TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

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TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

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TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff. PRETRIAL. TRIAL. MEDICAL RECORDS DISCOVERY A WORD ABOUT CAPP PRETRIAL MOTIONS. MEDICAL RECORDS DISCOVERY. “Peer review boards” as a discovery shield Medical records – Can’t we all just get along? - PowerPoint PPT Presentation

Transcript of TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

Page 1: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

TRYING A MEDICAL MALPRACTICE CASE:

A View From the Bench

Judge J. Eric Elliff

Page 2: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRETRIAL

TRIAL

Page 3: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

A WORD ABOUT CAPP

PRETRIAL MOTIONS

Page 4: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

“Peer review boards” as a discovery shield

Medical records – Can’t we all just get along?

One set only at trialAgree on redactions before trialOR get court guidance

Samms and Reuter

Page 5: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

“Peer review boards” as a discovery shield

Medical records – Can’t we all just get along?

One set only at trialAgree on redactions before trialOR get court guidance

Samms and Reuter

MEDICAL RECORDS DISCOVERY

Page 6: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

“Peer review boards” as a discovery shield

Medical records – Can’t we all just get along?

One set only at trialAgree on redactions before trialOR get court guidance

Samms and Reuter

Page 7: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

“Peer review boards” as a discovery shield

Medical records – Can’t we all just get along?

One set only at trialAgree on redactions before trialOR get court guidance

Samms and Reuter

Page 8: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

“Peer review boards” as a discovery shield

Medical records – Can’t we all just get along?

One set only at trialAgree on redactions before trialOr get court guidance

Samms and Reuter

Page 9: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

“Peer review boards” as a discovery shield

Medical records – Can’t we all just get along?

One set only at trialAgree on redactions before trialOR get court guidance

Samms and Reuter

Page 10: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

AT-ISSUE/ DISCOVERABLE

TREATMENT

Page 11: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

PRE-EVENT TREATMENT

Page 12: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

POST-EVENT TREATMENT

Page 13: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRE-EVENT TREATMENT

MEDICAL RECORDS DISCOVERY

POST-EVENT TREATMENT

AT-ISSUE/ DISCOVERABLE

TREATMENT

Page 14: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

A WORD ABOUT CAPP

PRETRIAL MOTIONS

Page 15: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

A WORD ABOUT CAPPIt’s Coming (one way or another)

Best ideas from CAPP will go into CRCP

Early Guesses:Narrower DiscoveryFuller DisclosureMore power to impose sanctions

Page 16: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

A WORD ABOUT CAPPIt’s Coming (one way or another)

Best ideas from CAPP will go into CRCP

Early Guesses:Narrower DiscoveryFuller DisclosureMore power to impose sanctions

Page 17: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

A WORD ABOUT CAPPIt’s Coming (one way or another)

Best ideas from CAPP will go into CRCP

Early Guesses:Narrower DiscoveryFuller DisclosureMore power to impose sanctions

Page 18: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

A WORD ABOUT CAPPIt’s Coming (one way or another)

Best ideas from CAPP will go into CRCP

Early Guesses:Narrower DiscoveryFuller DisclosureMore power to impose sanctions

Page 19: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

A WORD ABOUT CAPPIt’s Coming (one way or another)

Best ideas from CAPP will go into CRCP

Early Guesses:Narrower DiscoveryFuller DisclosureMore power to impose sanctions

Page 20: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

A WORD ABOUT CAPPIt’s Coming (one way or another)

Best ideas from CAPP will go into CRCP

Early Guesses:Narrower DiscoveryFuller DisclosureMore power to impose sanctions

Page 21: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

MEDICAL RECORDS DISCOVERY

A WORD ABOUT CAPP

PRETRIAL MOTIONS

Page 22: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRETRIAL MOTIONSShould be used to surgically narrow the case

Shreck Motions:Think before filingCourts hate excluding expertsExpertise vs. Relevance

Relevance Motions

Page 23: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRETRIAL MOTIONSShould be used to surgically narrow the case

Shreck Motions:Think before filingCourts hate excluding expertsExpertise vs. Relevance

Relevance Motions

Page 24: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRETRIAL MOTIONSShould be used to surgically narrow the case

Shreck Motions:Think before filingCourts hate excluding expertsExpertise vs. Relevance

Relevance Motions

Page 25: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRETRIAL MOTIONSShould be used to surgically narrow the case

Shreck Motions:Think before filingCourts hate excluding expertsExpertise vs. Relevance

Relevance Motions

Page 26: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRETRIAL MOTIONSShould be used to surgically narrow the case

Shreck Motions:Think before filingCourts hate excluding expertsExpertise vs. Relevance

Relevance Motions

Page 27: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRETRIAL MOTIONSShould be used to surgically narrow the case

Shreck Motions:Think before filingCourts hate excluding expertsExpertise vs. Relevance

Relevance Motions

Page 28: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

PRETRIAL

TRIAL

Page 29: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICS

SO WHAT?

EXPERTS

Page 30: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICSYoung

Highly Educated

Skeptical

No empathy for “victimy” or angry plaintiffs

Page 31: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICSSubject Number Percent

SEX AND AGE Total population 600,158 100.0

Under 5 years 43,515 7.35 to 9 years 37,371 6.210 to 14 years 30,365 5.115 to 19 years 32,275 5.420 to 24 years 47,688 7.925 to 29 years 65,841 11.030 to 34 years 56,989 9.535 to 39 years 49,183 8.240 to 44 years 40,580 6.845 to 49 years 36,646 6.150 to 54 years 35,830 6.055 to 59 years 33,497 5.660 to 64 years 28,246 4.765 to 69 years 18,673 3.170 to 74 years 13,480 2.275 to 79 years 10,904 1.880 to 84 years 9,455 1.685 years and over 9,620 1.6 Median age (years) 33.7 ( X )

Colorado

Page 32: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICSCOLORADO

Subject Number PercentSEX AND AGE

Total population 600,158 100.0Under 5 years 43,515 7.35 to 9 years 37,371 6.210 to 14 years 30,365 5.115 to 19 years 32,275 5.420 to 24 years 47,688 7.925 to 29 years 65,841 11.030 to 34 years 56,989 9.535 to 39 years 49,183 8.2

Page 33: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICS

Subject Number PercentTotal population 308,745,53 100.0Under 5 years 20,201,362 6.55 to 9 years 20,348,657 6.610 to 14 years 20,677,194 6.715 to 19 years 22,040,343 7.120 to 24 years 21,585,999 7.025 to 29 years 21,101,849 6.830 to 34 years 19,962,099 6.535 to 39 years 20,179,642 6.5

TOTAL 26.8%

Subject Number PercentTotal population 600,158 100.0Under 5 years 43,515 7.35 to 9 years 37,371 6.210 to 14 years 30,365 5.115 to 19 years 32,275 5.4

20 to 24 years 47,688 7.925 to 29 years 65,841 11.030 to 34 years 56,989 9.535 to 39 years 49,183 8.2

TOTAL 36.6%

UNITED STATES COLORADO

Page 34: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICSYoung

Highly Educated

Skeptical

No empathy for “victimy” or angry plaintiffs

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JURY DEMOGRAPHICS2010 Highest

Education Level Attained

Denver, CO Colorado United States

Did Not Complete High School

73,512 17.63% 318,375 9.90% 30,370,155 15.35%

Completed High School

87,869 21.08% 741,195 23.04% 57,863,097 29.24%

Some College 79,060 18.97% 733,620 22.81% 40,691,836 20.56%

Completed Associate Degree

24,517 5.88% 263,012 8.18% 14,841,627 7.50%

Completed Bachelors Degree

98,277 23.57% 769,266 23.92% 34,682,582 17.52%

Completed Graduate Degree

53,636 12.87% 391,002 12.16% 19,465,340 9.84%

Page 36: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICS2010 Highest

Education Level Attained

Denver, CO Colorado United States

Did Not Complete High School

73,512 17.63% 318,375 9.90% 30,370,155 15.35%

Completed High School

87,869 21.08% 741,195 23.04% 57,863,097 29.24%

Some College 79,060 18.97% 733,620 22.81% 40,691,836 20.56%

Completed Associate Degree

24,517 5.88% 263,012 8.18% 14,841,627 7.50%

Completed Bachelors Degree

98,277 23.57% 769,266 23.92% 34,682,582 17.52%

Completed Graduate Degree

53,636 12.87% 391,002 12.16% 19,465,340 9.84%

TOTAL 36.44% 27.36%

Page 37: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICS2010 Highest

Education Level Attained

Denver, CO Colorado United States

Did Not Complete High School

73,512 17.63% 318,375 9.90% 30,370,155 15.35%

Completed High School

87,869 21.08% 741,195 23.04% 57,863,097 29.24%

Some College 79,060 18.97% 733,620 22.81% 40,691,836 20.56%

Completed Associate Degree

24,517 5.88% 263,012 8.18% 14,841,627 7.50%

Completed Bachelors Degree

98,277 23.57% 769,266 23.92% 34,682,582 17.52%

Completed Graduate Degree

53,636 12.87% 391,002 12.16% 19,465,340 9.84%

TOTAL 36.08% 27.36%

Page 38: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICSYoung

Highly Educated

Skeptical

No empathy for “victimy” or angry plaintiffs

Page 39: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICSYoung

Highly Educated

Skeptical

No empathy for “victimy” or angry plaintiffs

Page 40: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICS

SO WHAT?

EXPERTS

Page 41: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

SO WHAT?They understand “mistakes” are an

inherent risk of surgery

Doctor’s apology may not be a bad thing

Pay attention to their questions

Page 42: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

SO WHAT?They understand “mistakes” are an

inherent risk of surgery

Doctor’s apology may not be a bad thing

Pay attention to their questions

Page 43: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

SO WHAT?They understand “mistakes” are an

inherent risk of surgery

Doctor’s apology may not be a bad thing

Pay attention to their questions

Page 44: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

JURY DEMOGRAPHICS

SO WHAT?

EXPERTS

Page 45: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

EXPERTSHorrible, mercenary creatures

But, jurors love themThey like to be educated (see above)Demonstrations are highly effective

Unless they come off as advocates

Page 46: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

EXPERTSHorrible, mercenary creatures

But, jurors love themThey like to be educated (see above)Demonstrations are highly effective

Unless they come off as advocates

Page 47: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

EXPERTSHorrible, mercenary creatures

But, jurors love themThey like to be educated (see above)Demonstrations are highly effective

Unless they come off as advocates

Page 48: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

EXPERTSHorrible, mercenary creatures

But, jurors love themThey like to be educated (see above)Demonstrations are highly effective

Unless they come off as advocates

Page 49: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

EXPERTSHorrible, mercenary creatures

But, jurors love themThey like to be educated (see above)Demonstrations are highly effective

Unless they come off as advocates

Page 50: TRYING A MEDICAL MALPRACTICE CASE: A View From the Bench Judge J. Eric Elliff

QUESTIONS?