How Virginia and North Carolina Hospitals Attempt to Avoid Liability for Medical Malpractice | Shapiro, Washburn & Sharp

Virginia medical malpractice lawyersHolding corporations liable for the conduct of their employees depends on a legal doctrine called respondeat superior.  While the language varies from state to state, businesses and corporations are only liable for the negligent conduct of their employees when the negligence “arises out of and in the scope of their employment.”  Essentially, as long as the employee is in the process of doing his job, his employer will be held liable.


Hospitals, however, have managed to subvert this legal doctrine in some states by claiming that their doctors and nurses are not “employees,” but “independent contractors.”  Corporations and businesses are most often not liable for the negligent conduct of their independent contractors.





Virginia is one of the states where hospitals are not liable for the negligent actions of independent contractors.  McDonald v. HamptonTraining School for Nurses, 254 Va. 97 (1997).  When deciding whether the physician was an employee or an independent contractor depends on a number of factors, including: selection and engagement, payment of compensation, power of dismissal, and the power to control the physician’s work.



South Carolina uses a three part test to determine whether the hospital may be held liable for the acts of physicians.  All three prongs must be answered “yes” in order for liability to attach.  First, did the hospital consciously or impliedly represent that the doctor was its agent?  Second, did the plaintiff rely on that representation of agency?  And third, did that plaintiff’s reliance on that representation cause him to change positions?  This third prong asks whether the plaintiff went to Hospital A, rather than Hospital B, because Hospital A employed Dr. Jones.  Strickland v. Madden, 323 S.C. 63 (Ct. App. 1994).


In West Virginia, a hospital may be held vicariously liable for the medical malpractice of even non-employed physicians.  West Virginia notes that when a patient visits a hospital, especially in emergency situations, he is forced to rely on the hospital’s choice of physicians.  Thomas v. RaleighGeneralHospital, 178 W.Va. 138 (1987).


In Maryland, a hospital may be held liable for the negligent actions of their independent contractors if they have taken no action to indicate that the physician’s true status is independent contractor, and not employee.  Mehlman v. Powell, 281 Md. 269 (1997).



North Carolina has not clearly defined a test.


Luckily, the vast majority of hospitals require physicians to carry multi-million dollar medical malpractice insurance policies.  If this were not the case, injured plaintiff’s might be left without a remedy when the hospital refuses to pay for the plaintiff’s injuries.