Humble Surgical Hospital LLC v. Christy L. Traynor ( 2015 )


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  •                                                                                       ACCEPTED
    01-15-00718-CV
    FIRST COURT OF APPEALS
    HOUSTON, TEXAS
    12/14/2015 11:40:32 PM
    CHRISTOPHER PRINE
    CLERK
    NO. 01-1500718-CV
    FILED IN
    1st COURT OF APPEALS
    In The First District Court of Appeals        HOUSTON, TEXAS
    Houston, Texas                12/14/2015 11:40:32 PM
    CHRISTOPHER A. PRINE
    Clerk
    HUMBLE SURGICAL HOSPITAL L.L.C., HUMBLE SURGICAL
    HOSPITAL SERVICES, L.L.C., HUMBLE SURGICAL HOLDINGS, L.L.C.,
    HOUSTON HUMBLE SURGICAL, P.L.L.C., HUMBLE SPINE SURGERY,
    P.L.L.C.,
    Appellant,
    v.
    CHRISTY L. TRAYNOR,
    Appellee.
    On Appeal from Cause No. 1044724
    in the County Court of Law No. 2, Harris County, Texas
    APPELLEE’S BRIEF
    HOULETTE & GRAY, P.L.L.C.
    Jacqueline M. Houlette
    State Bar No. 00787718
    440 Louisiana, Suite 900
    Houston, Texas 77002
    Telephone: (713) 236-7740
    Facsimile: (713) 583-3010
    E-mail: jhoulette@houlette-gray.com
    ORAL ARGUMENT REQUESTED
    i
    REQUEST FOR ORAL ARGUMENT
    Appellee requests oral argument. See Tex. R. App. 39.1.
    ii
    TABLE OF CONTENTS
    REQUEST FOR ORAL ARGUMENT ................................................................ ii
    TABLE OF CONTENTS ...................................................................................... iii
    INDEX OF AUTHORITIES ................................................................................ iv
    ISSUES PRESENTED .......................................................................................... vi
    STATEMENT OF FACTS .................................................................................... 8
    SUMMARY OF THE ARGUMENT .................................................................... 9
    STANDARD OF REVIEW .................................................................................. 10
    ARGUMENTS AND AUTHORITIES ............................................................... 11
    CONCLUSION AND PRAYER .......................................................................... 24
    iii
    INDEX OF AUTHORITIES
    Cases
    Am. Transitional Care Ctrs. of Tex., Inc. v. Palacios,
    
    46 S.W.3d 873
    , 878 (Tex. 2001). .............................................................. 10, 19, 24
    Baylor All Saints Med. Ctr. v. Martin,
    
    340 S.W.3d 529
    , 534 (Tex. App.—Fort Worth, 2011, no pet.)............................ 20
    Bowie Mem'l Hosp. v. Wright,
    
    79 S.W.3d 48
    , 52 (Tex. 2002) ............................................................................... 10
    Certified EMS, Inc., v. Potts,
    
    392 S.W.3d 625
    , 632 (Tex. 2013) ................................................................... 22, 23
    Christus Spohn Health System Corp. v. Sanchez,
    
    299 S.W.3d 868
    , 877 (Tex. App.—Corpus Christi, pet. denied.) ......................... 
    21 Gray v
    . CHCA Bayshore L.P.,
    
    189 S.W.3d 855
    , 858 (Tex. App.—Houston [1st Dist.] 2006, no pet.) ................. 11
    Keo v. Vu,
    
    76 S.W.3d 725
    , 732 (Tex. App. —Houston [1st Dist.] 2002) ............................... 14
    Packard v. Guerra,
    
    252 S.W.3d 511
    (Tex. App.—Houston [14th Dist.] 2008) ................................... 12
    Pediatrix Med. Grp., Inc., v. Robinson,
    
    352 S.W.3d 879
    , 884 (Tex. App.—Dallas 2011, no pet.) ..................................... 13
    Rittger v. Danos,
    
    332 S.W.3d 550
    , 558 (Tex. App.—Houston [1st Dist.] 2009, no pet.) ................. 14
    Tawa v. Gentry,
    01-12-00407-CV, 
    2013 WL 1694869
    , at *5 (Tex. App.—Houston [1st Dist.] Apr.
    18, 2013, no pet.) ............................................................................... 13, 14, 18, 19
    iv
    Taylor v. Christus Spohn Health Sys. Corp.,
    
    169 S.W.3d 241
    , 244 (Tex. App.—Corpus Christi 2004, no pet.) ........................ 
    10 Walker v
    . Gutierrez,
    
    111 S.W.3d 56
    , 62 (Tex. 2003) ............................................................................. 10
    Statutes
    Tex. Civ. Prac. & Rem Code § 74 ..................................................................... vi, 
    23 Tex. Civ
    . Prac. & Rem Code § 74.351 ................................................................. 8, 
    9 Tex. Civ
    . Prac. & Rem Code § 74.351 (i)......................................................... 11, 
    12 Tex. Civ
    . Prac. & Rem Code § 74.402 ............................................................. 13, 17
    Rules
    Tex. R. App. 39.1 ..................................................................................................... ii
    Tex. R. App. P. 9.4 ................................................................................................. 25
    v
    ISSUES PRESENTED
    Whether the trial court erred when it refused to dismiss this action based on
    Appellant’s objections under Chapter 74 of the Texas Civil Practice & Remedies
    Code.
    The trial court did not err when it denied Appellant’s Motion to Dismiss
    because:
    a.     The expert reports and curriculum vitae of Priscilla Ray, M.D. and
    Cathy L. Miller, R.N., Ph.D. establish that both are qualified to opine
    on Appellant’s standard of care in this case;
    b.     The expert reports of Priscilla Ray, M.D. and Cathy L. Miller, R.N.,
    Ph.D. inform the Appellant of the specific conduct that Traynor has
    called into question and provide a basis for the trial court to conclude
    that the claims have merit.
    c.     The expert reports of Priscilla Ray, M.D. and Cathy L. Miller, R.N.,
    Ph.D. establish the bases for their opinions that Appellant is culpable
    in this case based on a direct theory of liability as well as vicarious
    liability.
    d.     The expert report of Dr. Cathy L. Miller provides information as to
    how Appellant’s lack of adequate policies and procedures was a
    substantial factor in causing Traynor’s injuries.
    e.     Appellant cannot limit, as a matter of law, Traynor’s basis for
    vicarious liability based solely on its interpretation of Traynor’s
    allegations.
    vi
    NO. 01-1500718-CV
    In The First District Court of Appeals
    Houston, Texas
    HUMBLE SURGICAL HOSPITAL L.L.C., HUMBLE
    SURGICAL HOSPITAL SERVICES, L.L.C., HUMBLE SURGICAL
    HOLDINGS, L.L.C., HOUSTON HUMBLE SURGICAL, P.L.L.C.,
    HUMBLE SPINE SURGERY, P.L.L.C.,
    Appellant,
    v.
    CHRISTY L. TRAYNOR,
    Appellee.
    On Appeal from Cause No. 1044724
    in the County Court of Law No. 2, Harris County, Texas
    APPELLEE’S BRIEF
    TO THE HONORABLE COURT OF APPEALS:
    COMES NOW, Christy L. Traynor (“Appellee” or “Traynor”), Appellee in
    the above-entitled and numbered appeal and submits this her Appellee’s Brief in
    response to the brief filed by Appellant, Humble Surgical Hospital L.L.C., Humble
    Surgical Hospital Services, L.L.C., Humble Surgical Holdings, L.L.C., Houston
    Humble Surgical, P.L.L.C., Humble Spine Surgery, P.L.L.C. (“Appellant”).
    7
    Traynor requests this court affirm the decision of the County Court of Law No. 2
    of Harris County, Texas, denying Appellant's Motion to Dismiss under Section
    74.35l of the Texas Civil Practice and Remedies Code, and in support thereof,
    would respectfully show this Court as follows:
    STATEMENT OF FACTS
    On December 19, 2011, Christy L. Traynor (“Traynor”) underwent back
    surgery at Humble Surgical Hospital (“Appellant”). (CR 3).That night as she
    recovered, she was under the care of Humble Surgical Hospital and its employee,
    Nurse Kelly Bunyard. During the course of the night following her surgery, Nurse
    Kelly Bunyard entered Ms. Traynor’s room repeatedly and fondled and groped Ms.
    Traynor. (CR 53). Ms. Traynor filed this lawsuit on March 6, 2014, asserting
    negligence claims against Nurse Kelly Bunyard and his employer, the Appellant.
    (CR 4). Traynor asserted both direct and vicarious liability claims against
    Appellant. (CR 6-7). With regard to her claims against Appellant, Traynor has
    brought a direct cause of action against Appellant for the following:
    (a) Failing to properly hire and retain the nursing care provided to Plaintiff;
    (b) Failing to properly supervise the nursing care provided to Plaintiff;
    (c) Failing to monitor the nursing care provided to Plaintiff; and
    (d) Failing to properly treat the Plaintiff.
    (CR 6-7).
    8
    In addition, Ms. Traynor has brought a case against Appellant for vicarious
    liability, asserting that:
    Defendants are vicariously liable for the acts or omissions of their
    respective employees and agents who were employed by or in agency
    or contractual relationship with them all times material hereto and
    Plaintiff hereby invokes the doctrines of agency, ostensible agency
    and/or agency by estoppel with respect to those relationships.
    (CR 6-7).
    Traynor timely served expert reports upon Appellant on August 26, 2014, to
    satisfy § 74.351 requirements. Appellant objected to Traynor’s expert reports and
    moved to dismiss the case. (CR 172-73). The Court then granted Traynor a thirty
    day extension of time for Traynor to cure the alleged deficiencies in Traynor’s
    expert reports. (CR 34).
    Traynor subsequently filed amended expert reports, which included the
    January 10, 2015, report of Cathy L. Miller, R.N., Ph.D. and the December 22,
    2014 and January 12, 2015, reports of Priscilla Ray, M.D. (CR 78-165). Appellant
    again objected to the sufficiency of the reports and moved to dismiss the case.
    The trial court denied that motion, which led to this appeal.
    SUMMARY OF THE ARGUMENT
    Traynor has served Appellant with expert reports of Cathy L. Miller, R.N.,
    Ph.D. and Priscilla Ray, M.D. that meet the requirements of Chapter 74.
    9
    The expert reports and attached curricula vitae identify each expert’s
    qualifications. Dr. Miller and Dr. Ray identify the standard of care applicable to
    Nurse Bunyard, and his conduct which clearly breached that standard. Dr. Miller
    identifies the standard of care of the Appellant’s hospital at which Bunyard
    worked, and the conduct which breached that standard of care. Dr. Ray identifies
    and explains how the above-referenced breaches of duty proximately caused the
    injuries sustained by Traynor.
    STANDARD OF REVIEW
    A trial court's decision on a motion to dismiss under section 74.351 of the
    Civil Practice and Remedies Code is reviewed for abuse of discretion. Am.
    Transitional Care Ctrs. of Tex., Inc. v. Palacios, 
    46 S.W.3d 873
    , 878 (Tex. 2001).
    The trial court abuses its discretion only if it acts unreasonably or arbitrarily or
    without reference to any guiding rules or principles. Walker v. Gutierrez, 
    111 S.W.3d 56
    , 62 (Tex. 2003). The trial court's ruling is arbitrary and unreasonable
    only if “the appellant establishes that the trial court could reasonably have reached
    only one decision.” Taylor v. Christus Spohn Health Sys. Corp., 
    169 S.W.3d 241
    ,
    244 (Tex. App.—Corpus Christi 2004, no pet.).
    When reviewing matters committed to the trial court's discretion, an
    appellate court may not substitute its own judgment for that of the trial court.
    Bowie Mem'l Hosp. v. Wright, 
    79 S.W.3d 48
    , 52 (Tex. 2002). A trial court does not
    10
    abuse its discretion merely because it decides a discretionary matter differently
    than an appellate court would in a similar circumstance. Gray v. CHCA Bayshore
    L.P., 
    189 S.W.3d 855
    , 858 (Tex. App.—Houston [1st Dist.] 2006, no pet.).
    ARGUMENTS AND AUTHORITIES
    A. Plaintiff’s Expert Reports Must Be Considered in the Aggregate
    Appellant attempts to suggest that the Court erred in denying its Motion to
    Dismiss because of alleged deficiencies in each expert report served by Traynor,
    suggesting each report has to independently meet all of the law’s required elements
    regarding liability and causation. This is simply not the law. The Texas Medical
    Liability Act requires that all of the expert reports and all of the experts’
    curriculum vitae be cumulatively considered when evaluating reports for
    sufficiency. TEX. CIV. PRAC. & REM CODE § 74.351 (i).            The statute is clear
    regarding this culmination, stating:
    (i) Notwithstanding any other provision of this section, a claimant
    may satisfy any requirement of this section for serving an expert
    report by serving reports of separate experts regarding different
    physicians or health care providers or regarding different issues
    arising from the conduct of a physician or health care provider, such
    as issues of liability and causation. Nothing in this section shall be
    construed to mean that a single expert must address all liability and
    causation issues with respect to all physicians or health care
    providers or with respect to both liability and causation issues for a
    physician or health care provider.
    TEX. CIV. PRAC. & REM CODE § 74.351 (i).
    11
    All of Traynor’s reports must be taken together in determining the liability
    and causation of any one Defendant. All of Dr. Ray’s reports, curriculum vitae,
    and supplements must be aggregated with all of Dr. Miller’s expert reports,
    curriculum vitae and supplements in order to meet the minimum Chapter 74 expert
    report requirements Put simply, the statute allows Dr. Miller and/or Dr. Ray to
    opine regarding the standard of care, its breach, and the actions which each
    Defendant should have taken to prevent that breach and then allow Dr. Ray to
    discuss how that breach caused injury to Traynor and the resulting damages. No
    single report must contain each and every element.
    Any attempt by Appellant to individually parse each particular component of
    each expert report rather than considering them in the aggregate must fail under §
    74.351 (i) above. When evaluating Chapter 74 expert reports, all reports must ne
    considered in the aggregate to determine whether a party has met the statutory
    requirements. Packard v. Guerra, 
    252 S.W.3d 511
    (Tex. App.—Houston [14th
    Dist.] 2008).
    B. Christy Traynor’s expert reports reflect that Dr. Ray and Dr. Miller
    are qualified to render expert opinions on Appellant’s conduct in this
    case
    Section 74.402 of the Texas Medical Liability Act states:
    (b) In a suit involving a health care liability claim against a health care
    provider, a person may qualify as an expert witness on the issue of
    12
    whether the health care provider departed from accepted standards of
    care only if the person:
    (1) is practicing health care in a field of practice that involves
    the same type of care or treatment as that delivered by the
    defendant health care provider, if the defendant heath care
    provider is an individual, at the time the testimony is given or
    was practicing that type of health care at the time the claim
    arose;
    (2) has knowledge of accepted standards of care for health care
    providers for the diagnosis, care, or treatment of the illness,
    injury, or condition involved in the claim; and
    (3) is qualified on the basis of training or experience to offer an
    expert opinion regarding those accepted standards of health
    care.
    Tex. Civ. Prac. & Rem Code § 74.402. [NOTE: Section 74.402(b)(1) is not
    applicable since Defendant Humble Surgical Hospital is not an individual as is
    required by the statute.]
    As established in Tawa v Gentry, in assessing an expert’s qualifications,
    “The relevant issue is not the physician’s area of practice but the stated familiarity
    with the issues involved in the claim before the court.” Tawa v. Gentry, 01-12-
    00407-CV, 
    2013 WL 1694869
    , at *5 (Tex. App.—Houston [1st Dist.] Apr. 18,
    2013, no pet.) (citing Pediatrix Med. Grp., Inc., v. Robinson, 
    352 S.W.3d 879
    , 884
    (Tex. App.—Dallas 2011, no pet.)). “Where a particular subject of inquiry is
    common to and equally developed in all fields of practice, and the prospective
    medical expert witness has practical knowledge of what is usually and customarily
    13
    done by a practitioner charged with malpractice, the witness is qualified to testify.”
    
    Id. at *7
    (emphasis added) (citing Rittger v. Danos, 
    332 S.W.3d 550
    , 558 (Tex.
    App.—Houston [1st Dist.] 2009, no pet.)). Such is the case here where the conduct
    at issue so clearly falls outside the standard of care.
    Courts use a common sense approach to determine whether an expert is
    qualified as to the familiarity of the “field of practice.” Keo v. Vu demonstrates the
    common sense approach to be used in considering the “field of practice” by the
    expert witness. Keo states:
    Courts of appeals have also recognized that an expert witness
    need not be a specialist in the particular branch of the medical
    profession for which the testimony is offered. See Hernandez v.
    Altenberg, 
    904 S.W.2d 734
    , 738 (Tex. App.—San Antonio 1995, writ
    denied); Simpson v. Glenn, 
    537 S.W.2d 114
    , 116 (Tex. Civ. App.—
    Amarillo 1976, writ ref'd n.r.e.). Indeed, trial courts may qualify a
    medical witness of a different specialty to testify if the witness has
    practical knowledge of what is usually and customarily done by
    other practitioners under circumstances similar to those confronting
    the malpractice defendant. 
    Blan, 7 S.W.3d at 745
    ; see Marling v.
    Maillard, 
    826 S.W.2d 735
    , 740 (Tex. App.—Houston [14th Dist.]
    1992, no writ) (citing Bilderback v. Priestley, 
    709 S.W.2d 736
    , 740
    (Tex. App.—San Antonio 1986, writ ref'd n.r.e.)).
    Keo v. Vu, 
    76 S.W.3d 725
    , 732 (Tex. App. —Houston [1st Dist.] 2002) (emphasis
    added).
    14
    1. Dr. Cathy L. Miller has set forth her qualifications to render an
    opinion in this case
    Doctor Miller’s qualifications are evident within the four corners of her
    expert report as well as her curriculum vitae. In the second sentence of Dr. Miller’s
    report she states as follows:
    “I am qualified to render expert opinion on the standard of care
    required of nurses in the medical setting in addition to those
    experiencing sexual assault. I hold a PhD in Nursing. I have 20
    years’ experience as an emergency department, level 1 trauma,
    CVICU, and critical care flight nurse, and multiple administrative
    positions such as Director over multiple units in addition to adult and
    pediatric Sexual Assault Nurse Examiner didactic certificates.
    Furthermore, I have 6 years’ experience in Baccalaureate and
    Graduate level nursing education. Past positions held include
    director, assistant director, lecturer, assistant clinical professor, and
    flight nurse. My current position is as an Adjunct Lecturer at a private
    school of nursing. I have published twice in a peer reviewed scholarly
    journals on emergency nursing care of sexual assault victims and
    psychological complex trauma. I have presented on these topics both
    nationally and internationally.”
    (CR 115).
    Dr. Miller’s curriculum vitae reflects her skill, knowledge, training and
    experience, including:
    1) Clinical Instructor, August 2011-August 2012
    a. University of Texas Health Science Center San Antonio School of
    Nursing
    b. San Antonio, Texas
    c. Courses: Adult 1: Clinical Instructor Disease Management III
    2) Clinical Assistant Professor, August 2010-August 2011
    Texas A&M University-Corpus Christi, Corpus Christi, TX
    a. Courses: Fundamentals of Nursing Practice
    15
    i.   Clinical Instructor-Medical Surgical Nursing II
    ii.   Clinical Instructor-Fundamentals in Nursing
    iii.   Burn/Trauma Guest Lecturer
    iv.    Coordinator Drug Calculations Exam Program
    3) Adjunct Assistant Clinical Professor, August 2009-August 2010
    Texas A&M University-Corpus Christi, Corpus Christi, TX
    a. Courses: Clinical Instructor-Fundamentals of Nursing Practice
    i. Health Assessment-Lab Instructor
    4) House Supervisor, March 2008-July 2009
    Kindred Hospital, Corpus Christi, TX
    5) Staff RN-CVICU, January 2007-March 2008
    Doctors Regional Medical Center, Corpus Christi, TX
    6) Coordinator-Emergency Department, June 2004-April 2005
    Driscoll Children’s Hospital, Corpus Christi, TX
    7) Director- Emergency Department, Outpatient Surgery, and CVICU
    a. October 2003-June 2004 TexSan Heart Hospital, San Antonio, TX
    8) Staff RN- Emergency Department-June 2001-October 2003
    a. University Medical Center, San Antonio, Texas
    (CR 108-110).
    Dr. Miller’s qualifications are evident from both her expert report as well as
    her curriculum vitae. She details her experience as a nurse and as a nursing
    supervisor.
    In addition, Dr. Miller elaborated on her qualifications to issue opinions
    regarding Defendant Humble Surgical Hospital, stating:
    “I am qualified to render these observations based on a doctoral
    level of education with extensive knowledge of nursing best practices
    16
    as well as having been published in peer review nursing journals on
    the topics of sexual assault and psychological complex trauma. My
    20 years of clinical and administrative experience including
    experience as Director over multiple acute care units, House
    Supervisor over multiple hospital campuses and having been the
    immediate supervisor to over 200 nurses at one time qualifies me to
    render these observations, citations of Texas Board Nursing rules and
    regulations, and breaches in standards of care in nursing.”
    (CR 115).
    2. Dr. Priscilla Ray has set forth her qualifications to render an opinion in
    this case
    Dr. Ray’s qualifications contained on the curriculum vitae include, but are
    not limited to:
    1. Board certified since 1980 by the American Board of
    Psychiatry and Neurology;
    2. Medical Director, Methodist Hospital Psychiatry Unit for
    the last six years;
    3. St. Luke’s Episcopal Hospital Vice Chairman Credential’s
    Committee;
    4. Baylor College of Medicine – Associate Professor of
    Psychiatry
    5. University of Texas Health Science Center – Clinical
    Associate Professor
    (CR 79-81).
    As the current Medical Director, Psychiatry Unit, at The Methodist Hospital,
    she fully understands and interacts with the workings of the entire department—
    including the nursing staff. Dr. Ray fully meets the requirements of §74.402 as she
    17
    manages, guides, and/or orders the entire medical staff at her unit including the
    nursing staff. As such, she is qualified to “opine” about the standard of care.
    Further, Dr. Ray clearly establishes in her report that she is qualified to
    testify as to a nurses conduct based on the fact she has “worked as a physician in
    hospitals, including General/Medical-Surgical hospitals, for over 35 years. I am
    generally familiar with the standards for nurses in caring for patients in terms of
    behavior and deportment.”
    Appellant relies on Tawa as binding authority to suggest a physician is not
    qualified to “opine” on the standard of care for a non-physician. Through
    Defendants’ “extension” and not the Court’s, Defendants would apply this
    statement to all non-physicians. Unfortunately, Defendants fail to inform this
    Court that Tawa quotes from Christus Health Southeast Texas and concerns a
    physician attempting to “opine about the hospital’s decisions related to the
    complainant’s discharge from long-term care.” Tawa v. Gentry, No. 01-12-00407,
    
    2013 WL 1684869
    (Tex. App.—Houston [1st Dist.] Apr. 18, 2013, no pet.).
    Specifically, Tawa involves the hierarchy of administrative decisions to “prevent
    implementation of another physician’s order.” 
    Id. The case
    at hand is clearly
    distinguishable as it involves a Doctor commenting on the breach of care involved
    in a nurse’s care of a patient.
    18
    B. Christy Traynor’s expert’s opinions are not conclusory and
    meet the requirements of Chapter 74
    Pursuant to Tawa, a proper expert report must (1) inform Defendants of the
    specific conduct that the plaintiff has called into question; and (2) provide a basis
    for the trial court to conclude that the claims have merit. See Tawa v. Gentry, 01-
    12-00407-CV, 
    2013 WL 1694869
    , at *2 (Tex. App.—Houston [1st Dist.] Apr. 18,
    2013, no pet.) (citing Am. Transitional Care Centers of Texas, Inc. v. Palacios, 
    46 S.W.3d 873
    , 879 (Tex. 2001)).
    In this case, Dr. Miller identifies the standard of care applicable to Nurse
    Bunyard, Appellant’s employee, and identifies his breaches in that regard. In doing
    so, she cites, in part, to the Texas Board of Nursing Nurse Practice Act. (CR 113-
    114). In addition, she opines on the conduct of the Appellant and its lack of
    policies and procedures. She identifies with specificity the Appellant’s conduct of
    which she complains as follows;
    1. The organizations were negligent in adequately screening applicants prior
    to hire as evidenced by lack of pre-hire comprehensive background
    check.
    2. The organizations were negligent in adequately training staff on sexual
    misconduct, reporting and prevention as evidence by a lack of employee
    handbook or other training materials prior to the date of incident;
    3. The organizations failed to have policy and procedures in charge for the
    supervision of nursing care as evidence by no record of charge nurse or
    hose supervisor rounding on Ms. Traynor.
    19
    4. The organization filed to have adequate policy and procedures in place of
    the monitoring of telemetry patients, as evidenced by Ms. Traynor being
    off monitor for 30 minutes or more. The removal of Ms. Traynor from
    the telemetry monitor coinciding with the time of the nurses’’ hourly
    rounding documentation as evidenced by a) no rhythm strip in medical
    records for the time and b) “0” showing on the vital signs systems
    generated vital signs record.
    (CR 116-117).
    Dr. Miller’s expert report explains the standard of care and the basis for her
    opinions and supports her opinion with facts regarding Appellant’s actions.
    Appellant relies on Baylor All Saints Medical Center v. Martin, to suggest
    that Dr. Miller’s report is insufficient. That expert report at issue in that case,
    however, is distinguishable. In that case, which also involved a patient who was
    the subject of mistreatment while recovering from surgery, the expert report under
    scrutiny offered no detail. Specifically, in that case, the expert report stated simply
    that “Baylor was expected to adhere to “specific standards of care” for its patients
    that there must be policies in place to safeguard patients from assault including
    employing a sufficient number of security personal [sic] to insure that no
    unauthorized persons assault patients and training staff to identify persons not
    authorized to enter patients room and prevent them from doing so.” Baylor All
    Saints Med. Ctr. v. Martin, 
    340 S.W.3d 529
    , 534 (Tex. App.—Fort Worth, 2011,
    no pet.). The court held that the report was insufficient because it did not establish
    what specific polices and safeguards should have been in place. 
    Id. at 534.
    20
    On the other hand, in yet another similar case involving a patient who was
    the victim of sexual misconduct by a nurse while recovering from surgery, the
    court found that an expert report that stated the hospital “[f]ailed to provide
    adequate supervision to the CNA [DeJesus] and the RN [Njoh], [f]ailed to protect
    Ms. Sanchez from sexual harassment and sexual abuse, and [f]ailed to provide
    safety to Ms. Sanchez in her immediate post operative [sic] when the CNA lifted
    Ms. Sanchez up and began dancing with her” met the Chapter 74 standards. See
    Christus Spohn Health System Corp. v. Sanchez, 
    299 S.W.3d 868
    , 877 (Tex.
    App.—Corpus Christi, pet. denied.).
    In this case, Dr. Miller has identified five specific acts or omissions of
    Appellant of which she complains. Accordingly, the report meets the requirements
    of Chapter 74.
    C. Traynor is not Required to Provide an Expert Report for Each
    Pleaded Liability Theory
    Appellant argues that the Court erred in declining to dismiss this case based
    on Appellant’s allegation that Traynor has not provided an expert report on each
    theory of liability pled in her petition against Appellant. This argument fails for
    two reasons. First, Traynor has offered expert opinions on both direct liability and
    vicarious liability against Appellant. Second, even if she had not, or if one of those
    opinions were to be found insufficient, the Texas Supreme Court has ruled that
    “when a health care liability claim involves a vicarious liability theory, either alone
    21
    or in combination with other theories, an expert report that meets the statutory
    standards as to the employee is sufficient to implicate the employer’s conduct
    under the vicarious theory. And if any liability theory has been adequately
    covered, the entire case may proceed.” Certified EMS, Inc., v. Potts, 
    392 S.W.3d 625
    , 632 (Tex. 2013) (emphasis added).
    In Potts, which involved claims placed against both the employee and
    employer in a health care liability claim stated “[n]o provision of the Act requires
    an expert report to address each alleged liability theory.” 
    Id. 631. Potts
    opined on
    the Legislature’s intent and this State’s application of the Texas Medical Liability
    Act. Specifically, “[i]f a health care liability claim contains at least one viable
    liability theory, as evidenced by an expert report meeting the statutory
    requirements, the claim cannot be frivolous. The Legislature’s goal was to deter
    baseless claim, not to block earnest ones.” 
    Id. (emphasis added).
    Potts involved the exact same fact set contained in the present cause—a
    nurse who sexually molested a patient and a responsible hospital. The Defendant
    unsuccessfully argued that the “reports omitted any explicit reference to [their]
    direct liability for [the nurse’s] conduct.” 
    Id. The Texas
    Supreme Court stated that
    “[t]o require an expert report for each and every theory would entangle the court
    and the parties in collateral fights about intricacies of pleadings rather than the
    merits of a cause of action, creating additional expense and delay as trial and
    22
    appellate courts parse theories that could be disposed of more simply through other
    means as the case progresses.” 
    Id. (citing Scoresby
    v. Santillan, 
    346 S.W.3d 546
    ,
    556 (Tex. 2011) (applying a lenient standard to cure a deficient report, noting that
    approach avoids the expense and delay of multiple interlocutory appeals and
    assures a claimant a fair opportunity to demonstrate that his claim is not frivolous).
    Appellant attempts to argue, briefing the issue for the first time in this
    appeal, that Traynor is not entitled to assert a claim for vicarious liability against
    Appellant, therefore the Court should ignore expert opinions in that regard. In
    doing so, Appellant attempts to entangle the court in the very sort of collateral fight
    described by the Texas Supreme Court in Potts. Asserting a summary judgment
    argument regarding vicarious liability, before discovery has even begun, is
    premature and inappropriate. The fact of the matter is that the issue of whether
    vicarious liability will ultimately succeed is not before this Court. According to
    Chapter 74, and Palacios, the only issue before the Court at this phase in this
    proceeding is whether Traynor has presented expert reports which inform the
    Appellants of the specific conduct that Traynor has called into question and
    provide a basis for the trial court to conclude that the claims have merit. See Am.
    Transitional Care Centers of Texas, Inc. v. Palacios, 
    46 S.W.3d 873
    , 877 (Tex.
    2001).
    23
    Traynor has done so, and this Court should affirm the trial court’s decision
    denying Appellant’s Motion to Dismiss.
    CONCLUSION AND PRAYER
    Respectfully submitted,
    HOULETTE & GRAY P.L.L.C.
    /s/ Jacqueline M. Houlette
    Jacqueline M. Houlette
    TBA No. 00787718
    440 Louisiana, Suite 900
    Houston, Texas 77002
    Telephone: (713) 236-7740
    Facsimile: (713) 583-3010
    jhoulette@houlette-gray.com
    ATTORNEY FOR APPELLEE
    24
    CERTIFICATE OF COMPLIANCE
    Pursuant to Texas Rules of Appellate Procedure, the undersigned certifies
    this brief complies with the type-volume limitations of Tex. R. App. P. 9.4.
    1. This brief complies with the type-volume limitations of Tex. R. App. P. 9.4
    because:
    This brief contains 4720 words, as determined by the computer software's
    word-count function, excluding the parts of the brief exempted by Tex. R.
    App. P. 9.4(i)(1).
    2. This brief complies with the typeface requirements of Tex. R. App. P. 9.4
    because:
    This brief has been prepared in a conventional typeface using Microsoft
    Word 2013 in 14 pt. Times New Roman (Footnotes in 12 pt.).
    ___/s/Jacqueline M. Houlette__________
    Jacqueline M. Houlette
    25
    CERTIFICATE OF SERVICE
    I hereby certify that a true and correct copy of Appellee’s Brief was served
    upon the counsel below via the methods identified below on December 14, 2015.
    Joshua C. Anderson                                        Via Electronic Service
    Horne Rota Moos L.L.P.                                    and E-mail
    2777 Allen Parkway, Suite 1200
    Houston, Texas 77019
    (713) 333-4500 Telephone
    (713) 333-4600 Facsimile
    Chastiti N. Horne                                         Via Electronic Service
    Horne Rota Moos L.L.P.                                    and E-mail
    2777 Allen Parkway, Suite 1200
    Houston, Texas 77019
    (713) 333-4500 Telephone
    (713) 333-4600 Facsimile
    _____/s/Jacqueline M. Houlette__________
    Jacqueline M. Houlette
    26