DiStefano v. Pike Creek Healthcare Services

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE
MARIE DISTEFANO, a Delaware )
resident, )
)
Plaintiff, ) C.A. No.: N20C-03-246 KMM
)
v. )
)
PIKE CREEK HEALTHCARE )
SERVICES, LLC doing business as )
CADIA REHABILITATION PIKE )
CREEK, CADIA HEALTHCARE, )
LLC, ENCOMPASS HEALTH )
CORPORATION, doing business as, )
ENCOMPASS HEALTH )
REHABILITATION HOSPITAL OF )
MIDDLETOWN, LLC, formerly )
known as, HEALTHSOUTH )
REHABILITATION HOSPITAL OF )
MIDDLETOWN, WOUND HEALING )
SOLUTIONS OF PENNSYLVANIA )
AND DELAWARE LLC, TEAM )
HEALTH, INC., TEAM HEALTH )
HOLDINGS, INC., IPC )
HEALTHCARE, INC., IPC THE )
HOSPITALIST MANAGEMENT )
COMPANY, LLC, and ASHISH )
KHANDELWAL, M.D., )
)
Defendants. )
ORDER
Date Submitted: April 24, 2024
Date Decided: May 6, 2024
Upon Wound Healing Solutions of Pennsylvania and Delaware, LLC’s Motion for
Summary Judgment GRANTED.
Introduction
1. Plaintiff filed this medical negligence action on March 25, 2020,
against multiple defendants, asserting that while she was treated at the various
facilities, the defendants failed to properly monitor and treat a post-surgery
infection.1
2. Defendant Pike Creek Healthcare Services, LLC (“Pike Creek”) filed
an answer and a cross-claim against all defendants on June 24, 2020. In its cross-
claim, Pike Creek sought apportionment of liability to permit it to seek contribution
from its co-defendants.2
3. A trial scheduling order was entered on March 17, 2021, which was
amended multiple times.3
4. Plaintiff later voluntarily dismissed certain defendants, including
Wound Healing Solutions of Pennsylvania and Delaware LLC (“Wound Healing”),
on July 19, 2023.4
5. On April 11, 2024, Wound Healing filed a Motion for Summary
Judgment (the “Motion”).5 No party filed an opposition to the Motion; however,
Pike Creek filed a response6 requesting certain relief if the Motion is granted.
1
D.I. 1, 4.
2
D.I. 26.
3
See D.I. 49, 51, 67, 105, 109, 116, 123.
4
D.I. 122.
5
D.I. 158.
6
D.I. 161.
1
6. For the reasons discussed below, Wound Healing’s Motion is
GRANTED. Pike Creek’s requested relief is DENIED.
Factual Background
7. Plaintiff had spinal surgery at Christiana Hospital and was a patient at
the hospital from July 26, through July 30, 2018.7 Plaintiff was discharged to
HealthSouth Rehabilitation Hospital of Middletown (“HealthSouth Rehabilitation”),
where she was a patient until August 18, 2018.8 She then became a patient at Pike
Creek until August 24, 2018.9 While at Pike Creek, plaintiff was examined and
treated by Wound Healing.10
8. While at HealthSouth Rehabilitation, plaintiff’s incision is alleged to
have become infected, which was left untreated.11 Plaintiff’s condition further
deteriorated while at Pike Creek.12 Plaintiff was transferred to Christiana Care on
August 24, 2018, where she was treated for severe sepsis and infection in the surgical
area.13 It is further alleged that as a result of the negligence of the defendants,
plaintiff was required to undergo another surgery to address the infection and to
remove the surgical hardware inserted in the July 2018 surgery.14 Plaintiff then
7
D.I. 4, ¶ 29.
8
Id., ¶ 34.
9
Id., ¶ 46.
10
Id., ¶ 48.
11
Id., ¶¶ 35-36.¶
12
Id., ¶¶ 47, 53.
13
Id., ¶ 57.
14
Id., ¶¶ 58, 61, 64.
2
received post-surgical treatment at another facility and later required another
hospitalization.15 As a result of the various providers’ medical negligence, plaintiff
alleges she sustained permanent injuries and suffered damages.
The Motion
9. In April 2023, plaintiff served her expert disclosures and accompanying
reports.16 In September 2023, plaintiff served her rebuttal expert disclosures and
accompanying reports.17 Of the experts identified by plaintiff, only Kathleen Hill-
O’Neill, DNP, RN, CNRP, NHA and Richard Berg, M.D. may be qualified to offer
a standard of care opinion in relation to the care and treatment provided by Wound
Healing.18 As of the time the Motion was filed, all plaintiff’s experts were deposed
except Ms. Hill-O’Neill.19 According to Wound Healing, none of plaintiff’s experts
offered opinions against Wound Healing.20
10. On July 26, 2023, two defendants served their expert disclosures and
reports.21 On July 27, 2023, Pike Creek filed its expert disclosures and reports.22
15
Id., ¶¶ 66-67, 73.
16
D.I. 158, ¶ 2.
17
Id.
18
Id.
19
Id., ¶¶ 6, 12.
20
Id.
21
Id., ¶ 4.
22
Id.
3
None of these experts offered an opinion with respect to the care and treatment
provided by Wound Healing.23
11. Wound Healing asserts that because medical expert testimony is
required to prove medical negligence as to the standard of care and causation and
none has been provided against it, it is entitled to summary judgment.
12. On April 18, 2024, plaintiff filed a letter advising the Court that she
does not oppose the Motion.24 On April 29, 2024, defendants Khandelwal and
Inpatient Consultants of Delaware, Inc. filed a letter advising the Court that they take
no position on the Motion.25
13. On April 24, 2024, Pike Creek filed a Response to the Motion.26 Pike
Creek advised that it takes no position on the Motion. However, if the Motion is
granted, Pike Creek requests “that parties be precluded from offering any testimony
(including lay or expert), argument or evidence critical of the care provided by”
Wound Healing.27
Summary Judgment Standard
14. Summary judgment is appropriate where there is no genuine issue of
material fact and the moving party is entitled to a judgment as a matter of law.28 The
23
Id., ¶ 5.
24
D.I. 160.
25
D.I. 162.
26
D.I. 161.
27
Id., ¶ 7.
28
Super. Ct. Civ. R. 56(c); Moore v. Sizemore, 405 A.2d 679, 680 (Del. 1979).
4
moving party bears the initial burden of showing that no material issue of fact
remains.29 On a motion for summary judgment, the Court must view the record in a
light most favorable to the nonmoving party.30
15. After adequate time for discovery, if the party bearing the burden of
proof at trial fails to “make a showing sufficient to establish the existence of an
element essential to that party’s case,” summary judgment is appropriate because the
moving party is entitled to judgment as a matter of law.31
Analysis
16. In a medical negligence action, Delaware law requires that expert
medical testimony be presented as to the alleged deviation from the applicable
standard of care and to causation of the alleged injuries. 32 Thus, these are essential
elements of a claim of medical negligence.
17. Plaintiff obviously has not provided any medical expert testimony on
the standard of care or causation against Wound Healing, as she dismissed her claim
against Wound Healing.
18. No defendant has asserted that their expert has offered an opinion on
the standard of care or causation against Wound Healing, including Pike Creek.
29
Moore, 405 A.2d at 680.
30
Burkhart v. Davies, 602 A.2d 56, 59 (Del. 1991).
31
Id. (quoting Celotex Corp. v. Catrett, 477 U.S. 317, 322-23 (1986)).
32
18 Del. C. § 6853(e).
5
19. It appears that the remaining claim against Wound Healing is the cross-
claim filed by Pike Creek. Pike Creek would bear the burden of proof at trial on this
claim. Without expert medical testimony against Wound Healing, Pike Creek has
failed to establish the existence of an element essential to its claim against Wound
Healing. Accordingly, Wound Healing is entitled to summary judgment.
20. It is unclear from Pike Creek’s Response what testimony or evidence it
seeks to exclude. The Response does not provide any factual background for its
requested relief. Because the Court cannot discern what testimony or evidence may
be offered, there is no basis to grant the requested relief. If Pike Creek can identify
specific evidence or testimony it desires to exclude, it may do so through an
appropriate motion.
IT IS HEREBY ORDERED.
/s/Kathleen M. Miller
Judge Kathleen M. Miller
6