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26verdictVolume32013HOSPITAL.BydraingthisinclearandsimplelanguagetheFormwillassisttominimizeanyambiguityargumentsaplaintimaybringasasword.Languages.PatientdemographicsathospitalsareclearindicatorsowhichlanguagesotherthanEnglishareprimarilyspokenamongahospitalspatients.Tushospitalscouldexaminetheirownpatientbasetomakeormsavailableinlanguagesthataremostunderstoodbytheircustomers.HiredAdmissionsProcessor.HiringanadmissionsprocessorwithgoodcommunicationskillsandinvestinginanironcladtrainingprogramorthisemployeecanbeeectiveagainstapotentialMejiaargument.Aacetoaceexplanationoahospitalsormatthetimeoadmissiontothehospitalconductedbyanadmissionsprocessortrainedorthatpurposecanmakeahugedierenceatsummaryjudgmentortrialandthuscouldprovemostcostefcientontherontendoranyhospital.ForexampleatsummaryjudgmentdeensecounselcouldattachadeclarationromanadmissionsprocessortestiyingtothetimingotheadmissionsprocessthelanguagespokentothepatienttheexplanationgiventothepatientregardingtheFormincludingthenatureothephysicianandhospitalrelationshipandtheirwitnessingothepatientsinitialsoneachparagraphotheForm.Discovery.Forpurposesoamotionorsummaryjudgmentdeensecounselshouldpropoundinterrogatoriesandorrequestsoradmissionsonbothco-deendantphysiciansandpatient-plaintitoaddressaMejiaargument.Tediscoveryshouldseektoinquireintothenatureothephysician-patientrelationshipincludingthelengthophysician-patientrelationshipandthepatientsexperienceswithotherhealthcareproessionals.Likewisedeensecounselshouldconrmviaadmissionordepositionthatplaintihadtheabilitytochoosethedoctormetwithanadmissionsprocessorsignedanadvisoryadmissionsormbeoreelectivesurgeryorotherwiseunderstoodtheindependentcontractorrelationshipbetweenphysicianandhospital.Subpoenas.Inthehappenstancethatpatient-plaintihasanextensiveoperativehistoryissuingasubpoenaorplaintishospitalrecordswhichinvariablyincludeotherhospitalsFormsshouldprovideadditionalammunitiontoaddueltoyourhospitalclientspositionthatpatientkneworshouldhaveknownthatphysiciansareindependentcontractors.CausationArgument.Inadispositivemotionorotherwiseanargumentcanoenbemadethatthepatient-plaintislackoawarenessotheindependentcontractorstatusohisphysicianwasonomoment.Tehospitalmaybeabletopointtotheabsenceoevidencethatthepatient-plaintischoicetoundergoelectivesurgeryorcontinuetreatmentwouldhavebeendierentbutorhisignoranceotheindependentcontractorstatus.CACI3709andMejiarequirereliance.Demonstratingthatevenhadpatient-plaintiknownotheindependentcontractorstatushewouldhaveknowinglyelectedtoproceedwithtreatmentatthehospitalanywaywilleliminatethepossibilityoplaintireliance.Withwellcraeddepositionquestionsdeensecounselcouldeectivelyeliminateonecompulsoryelementoostensibleagency.Contracttheory.InsupportothiscausationargumentreerencecanbemadetotheConditionsoAdmissionsFormacontractbetweenpatientandhospitalwherebypatient-plaintistypicallyconcedethatphysiciansareindependentcontractors.Tatcontractualreerencecreatesapresumptionwhichplaintismustthenovercome.Wherethedocumentspeaksoritselthecourtshouldnotlooktotheintentothepartiesbutrathertheourcornersothecontract.Machadov.SouthernPacifcTransportationCo.1991233Cal.App.3d347352.DeenseattorneysmaydeeataMejiaargumentonthepremisethatnoticetothecontrarywasachievedandtherelianceelementisdeeatedunderacontracttheoryolaw.TeederaldistrictcourtopinioninRomarv.FresnoCommunityHosp.andMedicalCenterMar.232007CIVF03-6668AWISMS2007WL911882atpp.15-16isinstructiveonthispointaormexecutedbyplaintistatingthatphysiciansareindependentcontractorsspecicallyputtheplaintionnoticethatthephysicianscouldnotbeostensibleagentsbutbecausetheormdidnotmentionnursepractitionersanissueoactexistedastowhethertheplaintireasonablyunderstoodsuchhealthcareworkerstobeagentsoremployees.ConclusionHospitalshavebecomeprimetargetsinCaliorniaoractsoverwhichtheyexertzerocontrol.EvenstrangeristheoverallresultbyholdinghospitalsliableonthetheoryoostensibleagencyMejiadidlittletoaccomplishthetwinobjectivesotortlawdeterrenceandcompensation.Ratherhospitalshavebecomedeactoinsurancecarriersortheirindependentcontractorphysicianswhobydenitionarenotactualagentsbutwhoseactsallwithinthectionotheostensibleagencytheory.TetruthisthishospitalsasentitiesinCaliorniacantpracticemedicine.AndtheycertainlycanttaketheHippocraticOath.SowhyshouldhospitalsbeheldliableortheactsoothersthatdoMejiacontinuedfrompage25