Justia Health Law Opinion Summaries

A woman was seriously injured as a passenger in a car accident in Montgomery County, Alabama. She first received treatment at one hospital and was then transferred to another for further care. Both hospitals, which are affiliated with public entities, filed statutory hospital liens in probate courts to secure payment for her medical expenses from any settlement or recovery she might obtain related to her injuries. The total amount of the liens exceeded the amount available from the car owner’s insurance, which provided $75,000 in coverage. The woman settled with the insurance company and received a portion of the proceeds, with the rest held by her attorney pending resolution of the hospital liens.Afterward, she filed an action in the Montgomery Circuit Court, seeking interpleader and declaratory relief to determine the validity and amounts of the hospitals’ liens. One hospital, the University of South Alabama Health University Hospital, argued it was immune from suit under Article I, § 14, of the Alabama Constitution because it is a state agency. The trial court agreed, found that the state hospital was a necessary party, and dismissed the claims against both hospitals with prejudice, concluding it lacked subject-matter jurisdiction.The Supreme Court of Alabama reviewed the dismissal de novo. It held that an interpleader action brought under Rule 22 of the Alabama Rules of Civil Procedure to resolve the validity and amount of hospital liens does not implicate state immunity and does not deprive the trial court of jurisdiction, even when a state entity is named as a defendant. The Court reversed the trial court’s dismissal and remanded the case for further proceedings, allowing the plaintiff’s interpleader claim to go forward. View "Wood v. Health Care Authority for Baptist Health" on Justia Law

Theresa Johnson, individually and as executor of her deceased husband Nathaniel Johnson's estate, filed a wrongful-death action against Jackson Hospital & Clinic, Inc. Nathaniel, suffering from COVID-19, was admitted to Jackson Hospital on November 26, 2020. He was placed on a BiPAP device for breathing assistance. On December 6, 2020, he was to be moved to another floor. During the transfer, the BiPAP device was removed, and an oxygen mask was allegedly placed on him. However, Nathaniel experienced distress and died shortly after.The Montgomery Circuit Court initially granted Jackson Hospital's motion for summary judgment, but later set it aside to allow further discovery. Johnson argued that Jackson Hospital's actions were wanton and did not comply with public health guidance. The trial court ultimately denied Jackson Hospital's renewed motion for summary judgment, holding that Johnson's action could proceed under an exception in the Alabama Covid Immunity Act (ACIA).The Supreme Court of Alabama reviewed the case. It found that Jackson Hospital was immune from Johnson's negligence claims under the ACIA and the May 8 proclamation issued by Governor Ivey, which provided liability protections for health-care providers during the COVID-19 pandemic. The court also determined that Johnson did not present clear and convincing evidence of wanton conduct by Jackson Hospital's staff. Consequently, the Supreme Court of Alabama granted Jackson Hospital's petition for a writ of mandamus, directing the trial court to enter a summary judgment in favor of Jackson Hospital on all claims. View "Ex parte Jackson Hospital & Clinic, Inc." on Justia Law

In this case, the Supreme Court of Alabama ruled that under Alabama's Wrongful Death of a Minor Act, the definition of a "child" includes those who are unborn, regardless of their location (either inside or outside a biological uterus). The case involves multiple sets of parents who had embryos created through in vitro fertilization (IVF) and stored at the Center for Reproductive Medicine, P.C. An incident occurred in which a patient at the hospital where the center was located wandered into the cryogenic nursery and removed several embryos, causing their deaths. The parents sued the center and the hospital for wrongful death under Alabama's Wrongful Death of a Minor Act and also asserted common-law claims of negligence. The trial court dismissed the wrongful-death and negligence/wantonness claims, concluding that the embryos did not fit the definition of a "person" or "child" and thus their loss could not give rise to a wrongful-death claim. On appeal, the Supreme Court of Alabama reversed the lower court's dismissal of the wrongful-death claims, holding that the Act applies to all unborn children, regardless of their location. The court affirmed the dismissal of the negligence and wantonness claims as moot, given the court's ruling on the wrongful-death claims. View "LePage v. Center for Reproductive Medicine, P.C." on Justia Law

The Supreme Court of Alabama granted a writ of mandamus to Triad of Alabama, LLC, doing business as Flowers Hospital, in a personal-injury lawsuit filed by Voncille and Don Askew. The Askews sued Triad after Voncille fell and sustained serious injuries at the hospital while undergoing treatment for COVID-19. In response, Triad asserted an affirmative defense of civil immunity under the Alabama COVID-19 Immunity Act (ACIA). The Askews moved to strike this defense, arguing that their claims were related to the hospital's failure to maintain safe premises and not to any health emergency related to COVID-19. The trial court granted the Askews' motion, prompting Triad to petition the Supreme Court of Alabama for a writ of mandamus.The Supreme Court found that Triad was entitled to immunity under the ACIA as Voncille's injury occurred in connection with her treatment for COVID-19 at the hospital. The court held that any claim that arises from or is related to COVID-19 falls under the immunity provisions of the ACIA, rejecting the Askews' argument that the Act's immunity provisions only apply to claims expressly related to exposure or contraction of COVID-19 or efforts to prevent its spread. Therefore, the court directed the trial court to vacate its order striking Triad's affirmative defense under the ACIA. View "Ex parte Triad of Alabama, LLC" on Justia Law

Alicia Sampson ("Alicia"), as administratrix of the estate of her deceased husband, Joshua Sampson ("Josh"), appealed the grant of summary judgment in favor of HeartWise Health Systems Corporation; HeartWise Clinic, LLC (collectively referred to as "HeartWise"); Isaac Health & Prevention Partners, LLC ("Isaac Health"); William Nixon, M.D.; and Jeffrey Saylor, M.D., in a wrongful-death action. At its HeartWise clinic, Isaac Health administered a battery of up to 31 physical tests that were intended "to assist in the detection of early evidence of vascular and cardiac abnormalities." In 2015, 29-year-old Josh visited the Isaac Health clinic. Months earlier, Josh's father died at age of 56 from "right ventricular dysplasia," which was a "congenital heart defect." Lowell's death led the Sampson family to seek heart evaluations to determine whether they had inherited the heart defect. Josh underwent the full battery of testing provided at the Isaac Health clinic; Josh's data from the left ventricular echocardiogram was within the "normal" range. Josh's mother, who also received the testing, stated that the nurse practitioner did not tell Josh in any way that he "needed to have any further diagnostic work-up or testing relative to his heart." On October 5, 2015, Josh collapsed at home while working on a construction project. He was taken to the Emergency Room, but died that day. The Sampson family procured a private autopsy; the report concluded that Josh died due to an arrhythmia secondary to hypertrophic cardiomyopathy, a congenital heart condition. Alicia thereafter filed suit against the clinic, HearWise and the doctors, alleging fraud and negligence. The Alabama Supreme Court reversed summary judgment entered in favor of Isaac Health and Drs. Nixon and Saylor with respect to Alicia's negligence allegations against them because those allegations were never properly presented to the circuit court for adjudication. The Court also reversed summary judgment in favor of HeartWise with respect to Alicia's fraud allegations against HeartWise because Alicia presented substantial evidence of Josh's reasonable reliance upon HeartWise's representations about its program. The Court affirmed summary judgment in favor of Isaac Health with respect to Alicia's fraud allegations against Isaac Health because Alicia failed to present substantial evidence that Josh's course of conduct would have changed if he had not seen HeartWise materials in the Isaac Health clinic's waiting room. The Court also affirmed summary judgment in favor of HeartWise with respect to Alicia's negligence allegations against HeartWise for multiple reasons. View "Sampson v. HeartWise Health Systems Corporation, et al." on Justia Law

This appeal stemmed from a medical-malpractice wrongful-death action filed by Patricia West ("Mrs. West"), the personal representative of the estate of her husband, John West, Jr. ("Mr. West"), against Springhill Hospitals, Inc., d/b/a Springhill Memorial Hospital ("SMH"). In 2014, then 59-year-old Mr. West accidentally sliced most of the tip of his left thumb off when he was using a table saw in his shop. He went to the emergency room, at which he had surgery to suture the wound from the saw cut. Mr. West was given two pain medications for postsurgical care: Dilaudid, the brand name for hydromorphone, and Percocet, the brand name for the opioid oxycodone. Mr. West was admitted to the hospital following surgery for observation. He was given the prescribed pain medications while in the hospital. The hospital admitted prescribed doses of Dilaudid were administered to Mr. West, but Percoset was not. Mr. West was found unresponsive after the doses of Dilaudid, and no drugs to counteract opioid overdoses were given. Mrs. West's lawsuit alleged negligence against the hospital for failing to assess monitor her husband while in the hospital. A jury returned a verdict against SMH and awarded $35 million in punitive damages. The trial court thereafter entered judgment on the jury's verdict finding SMH liable. After a hearing concerning a remittitur of the punitive-damages award, the trial court reduced the amount of the award to $10 million. After review, the Alabama Supreme Court affirmed both the judgment entered on the jury's verdict finding SMH liable and the trial court's order reducing the punitive-damages award. View "Springhill Hospitals, Inc. v. West" on Justia Law

Alabama Somerby, LLC, d/b/a Brookdale University Park IL/AL/MC; Brookdale Senior Living, Inc.; and Undrea Wright (collectively, Brookdale) appealed a circuit court's order denying their motion to compel arbitration of the claims asserted against them by plaintiff, L.D., as the next friend of her mother, E.D. Brookdale operated an assisted-living facility for seniors ("the nursing home") in Jefferson County, Alabama; Wright was the administrator of the nursing home. In March 2022, L.D. filed on E.D.'s behalf, a complaint against Brookdale and Wright and others, asserting various tort claims and seeking related damages premised on allegations that, following her admission to the nursing home, E.D. had been subjected to multiple sexual assaults both by other residents and by an employee of Brookdale. The Brookdale defendants jointly moved to compel arbitration of L.D.'s claims against them or, alternatively, to dismiss the action without prejudice to allow those claims to proceed via arbitration. Following a hearing, the trial court, denied the motion seeking to dismiss the action or to compel arbitration. The Brookdale defendants timely appealed, asserting that the trial court had erred by failing to order arbitration. The Alabama Supreme Court concluded the Brookdale defendants established that an agreement providing for arbitration existed and that the agreement affected interstate commerce. The trial court erred in denying the Brookdale defendants' request to compel arbitration. The Supreme Court reversed the trial court's order and remanded the case for further proceedings. View "Alabama Somerby, LLC, et al. v. L.D." on Justia Law

Victor Chin, M.D., and Sportsmed Orthopedic Specialists, P.C. (collectively "the Sportsmed defendants"), were defendants in an action brought by their patient, Malik Woodard. Woodard alleged that, against his wishes, Dr. Chin obtained records of Woodard's prior psychological treatment. The Sportsmed defendants sought mandamus relief from: (1) the circuit court's order denying their motion to change venue based on the Alabama Medical Liability Act and the Alabama Medical Liability Act of 1987 (collectively "AMLA"); and (2) the court's order prohibiting them from using the psychological records (and certain related documents) in the case and requiring them to return or destroy those records and documents ("the protective order"). As to the venue order, the Alabama Supreme Court denied the petition because the Sportsmed defendants did not argue that the complaint did not support an inference that Dr. Chin had no medical reason for obtaining the psychological records. As to the protective order, the Supreme Court denied the petition because the Sportsmed defendants did not demonstrate that the order was subject to mandamus review. View "Ex parte Victor Chin, M.D., and Sportsmed Orthopedic Specialists, P.C." on Justia Law

Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center ("Mobile Infirmary") appealed the grant of summary judgment in favor of Quest Diagnostics Clinical Laboratories, Inc. ("Quest"). Quest and Mobile Infirmary entered into a Laboratory Management Agreement ("the LMA"), in which Quest agreed to manage Mobile Infirmary's onsite clinical laboratory facilities and to provide clinical testing services used by Mobile Infirmary's medical staff to diagnose and treat patients. The LMA also contained indemnity provisions. In 2015, James Ward went to Mobile Infirmary's emergency room after suffering weakness, dizziness, loss of fluids, a mild cough, and severe body aches. Ward was eventually diagnosed with diabetic ketoacidosis. When his condition did not improve, Ward was moved into the intensive-care unit, at which point his doctor ordered him to undergo glucose finger-sticks and a basic metabolic panel every four hours to help monitor his serum glucose, kidney function, acid/base status, and electrolytes. According to Mobile Infirmary, those basic metabolic panels were supposed to be performed by Quest, but they were allegedly canceled by one of Quest's employees. At some point, he suffered an "anoxic brain injury" and later died "as a result of multisystem organ failure secondary to severe sepsis and septic shock." Ingrid Mia Ward ("Mia"), Ward's wife and the personal representative of his estate, commenced a wrongful-death action against Mobile Infirmary and other defendants responsible for Ward's treatment and care. Quest was not named as a party to Mia's action. Mobile Infirmary informed Quest of the action and, as the case progressed, apprised Quest of the status of the proceedings, including its negotiations with Mia for potential settlement of the lawsuit. Mia and Mobile Infirmary ultimately settled the wrongful-death action. Before Mia's claims against Mobile Infirmary were dismissed pursuant to a joint motion of those parties, Mobile Infirmary filed a third-party complaint against Quest in which it sought contractual and equitable indemnity related to its defense and settlement of Mia's action. Quest filed a motion to dismiss, which the trial court granted in part by dismissing Mobile Infirmary's equitable- indemnity claim. The Alabama Supreme Court found that nowhere in the LMA did the parties expressly agree or clearly provide a formula that, in the event there was a claim that arises out of partial liability or concurrent acts by both parties, indemnification will be required for a proportionate share. Accordingly, judgment was affirmed. View "Mobile Infirmary Association v. Quest Diagnostics Clinical Laboratories, Inc." on Justia Law

Robert Owen died 11 days after being transferred from Huntsville Hospital to the University of Alabama at Birmingham Hospital ("UAB Hospital") for cardiac treatment. His widow Gloria Owen, as the personal representative of his estate, sued the ambulance company that had transported him, Huntsville Emergency Medical Services, Inc. ("HEMSI"), as well as HEMSI employees Jacob Steele, Calvin Hui, Christopher Nunley, and Dea Calce, alleging that events that occurred during Robert's transport had "caused him unnecessary stress, worry, concern, anxiety, and/or a delay in treatment," leading to further heart damage and his eventual death. During discovery, Gloria sought information from the HEMSI defendants about the previous conduct and employment record of Steele, a licensed emergency medical technician ("EMT") and the assigned driver of the HEMSI ambulance that transported Robert. The HEMSI defendants objected to Gloria's requests and sought a protective order, arguing that the Alabama Medical Liability Act ("the AMLA") governed her claims and prohibited discovery related to any acts and omissions of a defendant that were not specifically described in the complaint. The circuit court rejected the HEMSI defendants' request for a protective order and directed them to produce the requested discovery; they petitioned the Alabama Supreme Court for mandamus relief, specifically a writ directing the trial court to amend its order to give effect to what they claimed were the applicable privilege and discovery protections of the AMLA. The Supreme Court granted the petition in part, and denied in part. The Court held all claims asserted by Gloria in this action were governed by the AMLA and subject to the limitations on discovery imposed by § 6-5-551. To the extent that the trial court's October 2021 order did not give effect to the § 6-5-551 privilege, the HEMSI defendants' petition was granted and the trial court was directed to modify that order. But to the extent the HEMSI defendants sought to prevent Gloria from discovering information regarding acts or omissions that were specifically alleged and described in her complaint, their petition was denied. View "Ex parte Huntsville Emergency Medical Services, Inc., et al." on Justia Law