Lead Opinion
¶1 The medical negligence statute of limitations (MNSOL) requires filing a claim for medical negligence within three years of the allegedly negligent act or omission or within one year of when the negligence is or should have been discovered, whichever is later. RCW 4.16.350(3). The MNSOL may be tolled for one year upon the making of a good-faith request for mediation. RCW 7.70.110.
¶2 The general torts catchall statute of limitations is also three years. RCW 4.16.080(2). However, there is no tolling provision associated with the general torts catchall statute of limitations. We hold that in cases of wrongful death resulting from negligent health care, the MNSOL (RCW 4.16.350(3)) applies.
FACTS
¶3 Jamie Fast entered into a doctor/patient relationship with Dr. Adam Smith and Kennewick Public Hospital District on January 25,2008. Jamie
¶4 In late March 2008, Dr. Smith confirmed Jamie was pregnant. Jamie bled for the first few months of pregnancy—visiting the emergency room at least once for bleeding. Jamie phoned Dr. Smith’s office multiple times to inquire about her bleeding. Each time, Jamie went to Dr. Smith for an examination or she had an ultrasound at the hospital. After each checkup or ultrasound, Dr. Smith assured Jamie that everything was fine or normal.
¶5 Several times during the pregnancy, Jamie mentioned excessive thirst and frequent urination to Dr. Smith and/or his nursing staff. She was assured that this was normal. During an August 8, 2008 visit, Jamie raised concerns about a 10-pound weight loss; again, she was reassured that her pregnancy was progressing normally. Also during this visit, a glucose challenge test was postponed. A glucose challenge test is designed to measure blood sugar and determine whether the mother is at risk for gestational diabetes. Neither Dr. Smith nor his nursing staff ever raised concerns about blood sugar, diabetes, high blood pressure, or weight loss during Jamie’s pregnancy.
¶6 At Jamie’s August 25,2008 appointment, Dr. Gregory Schroff covered for Dr. Smith. Dr. Schroff scheduled a glucose challenge test four days later, on August 29, 2008, Jamie’s first blood sugar test since establishing care with Dr. Smith. Jamie’s blood glucose concentration was over six times the upper limit of normal—so high that Dr. Schroff did not believe the accuracy of the results. Dr. Schroff scheduled another blood sugar test the following day, August 30, 2008—these results indicated a glucose concentration over four times normal levels. Dr. Schroff admitted Jamie to the hospital for management of diabetes and pregnancy that same day. Jamie was 29 weeks pregnant.
¶7 At the hospital, Dr. Schroff ordered intermittent fetal monitoring. The monitor detected fetal distress several times, indicating decelerations of the fetal heart rate. The nursing staff’s response was to turn off the monitor, rather than to substitute a different monitor or to expedite delivery of the unborn child.
¶8 On August 26, 2011 the Fasts served requests for mediation on Drs. Smith and Schroff and the hospital that employed them, Kennewick Public Hospital District (collectively defendants). Under the MNSOL (RCW 4.16.350(3)), a good-faith mediation request tolls the statute of limitations for one additional year. RCW 7.70.110.
¶9 The relevant dates here are:
¶10 Dr. Smith, joined by the other defendants, moved for summary judgment on the ground that the wrongful death claim was barred by the general torts catchall statute of limitations and violation of a tort claim statute, which is not at issue here. The trial court granted summary judgment on both grounds. The Fasts appealed. Division Three upheld the summary judgment ruling that RCW 4.16.080(2), the general torts catchall statute of limitations, applies to actions for wrongful death caused by medical malpractice. Fast v. Kennewick Pub. Hosp. Dist.,
STANDARD OF REVIEW
¶11 We review matters of statutory interpretation de novo. Dep’t of Ecology v. Campbell & Gwinn, LLC,
ANALYSIS
¶12 Our fundamental goal in statutory interpretation is to “discern and implement the legislature’s intent.” State v. Armendariz,
¶13 The Fasts argue for the application of the three-year MNSOL (RCW 4.16.350(3)) with an additional year of tolling for a good-faith mediation request. RCW 7.70.110. The defendants argue for the application of the general torts catchall statute of limitations (RCW 4.16.080(2)), and the Court of Appeals agreed.
¶14 It is undisputed that the Fasts’ claim is a wrongful death action against health care providers for the death of an unborn child resulting from allegedly negligent health care. CP at 7-8 (Compl. at para. 5.1); Resp’ts’ Opp’n to Pet. for Review at 2. The Fasts seek to recover damages for the loss of their minor child, RCW 4.24.010,
RCW 4.16.350(3)—Medical Negligence Statute of Limitations
¶15 Washington’s medical negligence statute is codified in chapter 7.70 RCW. The legislature began with a declaration of intent that chapter 7.70 RCW would govern all actions for damages resulting from health care:
The state of Washington, exercising its police and sovereign power, hereby modifies as set forth in this chapter and in RCW 4.16.350, as now or hereafter amended, certain substantive and procedural aspects of all civil actions and. causes of action, whether based on tort, contract, or otherwise, for damages for injury occurring as a result of health care which is provided after June 25, 1976.
RCW 7.70.010 (emphasis added). “[W]henever an injury occurs as a result of health care, the action for damages for that injury is governed exclusively by RCW 7.70.” Branom v. State,
¶16 Prior to 1971, there was no separate medical malpractice statute of limitations. Medical negligence cases fell within the limitation statutes applicable to all tort claims. Bixler v. Bowman,
¶17 The pertinent provisions of RCW 4.16.350 provide,
Any civil action for damages for injury occurring as a result of health care which is provided after June 25, 1976, against:
(1) A person licensed by this state to provide health care or related services, including, but not limited to, a physician ....
(3) . . . based upon alleged professional negligence shall be commenced within three years ....
¶18 RCW 4.16.350 and RCW 7.70.110 neither expressly include nor exclude wrongful death actions. The broad language of RCW 4.16.350 and RCW 7.70.110 is illuminated by other provisions of chapter 7.70 RCW that specifically mention “death” or “wrongful death” resulting from medical negligence. RCW 7.70.090 states:
Members of the board of directors or other governing body of a public or private hospital are not individually liable for personal injuries or death resulting from health care administered by a health care provider granted privileges to provide health care at the hospital unless the decision to grant the privilege to provide health care at the hospital constitutes gross negligence.
(Emphasis added.) The grant of limited immunity from liability for death, while not implicated in this case, implies that such a liability exists under chapter 7.70
¶19 Additionally, claim reporting requirements found in RCW 7.70.140(2)(a) also support the conclusion that the medical malpractice statutes apply to claims for wrongful death. RCW 7.70.140(l)(a)-(b). The incorporated statutes define “claim” as “a demand for monetary damages for injury or death caused by medical malpractice, and a voluntary indemnity payment for injury or death caused by medical malpractice made in the absence of a demand for monetary damages.” RCW 48.140.010(1) (emphasis added). Similarly, RCW 48.140.010(2) defines “claimant ”as “a person, including a decedent’s estate, who is seeking or has sought monetary damages for injury or death caused by medical malpractice.” (Emphasis added.) Accordingly, we conclude that the legislature intended to subject wrongful death claims caused by medical negligence to the provisions of chapter 7.70 RCW.
¶20 RCW 7.70.150(1) also displays the legislative intent to include wrongful death claims under chapter 7.70 RCW. Although this provision has been struck down as unconstitutional, it has not been repealed. Putman v. Wenatchee Valley Med. Ctr., PS,
In an action against an individual health care provider under this chapter for personal injury or wrongful death in which the injury is alleged to have been caused by an act or omission that violates the accepted standard of care, the plaintiff must file a certificate of merit at the time of commencing the action. . . .
(Emphasis added.)
¶21 The repeated references to wrongful death claims in chapter 7.70 RCW strongly suggest that the statute of limitations for medical malpractice should apply to all cases alleging medical negligence. But there is more evidence of legislative intent. In 1993, the legislature mandated mediation in health care malpractice claims and created a one-year tolling provision for mediation of medical malpractice claims. Engrossed Second Substitute S.B. 5304, §§ 419-420, at 119-20, 53d Leg., Reg. Sess. (Wash. 1993). One of the stated legislative intents for this policy change was an attempt to “stabilize health services costs.” Id. § 102, at 5. Mediation provides an opportunity to settle cases before resorting to litigation, which has the potential to decrease health care costs. Additionally, incentivizing alternative dispute resolution and cutting the tail off the discovery rule to protect health care providers and their insurers from stale claims furthers the legislature’s intent to reduce the cost of medical malpractice insurance, thereby potentially decreasing the cost of health care. Moreover, if medical negligence wrongful death claims are not subject to the tolling provisions of RCW 7.70.110, the legislature’s intent for mediation in all medical malpractice claims would be thwarted. The references to wrongful death in chapter 7.70 RCW and the legislative intent of mandatory mediation in medical negligence cases weigh heavily in favor of concluding that RCW 4.16.350(3) applies to wrongful death suits caused by medical negligence.
RCW 4.16.080(2)—General Torts Catchall Statute of Limitations
¶22 The defendants argue and the Court of Appeals held that the general torts catchall statute of limitations (RCW 4.16.080(2)) applies to wrongful death in medical negligence cases. Fast,
¶23 RCW 4.16.080, in applicable part, states,
The following actions shall be commenced within three years:
(2) An action for taking, detaining, or injuring personal property, including an action for the specific recovery thereof, or for any other injury to the person or rights of another not hereinafter enumerated.
(Emphasis added.)
¶24 In cases of medical negligence, the language of RCW 4.16.080(2), which provides that it is limited to actions “not hereinafter enumerated,” requires application of the more specific MNSOL in RCW 4.16.350(3).
¶25 The Court of Appeals concluded that RCW 4.16-.350(3) does not apply to actions for death of a child under RCW 4.24.010 caused by medical negligence, relying on Wills and legislative acquiescence to that decision. See Fast,
Wills v. Kirkpatrick
¶26 Wills was a wrongful death claim brought against a physician, alleging medical malpractice. The Court of Appeals considered “whether the medical malpractice statute of limitations applies to an action of wrongful death based on medical malpractice.” Wills,
¶27 The reasoning of the appellate court in Wills is also somewhat undermined by the court’s conclusion that it would be “illogical” that a “claim could be barred even before death triggers accrual of the right to bring the action” if the medical negligence accrual point was applied to wrongful death claims. Wills,
¶28 Respondents claim that this court’s denial of review of Wills and legislative inaction over the past 25 years is de facto acceptance of the appellate court’s decision. Resp’ts’ Opp’n to Pet. for Review at 1. Our denial of review “has never been taken as an expression of the court’s implicit acceptance of an appellate court’s decision.” Matia Contractors, Inc. v. City of Bellingham,
¶29 Furthermore, a decision based on Wills also leads to absurd results.
¶30 The very language of RCW 4.16.080(2) (“not hereinafter enumerated”) confirms that the general torts catchall statute of limitations does not apply to cases based on medical negligence, which are enumerated in RCW 4.16-.350. Accordingly, we hold that in cases of wrongful death resulting from negligent health care, the MNSOL (RCW 4.16.350(3)) applies.
CONCLUSION
¶31 The judgment of the Court of Appeals is reversed, and the case is remanded to the superior court for further proceedings consistent with this opinion.
Notes
We refer to Jamie Fast by her first name to avoid confusion in this opinion. We intend no disrespect.
Jamie and her husband, Shane Fast, presented evidence that the standard of care mandates blood glucose screening of all nondiabetic patients at 24 to 28 weeks of gestation. Clerk’s Papers (CP) at 402.
We recognize that the loss of an unborn child is emotionally charged. Whether we use the term “unborn child’’ or “fetus,” the loss is the same. Here, the cause of action at issue, RCW 4.24.010, addresses injury or death of a child, and accordingly we use the term “unborn child.”
Dr. Schroff has an independent duty to review the EFM [(electronic fetal monitoring)] tracing to ensure fetal well being. His failure to do so allowed this fetus, who was showing evidence of uteroplacental insufficiency, to remain in-utero in a hostile environment. This failure to provide acceptable EFM surveillance culminated in the in-utero death of this fetus. Dr. Schroff’s failure to diagnose EFM evidence of fetal compromise and appropriately intervene with a cesarean delivery represents a deviation in an acceptable standard of care.
CP at 404 (declaration of the Fasts’ medical expert).
RCW 7.70.110 states, “The making of a written, good faith request for mediation of a dispute related to damages for injury occurring as a result of health care prior to filing a cause of action under this chapter shall toll the statute of limitations provided in RCW 4.16.350 for one year.”
The appellate court also reversed the trial court’s dismissal of Jamie’s injuries because the hospital failed to comply with a statutory requirement that it make available a tort claim form. Fast,
For purposes of RCW 4.24.010, a viable unborn child is included in the statutory definition of “minor child.’’ Moen v. Hanson,
This action has been repeatedly characterized by Washington cases as an action for “wrongful death.’’ E.g., Lockhart v. Besel,
RCW 4.24.010, in pertinent part, states,
A mother or father, or both, who has regularly contributed to the support of his or her minor child . . . may maintain or join as a party an action as plaintiff for the injury or death of the child.
In such an action, in addition to damages for medical, hospital, medication expenses, and loss of services and support, damages may be recovered for the loss of love and companionship of the child and for injury to or destruction of the parent-child relationship in such amount as, under all the circumstances of the case, may be just.
The statute, RCW 4.16.350, was again amended in 1976, which is the version currently governing medical negligence. Wood,
“ ‘A grant of immunity from liability clearly implies that civil liability can exist in the first place.’ ” Beggs v. Dep’t of Soc. & Health Servs.,
Fast is the only Washington appellate court decision to address the statute of limitations applicable to claims for injury or death of a child under RCW 4.24.010.
See Fast,
Since the date of death and last act/omission of health care in this case are virtually simultaneous, the choice of which accrual date to use makes no difference. We recognize that the accrual date in other cases may be crucial. See Deggs,
Concurrence Opinion
(concurring)
¶32 I agree with the majority that the broad language of the medical negligence statute of limitation (MNSOL), RCW 4.16.350,
¶33 The present wrongful death claim, brought under the child death statute, RCW 4.24.010,
¶34 I acknowledge that this decision somewhat alters our wrongful death jurisprudence, but in a very limited way. This court has long recognized that the general torts (catchall) three year statute of limitations (SOL) applies to wrongful death claims.
¶35 Finally, I note that a wrongful death action itself remains a “separate and distinct” cause of action. Bowers v. Fibreboard Corp.,
¶36 With these observations, I concur.
RCW 4.16.350 provides in relevant part:
Any civil action for damages for injury occurring as a result of health care . . . against:
(1) A person licensed by this state to provide health care or related services, including ... a physician ....
(3) . . . based upon alleged professional negligence shall be commenced within three years.
Further, a one year tolling provision is provided in RCW 7.70.110 as follows:
The making of a written, good faith request for mediation of a dispute related to damages for injury occurring as a result of health care prior to filing a cause of action under this chapter shall toll the statute of limitations provided in RCW 4.16.350 for one year.
RCW 7.70.010 provides:
The state of Washington, exercising its police and sovereign power, hereby modifies as set forth in this chapter and in RCW 4.16.350, as now or hereafter amended, certain substantive and procedural aspects of all civil actions and causes of action, whether based on tort, contract, or otherwise, for damages for injury occurring as a result of health care which is provided after June 25, 1976.
(Emphasis added.)
RCW 4.24.010 provides in relevant part:
A mother or father, or both, who has regularly contributed to the support of his or her minor child . . . may maintain or join as a party an action as plaintiff for the injury or death of the child.
RCW 4.16.080 provides in relevant part, “The following actions shall be commenced within three years: ... (2) An action for . . . any other injury to the person or rights of another not hereinafter enumerated.’’
