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Smart Summary

Factual and Procedural Background

The plaintiff's decedent, Kathleen Teer, underwent a Pap smear examination on February 5, 1996, performed by a physician's assistant at Queens-Long Island Medical Group, P.C. The specimen was sent to Shared Services Laboratories at LaGuardia Hospital, where Dr. Ibrahim Hitti, a pathologist employed by LaGuardia Hospital, interpreted the specimen and reported it as "unsatisfactory." A subsequent Pap smear performed the following year indicated cervical cancer. The decedent died of cervical cancer in 1998.

The plaintiff, James Teer, commenced a medical malpractice and wrongful death action in 1998 against the Medical Group, alleging negligence in failing to inform the decedent of the 1996 laboratory report and to advise a repeat Pap smear. In 2001, the plaintiff amended the complaint to add Dr. Hitti as a defendant. The Supreme Court denied Dr. Hitti's motion for summary judgment dismissing the complaint against him as barred by the statute of limitations, reasoning that the Medical Group and Dr. Hitti were united in interest and applying the relation-back doctrine to deem the complaint timely served on Dr. Hitti.

Legal Issues Presented

  1. Whether the statute of limitations barred the plaintiff’s claims against Dr. Ibrahim Hitti.
  2. Whether the relation-back doctrine applied to allow the amended complaint to relate back to the original filing date, based on the asserted unity of interest between the Medical Group and Dr. Hitti.
  3. Whether the Medical Group and Dr. Hitti were united in interest such that vicarious liability or agency principles justified application of the relation-back doctrine.

Arguments of the Parties

Appellant's Arguments (Dr. Ibrahim Hitti)

  • The statute of limitations expired before the complaint was asserted against him.
  • The Medical Group and Dr. Hitti were not united in interest; specifically, there was no employment or agency relationship between Dr. Hitti and the Medical Group.
  • The relation-back doctrine does not apply because Dr. Hitti was an employee of LaGuardia Hospital, not the Medical Group.

Respondent's Arguments (Plaintiff)

  • The Medical Group and Dr. Hitti were united in interest, justifying application of the relation-back doctrine.
  • Shared Services and the Medical Group were allegedly a joint venture because both were affiliated with the Health Insurance Plan of Greater New York (HIP) and served HIP patients.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Austin v. Interfaith Med. Ctr., 264 A.D.2d 702 Relation-back doctrine requirements and burden shifting Used to explain the plaintiff's burden to prove relation-back after defendant established statute of limitations expired.
Buran v. Coupal, 87 N.Y.2d 173 Unity of interest requirement for relation-back doctrine Court held that unity of interest requires vicarious liability; found no such unity between Medical Group and Dr. Hitti.
Mondello v. New York Blood Ctr.-Greater N.Y. Blood Program, 80 N.Y.2d 219 Vicarious liability requires employment or agency relationship Supported the conclusion that no vicarious liability existed because Dr. Hitti was employed by LaGuardia Hospital, not Medical Group.
Desiderio v. Rubin, 234 A.D.2d 581 Vicarious liability principles Reinforced the requirement of an employment or agency relationship for vicarious liability.
Connell v. Hayden, 83 A.D.2d 30 Vicarious liability test Used to support the court’s analysis on unity of interest and vicarious liability.
Hill v. St. Clare's Hosp., 67 N.Y.2d 72 Agency and apparent agency principles for vicarious liability Found no proof of control or agency relationship between Medical Group and Dr. Hitti, negating vicarious liability.
Cox v. Kingsboro Med. Group, 214 A.D.2d 150; affd 88 N.Y.2d 904 Joint venture and affiliation relevance Rejected plaintiff’s argument that affiliation with HIP created joint venture or unity of interest.
Kavanaugh v. Nussbaum, 71 N.Y.2d 535 Agency relationship for vicarious liability Supported the requirement that agency must be proven for vicarious liability.
McDermott v. Torre, 56 N.Y.2d 399 Independent contractor status of laboratories Confirmed that laboratories generally do not act as agents for physicians, negating agency claims.
Yanello v. Radiological Health Serv., 110 A.D.2d 834 Independent contractor vs. agency distinction Supported the court's finding that Shared Services and Dr. Hitti were independent contractors.
Schiavone v. Victory Mem. Hosp., 292 A.D.2d 365 Apparent or ostensible agency Used to reject plaintiff’s claim of apparent agency based on lack of control or contact.
Abraham v. Dulit, 255 A.D.2d 345 Apparent agency principles Supported the conclusion that no apparent agency existed between Medical Group and Dr. Hitti.

Court's Reasoning and Analysis

The court began by acknowledging that Dr. Hitti met his initial burden by establishing that the statute of limitations had expired before the action was commenced against him. This shifted the burden to the plaintiff to prove that the relation-back doctrine applied.

The relation-back doctrine requires, among other things, that the newly added party be united in interest with the original defendant. The court analyzed the relationship between the Medical Group and Dr. Hitti and found no unity of interest because Dr. Hitti was employed by LaGuardia Hospital, not the Medical Group, and there was no employment or agency relationship between them.

The court rejected the plaintiff’s argument that affiliation with the Health Insurance Plan of Greater New York created a joint venture or unity of interest. It emphasized that vicarious liability, necessary for unity of interest, requires an employment or agency relationship, which was absent here.

Further, the court found no evidence of control by the Medical Group over Dr. Hitti or Shared Services Laboratories to establish agency or apparent agency. The laboratory and Dr. Hitti acted as independent contractors. There was no contact between Dr. Hitti and the decedent, nor any facts that would lead the decedent to reasonably believe the Medical Group performed the laboratory services.

Because the plaintiff failed to establish unity of interest, the relation-back doctrine did not apply, and the claims against Dr. Hitti were time-barred. The court thus reversed the lower court’s denial of summary judgment and dismissed the complaint against Dr. Hitti.

Holding and Implications

The court reversed the order of the Supreme Court, granted summary judgment dismissing the complaint against Dr. Ibrahim Hitti as barred by the statute of limitations, and severed the action against the remaining defendant.

The direct effect of this decision is that the plaintiff’s claims against Dr. Hitti are dismissed due to untimeliness. No broader legal precedent was established beyond the application of the relation-back doctrine and vicarious liability principles to this factual context.

JAMES TEER, ETC., respondent, v. QUEENS-LONG ISLAND MEDICAL GROUP, P.C., defendant, IBRAHIM HITTI, ETC., appellant.

DECISION ORDER

ORDERED that the order is reversed insofar as appealed from, on the law, with costs, that branch of the motion which was for summary judgment dismissing the complaint insofar as asserted against the appellant as barred by the statute of limitations is granted, the complaint is dismissed insofar as asserted against the appellant, and the action against the remaining defendant is severed.

The plaintiff's decedent, Kathleen Teer, was examined by a physician's assistant at the defendant Queens-Long Island Medical Group, P.C. (hereinafter the Medical Group) on February 5, 1996, at which time a Pap smear was performed. The specimen was sent to nonparty Shared Services Laboratories (hereinafter Shared Services) which, at the time, was located in LaGuardia Hospital and provided services to that hospital, Syosset Hospital, and to the Medical Group. The defendant Dr. Ibrahim Hitti, a pathologist employed by LaGuardia Hospital, interpreted the decedent's specimen. The laboratory report, which described the specimen as "unsatisfactory," was forwarded to the Medical Group. When a Pap smear was performed on the decedent the next year, the laboratory report indicated cervical cancer. The decedent died of cervical cancer in 1998.

The plaintiff, James Teer, the decedent's husband, timely commenced this action in 1998 to recover damages for medical malpractice and wrongful death against the Medical Group. He alleged, inter alia, that the Medical Group negligently failed to inform the decedent of the 1996 laboratory report and to advise her to repeat the Pap smear, which caused her cancer to remain untreated for a year. In 2001 the plaintiff served an amended summons and complaint naming Dr. Hitti as a defendant. The Supreme Court denied Dr. Hitti's motion, inter alia, for summary judgment dismissing the complaint insofar as asserted against him as time-barred. The Supreme Court concluded that the Medical Group and Dr. Hitti were united in interest and, based on the relation-back doctrine, deemed the complaint timely served on Dr. Hitti.

Dr. Hitti met his burden on the motion by establishing that the statute of limitations had expired prior to commencement of the action against him (see CPLR 214-a, CPLR 210[a]; EPTL 5-4.1). The burden therefore shifted to the plaintiff to present sufficient evidence to show that the relation-back doctrine applied (see Austin v. Interfaith Med. Ctr., 264 A.D.2d 702; CPLR 203[c]).

The relation-back doctrine requires, inter alia, proof that the new party is united in interest with the original defendant (see Buran v. Coupal, 87 N.Y.2d 173). Contrary to the Supreme Court, we conclude that the evidence fails to establish that the Medical Group and Dr. Hitti were united in interest. Interests will be united only where one party is vicariously liable for the acts of the other (see Mondello v. New York Blood Ctr.-Greater N.Y. Blood Program, 80 N.Y.2d 219; Desiderio v. Rubin, 234 A.D.2d 581; Connell v. Hayden, 83 A.D.2d 30). Since Dr. Hitti was an employee of LaGuardia Hospital, there was no employment relationship with the Medical Group on which to base a finding of vicarious liability (see generally Hill v. St. Clare's Hosp., 67 N.Y.2d 72). There is no merit to the plaintiff's contention that Shared Services and the Medical Group were a joint venture merely because there was evidence that LaGuardia Hospital and the Medical Group were both affiliated with the Health Insurance Plan of Greater New York (hereinafter HIP) and served HIP patients (see Cox v. Kingsboro Med. Group, 214 A.D.2d 150, affd 88 N.Y.2d 904).

Vicarious liability may be based on proof of an agency relationship (see Kavanaugh v. Nussbaum, 71 N.Y.2d 535; Hill v. St. Clare's Hosp., supra); however, here, there was no proof that the Medical Group exercised any control over the manner in which Shared Services and Dr. Hitti performed the laboratory work. Generally, a laboratory, as an independent contractor, does not act as an agent for a physician (see McDermott v. Torre, 56 N.Y.2d 399, 408; Yanello v. Radiological Health Serv., 110 A.D.2d 834). Furthermore, the evidence does not support a finding of vicarious liability based on the principle of apparent or ostensible agency (see Hill v. St. Clare's Hosp., supra). There was no contact between Dr. Hitti and the decedent, or evidence that the Medical Group exercised control over Dr. Hitti's work, such that the decedent would reasonably believe that the Medical Group performed laboratory services (cf. Schiavone v. Victory Mem. Hosp., 292 A.D.2d 365; Abraham v. Dulit, 255 A.D.2d 345).

As the plaintiff failed to establish that Dr. Hitti and the Medical Group were united in interest, the relation-back doctrine does not apply, and the complaint insofar as asserted against Dr. Hitti is time barred. In view of our determination, we need not reach the parties' remaining contentions.

FEUERSTEIN, J.P., SMITH, SCHMIDT and COZIER, JJ., concur.

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TEER v. QUEENS-LONG ISLAND MEDICAL GROUP
(Mar 10, 2003)