Household Services Valuation for Medical Malpractice Cases in New Hampshire

By KW Economics Editorial Team · Updated

KW Economics prepares household services analysis for medical malpractice cases venued in New Hampshire: what the loss claim consists of, the records that drive it, and a present value built to New Hampshire damages rules and venues. Plaintiff and defense.

How household services analysis applies to Medical Malpractice in New Hampshire

In a medical malpractice claim the household services loss is measured against the outcome the patient would have had with proper care. The economist takes the causation and prognosis opinions as the baseline for what the patient could have done at home, measures the hours the injury removed by category from the household's account and time-use data, and values them at the local replacement wage over the period the medical evidence supports. Where the underlying condition would have limited household work on its own, only the incremental loss is valued, and the report shows the result under each apportionment opinion in the record.

Replacement-cost valuation of the household production an injured or deceased person can no longer provide: meal preparation, cleaning, home and vehicle maintenance, shopping, child care, and care of other household members. The hours are drawn from national time-use data adjusted to the person's household composition and pre-injury role, and each category is priced at the local wage for the occupation that would replace it, then projected and discounted over the period of loss.

Where the damages concentrate

Because the underlying condition often affected work capacity or life expectancy on its own, the apportionment between the injury and the pre-existing condition is usually the most contested assumption and the one that most changes the total. In cases of permanent disability the incremental care costs and the earnings loss are both large and run across a long horizon, and the life expectancy used for each stream is a second point of contention. In delayed-diagnosis cases the loss may be measured as the difference between two outcome paths, each with its own earnings and care profile.

New Hampshire courts and expert standards

New Hampshire courts screen expert testimony for reliability under a statutory standard: the judge asks whether the economist is qualified, whether the opinion rests on sufficient facts and reliable principles and methods, and whether those methods were reliably applied to the case. A damages report is written to that inquiry, with every rate and table traced to a published source.

Where these cases are heard

Highest court: New Hampshire Supreme Court. Court system: courts.state.nh.us.

Federal venues: District of New Hampshire.

Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the New Hampshire Department of Labor, Workers' Compensation Division.

Damages framework

New Hampshire treats a death claim as the decedent's own action carried on by the estate: recovery includes the decedent's pain and suffering, medical and funeral expenses, and the probable duration of life and the capacity to earn money lost by the death, with limited separate allowances for a surviving spouse's and children's loss of comfort and society. Recovery is barred once the plaintiff's fault exceeds the combined fault of the defendants, the common-law collateral source rule applies, and interest on the award runs from the filing of the writ.

Typical deliverables

We issue the final report and provide deposition and trial testimony and rebuttal of opposing household services opinions.

Household Services for Medical Malpractice in other states

Frequently asked: Household services analysis in New Hampshire medical malpractice matters

How is household services analysis built for a medical malpractice case in New Hampshire?

In a medical malpractice claim the household services loss is measured against the outcome the patient would have had with proper care. The economist takes the causation and prognosis opinions as the baseline for what the patient could have done at home, measures the hours the injury removed by category from the household's account and time-use data, and values them at the local replacement wage over the period the medical evidence supports. Where the underlying condition would have limited household work on its own, only the incremental loss is valued, and the report shows the result under each apportionment opinion in the record.

What do New Hampshire courts ask of household services analysis before it reaches the fact finder?

New Hampshire courts screen expert testimony for reliability under a statutory standard: the judge asks whether the economist is qualified, whether the opinion rests on sufficient facts and reliable principles and methods, and whether those methods were reliably applied to the case. A damages report is written to that inquiry, with every rate and table traced to a published source. Medical Malpractice cases venued in New Hampshire are heard in the Superior Court (General jurisdiction; civil cases with jury trials, felonies), with final appeals to the New Hampshire Supreme Court. Matters within federal jurisdiction proceed in the District of New Hampshire.

How does the New Hampshire damages framework shape household services analysis in a medical malpractice case?

New Hampshire treats a death claim as the decedent's own action carried on by the estate: recovery includes the decedent's pain and suffering, medical and funeral expenses, and the probable duration of life and the capacity to earn money lost by the death, with limited separate allowances for a surviving spouse's and children's loss of comfort and society. Recovery is barred once the plaintiff's fault exceeds the combined fault of the defendants, the common-law collateral source rule applies, and interest on the award runs from the filing of the writ. The report presents past and future amounts separately, states every rate and table with its source, and shows the result under the alternatives the other side is likely to argue, so counsel can apply the New Hampshire rules to a documented figure.

References

Request a consultation on Household Services or call (201) 343-0700. Plaintiff and defense counsel.