JAY ANSON V W A FOOTE MEMORIAL HOSPITAL INC
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STATE OF MICHIGAN
COURT OF APPEALS
UNPUBLISHED
June 8, 2004
DOROTHY CREECH,
Plaintiff-Appellee,
v
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
No. 237437
Jackson Circuit Court
LC No. 00-005650-NH
Defendants-Appellants.
JAY C. PORTER,
Plaintiff-Appellee,
v
No. 237438
LC No. 00-005711-NO
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
Defendants-Appellants.
SARAH E. WILLIAMS, JOHN WALLACE, and
SHARON WALLACE,
Plaintiffs-Appellees,
v
o. 237439
N
LC No. 00-005740-NH
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
Defendants-Appellants.
JERRY RICHARD MOORE, SHEREE MOORE,
DENISE REYNOLDS, and GLEN REYNOLDS,
-1-
Plaintiffs-Appellees,
v
No. 237440
LC No. 00-005752-NH
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
Defendants-Appellants.
JAY ANSON, DOUGLAS AYLESWORTH,
JANET
BEILFUSS,
CHARLES
BELTZ,
THEODORE BREZINSKI, REBECCA BURT,
RENE CHAPA, DAVID CLAUCHERTY,
MAURINE CORYELL, MARY CRANDALL,
DIANE EMERY, LINDA FARLEY, JOLA
FARRELL, LESTER FIDLER, MARK E.
GORZEN, MARY GREEN, RUTH HALE,
SHAWN HAMLIN, BARBARA JEAN HARDEN,
HERBERT ISAACS, MARY JACOBSON, PAUL
KOZLOWICZ, RAY LEWIS, TERESA MAY,
DAVID CLYDE MEISTER, LUCILLE MEYER,
KEVIN
MILLER,
NICHOLAS
MILLER,
DONALD MOON, RUBY MONTGOMERY,
CAROLINE MYERS, ARTHUR NASTALLY,
SUSAN PERRY, TERRY PHALEN, RONALD
RACER,
ROBERT
REESE,
ROBERT
RICHARDSON,
VALERIE
RODERICK,
LUCILLE SEPTA, DANNY SMITH, FRED
STEWART, ROBERT THOMAS, ROY LEE
THOMASSON, JANET TODD, PATRICIA
TREFRY,
TONE
TRUSTY,
KIMBERLY
TUCKER, CHARLES WALKER, STEPHANIE
WALSH, KATHLEEN WILSON, BERNARD
YAGER, SUSAN AYLESWORTH, LINDA
BREZINSKI, MRS. CLAUCHERTY, STEVEN D.
EMERY, WILLIAM A. FARLEY, JR., SHIRLEY
FIDLER, SUE GORZEN, EUGENE GREEN,
JOYCE ISAACS, LAWRENCE O. JACOBSON,
JOAN KOZLOWICZ, JAMES P. MAY,
PHYLLIS A. MEISTER, JAMES MEYER, DEE
MOON, EMILY NASTALLY, MARY PHALEN,
MARY E. RICHARDSON, JEAN STEWART,
PHYLLIS
J.
THOMAS,
SANDRA
F.
THOMASSON, MARIA TRUSTY, GENE T.
TUCKER, KIMBERLY WALKER, JASON
WALSH, JACK WHEELER, JOY YAGER, and
-2-
ALL OTHER SIMILARLY SITUATED,
Plaintiffs-Appellees,
v
No. 237441
LC No. 01-000755-NO
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
Defendants-Appellants.
JERRY RICHARD MOORE, SHEREE L.
MOORE,
DENISE
REYNOLDS,
GLEN
REYNOLDS, and ALL OTHERS SIMILARLY
SITUATED,
Plaintiffs-Appellees,
v
No. 237442
LC No. 00-005752-NH
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
Defendants-Appellants.
DOROTHY CREECH and
SIMILARLY SITUATED,
ALL
OTHERS
Plaintiffs-Appellees,
No. 237443
LC No. 00-005650-NH
v
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
Defendants-Appellants.
SARAH E. WILLIAMS, JOHN WALLACE,
SHARON WALLACE, and ALL OTHERS
SIMILARLY SITUATED,
Plaintiffs-Appellees,
v
No. 237444
-3-
LC No. 00-005740-NH
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
Defendants-Appellants.
JAY C. PORTER and ALL OTHER SIMILARLY
SITUATED,
Plaintiffs-Appellees,
v
No. 237445
LC No. 00-005711-NH
W. A. FOOTE MEMORIAL HOSPITAL, INC.
and STERIS CORPORATION,
Defendants-Appellants.
JAY ANSON, DOUGLAS AYLESWORTH,
JANET
BEILFUSS,
CHARLES
BELTZ,
THEODORE BREZINSKI, REBECCA BURT,
RENE CHAPA, DAVID CLAUCHERTY,
MAURINE CORYELL, MARY CRANDALL,
DIANE EMERY, LINDA FARLEY, JOLA
FARRELL, LESTER FIDLER, MARK E.
GORZEN, MARY GREEN, RUTH HALE,
SHAWN HAMLIN, BARBARA JEAN HARDEN,
HERBERT ISAACS, MARY JACOBSON, PAUL
KOZLOWICZ, RAY LEWIS, TERESA MAY,
DAVID CLYDE MEISTER, LUCILLE MEYER,
KEVIN
MILLER,
NICHOLAS
MILLER,
DONALD MOON, RUBY MONTGOMERY,
CAROLINE MYERS, ARTHUR NASTALLY,
SUSAN PERRY, TERRY PHALEN, RONALD
RACER,
ROBERT
REESE,
ROBERT
RICHARDSON,
VALERIE
RODERICK,
LUCILLE SEPTA, DANNY SMITH, FRED
STEWART, ROBERT THOMAS, ROY LEE
THOMASSON, JANET TODD, PATRICIA
TREFRY,
TONE
TRUSTY,
KIMBERLY
TUCKER, CHARLES WALKER, STEPHANIE
WALSH, KATHLEEN WILSON, BERNARD
YAGER, SUSAN AYLESWORTH, LINDA
BREZINSKI, MRS. CLAUCHERTY, STEVEN D.
EMERY, WILLIAM A. FARLEY, JR., SHIRLEY
-4-
FIDLER, SUE GORZEN, EUGENE GREEN,
JOYCE ISAACS, LAWRENCE O. JACOBSON,
JOAN KOZLOWICZ, JAMES P. MAY,
PHYLLIS A. MEISTER, JAMES MEYER, DEE
MOON, EMILY NASTALLY, MARY PHALEN,
MARY E. RICHARDSON, JEAN STEWART,
PHYLLIS
J.
THOMAS,
SANDRA
F.
THOMASSON, MARIA TRUSTY, GENE T.
TUCKER, KIMBERLY WALKER, JASON
WALSH, JACK WHEELER, JOY YAGER, and
ALL OTHERS SIMILARLY SITUATED,
Plaintiffs-Appellees,
v
No. 237446
LC No. 01-000755-NO
W.A. FOOTE MEMORIAL HOSPITAL, INC. and
STERIS CORPORATION,
Defendants-Appellants.
Before: O’Connell, P.J., and Jansen and Murray, JJ.
PER CURIAM.
Defendant W.A. Foote Memorial Hospital, Inc.1 appeals as on leave granted from an
order denying summary disposition and certifying plaintiffs’ lawsuits as a class action.
Defendant also appeals from an order expanding the class definition to include plaintiffs’
spouses. This Court previously denied leave to appeal. Defendant appealed to the Supreme
Court, which remanded the case to be heard as on leave granted. Creech v W.A. Foote Mem’l
Hosp, Inc, 456 Mich 887; 636 NW2d 138 (2001). Plaintiffs, who underwent endoscopic
procedures at defendant hospital, filed suit after learning that the hospital failed to properly
disinfect the endoscopes. We affirm in part, vacate in part and remand for further proceedings.
I
This case began as five separate negligence actions, which were consolidated. Plaintiffs
sued after defendant informed them by letter that there was a chance that the endoscopes2 used to
1
Throughout this opinion the singular use of “defendant” refers to defendant W.A. Foote
Memorial Hospital, Inc. Defendant Steris Corporation did not become a party in the present case
until after the trial court denied summary disposition.
2
Endoscopes are inserted through the anus and used to examine the gastrointestinal tract
(continued…)
-5-
perform their recent endoscopies had not been properly disinfected. According to defendant, it
began using a newly purchased Steris System 1 Processor as part of a new method of disinfecting
its endoscopes on approximately May 1, 2000. Between May 1, 2000 and September 19, 2000,
defendant used the Steris processor to disinfect its endoscopes. Defendant, then, discovered that
the required adaptor caps had not been placed over the water and air inlet ports of the Pentax
model of endoscope before the scopes were cleaned. Defendant claimed that to that date, Steris
had not provided adaptor caps with the Pentax endoscopes.
Defendant, then, consulted with the Center for Disease Control and the Food and Drug
Administration to assess the risk that the patients in question had been exposed to communicable
diseases such as Hepatitis or HIV. According to defendant, both agencies stated that it was
“very, very unlikely that there would be cross-infection between patients using the Steris
processing without adaptor caps.” Nonetheless, defendant mailed letters to the patients who
underwent endoscopies within the questioned timeframe, informing them there was a slight
possibility that they had been exposed to a communicable disease. Defendant established a
program for the patients to receive free laboratory testing for infection. Approximately seventy
patients, in five separate actions,3 then filed claims through different attorneys, all alleging a
class action. None of the claims alleged medical malpractice, but, instead, all based their claims
in negligence.
Defendant moved for summary disposition under MCR 2.115, 2.116(C)(8), and
2.116(C)(10) in the four cases that had been filed at that point in time. Defendant claimed that
plaintiffs’ claims should be dismissed because although they claimed negligence, the claims
were actually medical malpractice claims, and plaintiffs failed to file notices of intent or
affidavits of merit. Defendant also claimed that plaintiffs’ complaints should be stricken because
they did not allege specific injuries. Plaintiffs, then, filed motions for class certification. Only
two substantive motions for class certification were filed: file no. 00-005650-NO on October 30,
2000 and file no. 00-005752-NH on November 13, 2000. Defendant opposed certifying the
class.
The trial court determined that plaintiffs’ claims were “strictly negligence” because
whether the adaptor caps should have been on was something the jury would be able to
understand. The trial court also determined that plaintiffs could proceed with their claims for
emotional distress. And, the trial court denied defendant’s motion for summary disposition on
this count without prejudice, noting that if defendant could prove that there was no chance
plaintiffs were exposed to a disease, it would revisit the issue. The trial court also certified the
claims as a class action lawsuit and defined the class as the 710 patients who received letters
from defendant regarding the improperly sterilized scopes. In its order, the trial court ordered
plaintiffs to file a first amended complaint naming the representative plaintiffs and naming Steris
Corporation as a defendant. Plaintiffs Jerry Moore, Sheree Moore, Denise Reynolds, and Glen
(…continued)
internally.
3
Apparently, there was also another action filed on behalf of plaintiff Robert Reese, but that case
has not been involved in the appellate process.
-6-
Reynolds moved the trial court to amend the class definition by adding plaintiffs’ spouses. After
a hearing, the trial court allowed the requested amendment.
II
Defendant first argues that class certification and expansion of the class to include the
patients’ spouses was improper. We disagree. This Court will only reverse an order of class
certification if the trial court’s decision was clearly erroneous. Mooahesh v Dep’t of Treasury,
195 Mich App 551, 556; 492 NW2d 246 (1992). “A finding is clearly erroneous when, although
there is evidence to support it, the reviewing court on the entire record is left with the definite
and firm conviction that a mistake has been committed.” Walters v Snyder, 239 Mich App 453,
456; 608 NW2d 97 (2000).
Under MCR 3.501(A)(1) the following five factors must be satisfied before class
certification may be granted:
(a) the class is so numerous that joinder of all members is impracticable;
(b) there are questions of law or fact common to the members of the class
that predominate over questions affecting only individual members;
(c) the claims or defenses of the representative parties are typical of the
claims or defenses of the class;
(d) the representative parties will fairly and adequately assert and protect
the interests of the class; and
(e) the maintenance of the action as a class action will be superior to other
available methods of adjudication in promoting the convenient administration of
justice.
“When evaluating a motion for class certification, the trial court is required to accept the
allegations made in support of the request for certification as true” without examining the merits
Neal v James, 252 Mich App 12, 16; 651 NW2d 181 (2002), citing Allen v Chicago, 828 F Supp
543, 550 (ND Ill, 1993). Plaintiffs have the burden of showing that class certification is proper,
id., and must meet all the factors, A&M Supply v Microsoft, 252 Mich App 580, 597-598; 654
NW2d 572 (2002). Because Michigan law construing this court rule is sparse, we may consider
federal cases construing the similar federal rule, FR Civ P 23, for guidance. Zine v Chrysler
Corp, 236 Mich App 261, 287 n 12; 600 NW2d 384 (1999).
A. Numerosity
The purpose behind the numerosity requirement, MCR 3.501(A)(1)(a), is judicial
efficiency. See Zine, supra, 236 Mich App at 287-288. The exact number of class members
need not be given as long as the court can determine that joinder would be impracticable. Id. at
288. Plaintiffs addressed numerosity, in a request for class certification, in file no. 00-005650NO, as follows:
-7-
According to defendant’s own admission and notification, there are 705 other
individuals who have been exposed to this improperly sterilized equipment and
may have been exposed to dangerous viruses, including hepatitis and HIV. This
class is so numerous that joinder of all members is impracticable.
And in file no. 00-005752-NH, plaintiffs alleged numerosity existed as follows:
Plaintiff has satisfied the numerosity element in that more than seven hundred
patients have been subjected to the Defendant’s negligence and have been
exposed to the risk of having Hepatitis or HIV. Certainly, a class of seven
hundred or more people is sufficient to meet this requirement.
This Court has found the numerosity requirement satisfied where plaintiffs identified 350
employees and approximately one hundred job applicants who were adversely affected, and the
trial court determined that forty members fell within the class parameters. Neal, supra at 16.
Therefore the number of plaintiffs in the instant case, over 700 patients examined with
potentially contaminated endoscopes and their spouses, appears to satisfy the numerosity
requirement.
“Class members must have suffered actual injury to have standing to sue.” Zine, supra at
287-288. Defendant claims that plaintiffs failed to provide any support for their assertion that
the class consisted of over 700 people who received a letters and their spouses because they had
not shown that the members had suffered actual injury. Defendant asserted that in this case, “the
variability of the types of scopes that are involved, the absence of demonstrable injury, and the
variability amongst potential litigants of nature and character of any damages that may otherwise
be asserted” prevented a finding of numerosity. All people who received letters and their
spouses could have suffered emotional distress, an actual injury, and presumably many of them
have undergone and will continue to undergo medical testing, another claimed injury.
Based on the above discussion, accepting plaintiffs allegations made in support of the
request for certification as true, we find that the trial court’s determination that numerosity
existed was not clearly erroneous as we are not left with a firm conviction that a mistake has
been committed. See Neal, supra at 16; Walters, supra at 453; Mooahesh, supra at 556.
B. Commonality
The inquiry regarding commonality, MCR 3.501(A)(1)(b), addresses whether resolution
of a common issue will advance the litigation. Zine, supra at 289. It is essential that “‘the issues
in the class action that are subject to generalized proof, and thus applicable to the class as a
whole, predominate over those issues that are subject only to individualized proof.’” Id., quoting
Kerr v West Palm Beach, 875 F2d 1546, 1557-1558 (CA 11, 1989). Not all the questions need
be common, as long as there is some common question of law or fact involved. Grigg v
Michigan Nat’l Bank, 405 Mich 148, 183-184; 274 NW2d 752 (1979). However, the common
questions must predominate over individual ones. MCR 3.501(A)(1)(b).
Plaintiffs defined the common questions, in a motion for class certification, for file no.
00-005650-NO, as follows:
-8-
1. Whether Defendant owed class members a duty to properly sterilize
equipment used during routine procedures such as the endoscopic procedure
Plaintiff underwent.
2. Whether the equipment used during the endoscopic procedure was
improperly sterilized and therefore contaminated.
3. Whether Defendant breached its duty by failing to properly sterilized
[sic] equipment used during the endoscopic procedure.
With regard to file no. 00-005752-NH, plaintiffs provided the following in a motion for class
certification:
Questions of law in fact [sic] are common among all members of the class
in that they have all been exposed to the identical acts of negligence of this
Defendant and the damages suffered by them are also the same. Specifically, all
class members have been exposed to the risk of Hepatitis and HIV and will suffer
the same psychological injury and anxiety and similar physical manifestations
thereof.
The question whether defendant was negligent in its disinfecting process is certainly a
question common to all plaintiffs. Certainly, there are other questions that will be unique to each
plaintiff, including whether that plaintiff was actually treated with the Pentax endoscope and
whether that patient (or that patient’s spouse) contracted a disease. The potential class members
have a general causation question in common even with the expansion allowing the spouses.
Yet, there is going to be factual variation among the claimants. But “some factual variation
among the class grievances will not defeat a class action.” Rosario v Livaditis, 963 F2d 1013,
1017 (CA 7 1992). We find that there is some factual variation in the present case and more
variation with the inclusion of spouses, but, accepting plaintiff’s allegation in support of the class
action as true, the trial court did not clearly err in its determination that common questions
predominate over questions only affecting individual members. See Neal, supra at 16;
Mooahesh, supra at 556.
C. Typicality
The representative plaintiffs’ claims will be typical, MCR 3.501(A)(1)(c), of the
proposed class members’ claims if the claims “‘have the same essential characteristics.’” Neal,
supra at 21, quoting Allen, supra at 553. Like commonality, some factual differences are
permitted as long as the representative’s claims “‘arise from the same event or practice or course
of conduct that gives rise to the claims of the other class members’” and is based on the same
legal theory. Id., quoting Allen, supra at 553. Typical does not mean identical. Eisenberg v
Gagnon, 766 F2d 770, 786 (CA3 1985). In fact, “atypical elements of a claim may often be
adequately treated by judicious severance or use of subclasses or other separate treatment of
individual issues.” Id. Regarding typicality, plaintiffs stated in its motion for class certification,
file No. 00-005650-NO, that the “claims of Plaintiff are typical of the claims of the class.” With
regard to plaintiffs’ motion for class certification, for file no. 00-005752-NH, the following was
provided:
-9-
Certainly, the claims of negligence of the party representative are not only
typical but identical of those of the class. As stated above, the exact claims of
negligence and the damages suffered by the Mr. Moore [sic] and the class
members are the same as will the proofs that will be presented to support this
case.
Courts have found that class action litigation is preferable for claims of injuries resulting
from “a single disaster or a single course of conduct.” See Craft v Vanderbilt University, 174
FRD 396, 402 (MD Tenn 1996), modified 18 F Supp 786 (MD Tenn, 1998); see also In re
American Medical Systems, Inc, 75 F3d 1069, 1084 (CA 6, 1996). In Craft, supra, the plaintiffs,
pregnant women, were unknowingly radiated as part of an experiment conducted by the
defendant hospital. Craft, supra at 400-401. The court found that the representatives’ claims
were typical because the women and their children were all exposed to radiation and shared the
allegation of “violation of bodily integrity.” Id. at 404-405. The court was untroubled by the
fact that “the proof on issues of actual damages arising from past illnesses or increased risk of
future ailments” would differ among the class members. Id. at 405.
In another case approved for class action, the court considered the plaintiffs’ product
liability claim regarding unreasonably dangerous bone screws that were implanted into the
plaintiffs’ spines. Fanning v AcroMed Corp, 176 FRD 158 (ED Pa 1997). The court found that
the representative plaintiffs’ principal theory that the product was unreasonably dangerous was
typical of the entire class, which was certified for settlement purposes as all persons who
received the bone screw and their relatives. Id. at 175, 187.
In Hum v Dericks, 162 FRD 628, 638 (D Hawaii 1995), a case regarding defective
ligaments that were implanted into patients, the court found typicality even though it warned that
the representative’s claims may turn out to be atypical of the class’s. Id. The court determined
that Hum’s injuries may have resulted from negligent placement of an artificial ligament, rather
than the ligament itself. Id. However, the court stated, “This issue notwithstanding, the court
finds at this stage of the proceedings that Hum is sufficiently typical to satisfy the low standard
of Rule 23(a)(4).” Id. The court emphasized that the merits of the case were not to be
considered at that juncture. Id.
Because of the particular circumstances of this case, we find that the trial court’s finding
of typicality was not clearly erroneous, Mooahesh, supra at 556, when accepting as true
plaintiffs’ allegations in support of typicality, Neal, supra at 16, the class members’ injuries
stemmed from the same course of conduct. See Craft, supra, 174 FRD at 404; Hum, supra, 162
FRD at 638; American Medical, supra, 75 F3d at 1094.
D. Representative Protection of Class Interests
The fourth requirement for class certification is that “the representative parties will fairly
and adequately assert and protect the interests of the class.” MCR 3.501(A)(1)(2). To assess
whether this requirement is met, this Court uses a two-part inquiry: “First, the court must be
satisfied that the named plaintiffs’ counsel is qualified to sufficiently pursue the putative class
action. Second, the members of the advanced class may not have antagonistic or conflicting
interests.” Neal, supra at 22.
-10-
The named counsel appears to be sufficiently qualified upon a review of the affidavits,
and it does not appear that the trial court clearly erred in appointing counsel. See Mooahesh,
supra at 556. Further, plaintiffs in its motions for class certification claimed, “Plaintiff and her
counsel will fairly and adequately protect the interests of the class” (file no. 00-005650-NO), and
“There is no question that based upon the facts and circumstances of this case that Mr. Moore
will fairly and adequately assert and protect the interests of the class” (file no. 00-005752-NH).
Facially, with regard to the second requirement, accepting plaintiffs’ allegations in support of the
representatives being adequate as true, it appears the trial court did not clearly err in determining
the members did not have antagonistic or conflicting interests. See Neal, supra at 16, 22;
Mooahesh, supra at 556.
Based on the above, the trial court’s determination that the representative parties will
adequately assert and protect the interests of the class was not clearly erroneous. See Mooahesh,
supra at 556.
E. Class Action Superior Method of Adjudicating
Lastly, plaintiffs had to show that “the maintenance of the action as a class action will be
superior to other available methods of adjudication in promoting the convenient administration
of justice.” MCR 3.501(A)(1)(e). MCR 3.501(A)(2), sets forth the following relevant inquires
with respect to convenient administration of justice:
(a) whether the prosecution of separate actions by or against individual members
of the class would create a risk of
(i) inconsistent or varying adjudications with respect to individual
members of the class that would confront the party opposing the class with
incompatible standards of conduct; or
(ii) adjudication with respect to individual members of the class that
would as a practical matter be dispositive of the interests of other members not
parties to the adjudications or substantially impair or impede their ability to
protect their interests;
(b) whether final equitable or declaratory relief might be appropriate with respect
to the class;
(c) whether the action will be manageable as a class action;
(d) whether in view of the complexity of the issues or the expense of litigation
the separate claims of individual class members are insufficient in amount to
support separate actions;
(e) whether it is probable that the amount which may be recovered by individual
class members will be large enough in relation to the expense and effort of
administering the action to justify a class action; and
(f) whether members of the class have a significant interest in controlling the
-11-
prosecution or defense of separate actions.
MCR 3.501(A)(2) mandates that the trial court consider the listed factors among other
things when determining superiority. The trial court did not specifically address any of the
factors in MCR 3.501(A)(2). However, arguments with respect to most of the factors were
presented to the trial court, and the court certified the class. Findings and conclusions need not
be recited when a court rules on a motion unless required by another rule. Michigan Nat’l Bank
v Metro Inst Food Service, Inc, 198 Mich App 236, 241-242; 497 NW2d 225 (1993). The trial
court determined that a class action was a superior method of adjudicating the instant case.
With respect to the superiority requirement, our Supreme Court has stated:
The “convenient administration of justice” criteria does not preclude
maintenance of a class action where the individual claims differ slightly with
regard to such specifics as the time, place, and exact nature of the injury. No two
claims are likely to be exactly similar. Almost all claims will involve disparate
issues of law and fact to some degree. The relevant concern here is whether the
issues are so disparate as to make a class action unmanageable. [Dix v American
Bankers Life Assurance Co of Florida, 429 Mich 410, 418-419; 415 NW2d 206
(1987) (decided under GCR 1963, 208).]4
The trial court indicated that cases would continue to trickle in and the only meaningful way of
adjudicating the case was through class action. And the trial court acknowledged that there
might be different aspects of the case, but found that these could be handled by different
representatives for each class, and noted that some of the members might be quickly eliminated
if they could not show actual injury. Therefore, the trial court did not consider the issues so
disparate that the suit would be unmanageable as a class action. Id. at 418-419.
The trial court did not clearly err in finding that the superiority requirement was met
where although defendant would not be prevented by one judgment from complying with
another there was no communal interest that would prevent nonparties from protecting their
interests; plaintiffs acknowledged that the action was inappropriate for equitable and declaratory
relief; the filing of five separate suits demonstrated that litigation expenses and issue complexity
did not preclude individual suits; the court determined that the only meaningful way to
adjudicate was through class action; ten percent of the proposed class was in favor of a class
action and none of the proposed class opposed it; and plaintiffs alleged that the damages award
justified the expense and effort of a class action. We are not left with a definite and firm
conviction that the trial court committed a mistake with respect to its finding that a class action
was a superior method for adjudicating plaintiffs’ claims. Walters, supra at 456.
F. Physician-Patient Privilege Issue
4
The “convenient administration of justice” standard is the same under GCR 1963, 208 and
MCR 3.501(A)(1)(e). Dix, supra at 414 n 6.
-12-
The trial court did not address the issue regarding the physician-patient privilege.
Although the topic was raised several times during oral argument on the motion to certify the
class, and the motion to amend the class, the trial court specifically declined to rule on the
matter. Counsel for the parties stated they would try to work the issue out among themselves.
Ultimately, the trial court opted to await this Court’s decision on the matter that was already
pending appeal before delving into the privilege issue. Generally, an issue is not properly
preserved if it is not raised before, addressed, and decided by the trial court. Brown v Loveman,
260 Mich App 576, 599; ___ NW2d ___ (2004). Even if raised at trial, an appellate court need
not consider an issue if it was never reached by the jury. Lynd v Chocolay Twp, 153 Mich App
188, 198; 395 NW2d 281 (1986). Nor do we render advisory opinions on issues unnecessary to
the resolution of the appeal. People v Wilcox, 183 Mich App 616, 620; 456 NW2d 421 (1990).
But this Court may review unpreserved claims where “consideration of the issue is necessary to a
proper determination of the case.” Providence Hosp v Labor Fund, 162 Mich App 191, 195; 412
NW2d 690 (1987); see also Brown, supra. In its order remanding to this Court for consideration
“as on leave granted,” the Supreme Court did not specifically direct this Court to address the
privilege issue.
We address this unpreserved issue only to the extent consideration of the issue is
necessary to a determination of whether class certification was proper. Providence Hosp, supra
at 195. The physician-patient privilege provides in pertinent part:
Except as otherwise provided by law, a person duly authorized to practice
medicine or surgery shall not disclose any information that the person has
acquired in attending a patient in a professional character, if the information was
necessary to enable the person to prescribe for the patient as a physician, or to do
any act for the patient as a surgeon. [MCL 600.2157.]
“The purpose of the [physician-patient] privilege is to protect the doctor-patient relationship and
ensure that communications between the two are confidential.” Herald Co Inc v Ann Arbor
Public Schools, 224 Mich App 266, 276; 568 NW2d 411 (1997). Only the patient can waive the
privilege. Id.
MCR 3.501(C) outlines the procedure for notifying class members. While giving notice
is mandatory, MCR 3.501(C)(1), the court has discretion regarding the manner in which notice is
given, MCR 3.501(C)(4)(a). For instance, notice can be given by individual written notice,
newspaper or magazine publication, television or radio media, posting, or “distribution through a
trade or professional association, union, or public interest group.” MCR 3.501(C)(4)(b). The
trial court determines the method, and in doing so must consider:
(i) the extent and nature of the class,
(ii) the relief requested,
(iii) the cost of notifying the members,
(iv) the resources of the plaintiff, and
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(v) the possible prejudice to be suffered by members of the class or by
others if notice is not received. [MCR 3.501(C)(4)(b).]
We believe that the trial court can instruct the parties to notify the class in a manner that
does not violate physician-patient privilege. For example, considering the nature of the class,
patients with a right to privacy regarding their medical treatment, it is possible the court could
instruct defendant to notify the class members itself, and the court could seal the notices. A
court from a sister state, in addressing a physician-patient privilege situation, provided the
following:
[W]e do not believe that the physician-patient privilege is violated by the
disclosure of the names and addresses of the members of the class for the purpose
of giving notice of the commencement of the action. To the extent indicated,
however, we modify the order of Special Term to protect the confidentiality of
their identities (other than plaintiff’s) from disclosure except for purposes of
providing notice of this proceeding. [Schreibman v Linn, 69 AD2d 800, 800; 415
NYS2d 430 (NY App 1979).]
That court also ordered that the list of names and addresses be provided only to the plaintiff’s
attorneys, used only for notifying the class, and be sealed after filing. Id. In another case, from a
federal district court, the following solution was proposed in dealing with a similar type
situation:
At argument, counsel for [the plaintiff] referred to the difficulty involved
in discovering the identities of potential class members, whose medical records
are confidential. However, this is not a difficulty which the procedures created
for class actions were designed to remedy. [The plaintiff] could make a motion
for the appointment of a special master or invoke another procedure whereby
potential class members might be notified without undue intrusion into
confidential medical records. [Hum, supra, 162 FRD at 634.]
The above mentioned cases are not binding, and it is recognized that Michigan’s
physician-patient privilege is controlled by the scope of the statute, not the common law. See
Dorris v Detroit Osteopathic Hosp Corp, 460 Mich 26, 33; 594 NW2d 445 (1999). However,
these above noted cases do provide instances where alternatives exist for notification purposes,
as they do under MCR 3.501(C), and further provide examples of how it is possible to notify
plaintiffs without violating similar physician-patient privilege provisions.
We find, in the present case, that the trial court can direct the parties to notify potential
plaintiffs’ in a manner that does not violate the physician-patient privilege. It is possible to
notify the class members without violating the physician-patient privilege and, thus, this issue
does not adversely affect our finding that the trial court did not clearly err in its determinations
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regarding class certification. We leave it to the trial court to, specifically, determine how to
address this unpreserved physician-patient privilege issue. 5
G. Class Action Certification
We find that, accepting plaintiffs’ allegations in support of a class action as true, the trial
court did not clearly error in certifying plaintiffs’ lawsuit as a class action, nor did it clearly err in
expanding the class to include spouses. See Neal, supra at 16; Walters, supra 456; Mooahesh,
supra at 556. We further find that the unpreserved physician-patient privilege issue does not
adversely affect the trial court’s certification of the class as it is possible to notify plaintiffs
without violating the physician-patient privilege.
III
Defendant raises three separate claims with respect to summary disposition. A trial
court’s decision on a motion for summary disposition under MCR 2.116(C)(8) is reviewed de
novo. Beaty v Hertzberg & Golden, PC, 456 Mich 247, 253; 571 NW2d 716 (1997). MCR
2.116(C)(8) tests the “legal sufficiency of the complaint” and permits dismissal of a claim where
the opposing party has failed to state a claim on which relief can be granted. Maiden, supra at
119; MCR 2.116(C)(8). Only the pleadings are examined; documentary evidence is not
considered. Id. Where the claim is “so clearly unenforceable as a matter of law that no factual
development could possibly justify a right of recovery,” the motion should be granted. Id. A
motion pursuant to MCR 2.116(C)(10) is also reviewed de novo. Weymers v Khera, 454 Mich
639, 646-647; 563 NW2d 647 (1997).
The trial court determined that the claims were “strictly negligence” and not medical
malpractice claims because whether the caps should have been on was something the jury would
be able to understand. Specifically, the trial court stated:
I think with regards to the sterilization equipment whether caps are put on or not
per a manufacturer’s designation are something certainly within the common
knowledge of a jury. If it’s not properly connected as Foote is asserting it wasn’t
properly connected that’s not saying it was a medical judgment it’s a failure of
somebody not doing what they should have been doing or a failure to get the caps
from the manufacturer. I don’t know whose fault it is, it may not have been
Foote’s fault it may have been the manufacturer’s fault that led to the
5
A possibility is that if letters are used to notify the patients, perhaps defendant could include a
waiver form and indicate that if the patients do not opt out of the suit pursuant to MCR
3.501(A)(3) (“[c]lass members shall have the right to be excluded from the action”), their
relevant medical records will be subject to review. MCR 3.501(A)(3) states that people who do
not opt out are class members and also permits the court to “order them made parties to the
action.” Thus, if the individual does not opt out, technically, the individual is a party and
information is discoverable. Dorris, supra at 26. Alternatively, there are likely ways that notice
could be broadcast or published. As noted, we leave this determination to the trial court.
-15-
questionable sterilization. But no matter whose fault it is somebody’s negligent
with regard to not having those caps covering that water port and the inner inlet
port so the proper sterilization took place. So the caps weren’t on it’s a pure
matter of pure negligence and as far as I’m concerned it doesn’t provide fact of
medical judgment [sic]. The fact that Foote may take the manufacturer’s
recommendations and put the name Foote on it doesn’t make it into medical
judgment. And again, it’s no different than if they put water in instead of a
sterilization fluid. If someone negligently put in one instead of the other its
negligence it’s not a matter of medical judgment.
The trial court also held that plaintiffs could proceed with their claims for emotional distress, and
reasoned that the insertion of improperly sterilized endoscopes was a physical injury, which, in
turn, caused compensable emotional distress. Thus, the trial court denied defendant’s motion for
summary disposition on this count without prejudice, but noted that if defendant could establish
that there was no chance plaintiffs were exposed to a disease, it would revisit the issue.
Defendant claims that summary disposition should have been granted pursuant to MCR
2.116(C)(8) and (10) because plaintiffs’ claims were, in substance, allegations of malpractice,
and plaintiffs did not file notices of intent or provide affidavits of merit required under the
Revised Judicature Act, MCL 600.101, et seq., before filing suit. Upon review de novo, we
vacate the trial court’s finding that plaintiffs’ claim was one for strictly negligence rather than for
medical practice as this determination was not proper under MCR 2.116(C)(8) because the
allegations could support either and further discovery is needed to properly make the
determination. Beyond vacating this finding, at this point, we affirm the trial court’s denial of
summary disposition.
Defendant contends that plaintiffs’ claim is one for medical malpractice and that
plaintiffs cannot circumvent the medical malpractice requirements by filing a negligence claim.
If plaintiffs’ claim is in actuality a medical malpractice claim, the proper remedy for failure to
provide notice of intent to sue or file an affidavit of merit is dismissal without prejudice. Dorris,
supra at 47. Whether a claim must meet procedural requirements for medical malpractice
depends on whether the issues are “within the common knowledge and experience of the jury or,
alternatively, raise questions involving medical judgment.” Dorris, supra at 46. Common
knowledge is defined as a “fact that is so generally known that a court may accept it as true
without proof.” Black’s Law Dictionary (7th ed). An ordinary person does not have the
knowledge to determine whether a medical service meets the “standard of practice in the
community” without expert testimony. Wiley v Henry Ford Cottage Hosp, 257 Mich App 488,
492; 668 NW2d 402 (2003). Moreover, “[i]f a claim arises out of ‘professional judgment’ or a
‘professional relationship,’ then it involves malpractice, not ordinary negligence.” Stover v
Garfield, 247 Mich App 456, 463-464; 637 NW2d 221 (2001), reversed on other grounds 466
Mich 887 (2002); see also Simmons v Apex Drug Stores, 201 Mich App 250, 253; 506 NW2d
562 (1993), citing Bronson v Sisters of Mercy Health Corp, 175 Mich App 647, 652; 438 NW2d
276 (1989) (key to malpractice is whether negligence occurred during the professional
relationship).
We find that the trial court did not have a sufficient record to determine whether the
claim was based on medical malpractice or negligence. Further discovery regarding the
placement of the caps on Pentax endoscopes may establish that the claims in question are
-16-
actually medical malpractice claims rather than negligence claims. Because the patient
plaintiffs’ alleged that he or she sought the medical procedure, there seems a question could exist
whether the claims arise out of a professional relationship. Stover, supra at 463-464. And,
further discovery will allow the trial court to make a proper determination as to whether the
placement of caps on the Pentax endoscopes raises “questions involving medical judgment.”
Dorris, supra at 46. Upon review de novo, we affirm the trial court’s denial of defendant’s
motion for summary disposition, but vacate its finding that plaintiffs’ claims were strictly
negligence claims. We further note that issuance of this opinion does not preclude a motion for
or grant of summary disposition in the future based on MCR 2.116(C)(10). If the trial court
determines, upon further discovery, that plaintiffs’ claim is actually one for medical malpractice,
because plaintiffs failed to provide notice of intent or file affidavits of merit, their claims should
be dismissed. Dorris, supra at 47.6
IV
We find that the trial court did not clearly err in certifying or extending the class action
definition and affirm the trial court in this regard. In addition, we affirm the trial court’s denial
of defendant’s motion for summary disposition, which we note should not preclude a motion for
summary disposition pursuant to MCR 2.116(C)(10) after discovery. We vacate the trial court’s
finding that plaintiffs’ claims were strictly negligence claims rather than medical malpractice
claims as further discovery could establish that the claims are medical malpractice claims.
Affirmed in part, vacated in part and remanded for further proceedings consistent with
this opinion. We do not retain jurisdiction.
/s/ Kathleen Jansen
6
We note that defendant’s remaining issues are not properly before us yet, but, again, do not
preclude a future grant of summary disposition under MCR 2.116(C)(10) following discovery.
Defendant claims that the trial court should have granted summary disposition where plaintiffs
failed to allege an injury other than emotional distress. Our review of the record indicates that
each plaintiff pleaded each element of negligence. Summary disposition is generally not proper
pursuant to MCR 2.116(C)(10) where discovery has not started. Townsend v Chase Manhattan
Mortgage Corp, 254 Mich App 133, 140; 657 NW2d 741 (2002). Defendant also argues that
plaintiffs’ claims should be dismissed pursuant to MCL 600.2912a, because plaintiffs cannot
claim a “potential future injury” that has not occurred. Because this issue was not raised before
the trial court, we decline to address it on appeal. Booth Newspapers, Inc, v University of
Michigan Bd of Regents, 444 Mich 211, 234; 507 NW2d 422 (1993).
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