September 7th, 2007

NYC To Put Hospital Error Data Online

The New York City Health and Hospitals Corporation, which runs 11 city-owned hospitals, will start today to put data online on infection and death rates. The hospitals treat 1.3 million patients a year.

According to an article in the Metro section of today’s New York Times, the effort for greater transparency is driven by Mayor Michael Bloomberg as part of a public health initiative. It also comes due to an effort by the hospitals to improve patient safety. (See also, New York City Reports Lowest Number of Claims In 10 Years.)

This web site will allow the public to see, among other things, the overall death rate, the rate of deaths after heart attacks, preventable bloodstream infections and pneumonia cases.

The medical industry is not exactly known for its transparency when it comes to medical errors and poor outcomes. Which seems to put this initiative near the forefront of identifying, and hopefully treating, systemic problems within the institutions that have led to incalculable misery, death and medical malpractice lawsuits.

This initiative comes on the heels of the federal Centers for Disease Control and Prevention projecting that 1.7 million patients nationwide get infections each year during a hospital stay, and that of those, 99,000 would die. The centers estimate the cost of treating such infections at more than $30 billion a year.

It also comes on the heels of Medicare refusing to pay for the treatment of avoidable infections and other hospital-caused injuries. According to a Jacob Goldstein WSJ Health Blog posting earlier this week, with money on the line, hospitals have already responded by changing policies for the better.

All of which leads one to wonder: Is there a hospital health care revolution taking place?

More info at: The Committee to Reduce Infection Deaths

 

September 6th, 2007

Two Blogs, Almost Identical Names

It had to come up eventually: Two blogs with almost idential names, and the issue of what intellectual property rights bloggers have to those names.

Here they are:
The Angry Pharmacist (started two years ago); and
The Angriest Pharmacist (started seven months ago).

Needless to say, Angry is not too pleased with Angriest, who concedes, “I did happen upon his site and loved it…so, I semi-jacked the name.”

The original is (can you guess?) angry about the poaching of his or her name.

Complicating the issue for The Original Angry is that he uses a pseudonym. Assuming he could find out who Angriest is and bring a suit, how can he ever prove he was damaged?

Now intellectual property is not my long suit, but I am curious since the same thing can (and most likely will) happen in the legal blogosphere eventually, where use of real names is the norm. After all, there are about 1,000 legal blogs but about 1,000,000 lawyers in the country, and the future blawgosphere (for us less talented people who can’t create pithy names) could look something like this:

The Podunk Criminal Law Blog;
The Podunk Criminal Blog;
The Podunk Criminal Law Blawg;
The Podunk Criminal Law Legal Blog.

I toss this out there with the hope that someone, somewhere, might have a few thoughts on this…

(Hat tip to Monkey Girl).

 

September 5th, 2007

NY Child Killer Wants $15M Award Tossed — Decision May Have Wider Reprecussions

How much is too much when it comes to pain and suffering? While I have dealt with that subject before (see: How New York Caps Personal Injury Damages), New York’s Court of Appeals will re-visit today the issue in one of the saddest cases ever brought. And if they follow the law, they may be forced to reduce a compensatory damage award against a monstrous child killer.

The year was 1987 and now-disbarred lawyer Joel Steinberg beat his six-year old daughter Lisa to death. In 2004 the executor of Lisa’s estate procured a $15M judgment: $5 million for Lisa’s pain and suffering that day, $5 million for her pain and suffering as a battered child, and $5 million in punitive damages.

In a split decision from New York’s Appellate Division First Department in January 2007 that upheld the award from trial judge Louis York, Justice James Catterson, wrote for the majority as he bluntly summarized the case:

Joel Steinberg, the defendant-appellant, is a convicted child killer and abuser who fatally felled his six-year-old daughter with one blow of his hand, and then went out to dinner as she lay on a bathroom floor losing consciousness over the next eight to ten hours. He appeals now from a judgment that awarded damages against him for the pain and suffering he caused the little girl during her life, and in the tormented hours before her death.

Steinberg who appears pro se in this action complains, inter alia, that because the first-grader’s death was preceded by “at most eight hours of pain and suffering” and “quick loss of consciousness [emphasis supplied],” the award of $15 million in compensatory and punitive damages is excessive. We disagree, and in simply so stating acknowledge that sometimes words fail even those who use the language to render judgments on a daily basis.

In upholding the award, the Court specifically rejected its prior case law, with this rationale:

This case of an abusive father killing his child by knocking her down with a “staggering” blow to her head and then leaving her without medical attention while he enjoyed dinner and freebased cocaine is without precedential analog. Consequently, we find ourselves free to evaluate the award on the basis of “subjective opinions which are formulated without the availability, or guidance of precise mathematical quantification. [emphasis added]

The repercussions on New York law could be quite dramatic, unless the court rules (as it may try) that the facts of the conduct are so without precedent that even if the compensatory award is upheld, it could not be used on any other cases.

But wait! If New York’s high court goes that route, they have a major problem. As Justice James McGuire notes in a separate dissent:

In reviewing this award of compensatory damages, it is important to bear in mind that the outrageousness of appellant’s conduct is not a relevant factor.

He goes on from there to cite U.S. Supreme Court precedent:

“Although compensatory damages and punitive damages are typically awarded at the same time by the same decisionmaker, they serve distinct purposes. The former are intended to redress the concrete loss that the plaintiff has suffered by reason of the defendant’s wrongful conduct. See Restatement (Second) of Torts § 903, pp. 453-454 (1979); Pacific Mut. Life Ins. Co. v. Haslip, 499 U.S. 1, 54 [111 S.Ct. 1032, 113 L.Ed.2d 1] (1991) (O’Connor, J., dissenting). The latter, which have been described as ‘quasi-criminal,’ id. at 19 [111 S.Ct. 1032], operate as ‘private fines’ intended to punish the defendant and to deter future wrongdoing. A jury’s assessment of the extent of a plaintiff’s injury is essentially a factual determination, whereas its imposition of punitive damages is an expression of its moral condemnation” (Cooper Indus. v. Leatherman Tool Group, 532 U.S. 424, 432 [121 S.Ct. 1678, 149 L.Ed.2d 674] [2001] ).

And so there is, I think, the ultimate battle: On one side a huge award against a despised individual who did unspeakable acts. And on the other, a real issue that while punitive damages are to punish, compensatory damages are not supposed to take into account the nature of how the injury occurred. The bottom line: By considering the nature of the conduct for both punitive damages as well as compensatory damages, the court is allowing double-dipping. They are using the exact same conduct to justify two different awards.

This analysis of the extent of compensatory damages, by the way, brings me back to the September 11 lawsuits that I discussed yesterday, and the limited amount of damages that might be available to claimants. It seems likely that, if the compensatory award in Steinberg is upheld, claimants attorneys will attempt to cite it whenever possible in trying to uphold large awards, notwithstanding any caveat the court attempts to use in stating that this was a one-of-a-kind suit based on the reprehensible nature of the conduct.

Additional sources:

 

September 5th, 2007

New York City Reports Lowest Number of Claims In 10 Years

The New York City Comptroller’s Office reported that personal injury claims against the city have dropped to a 10-year low. This includes cases in the most expensive claims category, medical malpractice. From the Executive Summary of the report comes this:

In Fiscal Year 2005, the cost of claims totaled $529.8 million. In Fiscal Year 2006, the cost of claims totaled $496.4 million. This represents a decline of 10 percent and 16 percent respectively from the historic high of $589 million in Fiscal Year 2001.

The most remarkable part of the report was not all the facts and figures in the report, but that the city just created a new division regarding risk management (Can you believe the City didn’t already do this?):

The Risk Management Division focuses on City-wide loss prevention efforts and provides litigation support for the Comptroller’s Early Intervention Units. Most importantly, by reviewing the notices of claim filed with the Office, the Division seeks to identify patterns in claims at an earlier stage in order to implement risk prevention strategies.

After complaining for years about the high cost of the tort system, could the city actually be doing something about it by cleaning up their act (instead of blaming the victims)?

Regarding medical malpractice, the biggest of the cases, the report states about these new risk management units:

The units, handling carefully selected claims, strive to negotiate reasonable and fair settlements prior to extensive discovery and before expensive legal and expert witness fees have accumulated. The units also develop risk management and loss prevention programs from the information gathered through these cases.

Thus, the city’s management of the biggest of the cases is now changing, with a view toward earlier (and cheaper) resolution and preventive efforts for the future. It’s hard to believe this wasn’t done 20 years ago, but better late than never, especially for those that find themselves stuck in some of the city-owned hospitals.

A few of the bullet-pointed facts from the press release:

  • In FY 2006, the costliest personal injury claims category was medical malpractice, which cost the City $155.2 million for 293 cases. In FY 2005, the cost was $145.9 million for 327 cases.
  • 699 medical malpractice claims were filed in FY 2006, the lowest number in the last ten years. In FY 2005, 824 medical malpractice claims were filed. (See the chart on page 16 of the report)
  • The three hospitals for which the City paid the highest total amount for medical malpractice claims in FY 2006 were Kings County ($33.6 million), Elmhurst ($25.7 million), and Woodhull ($15.1 million).
  • Three hospitals (Elmhurst, Kings County and Queens) had increases in the number of medical malpractice claims filed from FY 2005 to FY 2006.
  • 1,351 personal injury motor vehicle accident claims were filed in FY 2006. This represents a decrease from the 1,396 claims filed in FY 2005.
  • In FY 2006, claim filings against the Health and Hospitals Corporation, the Department of Transportation, Department of Buildings, Department of Corrections, and the Department of Environmental Protection were the lowest for each of those agencies in the last ten fiscal years.

(Eric Turkewitz is a personal injury attorney in New York)

 

September 4th, 2007

America’s Newest Law Student – A Coney Island Freak

“Eak the Geek” starts law school today. After 15 years as Coney Island sideshow performer, where he specialized in eating nails, he starts today at Thomas M. Cooley Law School in Michigan, according to this report in AM New York.

Money quote: “I know it sounds weird, but I want to be a freak lawyer …I hope to have a little office in New York and work with the alternative people … all the so-called riff-raff, to give them legal representation that is not judgmental.”

And the good news is that he has a blog. OK, it’s on MySpace, but still, the potential is there for a new and unique window into the world of law.