whose death, in 2005, was allegedly caused in part by defendants’ failure, in 1998, toadminister a necessary dose of Rh immunoglobin. Id. at 378-80.This alleged negligence occurred in 1998, and was known to plaintiffs at that time,but plaintiffs did not file their lawsuit until 2007. Id. at 380. Defendants, relying on 42 Pa.C.S. § 5502(a), alleged that the applicable two-year statute of limitations for wrongful deathand survival actions began to run when the alleged negligent act had been done, in 1998.Id. at 382. Plaintiff countered, and the court agreed, that the specific language of 40 P.S. §1303.513(d) controlled over the general statutory language of 42 Pa. C.S. § 5524, andconsequently plaintiffs had properly commenced their wrongful death/survival actionwithin two years after the death of their child. Id. at 382. The Court also found that evenunder the more general statutory language to be found in the Judicial Code, Defendant’sstatute of limitations argument would not prevail. The Superior Court found that thesurvival claim did not begin to run until at the earliest, the child’s birth, and that as to thewrongful death claim, no pecuniary harm was present until the child’s death, and thesurvival claim brought on behalf of the child was not time-barred – meaning therefore thatneither was the wrongful death claim.(h)VenueSignificant changes have been enacted with respect to the propriety of venue in medicalmalpractice actions in Pennsylvania. First, the MCARE revised existing law regarding venue.Specifically, section 5101.1 of the Act relates to venue in medical malpractice actions. See 42P.S. § 5101.1. While previous venue principles essentially permitted an action to be filed in acounty in which any defendant conducted business or had sufficient contacts, Section 5101.1(b)specifically provides that a medical professional liability action may only be filed in the countyin which the cause of action arose. See id.The Pennsylvania Commonwealth Court has deemed 42 P.S. § 5101.1 unconstitutional.North-Central Pennsylvania Trial Lawyers Ass’n v. Weaver, 827 A.2d 550 (Pa. Commw. Ct.2003) (en banc). In North-Central, petitioners alleged that the provisions of Act 127, the act thatgave rise to Section 5101.1, violated Article V, Section 10(c) of the Pennsylvania Constitutionpertaining to the Supreme Court’s power to prescribe general procedural rules governingoperation of the courts. 827 A.2d at 558. The court held that Section 5101.1 was procedural innature because it affects the procedure by which the rights of an individual claiming an injurycaused by medical negligence may be effectuated but does not create, define, or regulatesubstantive rights. Id. Further, the court reasoned, in the absence of a countervailingconstitutional provision authorizing the legislature to act in regard to venue in a particular area,the matter of venue is committed to the exclusive authority of the Supreme Court pursuant toArticle V, Section 10(c). Id. at 559. Consequently, the court concluded that Act 127, to theextent that it purported to change the general rules about venue in medical professional liabilityactions, exceeded the authority of the legislature and was therefore unconstitutional. Id.The Superior Court, however, has declined to be bound by the Commonwealth Court’sholding in North-Central. Connor v. Crozer Keystone Health Sys., 832 A.2d 1112, 1116 n.3 (Pa.Super. 2003) (noting that the Superior Court is not bound by any decision of the CommonwealthCourt and declining to further address the constitutionality of 42 P.S. § 5101.1).102
Secondly, as noted above, the Pennsylvania Rules of Civil Procedure have recently beenrevised to conform to the General Assembly’s changes set forth in MCARE. Rule 1006, relatingto change of venue, provides that a medical malpractice action may be brought against a healthcare provider only in a county in which the cause of action arose. See Pa. R. Civ. P. 1006(a.1).Moreover, the revisions provide that if an action to enforce a joint or joint and several liabilityclaim against two or more defendants includes one or more medical malpractice claims, theaction must be brought in any county in which venue may properly be laid against any defendantunder subdivision (a.1). See Pa. R. Civ. P. 1006(c)(2). Further, Section (f)(2) of the rulestipulates that if one or more of the causes of action stated against the same defendant is amedical malpractice claim, the action must be brought in a county required by subdivision (a.1).See Pa. R. Civ. P. 1006(f)(2). The revisions to Rule 1006 as applied to individual defendants areincorporated into the following other Rules of Civil Procedure: 2130 (Partnerships as Parties);2156 (Unincorporated Associates as Parties); 2179 (Corporations and Similar Entities as Parties).See Pa. R. Civ. P. 2130, 2156, 2179. Significantly, the Commonwealth Court, in holding Section5101.1 unconstitutional, made no ruling concerning the constitutionality of the amended Pa. R.Civ. P. 1006. See North-Central Pennsylvania Trial Lawyer’s Ass’n v. Weaver, 827 A.2d 550(Pa. Commw. Ct. 2003) (en banc). See also Forrester v. Hanson, 901 A.2d 548, 552 n.3 (Pa.Super. 2006).By an Amendatory Order dated March 3, 2003, the Pennsylvania Supreme Court ruledthat Pa. R. Civ. P. 1006 “shall apply to medical professional liability actions filed on or afterJanuary 1, 2002 and not to such action filed prior to that date.”(i)RemittiturWhere a health care provider challenges a verdict on the basis of its excessiveness,MCARE establishes a standard for the court’s evaluation of the challenge. 40 P.S. § 1303.515.The trial court shall consider whether the health care provider’s satisfaction of the verdict willimpact the availability of the community’s access to medical care. 40 P.S. § 1303.515(b). If it isdetermined that the verdict results in a limitation of the community’s availability to healthcare,then the trial court may reduce award accordingly. Id. If the trial court has not adequatelyconsidered the impact of paying the verdict upon availability and access to health care in thecommunity in denying remittitur, an appellate court can find that the trial court abused itsdiscretion. 40 P.S. § 1303.515(c). Also, a trial court or appellate court may limit or reduce theamount of the security that the defendant health care provider must post to prevent execution ifthe court finds that requiring a bond in excess of the insurance policy limits would effectivelydeny defendant’s right to an appeal. 40 P.S. § 1303.515(d).(j)Ostensible AgencyMCARE modifies Pennsylvania’s doctrine of ostensible agency for causes of actionarising after the Act’s effective date. Under pre-MCARE case law, plaintiffs were required tosatisfy two factors before they could establish a cause of action against a healthcare institutionunder the ostensible agency theory, even where the alleged offending physician was not amember of the staff of the healthcare institution. First, plaintiffs must show that they looked tothe health care institution as opposed to the individual physician, and that the institution “heldout” the physician as its employee. Under MCARE, however, a healthcare provider can be held103
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EMTALA CASES ......................
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Filing an Affidavit of Non-Involvem
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II.PROFESSIONAL LIABILITY - AN OVER
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The Superior Court reversed the tri
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to a third party pursuant to the st
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After approximately five months, De
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learned the day after the surgery t
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conduct to the delay in colon cance
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court admitted the expert’s testi
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(b)(c)other reasonable causes, incl
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corroborated his testimony. The cou
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husband’s estate. Plaintiff alleg
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Other notable federal cases arising
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The Superior Court found that in re
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§ 1303.512(b). The court, however,
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In Neidig v. United States, No. 07-
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Additionally, the Supreme Court not
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were not indicated for her conditio
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surgeon is the same as it would be
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It should be noted that the Superio
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Finally, the court held that the tr
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The Supreme Court of Pennsylvania r
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nurses deviating from applicable st
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certainty, the court reviews expert
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Under Pennsylvania law, the Court n
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testimony, Defendant presented his
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Following Cooper v. Roberts, 286 A.
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considered speculative “only if t
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underlying cause of action involved
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In Capital Care Corp., the Superior
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The court found, however, to state
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of reasonable diligence. The standa
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not be set aside. On July 7, 2005,
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complete bar to recovery. Since a l
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On appeal, Plaintiffs claimed that
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In Liggon-Redding, 659 F.3d at 265,
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elieved of those minimum standards
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elevant to the proceedings, the com
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establish professional misconduct b
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Upholding the Superior Court’s Or
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Id.Rejecting revocation and suspens
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order as a sanction under Rule 4019
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