Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center v. Quest Diagnostics Clinical Laboratories, Inc.

Supreme Court of Alabama·Decided February 24, 2023·No. 2022-0641·Published

Opinion

Rel: February 24, 2023

Notice: This opinion is subject to formal revision before publication in the advance sheets of Southern Reporter. Readers are requested to notify the Reporter of Decisions, Alabama Appellate Courts, 300 Dexter Avenue, Montgomery, Alabama 36104-3741 ((334) 229-0650), of any typographical or other errors, in order that corrections may be made before the opinion is printed in Southern Reporter.

SUPREME COURT OF ALABAMA OCTOBER TERM, 2022-2023

SC-2022-0641

Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center

v.

Quest Diagnostics Clinical Laboratories, Inc.

Appeal from Mobile Circuit Court (CV-17-900403)

SHAW, Justice.

Mobile Infirmary Association d/b/a Mobile Infirmary Medical

Center ("Mobile Infirmary"), the plaintiff seeking contractual indemnity in the action below, appeals the Mobile Circuit Court's summary judgment in favor of the defendant below, Quest Diagnostics Clinical Laboratories, Inc. ("Quest"). We affirm.

Facts and Procedural History On March 17, 2014, 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. Specifically, Section 8.1 of the LMA stated, in pertinent part:

"Quest Diagnostics hereby agrees to indemnify, defend and hold [Mobile Infirmary], and [Mobile Infirmary's] officers, directors, employees and agents (collectively, the 'Lab Indemnitees'), harmless from and against any and all liability, losses, damages, claims or causes of action ('Claims'), and expenses connected therewith, including reasonable attorneys' fees, that are caused by or a result of (i) any negligent or intentional act, error or omission by Quest Diagnostics, its employees, agents, servants or representatives with respect to its responsibilities and/or the performance of Services hereunder, to the extent such Claim does not arise from an act or omission or cause for which [Mobile Infirmary] is required to provide indemnity pursuant to Section 8.2 below … [or] (v) any personal injury (including death) or property damage caused by or arising from the negligence, acts or omissions of Quest Diagnostics or any

employee or agent of Quest Diagnostics …."

Section 8.2 of the LMA addressed Mobile Infirmary's indemnity obligations:

"[Mobile Infirmary] hereby agrees to indemnify, defend and hold Quest Diagnostics and Quest Diagnostics Affiliates, officers, directors, employees and agents (collectively, the 'Quest Indemnitees') harmless from and against any and all Claims, and expenses connected therewith, including reasonable attorneys' fees, (i) directly caused by or as a result of any negligent or intentional act, error or omission by [Mobile Infirmary], its employees, agents, servants, contractors or representatives with respect to its responsibilities hereunder, to the extent such Claim does not arise from an act or omission or cause for which Quest Diagnostics is required to provide indemnity pursuant to Section 8.1 above … [or] (v) any personal injury (including death) or property damage caused by or arising from the negligence, acts or omissions of [Mobile Infirmary] or any employee or agent of [Mobile Infirmary] …."

On March 13, 2015, James A. Ward went to Mobile Infirmary's emergency room after suffering weakness, dizziness, loss of fluids, a mild cough, and severe body aches. While there, he was diagnosed with the flu, and he was later discharged with a prescription for medication. Two days later, Ward's symptoms worsened, and he returned to the emergency room. 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.

Over the next several hours, Ward developed cardiac dysfunction and lost consciousness. 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."

In 2017, 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, including Mobile Infirmary's doctors and nurses who were responsible for Ward's treatment and care. Mia alleged that the defendant medical-care providers had breached the standard of care in several ways, including by "failing to obtain serial basic metabolic panels every four hours" and by "failing to properly monitor and report Mr. Ward's blood glucose levels on an hourly basis." She also alleged that Mobile Infirmary was vicariously liable for those

who "undertook to and did provide medical, diagnostic, nursing, technical, and/or other health care services and treatment to [Ward]." According to Mia, her husband died as a proximate result of the acts or omissions of Mobile Infirmary and its staff in failing to properly diagnose and treat his condition.

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.

Mobile Infirmary later amended its complaint to more specifically state its remaining claim of contractual indemnity against Quest. Mobile Infirmary alleged:

"4. The claims of [Mia] against Mobile Infirmary in this action were caused by and/or resulted from negligent acts, errors or omissions of Quest in its responsibilities under the [LMA] and/or the performance of services under [the LMA], and said claims did not arise from an act or omission or cause for which Mobile Infirmary is required to provide indemnity to Quest pursuant to Section 8.2 of the [LMA]. Such negligent acts, errors or omissions included the following:

"a. Quest's failure to timely collect, test, diagnose and/or report the results of blood work ordered by doctors and other healthcare providers in connection with the care and treatment of the … Decedent, James Ward, on a timely basis, in breach of its duties under the [LMA] ….

"b. Quest's unwarranted delay in collecting, testing, diagnosing and/or reporting the results of blood work ordered by physicians and other healthcare providers in connection with the care and treatment of … James Ward, in breach of its duties under the [LMA] ….

"c. Quest's cancellation of physicians' and other healthcare providers' orders for blood work needed in the care and treatment of [Mia's]

Decedent, James Ward, in breach of its duties under the [LMA] ….

"5. As a proximate result of the aforesaid negligence, the physicians and other healthcare providers attending Mr.

Ward lacked the information necessary to appropriately monitor and assess his condition on a timely basis and to administer the appropriate amounts of insulin and IV fluids, and take other action, in accordance with his on-going condition and, as a proximate result thereof, Mr. Ward died."

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Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center v. Quest Diagnostics Clinical Laboratories, Inc., (Ala. 2023).

Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center v. Quest Diagnostics Clinical Laboratories, Inc. (Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center v. Quest Diagnostics Clinical Laboratories, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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