Audrey Trowell v. Providence Hospital and Medical Centers Inc ( 2018 )


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  •                                                                                      Michigan Supreme Court
    Lansing, Michigan
    Syllabus
    Chief Justice:       Justices:
    Stephen J. Markman   Brian K. Zahra
    Bridget M. McCormack
    David F. Viviano
    Richard H. Bernstein
    Kurtis T. Wilder
    Elizabeth T. Clement
    This syllabus constitutes no part of the opinion of the Court but has been           Reporter of Decisions:
    prepared by the Reporter of Decisions for the convenience of the reader.             Kathryn L. Loomis
    TROWELL v PROVIDENCE HOSPITAL AND MEDICAL CENTERS, INC
    Docket No. 154476. Argued on application for leave to appeal December 6, 2017.
    Decided July 23, 2018.
    Audrey Trowell filed an action in the Wayne Circuit Court against Providence Hospital
    and Medical Centers, Inc., after she sustained injuries while she was hospitalized. Venue was
    later transferred to the Oakland Circuit Court by stipulation. The injuries from which Trowell’s
    complaint arose resulted when an aide, acting alone, attempted to assist Trowell to the bathroom
    and dropped her twice during the process. Trowell did not serve Providence Hospital with a
    notice of intent to sue and failed to file the lawsuit within the two-year period of limitations
    generally applicable to medical malpractice actions. Providence Hospital moved for summary
    disposition under MCR 2.116(C)(7) (statute of limitations) and (C)(8) (failure to state a claim).
    The court, COLLEEN A. O’BRIEN, J., concluded that Trowell’s lawsuit sounded in medical
    malpractice and granted summary disposition in favor of Providence Hospital. Trowell moved
    for reconsideration and to amend the complaint, and the court denied both motions. Trowell
    appealed, arguing that the claim was not filed as a medical malpractice action but rather as an
    ordinary negligence action, that medical expertise was not necessary for a jury to determine
    whether a hospital aide dropping a patient constituted ordinary negligence, and that summary
    disposition was premature because discovery had not yet been completed. The Court of Appeals,
    MURPHY, P.J., and STEPHENS and BOONSTRA, JJ., reversed and remanded the case, concluding
    that it was impossible to discern the nature of Trowell’s claims without additional factual
    development. 
    316 Mich App 680
     (2016). Providence Hospital applied for leave to appeal in the
    Supreme Court, which ordered and heard oral argument on whether to grant the application or
    take other peremptory action. 
    500 Mich 965
     (2017).
    In a per curiam opinion signed by Chief Justice MARKMAN and Justices ZAHRA,
    BERNSTEIN, and WILDER, the Supreme Court, in lieu of granting leave to appeal, held:
    Neither party submitted materials beyond the complaint concerning the nature of the
    claims at issue in this case, and thus review was properly limited to the complaint alone,
    regardless of whether Providence Hospital’s motion was examined under the standards
    applicable to (C)(7) motions, (C)(8) motions, or some combination of both standards. The Court
    of Appeals erred by ordering further discovery to determine the nature of Trowell’s claims; the
    nature of Trowell’s claims had to be ascertained from the complaint itself under the facts of the
    case. With the exception of Trowell’s claim regarding the second time the aide dropped her, the
    allegations in Trowell’s complaint sounded in medical malpractice and thus were time-barred
    because the allegations involved matters of medical judgment in the course of Providence
    Hospital’s professional relationship with Trowell and a jury was not likely to possess the
    knowledge and experience necessary to reach an informed decision as to those matters.
    However, Trowell’s claim addressing the second drop sounded in ordinary negligence—a jury’s
    common knowledge and experience was sufficient to inform its decision regarding the hospital
    employee’s failure to take corrective action in the face of a known danger that had resulted in
    patient injury.
    1. MCR 2.116(G)(5) states that when deciding a motion under MCR 2.116(C)(7), a court
    must consider, together with the pleadings, all documentary evidence then filed in the action or
    submitted by the parties but that review of a motion for summary disposition under MCR
    2.116(C)(8) is limited to the pleadings. In this case, neither party submitted materials beyond the
    complaint regarding the nature of Trowell’s claims and thus review was properly limited to the
    complaint alone. Therefore, the Court of Appeals erred by ordering further discovery to
    determine the nature of Trowell’s claims.
    2. A claim sounds in medical malpractice if the conduct on which the claim is based
    occurred in the context of a professional relationship and the claim raises questions of medical
    judgment beyond the common knowledge and experience of a jury. Trowell’s complaint
    contained the following claims: (1) insufficient staff to assist Trowell; (2) improper physical
    handling of Trowell, which claim could be further divided into a claim related to the first time
    Trowell was dropped and a claim related to the second time Trowell was dropped; (3) failure to
    properly supervise; and (4) failure to properly train. With the exception of the claim regarding
    the second time Trowell was dropped, these claims all sounded in medical malpractice. Staffing
    decisions and patient monitoring involve questions of professional medical management.
    Properly assisting Trowell required consideration of her individualized medical needs. Properly
    supervising Trowell’s care while she was in Providence Hospital was beyond the common
    knowledge and experience of an ordinary layman. For a jury to determine whether Providence
    Hospital had properly trained its staff would have required expert testimony to explain the proper
    methods of moving Trowell and to identify Trowell’s individualized needs. Accordingly, all but
    one of Trowell’s claims sounded in medical malpractice and were time-barred.
    3. The first time the aide dropped Trowell sounded in medical malpractice because the
    context of moving Trowell under the circumstances required medical judgment involving an
    individualized assessment of Trowell’s needs. The second drop sounded in ordinary negligence
    because a jury relying on common knowledge and experience could determine whether
    Providence Hospital was negligent for failing to take corrective action in response to a known
    danger—that is, for failing to call for assistance or to retrieve additional equipment to aid in
    Trowell’s movement after Trowell was dropped and injured the first time. Instead of taking
    corrective action, the aide attempted the same action that had already failed and had injured
    Trowell. Trowell’s complaint, as it related to the second drop, set forth a claim that a jury
    relying only on common knowledge and experience could decide, and therefore, the claim
    sounded in ordinary negligence.
    Reversed and remanded.
    Justice VIVIANO, joined by Justices MCCORMACK and CLEMENT, concurring, agreed with
    the majority that the nature of the claims in Trowell’s complaint should have been determined on
    the basis of the complaint alone and that Trowell’s complaint contained only one allegation of
    ordinary negligence. However, Justice VIVIANO disagreed with the majority’s reasoning. The
    majority based its conclusion on the fact that none of the parties submitted any material to the
    court in the matter. The problem with this rationale was that it implied that determining the
    nature of a claim can be converted into a factual issue when a party submits evidence on the
    matter. Bryant v Oakpointe Villa Nursing Ctr, 
    471 Mich 411
     (2004), charted a wayward course
    that permits consideration of facts outside the pleadings to decide what claims a plaintiff has
    asserted. However, under basic pleading principles, the nature of claims must be determined by
    the sufficiency of the pleadings, not by the sufficiency of the evidence. A trial court, when faced
    with a motion alleging untimely claims that also requires the court to determine the nature of the
    claims, must, under MCR 2.116(C)(8), make the latter determination solely by reference to the
    complaint. Once the nature of a claim has been established, the court must then determine
    whether the claim was timely under MCR 2.116(C)(7). When a motion for summary disposition
    is based on MCR 2.116(C)(7), MCR 2.116(G)(5) directs courts to consider then-filed
    documentary evidence outside the pleadings—affidavits, depositions, admissions, etc. The
    majority reads a prohibition into the rule—according to the majority, a court is prohibited from
    ordering further factual development to decide the motion. But MCR 2.116(G)(5) is a rule of
    inclusion, not exclusion. Nothing in the rule establishes that a court is prohibited from
    considering any other evidence. The majority’s approach allows the factual record in a case to
    crystallize even when discovery has not yet been completed. In fact, the Supreme Court has
    taken the opposite tack in past cases dealing with motions subject to MCR 2.116(G)(5). In
    addition, summary disposition is often premature without sufficient factual development, and
    dismissal without further factual development when a question of fact related to recovery exists
    may be inappropriate. In addition, MCR 2.116(I)(3) authorizes an immediate trial on disputed
    issues of fact when a motion for summary disposition is based on MCR 2.116(C)(7), suggesting
    that MCR 2.116(G)(5) is not a prohibition on evidentiary development. In this case, discovery
    was incomplete—Trowell had not yet even deposed the aide who dropped her, and the aide
    would have likely been the central witness. The majority’s outcome would prevent a court from
    considering the aide’s testimony simply because Providence Hospital successfully filed its
    motion for summary disposition before the conclusion of discovery. When determining the
    nature of a complaint, review is properly limited to the complaint alone.
    ©2018 State of Michigan
    Michigan Supreme Court
    Lansing, Michigan
    OPINION
    Chief Justice:           Justices:
    Stephen J. Markman       Brian K. Zahra
    Bridget M. McCormack
    David F. Viviano
    Richard H. Bernstein
    Kurtis T. Wilder
    Elizabeth T. Clement
    FILED July 23, 2018
    STATE OF MICHIGAN
    SUPREME COURT
    AUDREY TROWELL,
    Plaintiff-Appellee,
    v                                                             No. 154476
    PROVIDENCE HOSPITAL AND
    MEDICAL CENTERS, INC.,
    Defendant-Appellant.
    BEFORE THE ENTIRE BENCH
    PER CURIAM.
    At issue in this case is whether plaintiff’s claims sound in medical malpractice or
    ordinary negligence. If her claims sound in medical malpractice, then they are barred by
    the two-year statute of limitations applicable to medical malpractice actions and
    defendant is entitled to summary disposition under MCR 2.116(C)(7). If her claims
    sound in ordinary negligence, then they are timely. The Court of Appeals held that it
    could not “conclude solely on the basis of the allegations in the complaint . . . that
    plaintiff’s claims sounded in medical malpractice.”1 It then remanded for an evidentiary
    hearing to determine whether plaintiff’s claims sounded in medical malpractice, ordinary
    negligence, or both. We disagree with this approach. We hold that under the facts of this
    case, in which the only material submitted to the trial court was plaintiff’s complaint, the
    remand was improper and in determining the nature of plaintiff’s claims, the lower
    courts’ review was limited to the complaint alone. A proper review of the allegations in
    plaintiff’s complaint leads us to conclude that although the complaint includes some
    claims of medical malpractice, it also contains one claim of ordinary negligence.
    Accordingly, we reverse the Court of Appeals and remand this case to the trial court for
    further proceedings consistent with this opinion.
    I. FACTS AND PROCEDURAL HISTORY
    Plaintiff brought the present lawsuit on February 11, 2014, after sustaining injuries
    at defendant hospital. Three years earlier, on February 11, 2011, plaintiff was admitted to
    the intensive care unit (ICU) at defendant hospital after an aneurysm caused her to suffer
    a stroke and subsequently go into cardiac arrest. While in the ICU, she needed assistance
    to use the restroom. Her complaint alleges that an aide named Dana, acting alone, tried
    to move her to the bathroom and dropped plaintiff twice during the process. Specifically,
    the complaint alleges:
    11. Although “Dana” was tasked with assisting Plaintiff with using
    the bathroom, she dropped Plaintiff, which caused Plaintiff to hit her head
    on her wheelchair.
    1
    Trowell v Providence Hosp & Med Ctrs, Inc, 
    316 Mich App 680
    , 702; 893 NW2d 112
    (2016).
    2
    12. “Dana” attempted to assist Plaintiff again after dropping her, but
    instead she dropped Plaintiff a second time.
    13. As a result of her falls, Plaintiff suffered a torn rotator cuff
    which has required multiple surgeries, and treatment continues into the
    present time.
    14. Further, an MRI revealed that Plaintiff had suffered bleeding on
    the brain as a result of being dropped by Defendant’s nurse, “Dana.”
    15. Defendant hospital was negligent in one or more of the
    following particulars, departing from the standard of care in the
    community:
    a. Failure to ensure the safety of Plaintiff while in Defendant’s
    hospital;
    b. Failure to properly supervise the care of Plaintiff while in
    Defendant’s hospital;
    c. Failure to provide an adequate number of nurses to assist Plaintiff
    while in Defendant’s hospital;
    d. Failure to properly train “Dana” and other nurses in how to
    properly handle patients such as Plaintiff;
    e. Failure to exercise proper care to prevent Plaintiff from   being
    injured while in Defendant’s hospital[.]
    16. Defendant hospital was negligent through its agents, employees,
    and staff in failing to ensure the safety of Plaintiff.
    17. The negligence of Defendant and its agents, employees and staff
    was the proximate [cause] of Plaintiff’s damages set forth below.
    On January 9, 2015, after the parties had the opportunity to engage in more than
    10 months of discovery but before discovery closed, defendant moved for summary
    disposition under MCR 2.116(C)(7) and (C)(8), arguing that plaintiff’s claims sound in
    medical malpractice and thus are barred by the two-year statute of limitations applicable
    3
    to medical malpractice claims.2       That period is tolled when a plaintiff serves the
    defendant with a notice of intent to sue,3 which is required by MCL 600.2912b(1). But in
    this case, plaintiff never served a notice of intent to sue, and consequently the limitations
    period was never tolled.4 Thus, according to defendant, the complaint was untimely
    because it was filed more than two years after the claims accrued. In response, plaintiff
    argued that her complaint does not allege medical malpractice claims, but instead alleges
    ordinary negligence claims.
    The trial court granted summary disposition to defendant on April 8, 2015, holding
    that plaintiff’s claims sound in medical malpractice, not ordinary negligence, because the
    claims involve a professional relationship between plaintiff and defendant and concern
    questions of defendant’s medical judgment.5
    The Court of Appeals reversed and remanded.6 Its analysis was based on the
    distinctions between medical malpractice and ordinary negligence claims set forth by this
    2
    See MCL 600.5805(8).
    3
    MCL 600.5856(c).
    4
    Defendant also alleged that plaintiff had failed to file an affidavit of merit, MCL
    600.2912d(1), which is another procedural prerequisite of a medical malpractice suit.
    5
    Plaintiff subsequently filed a motion for reconsideration and a motion to file an
    amended complaint. The proposed complaint changes the title of the sole count from
    “medical negligence” to “negligence.” It also drops all but one of the claims made in
    ¶ 15 of the original complaint, keeping only the allegation that defendant hospital was
    negligent in “[failing] to ensure the safety of Plaintiff while in Defendant’s hospital.”
    The trial court denied these motions.
    6
    Trowell, 316 Mich App at 703.
    4
    Court in Bryant v Oakpointe Villa Nursing Ctr, Inc.7 In applying Bryant, the Court of
    Appeals noted that it was “confined to examining the allegations in plaintiff’s
    complaint,” but the “complaint is fairly vague and lacks elaboration in terms of
    describing and factually supporting the particular theories of negligence it sets forth,
    ostensibly because plaintiff was short on information concerning details of the
    incident . . . .”8 The Court observed that, based on the language of plaintiff’s complaint,
    all of plaintiff’s allegations could involve matters of medical judgment in the course of a
    professional relationship with defendant and thus constitute medical malpractice claims.9
    But the Court thought that plaintiff’s allegations could also be consistent with factual
    scenarios involving ordinary negligence. The Court determined that, without additional
    evidence, it was impossible to discern the nature of plaintiff’s claims.10 Accordingly, the
    Court of Appeals reversed the trial court’s order granting summary disposition to
    defendant and remanded to the trial court for further factual development of the nature of
    plaintiff’s claims as pleaded in her complaint.11
    7
    Bryant v Oakpointe Villa Nursing Ctr, Inc, 
    471 Mich 411
    , 422; 684 NW2d 864 (2004).
    8
    Trowell, 316 Mich App at 695.
    9
    Id. at 698, 700-701.
    10
    Id. at 702.
    11
    Id. at 702-703.
    5
    Citing Bryant, we ordered oral argument on defendant’s application for leave to
    appeal, directing the parties to address “whether the claims in the plaintiff’s complaint
    sound in ordinary negligence or medical malpractice[.]”12
    II. STANDARD OF REVIEW
    Whether a claim sounds in ordinary negligence or medical malpractice is a
    question of law that is reviewed de novo.13
    III. ANALYSIS
    A medical malpractice claim is sometimes difficult to distinguish from an ordinary
    negligence claim.14     But the distinction is often critical.15   In this case, defendant
    contended in its motion for summary disposition brought under MCR 2.116(C)(7) and
    (C)(8) that while plaintiff framed her claims as a “general negligence action,” they
    “actually sound in medical malpractice” and are barred by the applicable statute of
    limitations. Plaintiff has argued that her claims are for ordinary negligence.
    The Court of Appeals concluded in this case that “the allegations in the complaint
    12
    Trowell v Providence Hosp & Med Ctrs, Inc, 
    500 Mich 965
     (2017).
    13
    Bryant, 
    471 Mich at 419
    .
    14
    See, e.g., Chase v Sabin, 
    445 Mich 190
    , 197; 516 NW2d 60 (1994) (“While the
    plaintiff’s claim [against the hospital] lies in negligence, the essence of the hospital’s
    alleged wrong is substantially similar to medical malpractice.”), reversed on other
    grounds by Trentadue v Buckler Lawn Sprinkler Co, 
    479 Mich 378
    , 392-393; 738 NW2d
    664 (2007).
    15
    See Bryant, 
    471 Mich at 422
     (explaining how to determine whether a claim sounds in
    medical malpractice or ordinary negligence and noting that medical malpractice claims
    are subject to certain substantive and procedural requirements).
    6
    did not lend themselves to a definitive determination that the negligence claims in
    plaintiff’s suit necessarily sounded in medical malpractice,” and the panel therefore
    remanded to the trial court for further proceedings.16 Defendant disagrees with this
    approach, arguing that because it moved for summary disposition under MCR
    2.116(C)(7) and (C)(8), the court’s review of “allegations in [plaintiff’s] Complaint” was
    restricted “to the four corners of said Complaint.” Implicit in this argument is the
    premise that a remand to the trial court is unnecessary because that court was limited to
    reviewing the complaint alone when deciding defendant’s motion for summary
    disposition.
    A court is permitted to consider materials outside the pleadings when deciding a
    motion under MCR 2.116(C)(7).17 In contrast, “[o]nly the pleadings may be considered
    when the motion [for summary disposition] is based on subrule (C)(8) . . . .”18 We need
    not decide in this case whether the trial court was required to look only to the complaint
    in reviewing defendant’s motion or whether it could have looked to other submitted
    evidence in ascertaining the nature of plaintiff’s claims. This is because, under MCR
    2.116(G)(5), “[t]he affidavits, together with the pleadings, depositions, admissions, and
    documentary evidence then filed in the action or submitted by the parties, must be
    16
    Trowell, 316 Mich App at 683.
    17
    See MCR 2.116(G)(5) and (G)(6). See also Patterson v Kleiman, 
    447 Mich 429
    , 434
    n 6; 526 NW2d 879 (1994) (noting that in deciding a motion under MCR 2.116(C)(7),
    “the contents of the complaint must be accepted as true unless specifically contradicted
    by the affidavits or other appropriate documentation submitted by the movant”).
    18
    MCR 2.116(G)(5).
    7
    considered by the court when the motion is based on subrule (C)(1)-(7) or (10).”19 In this
    case, neither party submitted materials beyond the complaint concerning the nature of the
    claims, and thus review is properly limited to the complaint alone, regardless of whether
    defendant’s motion is examined under the standards applicable to (C)(7) motions, (C)(8)
    motions, or some combination of both standards.20
    The Court of Appeals therefore erred by ordering further discovery to determine
    the nature of plaintiff’s claims, which must be ascertained from the complaint itself under
    the facts of this case. As with any such review of a complaint, “[a]ll well-pleaded factual
    allegations are accepted as true and construed in a light most favorable to the
    nonmovant.”21 And we disregard the labels given to the claims and instead read the
    complaint as a whole, seeking the gravamen of the claims.22
    IV. APPLICATION
    The question remains as to what theory (or theories) plaintiff’s complaint actually
    sounds in. The Court of Appeals identified two claims in plaintiff’s complaint—“(1) the
    use of one nurse’s aide to assist plaintiff and not two aides or nurses and (2) the manner
    in which the nurse’s aide physically handled plaintiff when providing assistance,
    regardless of the number of hospital personnel involved.”23 Regarding the second claim,
    19
    Emphasis added.
    20
    See Patterson, 
    447 Mich at 432
     (“A motion under MCR 2.116(C)(7) may be supported
    by affidavits, depositions, admissions, or other documentary evidence.”).
    21
    Maiden v Rozwood, 
    461 Mich 109
    , 119; 597 NW2d 817 (1999).
    22
    Altobelli v Hartmann, 
    499 Mich 284
    , 303; 884 NW2d 537 (2016).
    23
    Trowell, 316 Mich App at 696-697.
    8
    the Court of Appeals further distinguished the first time the aide dropped plaintiff from
    the second time the aide dropped plaintiff. The Court explained that the second drop was
    potentially distinguishable because under Bryant, the failure to take corrective action
    once a risk is evident does not implicate medical judgment.24 The Court of Appeals
    remanded the two claims for further factual development to determine whether they
    sound in ordinary negligence or medical malpractice. In addition to the claims identified
    by the Court of Appeals, two other claims are apparent in plaintiff’s complaint: the
    “failure to properly supervise” and the “failure to properly train.”25 We will address each
    claim in turn.
    With regard to the second drop of plaintiff, our Court considered an almost
    identical situation in Bryant. In that case, the hospital staff found the plaintiff tangled in
    her bedding.26      After discovering this dangerous condition, the staff failed to take
    corrective action to prevent the condition from recurring.27 We held that this failure to
    take corrective action did not implicate medical judgment.28 We explained:
    This claim sounds in ordinary negligence. No expert testimony is
    24
    See Bryant, 
    471 Mich at 430-431
    .
    25
    These two claims are distinguishable from the two categories identified by the Court of
    Appeals because the failure to train and the failure to supervise concern the hospital’s
    direct liability. By contrast, the failure to use two or more nurses and the failure to
    properly assist plaintiff both concern the hospital’s vicarious liability for the aide’s
    negligence.
    26
    Bryant, 
    471 Mich at 430
    .
    27
    
    Id.
    28
    
    Id.
    9
    necessary to determine whether defendant’s employees should have taken
    some sort of corrective action to prevent future harm after learning of the
    hazard. The fact-finder can rely on common knowledge and experience in
    determining whether defendant ought to have made an attempt to reduce a
    known risk of imminent harm to one of its charges.[29]
    Our Court also offered the following hypothetical scenario:
    Suppose, for example, that two CENAs [certified evaluated nursing
    assistants] employed by defendant discovered that a resident had slid
    underwater while taking a bath. Realizing that the resident might drown,
    the CENAs lift him above the water. They recognize that the resident’s
    medical condition is such that he is likely to slide underwater again and,
    accordingly, they notify a supervising nurse of the problem. The nurse,
    then, does nothing at all to rectify the problem, and the resident drowns
    while taking a bath the next day.[30]
    In such a scenario, we explained, a jury relying on common knowledge and experience
    could determine whether the defendant was negligent for failing to take corrective action
    in response to a known danger.31 Thus, a claim based upon such a scenario sounds in
    ordinary negligence rather than medical malpractice.
    Plaintiff’s claim in this case regarding the second drop is analogous to the
    situation in Bryant. As in Bryant, the nurse’s aide in this case discovered a danger when
    she attempted to move plaintiff and dropped her. After discovering this danger, the aide
    failed to take corrective action, such as calling for assistance or retrieving additional
    equipment to aid in moving plaintiff. Instead, the aide attempted the same action that had
    already failed and caused plaintiff injury—she tried again to move plaintiff unassisted.
    29
    
    Id. at 430-431
    .
    30
    
    Id. at 431
    .
    31
    
    Id.
    10
    Like the situation described in Bryant, the aide in this case “recognize[d] that the
    resident’s medical condition is such that [she] is likely to [fall] again,”32 but the aide
    nevertheless failed to take corrective action. Plaintiff’s complaint with regard to the
    second drop, viewed “in a light most favorable to the nonmovant,”33 sets forth a claim
    that a jury “relying only on common knowledge and experience”34 could decide.
    As for plaintiff’s remaining claims, however, each sounds in medical malpractice.
    When we considered similar claims, both in Bryant and in Dorris v Detroit Osteopathic
    Hosp Corp,35 on which Bryant relied, we determined that such claims implicate medical
    judgment. Related to the failure to use more than one person to move plaintiff, Dorris
    considered a claim of inadequate staffing and held that “these allegations concerning
    staffing decisions and patient monitoring involve questions of professional medical
    management and not issues of ordinary negligence that can be judged by the common
    knowledge and experience of a jury.”36 Similarly, in this case, plaintiff’s claim that
    defendant failed “to provide an adequate number of nurses to assist Plaintiff while in
    Defendant’s hospital” implicated medical judgment and thus sounded in medical
    malpractice.
    32
    
    Id.
    33
    Maiden, 
    461 Mich at 119
    .
    34
    Bryant, 
    471 Mich at 431
    .
    35
    Dorris v Detroit Osteopathic Hosp Corp, 
    460 Mich 26
    ; 594 NW2d 455 (1999).
    36
    
    Id. at 47
    .
    11
    Plaintiff’s failure-to-properly-assist claim is analogous to the “failure to inspect”
    claim considered in Bryant. In Bryant, we held that the failure to recognize the risks of
    asphyxiation associated with a patient’s bedding implicates medical judgment because it
    requires an individualized assessment of the patient’s medical needs.37 In the same way,
    in this case, we hold that the claim that the aide failed to properly assist plaintiff while
    she was in the ICU implicates medical judgment because it requires consideration of
    plaintiff’s individualized medical needs.
    Regarding plaintiff’s allegation in the complaint that defendant failed “to properly
    supervise the care of Plaintiff while in Defendant’s hospital,” Dorris considered a similar
    claim in the context of a psychiatric ward and held that “[t]he ordinary layman does not
    know the type of supervision or monitoring that is required for psychiatric patients in a
    psychiatric ward.”38 Similarly, in this case, a jury could not determine, relying merely on
    “common knowledge and experience,”39 what would constitute proper supervision for a
    patient like plaintiff, who was admitted to the ICU after suffering an aneurysm, a stroke,
    and cardiac arrest.
    Finally, regarding plaintiff’s allegation in the complaint that defendant failed “to
    properly train ‘Dana’ and other nurses in how to properly handle patients such as
    Plaintiff,” Bryant considered a claim of failure to train hospital staff on how to avoid
    37
    Bryant, 
    471 Mich at 429
    .
    38
    Dorris, 
    460 Mich at 47
    .
    39
    Bryant, 
    471 Mich at 423
    .
    12
    asphyxiation from improperly situated bedding.40          We analogized to the failure-to-
    supervise claim in Dorris and held that assessing risks such as asphyxiation from bedding
    for purposes of proper supervision requires specialized knowledge of hospital bedding
    arrangements and of a patient’s individual needs.41          Thus, we held that the claim
    implicated medical judgment.42 In this case, the same principles apply. To determine
    whether the hospital provided proper supervision in the ICU for a patient such as
    plaintiff, a jury would need to hear expert testimony regarding proper methods of moving
    a patient, as well as the patient’s individualized needs. Thus, the claim implicates
    medical judgment and sounds in medical malpractice.
    Having reached these conclusions, we again note, as we did in Bryant, that “in
    future cases of this nature, in which the line between ordinary negligence and medical
    malpractice is not easily distinguishable, plaintiffs are advised as a matter of prudence to
    file their claims alternatively as medical malpractice and ordinary negligence within the
    applicable period of limitations.”43
    40
    
    Id. at 426
    .
    41
    
    Id. at 427-428
    .
    42
    
    Id. at 428
    .
    43
    
    Id. at 432-433
    . In Bryant, we added:
    If the trial court thereafter rules that the claim sounds in ordinary
    negligence and not medical malpractice, and may thus proceed in ordinary
    negligence, and this ruling is subsequently reversed on appeal, the plaintiff
    will nonetheless have preserved the right to proceed with the medical
    malpractice cause of action by having filed in medical malpractice within
    the period of limitations. [Id. at 433 n 19.]
    13
    V. CONCLUSION
    Under these facts, when the only material submitted to the court was plaintiff’s
    complaint, the Court of Appeals erred by remanding this case for an evidentiary hearing
    to determine the nature of plaintiff’s claims. When plaintiff’s complaint is read properly,
    she has stated only one claim of ordinary negligence—the claim regarding the second
    drop. As stated in the complaint, the other claims sound in medical malpractice, and thus
    those other claims are time-barred. Accordingly, we reverse the Court of Appeals’
    judgment and remand to the trial court for proceedings consistent with this opinion.
    Stephen J. Markman
    Brian K. Zahra
    Richard H. Bernstein
    Kurtis T. Wilder
    14
    STATE OF MICHIGAN
    SUPREME COURT
    AUDREY TROWELL,
    Plaintiff-Appellee,
    v                                                             No. 154476
    PROVIDENCE HOSPITAL AND
    MEDICAL CENTERS, INC.,
    Defendant-Appellant.
    VIVIANO, J. (concurring in result only).
    I concur in the majority’s holding, namely, that when determining the nature of
    plaintiff’s claim, the lower courts’ review was properly limited to the complaint alone.
    But I do not agree with the majority’s reasoning and fear it will have negative
    consequences. I write to explain why.1
    I. BACKGROUND
    Defendant moved for summary disposition under MCR 2.116(C)(7) and (C)(8),
    arguing that plaintiff’s claims (1) sounded in medical malpractice and (2) were barred by
    the statute of limitations applicable to such claims.2 In response, plaintiff did not contest
    the latter portion of the motion; instead, she argued that her complaint alleges ordinary
    1
    I also agree with the majority that, when read properly, plaintiff’s complaint states only
    one claim of ordinary negligence—the claim regarding the second drop. So I will not
    address this issue further.
    2
    See MCL 600.5805(8).
    negligence claims that are not time-barred. Thus, the only issue in dispute is the nature of
    the claims asserted in plaintiff’s complaint, i.e., do they sound in medical malpractice or
    ordinary negligence?
    But to resolve this question, a court must know what materials to consider—the
    pleadings alone, or the pleadings and the evidence submitted by the parties. The Court of
    Appeals treated the question of the nature of a claim as a factual issue and therefore
    remanded the case for evidentiary development. The majority in this Court purports to
    reject this approach and holds that a remand for further factual development is
    inappropriate because, in this particular case, defendant did not submit documentary
    evidence in support of its motion and plaintiff did not submit any with its response. The
    problem with this rationale, however, is that it implies that determining the nature of a
    claim can be converted into a factual issue whenever a party submits evidence on the
    matter.     Thus, the majority, like the Court of Appeals, leaves the door open to
    determining the legal nature of a claim in a complaint by reference to the factual record.3
    I believe the confusion in this case results from our decision in Bryant v Oakpointe
    Villa Nursing Ctr, Inc.4 There, drawing on the standards set forth in Dorris v Detroit
    Osteopathic Hosp Corp,5 we reiterated the test for determining whether a claim sounds in
    3
    Despite noting that defendant cited both MCR 2.116(C)(7) and (C)(8) in support of its
    motion for summary disposition, the Court of Appeals panel, like the majority here, only
    addressed the motion under MCR 2.116(C)(7). For the reasons below, I believe both
    rules are applicable to motions of this type.
    4
    Bryant v Oakpointe Villa Nursing Ctr, Inc, 
    471 Mich 411
    ; 684 NW2d 864 (2004).
    5
    Dorris v Detroit Osteopathic Hosp Corp, 
    460 Mich 26
    ; 594 NW2d 455 (1999).
    2
    medical malpractice: medical malpractice claims can only arise in the course of a
    professional relationship and necessarily raise questions involving medical judgment,
    whereas ordinary negligence claims raise issues within the realm of common knowledge
    and experience.6
    Applying Dorris to the various theories alleged in the plaintiff’s complaint, this
    Court in Bryant did not limit its review to the plaintiff’s complaint.            Instead, we
    considered the deposition testimony of the plaintiff’s expert, an article the expert
    coauthored, and the testimony of certain other witnesses.7 Indeed, at one point, we made
    an explicit reference to the record in making our determination.8 Shortly after Bryant
    was decided, the Court of Appeals followed suit in a published opinion in Sturgis Bank &
    Trust Co v Hillsdale Community Health Ctr.9 Notably, however, in Gregory v Heritage
    Hosp, the companion case to Dorris, this Court’s review was limited to the allegations in
    the plaintiff’s complaint.10
    6
    See Bryant, 
    471 Mich at 422
    , citing Dorris, 
    460 Mich at 45-46
     (explaining that “Dorris
    is central to our analysis”).
    7
    Bryant, 
    471 Mich at 427-430
    .
    8
    
    Id. at 429
     (“It is clear from the record in this case . . . .”). We also stated in a footnote
    that “[t]he court must examine the particular factual setting of the plaintiff’s claim in
    order to determine whether the circumstances—for example, the medical condition of the
    plaintiff or the sophistication required to safely effect the move—implicate medical
    judgment as explained in Dorris.” 
    Id.
     at 421 n 9.
    9
    See Sturgis Bank & Trust Co v Hillsdale Community Health Ctr, 
    268 Mich App 484
    ,
    497-498; 708 NW2d 453 (2005) (reviewing documentary evidence and deposition
    testimony to determine whether the plaintiff’s claim sounded in medical malpractice or
    ordinary negligence).
    10
    Dorris, 
    460 Mich at 45-48
    .
    3
    I believe that Bryant charted a wayward course that was followed in Sturgis and
    by the Court of Appeals panel in this case. I would reject this mode of analysis, which
    permits consideration of facts outside the pleadings to decide what claims a plaintiff is
    asserting. The nature of a claim does not depend on the sufficiency of the evidence, it
    depends on the sufficiency of the pleadings. As discussed below, I believe our court
    rules chart a simpler course for motions like the one at issue in this case. A court should
    address the question of whether the complaint sounds in medical malpractice or ordinary
    negligence under MCR 2.116(C)(8), because that rule is tailored to questions regarding
    the sufficiency of a pleading.11 Once that task is accomplished, the court must then
    determine whether the claim or claims in the complaint were timely, a determination
    properly made under MCR 2.116(C)(7).
    II. DETERMINING THE NATURE OF A CLAIM UNDER MCR 2.116(C)(8)
    Defendant’s motion for summary disposition in this case does not simply argue
    that the plaintiff’s claim is time-barred.       Rather, defendant’s motion first seeks a
    determination of the nature of the claims that plaintiff has asserted, i.e., it argues that
    plaintiff’s complaint sounds in medical malpractice, not ordinary negligence.12 This is
    11
    In Bryant, 
    471 Mich at 419
    , we may also have created some confusion when we stated
    that “[i]n determining whether the nature of a claim is ordinary negligence or medical
    malpractice, as well as whether such claim is barred because of the statute of limitations,
    a court does so under MCR 2.116(C)(7).” (Emphasis added.) The italicized portion of
    this quotation, however, finds no support in the text of the court rule because MCR
    2.116(C)(7) does not, by its terms, apply to a determination of the nature of a claim. For
    the reasons discussed in the text, I do not think this is a correct statement of the law in
    this area and would therefore disavow it.
    12
    See Belleville v Hanby, 
    152 Mich App 548
    , 551; 394 NW2d 412 (1986) (noting, in a
    case determining the applicable statute of limitations, that a court must “see exactly what
    4
    another way of saying that plaintiff’s complaint does not state a claim for ordinary
    negligence. And to answer this question, the court must assess the complaint under MCR
    2.116(C)(8), which permits motions for summary disposition on the ground that “[t]he
    opposing party has failed to state a claim on which relief can be granted.”13 Unlike
    motions under MCR 2.116(C)(7), “[o]nly the pleadings may be considered when the
    motion [for summary disposition] is based on subrule (C)(8) . . . .”14
    The proper analysis of the nature of a plaintiff’s claim, then, relies on basic
    pleading principles. We are “committed to the notice theory of pleading,” which means
    that the function of the complaint is to provide the opposing party with notice of the
    claims being lodged against it.15 Accordingly, our court rules require that a complaint
    provide “[a] statement of the facts, without repetition, on which the pleader relies in
    stating the cause of action, with the specific allegations necessary reasonably to inform
    the adverse party of the nature of the claims the adverse party is called on to defend”16
    a party’s complaint is before deciding whether it should be barred”).
    13
    See also Maiden v Rozwood, 
    461 Mich 109
    , 119; 597 NW2d 817 (1999) (“A motion
    under MCR 2.116(C)(8) tests the legal sufficiency of the complaint. All well-pleaded
    factual allegations are accepted as true and construed in a light most favorable to the
    nonmovant.”).
    14
    MCR 2.116(G)(5).
    15
    Baker v Gushwa, 
    354 Mich 241
    , 246; 92 NW2d 507 (1958); see also Olson v Dahlen, 
    3 Mich App 63
    , 72; 141 NW2d 702 (1966) (“[T]he function of the pleadings is to act as a
    guide rope, not as a snare or a hangman’s noose.”).
    16
    MCR 2.111(B)(1); see also Eberbach v Woods, 
    232 Mich 392
    , 396; 
    205 NW 174
    (1925) (“The purpose of a declaration is to inform the defendant of the nature of
    plaintiff’s claim.”).
    5
    and that all claims against an opposing party arising out of those facts must be included in
    the complaint against that party.17 Thus, our courts have historically held that “the
    gravamen of an action is determined by reading the complaint as a whole . . . .”18 That is,
    we determine the nature of a claim by looking to what type of claim “the complaint
    sounds in.”19 As this Court has noted, “It is well accepted that in ruling on a statute of
    limitations defense the court may look behind the technical label that plaintiff attaches to
    a cause of action to the substance of the claim asserted.”20 And courts in this state and
    17
    MCR 2.203(A).
    18
    Adams v Adams (On Reconsideration), 
    276 Mich App 704
    , 710-711; 742 NW2d 399
    (2007); see also Altobelli v Hartmann, 
    499 Mich 284
    , 303; 884 NW2d 537 (2016) (“In
    considering the gravamen of plaintiff’s complaint, we examine the entire claim, looking
    beyond procedural labels to determine the exact nature of the claim.”); Adkins v
    Annapolis Hosp, 
    116 Mich App 558
    , 563; 323 NW2d 482 (1982) (“The gravamen of an
    action is determined by reading the claim as a whole.”), citing Smith v Holmes, 
    54 Mich 104
    ; 
    19 NW 767
     (1884); 1 Am Jur 2d, Actions, § 7, p 824 (“As also stated, whether a
    claim sounds in tort or contract is determined by the nature and substance of the facts
    alleged in the pleadings.”); 1A CJS, Actions, § 102, p 374 (“To determine the nature of
    an action, a court must examine and construe a complaint’s essential and factual
    allegations by which the plaintiff requests relief, rather than the legal terminology utilized
    in the complaint or the form of a pleading.”).
    19
    See, e.g., Dennis v Robbins Funeral Home, 
    428 Mich 698
    , 705; 411 NW2d 156 (1987)
    (“[T]he complaint sounds in negligence, negligent infliction of emotional distress, and
    intentional infliction of emotional distress.”); Wheeler v Iron Co Rd Comm, 
    173 Mich App 542
    , 544; 434 NW2d 188 (1988) (“Plaintiffs’ complaint sounds in premises
    liability.”); Lockwood v Mobile Med Response, Inc, 
    293 Mich App 17
    , 26; 809 NW2d
    403 (2011) (“[P]laintiff’s complaint sounds in medical malpractice, not ordinary
    negligence.”); see also Parkwood Ltd Dividend Housing Assoc v State Housing Dev Auth,
    
    468 Mich 763
    , 771-772; 664 NW2d 185 (2003) (determining the nature of the claim by
    examining plaintiff’s complaint).
    20
    Local 1064, RWDSU AFL-CIO v Ernst & Young, 
    449 Mich 322
    , 327 n 10; 535 NW2d
    187 (1995).
    6
    others have used this mode of analysis—examining the complaint to determine the nature
    of the claim—to decide whether a plaintiff has stated a claim of ordinary negligence or
    medical malpractice in cases involving the statute of limitations defense and the other
    statutory medical malpractice requirements.21
    21
    See Kambas v St. Joseph’s Mercy Hosp of Detroit, 
    389 Mich 249
    , 250-252; 205 NW2d
    431 (1973) (examining the complaint to determine that certain allegations sounded in
    ordinary negligence, not medical malpractice, and thus the medical malpractice statute of
    limitations was inapplicable); Bronson v Sisters of Mercy Health Corp, 
    175 Mich App 647
    , 648-650, 654; 438 NW2d 276 (1989) (holding, after examining the complaint alone
    in a case deciding an MCR 2.116(C)(7) motion, that the plaintiff’s complaint sounded in
    medical malpractice); McLeod v Plymouth Court Nursing Home, 957 F Supp 113, 115
    (ED Mich, 1997) (holding that a complaint stated a claim for ordinary negligence, not
    medical malpractice, by examining the gravamen of the complaint alone); Gunter v
    Laboratory Corp of America, 
    121 SW3d 636
    , 639 (Tenn, 2003) (noting that “[t]o
    determine which limitations statute controls Gunter’s [the plaintiff’s] claim against the
    laboratory, we must first decide whether the claim sounds in medical malpractice or
    negligence” and looking to the complaint for this determination); Weiner v Lenox Hill
    Hosp, 88 NY2d 784, 787-788; 
    673 NE2d 914
     (1996) (noting that “[t]o determine which
    Statute of Limitations governs plaintiff’s claim against the Hospital, we must decide
    whether the claim sounds in medical malpractice or negligence,” and holding, on the
    basis of an examination of the complaint, that “the complaint in this case sounds in
    negligence, not medical malpractice”); see also Belleville, 152 Mich App at 551 (“In
    determining which limitation period controls, the focus must be on the type of interest
    allegedly harmed. . . . The gravamen of an action is determined by reading the claim as a
    whole. . . . Further, this Court will look beyond procedural labels to see exactly what a
    party’s complaint is before deciding whether it should be barred.”); Barnard v Dilley, 
    134 Mich App 375
    , 378; 350 NW2d 887 (1984) (“The applicable period of limitation depends
    upon the theory actually pled when the same set of facts can support either of two distinct
    causes of action.”). See also MacDonald v Barbarotto, 
    161 Mich App 542
    , 547; 411
    NW2d 747 (1987) (noting that “[i]n determining the appropriate statute of limitation
    governing a case, we read the party’s claim as a whole and look beyond the procedural
    labels to determine the exact nature of the claim,” and looking to the complaint to
    determine that the claim was for ordinary negligence).
    7
    This makes sense. A plaintiff speaks through his or her complaint,22 so what
    claims a plaintiff is asserting can only be determined by reference to the allegations in the
    complaint. The claim itself is simply “[a] statement that something yet to be proved is
    true,” “[t]he assertion of an existing right,” or “[a] demand for . . . a legal remedy to
    which one asserts a right[.]”23      A claim “sounds” in a particular theory permitting
    recovery, such as tort or contract.24 A plaintiff articulates a claim and the supporting
    legal theory in his or her complaint,25 not in the evidentiary record.26 Evidence outside
    22
    See MCR 2.101(B) (“A civil action is commenced by filing a complaint with a
    court.”).
    23
    Black’s Law Dictionary (10th ed).
    24
    
    Id.
     (“Sound” means “1. To be actionable (in)  [and] 2. To be recoverable (in) .”); see also Garner, A Dictionary of Modern Legal Usage, p 818
    (1995) (“This verb [sound] has a special legal sense, ‘to be actionable (in).’ E.g., . . . ‘It
    is, of course, to the advantage of any lienor . . . to plead his claim as sounding not in
    contract but in tort.’ ”) (citation omitted).
    25
    MCR 2.111(B)(1); see Dacon v Transue, 
    441 Mich 315
    , 330; 490 NW2d 369 (1992)
    (“To assert a theory of liability, MCR 2.111(B)(1) specifies that an allegation must
    ‘state[ ] . . . the facts, without repetition, on which pleader relies,’ and state ‘the specific
    allegations necessary reasonably to inform the adverse party’ of the pleader’s claims.”)
    (emphasis added).
    26
    See Davis v Kramer Bros Freight Lines, Inc, 
    361 Mich 371
    , 376-377; 105 NW2d 29
    (1960) (A cause of action, i.e., a claim, “means merely the pleaded concurrence of facts
    giving rise to the obligation sought to be enforced against the defendant. The plaintiff’s
    statement of a cause of action must not be confused with his right to judgment. Whether
    judgment will ever result will depend upon the proof plaintiff offers in support of the
    cause he asserts . . . .”). Indeed, the court rules specify a narrow class of outside written
    instruments that must be attached to a pleading if a claim or defense is based on such a
    written instrument, see MCR 2.110(A) (defining “pleading” to include “complaint”), and
    those instruments can be considered part of the pleading itself. See MCR 2.113(F)
    (listing the various written instruments that must be attached to a pleading under certain
    circumstances and establishing that if attached the instruments are “part of the pleading
    8
    the complaint, then, cannot be considered to determine the nature of plaintiff’s claim;
    instead, those materials represent the factual support for the claim.27
    As recognized by one scholar, under the principle of notice pleading a “court is
    compelled to ascertain the [legal] theory as best it can by scrutiny of the complaint[.]”28
    “[I]f the pleading is negative in this regard,” that is, does not give notice of the legal
    theory, then “how can there be any proper ascertainment” of the theory?29 It would work
    an injustice if the plaintiff’s theory could develop and fluctuate without any formal
    amendments as the case progresses, thus making it necessary for the defendant to be on
    guard against all possible legal theories inherent in the complaint.30 This would prevent
    defendants from relying on procedural defenses that ordinarily may be asserted in
    advance of trial.31
    for all purposes”).
    27
    Cf. MCR 2.302(B)(1) (permitting discovery “regarding any matter, not privileged,
    which is relevant to the subject matter involved in the pending action, whether it relates
    to the claim or defense of the party seeking discovery or to the claim or defense of
    another party”) (emphasis added).
    28
    Millar, Civil Procedure of the Trial Court in Historical Perspective (1952), p 199.
    29
    
    Id.
    30
    Id. at 198 (noting that if “every statement of claim carries with it every possible theory
    which can find support in the facts alleged, or even of the facts to be proved,” a defendant
    would have “to prepare on the law for eventualities which he may never be required to
    meet” and “[i]f he fails to be armed at all points, he may be unjustly overthrown by a
    wholly unexpected development in point of theory which he is not ready to answer”).
    31
    Id. at 199 (explaining that a rule that allows the theory to develop throughout the trial
    would undermine “the case where identification is required in advance of trial, as where
    it should become necessary to distinguish between a claim in contract and a claim in tort
    for the purpose of determining whether, under the State practice, there may be a
    9
    As amici curiae the American Medical Association and the Michigan State
    Medical Society point out, the requirement that the nature of claims be determined from
    the complaint has significant practical implications in the context of medical malpractice
    actions. Plaintiffs who file medical malpractice actions are required to serve a written
    notice of intent to sue 182 days prior to filing the action32 and to file an affidavit of merit
    signed by a health professional.33        The efficacy of these requirements would be
    undermined if a case could proceed to discovery, and possibly even a jury trial,34 to
    determine if those requirements had to be met.
    For these reasons, the nature of a plaintiff’s claim—i.e., whether it is for medical
    malpractice or ordinary negligence—should be determined solely by reference to the
    allegations in the complaint. As with any such review of a complaint, “[a]ll well-pleaded
    factual allegations are accepted as true and construed in a light most favorable to the
    nonmovant.”35 And we look beyond the labels given to the claims and instead read the
    complaint as a whole, seeking the gravamen of the claims.36 This not only prevents
    preliminary attachment of property or the holding of a defendant to bail”).
    32
    MCL 600.2912b(1).
    33
    MCL 600.2912d(1).
    34
    See MCR 2.116(I)(3).
    35
    Maiden, 
    461 Mich at 119
    ; see also Campos v Gen Motors Corp, 
    71 Mich App 23
    , 26;
    246 NW2d 352 (1976) (stating that the pleaded allegations must be taken as true when
    deciding what theory a complaint sounded in for purposes of deciding whether it was
    time-barred under the applicable statute of limitations).
    36
    Altobelli, 499 Mich at 303.
    10
    “artful pleading,”37 but also accounts for the risk that a party honestly, though
    “incorrectly[,] invoke[s] language that designates a claim as either medical malpractice or
    ordinary negligence, when the opposite is in fact true.”38
    In sum, when faced with a motion alleging untimely claims that requires a court to
    determine the nature of the claims in the complaint, the court must determine the nature
    of the claims solely by reference to the complaint under MCR 2.116(C)(8).39 Once that
    task is accomplished, the court must then determine whether the claim or claims in the
    complaint were timely, a determination properly made under MCR 2.116(C)(7).
    37
    Maiden, 
    461 Mich at 135
    .
    38
    Szymborski v Spring Mountain Treatment Ctr, 403 P3d 1280, 1285 (Nev, 2017).
    39
    As we noted in Bryant, 
    471 Mich at 432-433
    , “[when] the line between ordinary
    negligence and medical malpractice is not easily distinguishable, plaintiffs are advised as
    a matter of prudence to file their claims alternatively in medical malpractice and ordinary
    negligence within the applicable period of limitations.” Plaintiffs who lack information
    prior to initiating a medical malpractice action can, in appropriate cases, resort to the
    doctrine of res ipsa loquitur to create an inference of negligence even in the absence of
    expert testimony. See Woodard v Custer, 
    473 Mich 1
    , 6-7; 702 NW2d 522 (2005).
    Defendants, too, have tools to address underdeveloped complaints that could sound in
    either medical malpractice or ordinary negligence. One is to “move for a more definite
    statement before filing a responsive pleading” if the “pleading is so vague or ambiguous
    that it fails to comply with the requirements of these rules.” MCR 2.115(A). If a
    complaint for ordinary negligence turns out, after factual development, to involve only
    matters of medical judgment in the course of a professional relationship (i.e., the claim is
    provable only as a medical malpractice claim), the defendant could move for summary
    disposition under MCR 2.116(C)(10) on the basis that there is no factual dispute
    regarding the breach of an ordinary standard of care.
    11
    III. DETERMINING WHETHER THE CLAIM IS BARRED UNDER
    MCR 2.116(C)(7) BY THE STATUTE OF LIMITATIONS
    A statute of limitations is simply a “ ‘law that bars claims after a specified period;
    specif[ically], a statute establishing a time limit for suing in a civil case, based on the date
    when the claim accrued.’ ”40         This determination is properly made under MCR
    2.116(C)(7), which, by its terms, applies to motions for summary disposition based on the
    “statute of limitations.” The essence of such a motion is that the plaintiff’s claim is
    untimely.41 A defendant raising the statute of limitations must show that the plaintiff’s
    claim is time-barred, whereas the plaintiff, to refute the defense, must prove “that his
    claim is timely.”42 In making this determination, the court may need to consider evidence
    submitted by the parties.43 Factual disputes regarding timeliness thus fit squarely within
    40
    Frank v Linkner, 
    500 Mich 133
    , 142; 894 NW2d 574 (2017), quoting Black’s Law
    Dictionary (10th ed) (emphasis omitted; alteration in original).
    41
    See generally Palenkas v Beaumont Hosp, 
    432 Mich 527
    , 550; 443 NW2d 354 (1989)
    (discussing the burdens of proof regarding statute of limitations defenses, focusing on
    whether the claim is timely or not); Lothian v Detroit, 
    414 Mich 160
    , 165, 168; 324
    NW2d 9 (1982) (noting that “[a] statutory limitations period represents a legislative
    determination of that reasonable period of time that a claimant will be given in which to
    file an action” and that “[l]aches differs from the statutes of limitation in that ordinarily it
    is not measured by the mere passage of time”); Bigelow v Walraven, 
    392 Mich 566
    , 576;
    221 NW2d 328 (1974) (noting that purposes of statutes of limitations include
    “ ‘compel[ling] the exercise of a right of action within a reasonable time’ ” and
    preventing stale claims) (citation omitted); 54 CJS, Limitations on Actions, § 2, p 18
    (“The essential attribute of a statute of limitations is that it establishes a reasonable time
    within which an action may be brought on causes of action which it affects. . . . A statute
    of limitations fixes a time beyond which the courts generally cannot entertain a cause of
    action[.]”).
    42
    Palenkas, 
    432 Mich at 550
    .
    43
    See Wright & Miller, 5 Federal Practice & Procedure (3d ed), § 1277, p 642 (observing
    that even when a complaint appears time-barred on its face, “there may be facts tolling
    12
    MCR 2.116(G)(5), which requires consideration of the extrinsic evidence when deciding
    a motion under MCR 2.116(C)(7).
    IV. PROBLEMS WITH THE MAJORITY’S APPROACH
    While the majority concludes that it is unnecessary to reach the issue of whether
    the court may look beyond the complaint to determine its contents, the majority’s
    analysis treats this issue as a fact question. But if the nature of a plaintiff’s claim can be
    determined with regard to evidence outside the complaint—and thus is a question of
    fact—it is hard to see why the Court of Appeals’ remand in this case was improper. The
    majority focuses on the language of MCR 2.116(G)(5), particularly its directive that
    “[t]he affidavits, together with the pleadings, depositions, admissions, and documentary
    evidence then filed in the action or submitted by the parties, must be considered by the
    court when the motion is based on subrule (C)(1)-(7) or (10).” When MCR 2.116(G)(5)
    applies, the rule requires that a court consider all evidence then filed in deciding the
    motion. The majority, however, reads a prohibition into the rule—a court cannot order
    further factual development to decide the motion.
    The majority, however, cites no support for this limitation on the court’s ability to
    allow factual development of a fact question. The rule is one of inclusion, not exclusion.
    Nothing in the rule establishes that a court is prohibited from considering any evidence.
    Additionally, under the majority’s approach, the factual record crystallizes without regard
    to whether discovery is complete or whether the court needs additional evidence to make
    the running of the statute, such as by equitable estoppel, that do not appear in the
    complaint, which means that the motion to dismiss [as untimely] might be premature”).
    13
    its factual determination. This would be an odd, perhaps even singular, way to resolve
    factual issues and would disregard courts’ general authority to require additional
    evidentiary development when deciding questions of fact.44 And it is a rule we have
    never expressed in past cases. Indeed, in cases dealing with motions subject to MCR
    2.116(G)(5), we have done the opposite, i.e., remanded “for further development of the
    factual record through discovery or, if appropriate, for amendment of the pleadings.”45
    Further, reading MCR 2.116(G)(5) to prohibit factual development also ignores
    that summary disposition will often be premature without sufficient factual development.
    As a general rule, courts will not decide motions for summary disposition before the end
    of discovery on a disputed issue unless there is no reasonable chance that discovery will
    uncover factual support for the nonmoving party’s position.46 Indeed, the Court of
    Appeals has recognized that, although courts reviewing motions under MCR 2.116(C)(7)
    44
    See Oliver v Smith, 
    269 Mich App 560
    , 567; 715 NW2d 314 (2006) (stating that a trial
    court should not grant summary disposition before discovery is complete if further
    discovery could reveal factual support for the opposing party); MCR 7.216(A)(5) (“The
    Court of Appeals may, at any time, in addition to its general powers, in its discretion, and
    on the terms it deems just . . . remand the case to allow additional evidence to be
    taken[.]”); MCR 7.316(A)(5) (“While a matter is pending in the Supreme Court, the
    Court may, at any time, in addition to its general powers . . . adjourn the case until further
    evidence is taken and brought before it[.]”).
    45
    CC Mid West, Inc v McDougall, 
    470 Mich 878
     (2004) (addressing an MCR
    2.116(C)(4) motion challenging jurisdiction and noting explicitly that MCR 2.116(G)(5)
    applied to that motion).
    46
    See Dextrom v Wexford Co, 
    287 Mich App 406
    , 431; 789 NW2d 211 (2010); see also
    MCR 2.116(H) (permitting a party to oppose a motion by showing by affidavit that the
    facts necessary to support a party’s position cannot be presented because they have not
    yet been procured).
    14
    must consider the evidence listed in MCR 2.116(G)(5), “if a question of fact exists so that
    factual development could provide a basis for recovery, caselaw states that dismissal
    without further factual development is inappropriate.”47
    The majority also fails to grapple with the implications of MCR 2.116(I)(3). That
    rule expressly allows for immediate trial on disputed issues of fact involving MCR
    2.116(C)(7) motions:
    A court may, under proper circumstances, order immediate trial to
    resolve any disputed issue of fact, and judgment may be entered forthwith
    if the proofs show that a party is entitled to judgment on the facts as
    determined by the court. An immediate trial may be ordered if the grounds
    asserted are based on subrules (C)(1) through (C)(6), or if the motion is
    based on subrule (C)(7) and a jury trial as of right has not been demanded
    on or before the date set for hearing. If the motion is based on subrule
    (C)(7) and a jury trial has been demanded, the court may order immediate
    trial, but must afford the parties a jury trial as to issues raised by the motion
    as to which there is a right to trial by jury.[48]
    The fact that the rules explicitly provide for a trial on factual issues related to motions
    brought under MCR 2.116(C)(7) strongly indicates that MCR 2.116(G)(5) is not a
    prohibition on evidentiary development.49
    In this case, discovery is not complete, and plaintiff has not even been able to
    depose the aide responsible for transporting plaintiff, and the aide was most likely the
    47
    Dextrom, 287 Mich App at 431.
    48
    MCR 2.116(I)(3).
    49
    It would be rather astounding if a trial could be held to determine the nature of a claim
    as pleaded in a complaint. Yet if the majority is correct that this is a fact question, such
    trials are necessarily permissible. The majority fails to address this puzzling result.
    15
    central witness in the case.50 Under the majority’s reasoning, the court is prevented from
    considering the aide’s testimony simply because defendants successfully filed their
    motion for summary disposition before discovery could be completed. In effect, the
    majority’s analysis creates a game of musical chairs, where parties will rush to file
    motions for summary disposition in order to freeze discovery on the issue. Recognizing
    that the nature of a claim must be determined by the nature of the complaint alone both
    comports with the pleading principles discussed above and avoids such an odd outcome.
    It is hard to understand how evidence outside the pleadings can help a court
    determine what claims the plaintiff has asserted in the complaint. In our system, the
    plaintiff gets to decide what facts to allege and what legal theories of recovery to assert.51
    50
    Plaintiff’s counsel argued at the April 2015 motion for summary disposition:
    In this case, I don’t even know, because we haven’t had a chance to
    depose Ms. McCorkle (ph), whose nurse—who apparently dropped my
    client, that whether she was a nurse or a nurse’s aide or exactly what her
    position was. . . .
    [W]e pled a number of things as defendant—I’m sorry, a number of
    theories as defendant stated; however, we haven’t been able to complete
    discovery to find out exactly which theory applies. They don’t know if it
    was because two nurses were supposed to have assisted, whether the nurse
    in question just wasn’t able to physically assist her, what the circumstances
    were that caused her to drop her.
    51
    The Fair v Kohler Die & Specialty Co, 
    228 US 22
    , 25; 
    33 S Ct 410
    ; 
    57 L Ed 716
    (1913) (Holmes, J.) (“Of course the party who brings a suit is master to decide what law
    he will rely upon . . . .”). See also Alexander v Electronic Data Sys Corp, 13 F3d 940,
    943-944 (CA 6, 1994) (asserting in the context of the well-pleaded complaint rule that
    “the plaintiff is the master of his complaint”).
    16
    The pleadings can be amended in appropriate circumstances,52 but their meaning cannot
    be retroactively altered by evidence.
    V. CONCLUSION
    Accordingly, I would hold that the Court of Appeals erred by remanding for
    further factual development rather than deciding the nature of plaintiff’s claims by
    reference to the complaint alone.
    David F. Viviano
    Bridget M. McCormack
    Elizabeth T. Clement
    52
    See MCR 2.118.
    17