Justia Health Law Opinion Summaries

Articles Posted in Oregon Supreme Court
by
In 2014, decedent Aaron Martineau, age 28, arrived at the McKenzie-Willamette Hospital emergency room, complaining of sudden onset chest pain, shortness of breath, and other symptoms. He was seen by a physician assistant and by a physician, defendant Gary Josephsen, M.D.; both worked for defendant Doctor’s Emergency Room Corporation, P.C. (collectively, the ER defendants). Defendants did not adequately review the x-ray or refer decedent for further imaging or other tests to rule out or confirm the presence of serious cardiovascular or cardiopulmonary conditions. Instead, they diagnosed him with noncardiac chest pain and discharged him from the hospital. Approximately 24 hours after being discharged, decedent died from an aortic dissection in his heart. In this wrongful death action, two issues were presented for the Oregon Supreme Court's review: (1) whether the trial court erred when it instructed the jury that physicians “are not negligent merely because their efforts were unsuccessful” and that a physician “does not guarantee a good result by undertaking to perform a service;” and (2) whether plaintiff had alleged a lost chance claim under Oregon’s survival statute, ORS 30.075, that was separately cognizable from her wrongful death claim under ORS 30.020. The trial court dismissed plaintiff’s lost chance claim before trial. Later, when submitting the wrongful death claim to the jury at the close of trial, the court included the challenged instruction—which was taken from Uniform Civil Jury Instruction (UCJI) 44.03 at defendants’ request—in its instructions to the jury. After the jury returned a verdict in defendants’ favor, plaintiff appealed, and the Court of Appeals reversed, concluding the trial court had erred in dismissing plaintiff’s lost chance claim and by including UCJI 44.03 in the jury instructions. After its review, the Supreme Court concluded plaintiff did not allege a lost chance claim that was cognizable under Oregon law, and, further, the trial court did not err when it included UCJI 44.03 in the jury instructions. The Court therefore reversed the Court of Appeals and affirmed the trial court. View "Martineau v. McKenzie-Willamette Medical Center" on Justia Law

by
The Ninth Circuit Court of Appeals certified a question of law to the Oregon Supreme Court. The question related to the applicability of Oregon’s anti- discrimination laws to a private contractor that provided healthcare services within a jail. Plaintiff filed a lawsuit against defendant, a private entity that contracted with the Clackamas County Jail to provide healthcare services to incarcerated persons, alleging that defendant had discriminated against him on the basis of disability, in violation of ORS 659A.142(4). The district court held that defendant was not a place of public accommodation, as defined by ORS 659A.400. The Ninth Circuit asked the Supreme Court to help it to resolve plaintiff’s appeal of the dismissal of his state law claim: “Is a private contractor providing healthcare services at a county jail a ‘place of public accommodation’ within the meaning of Oregon Revised Statutes § 659A.400 and subject to liability under § 659A.142?” The Supreme Court responded in the affirmative. View "Abraham v. Corizon Health, Inc." on Justia Law

by
The Oregon Governor issued executive orders in response to the coronavirus pandemic in early 2020. Because the virus spread through close personal contact and through the air, some of the orders have restricted the size of gatherings and required that people maintain specified distances between themselves and others. Relatedly, other orders have closed schools and businesses. The restrictions have had substantial consequences for individuals and entire economies. "It is unknown how long those consequences will last, just as it is unknown how long it will be before there is a cure or vaccine for COVID-19." Plaintiffs Elkhorn Baptist Church and several other churches and individual churchgoers, challenged the executive orders that the Governor issued, asking the circuit court to enjoin the enforcement of the Governor’s orders while their civil action was pending. They based their request on their claim that the orders have expired by operation of law. Among other things, they argued that the orders violated a statutory time limit. The circuit court issued the requested preliminary injunction. It did so based on its conclusion that, as plain- tiffs argued, the duration of the orders had exceeded a statutory time limit. The Governor sought mandamus relief from the Oregon Supreme Court to vacate the preliminary injunction. The Supreme Court concluded the circuit court erred in concluding that the Governor’s executive orders violated a statutory time limit as plaintiffs had argued. "The circuit court’s statutory analysis cannot be reconciled with the statutory text and context, and is directly at odds with how the legislature intended the statute to apply." Because the circuit court’s conclusion about the statutory time limit was fundamental to its issuance of the preliminary injunction, the Supreme Court deemed it necessary to vacate the preliminary injunction. View "Elkhorn Baptist Church v. Brown" on Justia Law

by
Acting as the personal representative of his father’s estate, plaintiff Dennis Sloan brought a medical negligence action against defendants Providence Health System-Oregon and Apogee Medical Group, P.C. Plaintiff claimed defendants were negligent in their care of plaintiff’s father because they failed to diagnose and treat the father's rib fractures and internal bleeding. On November 3, the father, then 85 years old, came to Providence’s hospital after falling at home and was initially treated at the emergency room. He was later admitted to the hospital, where he was treated by Apogee’s doctors. On November 7, Apogee’s doctors discharged Sloan to a skilled nursing facility, Three Fountains. On November 17, Sloan’s condition worsened significantly. Two days later, Three Fountains returned Sloan to the hospital. At the hospital, Sloan was found to have multiple displaced rib fractures and bleeding in his right chest cavity, which had caused his right lung to collapse. Later that same day, Sloan died of respiratory failure due to the bleeding in his chest cavity and the collapse of his lung. Plaintiff claimed the trial court erred in refusing to give his requested jury instruction concerning a tortfeasor’s liability for the subsequent conduct of another. The Court of Appeals agreed and reversed the trial court’s judgment in part and remanded the case to the trial court for a new trial. On defendant’s petition, the Oregon Supreme Court granted review of the appellate court's judgment, and finding no reversible error, affirmed the Court of Appeals decision, which reversed the trial court’s judgment in part. The case was remanded for a new trial. View "Sloan v. Providence Health System-Oregon" on Justia Law

by
Plaintiffs Kerry and Scott Tomlinson (parents) and their son, T, brought separate negligence claims against defendants Mary K. Wagner, MD., Metropolitan Pediatrics, LLC, and Legacy Emanuel Hospital & Health Center. In their respective claims, plaintiffs alleged that defendants provided medical services to the parents’ older son, M, failed to timely diagnose M’s genetic disorder, and failed to inform the parents of that disorder. They further alleged that, “[h]ad defendants, and each of them, timely diagnosed [M’s] DMD, [the parents] would not have produced another child suffering from [DMD].” The trial court entered a judgment dismissing the complaint on the ground that neither the parents nor T were patients of defendants and, therefore, the court reasoned, defendants owed no obligation of professional care toward them. The Court of Appeals reversed that judgment as to the parents but affirmed as to T. The Oregon Supreme Court affirmed the decision of the Court of Appeals, and reversed in part and affirmed in part the trial court judgment dismissing this action. Under the parents’ theory of relief, the relevant injury was not the resulting life, but the negligent deprivation of information that was important to the parents’ protected interest in making informed reproductive choices. T’s claim necessarily depended on the premise that T had a legally protected interest in not being born, rather than risk being born with DMD. "[T]he doctrinal implications of recognizing T’s right to recover such damages would be significant." The Court concluded the factual allegations were sufficient as to the parents' claim. With respect to T's claims, however, the Court determined the "threshold difficulty with T’s argument is that it puts the damages cart before the liability horse; that is, T’s argument blurs the line between the identification of a cognizable injury and the determination of damages resulting from the injury. . . based on the facts that T alleges, defendants could not have caused T a physical harm." View "Tomlinson v. Metropolitan Pediatrics, LLC" on Justia Law

by
The issue presented for the Oregon Supreme Court’s review was whether an adult foster care provider claiming unjust enrichment may recover the reasonable value of its services from a defendant who, through fraud, obtained a lower rate from the provider for the services. Plaintiff owned two adult foster homes for the elderly. Plaintiff had contracted with the Oregon Department of Human Services to provide services in a home-like setting to patients who qualified for Medicaid. For those patients, the rates charged would be those set by the department. Isabel Pritchard resided and received care in one of plaintiff’s adult foster homes until her death in November 2008. Because Prichard had been approved to receive Medicaid benefits, plaintiff charged Prichard the rate for Medicaid-qualified patients: approximately $2,000 per month, with approximately $1,200 of that being paid by the department. Plaintiff’s Medicaid rates were substantially below the rates paid by plaintiff’s “private pay” patients. Prichard’s application for Medicaid benefits, as with her other affairs, was handled by her son, Richard Gardner. Gardner had for years been transferring Prichard’s assets, mostly to himself (or using those funds for his personal benefit). Gardner’s misconduct was discovered by another of Prichard’s children: defendant Karen Nichols-Shields, who was appointed the personal representative for Prichard’s estate. In 2009, defendant contacted the police and reported her brother for theft. Ultimately, Gardner pleaded guilty to three counts of criminal mistreatment in the first degree. Gardner’s sentence included an obligation to pay a compensatory fine to Prichard’s estate, to which he complied. After defendant, in her capacity as personal representative, denied plaintiff Larisa’s Home Care, LLC’s claim against Prichard’s estate, plaintiff filed this action, essentially asserting Prichard had been qualified for Medicaid through fraud and that Prichard should have been charged as a private pay patient. The Oregon Supreme Court concluded that, generally, a defendant who obtains discounted services as a result of fraud is unjustly enriched to the extent of the reasonable value of the services. The Court therefore reversed the contrary holding by the Court of Appeals. Because the fraud here occurred in the context of a person being certified as eligible for Medicaid benefits, however, the Court remanded for the Court of Appeals to consider whether certain provisions of Medicaid law may specifically prohibit plaintiff from recovering in this action. View "Larisa's Home Care, LLC v. Nichols-Shields" on Justia Law

by
This case centered on a public records request made by defendant Oregonian Publishing Company, LLC (The Oregonian), a newspaper, to plaintiff Oregon Health and Sciences University (OHSU), a public health and research university that provided patient care at its hospital, conducted research, and educated health care professionals and scientists. The circuit court ordered OHSU to disclose the requested record, and OHSU appealed. The Court of Appeals reversed and remanded to the circuit court to examine the public records at issue and then determine whether state and federal exemptions permitted OHSU to withhold some of the requested information. On review, the issues narrowed to whether the requested record contained “protected health information” and student “education records” under federal and Oregon law and, if so, whether that information nonetheless had to be disclosed pursuant to ORS 192.420(1), a provision of the Oregon Public Records Law (OPRL). The Oregon Supreme Court concluded the requested record contained protected health information and that ORS 192.420(1) did not require the disclosure of that information. The Court declined to consider whether the part of the requested record consisting of tort claim notices filed by students contained “education records,” and, if so, whether those records were exempt from disclosure. The Court therefore reversed in part, and affirmed in part the decision of the Court of Appeals. View "OHSU v. Oregonian Publishing Co., LLC" on Justia Law

by
The issue before the Supreme Court in this case concerned the scope of Clackamas County's contractual obligation to provide health insurance benefits to command officer retirees of the County Sheriff's Office. A contract between the county and command officers, including Plaintiff Neil James, required the county to use a particular fund to pay for a certain level of benefits to command officers after they retired. The contract added that the obligation to pay benefits was "contingent upon the availability of sufficient funding in said fund to pay for the same." After plaintiff retired, the cost of insurance premiums increased to the point where the fund was and would for the foreseeable future continue to be insufficient to pay for the benefits required. The county entered into a new contract with certain union employees to provide lesser benefits from a more stable fund, and plaintiff (a retired officer, not a union employee) also was provided those lesser benefits. Plaintiff brought an action against the county, asserting breach of contract. He maintained that the first contract required the county to pay him full health insurance benefits and argued that the contingency provision did not apply because of the creation of the new fund, which had sufficient money to pay for those benefits. The trial court entered judgment in favor of plaintiff, but the Court of Appeals reversed. Upon review, the Supreme Court concluded that the new fund was the product of a contract that was separate and independent from the earlier contract. Because the prior fund was insufficient to provide the agreed level of benefits, the county did not breach its contractual obligation to provide that level of benefits. Accordingly, the Court affirmed the appellate court's decision. View "James v. Clackamas County" on Justia Law

by
An emergency room doctor telephoned defendant (an on-call neurosurgeon)to ask his advice about plaintiff, who had come into the emergency room for treatment. When plaintiff later sued defendant for malpractice, the jury returned a verdict in defendant's favor. The jury found that defendant was not acting as plaintiff's doctor and, as a result, owed her no duty. The Court of Appeals reversed, holding that the trial court should have directed a verdict in plaintiff's favor on that issue. The Supreme Court allowed defendant's petition for review to consider that issue. Because the Court concluded that the jury could have found that defendant was not acting as plaintiff's doctor, the Court upheld the trial court's ruling denying plaintiff's motion for a directed verdict. The Court also concluded, however, that the trial court erred in instructing the jury and, for that reason, agreed that the case be remanded for a new trial. View "Mead v. Legacy Health System" on Justia Law

by
Plaintiff David Eads underwent surgery performed by a Defendant Dr. Timothy Borman, a physician whose office was in a building that Defendant Salem Hospital, a limited liability company (LLC), leased to medical providers. The surgeon performed the surgery negligently, causing Plaintiff permanent and disabling injuries. Plaintiff brought this malpractice action against the LLC landlord, as well as the surgeon and others involved in his medical treatment. Plaintiff pursued the action against the LLC on a theory of apparent agency. Specifically, Plaintiff's theory was that, through the signage on the building and other representations, the LLC created the appearance that the building housed a group medical entity of which Plaintiff's surgeon was an agent. The trial court granted summary judgment for the LLC, concluding that the evidence was legally insufficient to hold the LLC vicariously liable for the surgeon's negligence on an apparent agency theory. The Court of Appeals agreed, and affirmed. The Supreme Court granted Plaintiff's petition for review to resolve when a nonnegligent person or entity may be held vicariously liable on an apparent agency theory for physical injuries negligently inflicted by a medical professional. The Court concluded that, for such liability to arise, the injured party must have dealt with the negligent medical professional based on a reasonable belief, traceable to the putative principal's conduct or representations, that the medical professional was the principal's employee or was otherwise subject to the principal's right of control in providing the medical services that caused the injured party's injury. View "Eads v. Borman" on Justia Law