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Thomas v. Nexion Health at Lafayette, Inc.

Citations: 155 So. 3d 708; 14 La.App. 3 Cir. 609; 2015 La. App. LEXIS 53; 2015 WL 160289Docket: No. 14-609

Court: Louisiana Court of Appeal; January 13, 2015; Louisiana; State Appellate Court

Narrative Opinion Summary

In a medical malpractice lawsuit, the plaintiff, a paraplegic patient, sought damages from a nursing facility, alleging negligence in her transportation safety during admission. The defendant, a qualified health care provider under the Louisiana Medical Malpractice Act (MMA), argued that the claim was premature as it had not been presented to a medical review panel, a necessary step under the MMA. The trial court initially ruled in favor of the defendant, retracting the decision due to procedural delays but ultimately reaffirmed the exception of prematurity, dismissing the claim without prejudice. On appeal, the plaintiff contended that existing case law was misapplied, arguing that the MMA did not cover incidents occurring in transit. However, the appellate court upheld the lower court's decision, interpreting the MMA's scope to include transportation-related injuries, considering them as 'handling' under the Act. The court emphasized the necessity for the defendant to establish the claim's prematurity and concluded that the plaintiff's claims required medical review panel evaluation before proceeding in court, thereby affirming the dismissal. All appellate costs were charged to the plaintiff.

Legal Issues Addressed

Application of the Louisiana Medical Malpractice Act (MMA)

Application: The court determined that the claims made by Thomas, concerning injuries sustained during transport by a healthcare provider, fell under the MMA's definition of 'malpractice', requiring review by a medical panel.

Reasoning: The court determined that a mobility-impaired patient transported under medical orders is considered 'handled' according to the MMA.

Burden of Proof in Medical Malpractice Claims

Application: The defendant, as a qualified health care provider, bore the burden of establishing the claim's prematurity and the necessity of a medical review panel under the MMA.

Reasoning: The burden of proof lies with the defendant to establish both prematurity and entitlement to a medical review panel under the MMA.

Definition of 'Malpractice' Under the MMA

Application: The court interpreted the MMA to include claims related to patient handling during transport, thus classifying Thomas's injury claims as medical malpractice.

Reasoning: 'Malpractice' is defined in the Act as any unintentional tort or breach of contract related to health care services provided by a health care provider to a patient, which includes timely service failures and patient handling, such as loading and unloading.

Dilatory Exception of Prematurity

Application: The court upheld Nexion's exception of prematurity, asserting that the plaintiff must seek a medical review panel before litigation can proceed, as the claims involved medical malpractice under the MMA.

Reasoning: The appellate review of the trial court’s decision concerning the exception is conducted de novo, focusing on whether the claim qualifies as medical malpractice.