear that if neither submission nor satisfactory explanation is timely made, the deficient claim‘s notice will stand denied at the end of the initially triggered 90-day period or at some other date that follows the deadline for submission of supplemental data.
IV
OMH‘S SUMMARY JUDGMENT QUEST
OMH urges that if the nisi prius order of dismissal were to be reversed, this court should direct that on remand summary judgment be entered in the hospital‘s favor because the plaintiffs’ claim may not legally be rested on the negligеnce of the defendant physicians.35 This argument invokes the terms of
An appellate court will not make first-instance determinations of disputed law or fact issues. That is the trial court‘s function in every case—whether in law, equity or on appeal from an administrative body.37 Since the legal effect of
A direction from this court that summary judgment for OMH follow our remand would be procedurally inappropriate for yet another reason. OMH has lodged no counter-petition in error for relief from the
Even if OMH had, by counter-appeal, urged error in the trial court‘s failure to enter summary judgment, the record would still be deficient. It does not show that OMH had actually tendered below its summary judgment plea as an alternative to the dismissal quest (based on the statutory time bar) and that the former relief (by summary judgment based on immunity) was denied in the nisi prius exercise of judicial preference for the claim‘s dismissal as time-barred.
In sum, OMH is not asking that we affirm a favorable nisi prius disposition on some theory different from that invoked below.40 Its plea is rather for a different judgment from that entered below—one that is to be directed sans support in the record or in the trial court‘s analysis of the case based on the materials tendered to it for decision.41
V
SUMMARY
The purview of protection from liability affordable by the GTCA does not encompass the practice of the healing art by providing medical or surgical services to patients. The claim against the defendant physicians arose from their treatment of Williams during a bone marrow transplant procedure.
The procedures of the GTCA are not applicable to the claim against the defendant physicians because the plaintiffs’ action was intended to redress a private tort—not to cast any obligation on the State. Plaintiffs look solely to the individual civil liability of the defendant physicians. The trial court clearly erred in giving summary relief rested on the physicians’ perceived GTCA-conferred immunity.
When a public entity requests more information after receiving initial notice of a claim, the claimant should cooperate by responding within a reаsonable or stated time or by giving a satisfactory reason for not complying with the request. Upon the complete submission of notice, the claim must be given a fresh consideration. During the period between the agency‘s post-notice request and the data‘s timely submission, the 90-day bar, triggered by the initial notice (perceived as deficient or flawed), must be treat-
Appellate courts do not make initial determinations of disputed law or fact issues. One who did not timely appeal, counter-, or cross-appeal may not seek corrective relief from a nisi prius judgment or final order. A party who brings no petition in error stands on appeal in a posture restricted to the defense of the relief granted below, but nothing will prevent that party from arguing in support of the nisi prius decision‘s correctness.
The trial court‘s summary judgment entries and its dismissal order are reversed; the cause is remanded for further proceedings not inconsistent with this pronouncement.
WILSON, C.J., KAUGER, V.C.J., and LAVENDER and SUMMERS, JJ., concur.
SIMMS and HARGRAVE, JJ., concur in part and dissent in part.
HODGES and WATT, JJ., dissent.
WATT, Justice, with whom HODGES, Justice, joins, dissenting.
I dissent to Part II of today‘s opinion for the reasons set out in my dissent in Anderson v. Eichner, 890 P.2d 1329 (Okla.1994).
I dissent to Part III of the opinion because it is contrary to extant GTCA jurisprudence, Trent v. Board of County Commissioners, 755 P.2d 615 (Okla.1988), and its progeny.
Notes
*** In its Motion, Defendant OMH seeks dismissal of Plaintiff‘s action pursuant to
Upon consideration of Defendant OMH‘s Motion and supporting brief and the arguments of counsel, the Court determines that said Motion should be granted. Accordingly, Plaintiffs’ action against Defendant OMH is hereby dismissed with prejudice. ***
*** This Court ... finds that the defendants, George Selby, M.D., Robin Elwood, M.D., Donald Carter, M.D. and Randy Eichner, M.D., faculty attending physicians, at the time of the alleged occurrence, were employees of the State of Oklahoma, acting within the scope of their employment and are, pursuant to the Governmental Tort Claims Act,
IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that the Motion for Summary Judgment of Defendants ... should be and the same is hereby granted, and that judgment be and is granted as a matter of law in favor of these defendants and against the plaintiffs. ***
*** This Court ... finds that the defendants, Thomas Ingmire, M.D., Sherri Durica, M.D., Timothy Hepner, M.D., John Raunikar, M.D. and Robert Parham, M.D., resident intern phyicians [sic] and/or resident physicians, at the time of the аlleged occurrence, were employees of the State of Oklahoma, acting within the scope of their employment and are, pursuant to the Governmental Tort Claims Act,
IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that the Motion for Summary Judgment of Defendants ... should be and the same is hereby granted, and that judgment be and is granted as a matter of law in favor of these defendants and against the plaintiffs. ***
The 1992, 1993 and 1994 amendments of“5. “Employee” means any person who is authorized to act in behаlf of a political subdivision or the state whether that person is acting on a permanent or temporary basis, with or without being compensated or on a full-time or part-time basis. Employee also includes:
a. all elected or appointed officers, members of governing bodies and other persons designated to act for an agency or political subdivision, but the term does not mean a person or other legal entity while acting in the capacity of an independent contractor or an employee of an independent contractor, ...
For the purpose of this act, the following are employees of this state, regardless of the place in this state where duties as employees are performed:
a. physicians acting in an administrative capacity,
b. resident physicians and resident interns participating in a graduate medical education program of the University of Oklahoma Health Sciences Center or the College of Osteopathic Medicine of Oklahoma State University,
c. faculty members and staff of the University of Oklahoma Health Sciences Center and the College of Osteopathic Medicine of Oklahoma State University, while engaged in teaching duties.
Physician faculty members and staff of the University of Oklahoma Health Sciences Center and the College of Osteopathic Medicine of Oklahoma State University not acting in an administrative capacity or engaged in teaching duties are not employees or agents of the state. However, in no event shall the state be held liable for the tortious conduct of any physician, resident physician or intern while practicing medicine or providing medical treatment to patients.” (Emphasis added.)
The 1994 amendment of“A. A clаim is deemed denied if the state or political subdivision fails to approve the claim in its entirety within ninety (90) days, unless the interested parties have reached a settlement before the expiration of that period. A person may not initiate a suit against the state or a political subdivision unless the claim has been denied in whole or in part. ***” (Emphasis added.)
The 1994 amendment of“B. No action for any cause arising under this act ... shall be maintained unless valid notice has been given and the action is commenced within one hundred eighty (180) days after denial of the claim as set forth in this section. Neither the claimant nor the state or political subdivision may extend the time to commence an action by continuing to attempt settlement of the claim.”
“E. The written notice of claim to the state or a political subdivision shall state the date, time, place and circumstances of the claim, the identity of the state agency or agencies involved, the amount of compensation or other relief demanded, the name, address and telephone number of the claimant, and the name, address and telephone number of any agent authorized to settle the claim. Failure to state either the date, time, place and circumstances and amount of compensation demanded shall not invalidate the notice unless the claimant declines or refused to furnish such information after demand by the state or political subdivision....”
