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Joan Orsini Ford

Co-Chair, Catastrophic Medical Injury Practice

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Portrait of Joan Orsini Ford

Joan focuses her practice exclusively on medical malpractice litigation involving the defense of hospitals, doctors, nurses, physicians' assistants, nursing homes, long-term care facilities and behavioral health treatment facilities. She also handles other healthcare-related issues. Throughout her career, Joan has handled in excess of 1,000 medical malpractice cases, including numerous high-exposure cases involving catastrophic injuries and death in infants and adults. She has taken more than 50 major jury cases to verdict in state and federal courts with overwhelmingly favorable results.

After receiving a Bachelor of Arts in Political Science from LaSalle University in 1984, Joan attended Widener University where she earned her juris doctor in 1986. At Widener, she participated in the Philip C. Jessup International Law Moot Court Competition. Her legal education also included courses at Notre Dame School of Law in London, England, and The Dickenson Law School in Florence, Italy. Prior to joining Marshall Dennehey in 1997, Joan worked for a defense firm for nine years where she also concentrated on medical malpractice defense, primarily representing physicians.

Joan has lectured for various organizations over the course of her career, and has given presentations to nursing and medical staff at multiple hospitals on litigation related issues. In addition, she has served as an instructor in the firm's annual Advanced Trial Advocacy Mock Trial Program.

In 2021, Joan received the James P. Fox Trial Lawyer of the Year Award from the Montgomery Bar Association Trial Lawyers Section. The award recognizes not only exceptional skill as a civil litigation and trial lawyer, but also a dedication to promoting a positive image for attorneys through one’s professional demeanor, service and integrity. 

    • Widener University Delaware Law School (J.D., 1986)
    • La Salle University (B.A., 1984)
    • Pennsylvania, 1987
    • U.S. District Court Eastern District of Pennsylvania, 1988
    • AV® Preeminent™ by Martindale-Hubbell®
    • 2021 James P. Fox Trial Lawyer of the Year Award, Montgomery Bar Association Trial Lawyers Section
    • American Board of Trial Advocates, 2013 to Present
    • Montgomery Bar Association, 1987 to present
    • Montgomery Bar Association - Board of Directors, 2017
    • Montgomery Bar Association - Bench Bar Committee, 2013 to present
    • Montgomery county Bar Association - Judiciary Committee Co-Chair, 2021 to present
    • Montgomery Bar Association - Trial Lawyers Section, 2013 to present
    • Montgomery County Inns of Court - Past President, 2012-2014, Vice President 2011, Treasurer 2010, Secretary 2009
    • Pennsylvania Bar Association
    • Piercing the Corporate Veil, Montgomery County Bar Association, April 29, 2025
    • Civility in Practice, Montgomery County Bar Association, February 26, 2025
    • Medical/Legal Issues in Dealing with Behavioral Health Population, Cassatt webinar series, June 27, 2024 and February 29, 2024
    • You Want How Much? The Rising Tide in Case Values, Settlement Demands and Verdicts, Marshall Dennehey Trends in Health Care and Health Law Seminar, May 9, 2024
    • Civility Matters: Ethical Concerns in the Courtroom, Drexel University Thomas R. Kline School of Law, March 6, 2023
    • Opioid Toxicity and Reversal: Attorney Perspective on Hospital Liability & Patient's Rights, American College of Medical Toxicology Seminar, December 11, 2017
    • Opioids in Civil Proceedings: Perspectives from the Defense, American College of Medical Toxicology Seminar, December 11, 2017
    • Trial Negotiation and Business Skills for Women Trial Attorneys, Pennsylvania Trial Lawyers Association, April 11, 2001
    • Treatment and Consent for Minors, Insurance Society of Philadelphia, February 21, 2001
    • Medical Treatment to Minors, Lehigh Valley Risk Management Society, March 1, 2000
    • "Long-Term Health Care Dealt Another Blow," Defense Digest, Vol. 23, No. 4, December 2017
    • “Nurses: Their Expanding Role as Expert Witnesses,” AgentsofAmerica.org, January 3, 2013
    • “Update on E-Discovery and the Electronic Medical Record,” Defense Digest, Vol. 18, No. 4, December 2012
    • "How to Avoid EMR Legal Pitfalls," The Family Practice News, September 14, 2012
    • “Nurses: Their Expanding Role as Expert Witnesses,” Defense Digest, Vol. 17, No. 1, March 2011
    • Defended a hospital in a case involving an alleged failure to diagnose and treat a brainstem stroke. Plaintiff was a 56-year-old man and was "locked in" as a result of the stroke. In addition to issues involving the medical care, plaintiffs were pursuing a corporate liability claim against the hospital. Plaintiff's claim for past and future medical bills and future wage loss was in excess of 17 million dollars. After a four week trial, the jury found in favor of the defense.
    • Defended two obstetricians in a case involving an alleged delay in the performance of a c-section resulting in severe brain damage to the infant. Future medical specials and wage loss were in excess of 145 million dollars. After a four week trial, the jury found in favor of the defendants.
    • Successfully defended a hospital in a wrongful death case. The plaintiff, a 50-year-old man, presented to the ER where he was diagnosed as suffering from a stroke. He received tPA and was transferred to the ICU. Plaintiff alleged there was a failure to monitor, diagnose and treat swelling in the brain and a midline shift that led to the plaintiff's death, three days later. Plaintiff's wage loss claim was in excess of five million dollars.
    • Defended an Institute and two psychologists in a case involving the wrongful death of a child adopted from Russia. Plaintiff alleged in the civil suit that the child sustained massive head injuries and died as a result of alleged abuse by the parents, codefendants in the civil case, and that the psychologists were negligent in failing to suspect the abuse and neglect which ultimately led to his death. The death of the child resulted in significant media exposure and Russia's suspension of adoptions to the United States. The parents were charged with the child's murder and convicted of involuntary manslaughter. Defendants settled for a confidential amount; the verdict against the parents was in excess of 14.7 million dollars.   
    • Defended a hospital in a case involving the care and treatment rendered to a patient who, after his discharge, murdered his wife and was then murdered by his son. The story was featured in an ESPN special and Philadelphia Magazine. The case was settled with no payment by the hospital.
    • Entered as trial counsel for a defendant psychiatrist on the second day of trial, with no prior involvement in the case. The claim involved a murder/suicide by a man who was the patient of the psychiatrist. When trial counsel for the defendant psychiatrist became ill in court, the defense moved for a mistrial. The judge denied the request and ordered that another attorney from the firm assume the doctor's representation. After a five day trial, the case went to verdict and the jury found in favor of the defendant.

Results

Plaintiff’s Claims Barred by Statute of Limitations and Immunity Provisions of the Pennsylvania Mental Health Procedures Act

The defense prevailed on preliminary objections in Philadelphia County as the court found that the ​case involved a medical malpractice action involving the plaintiff’s allegations of an alleged assault by three patients while the plaintiff was a patient at a behavioral health hospital. In the complaint, the plaintiff pleaded ordinary negligence. Preliminary objections in the nature of a demurrer were filed by the defendant, raising immunity under the Pennsylvania Mental Health Procedures Act since there was no claim of gross negligence. After the preliminary objections were filed, the plaintiff attempted to cure the defect in the original pleading by filing an amended complaint, which added allegations of gross negligence and additional facts, in an attempt to support the claim of gross negligence. We again filed preliminary objections, arguing that the allegation of gross negligence was a new cause of action that was now barred by the statute of limitations. Since the amended complaint was filed more than two years after the event at issue and raised a new claim, the applicable two-year statute of limitations barred the claim. We also argued that the amended complaint failed to provide any factual support for gross negligence or willful misconduct and, therefore, the hospital was immune from suit. Plaintiff’s counsel did not file a response in opposition. The Philadelphia Court of Common Pleas agreed that the new claim was barred by the statute of limitations and the immunity provisions of the Mental Health Procedures Act, and dismissed the case with prejudice.

Firm Highlights

Thought Leadership

Featured Conversations... Key Takeaways from A.M. Best’s Webinar on the Misuse Defense in Product Liability Claims, Featuring Michael Salvati

Michael Salvati, shareholder in our Philadelphia office, was a panelist for the April A.M. Best webinar, “The Misuse Defense: Strategic Approaches to Defending Product Liability Claims for Insurers.” During the program, Michael and his fellow panelists offered practical, jurisdiction‑specific guidance on how misuse and failure‑to‑warn theories intersect in modern product liability litigation. Michael emphasized the unique challenges these claims present—particularly in states like Pennsylvania, where evidentiary rules diverge sharply from those applied in many other jurisdictions. Failure to Warn as the “Flip Side” of Misuse Salvati explained that failure‑to‑warn allegations often arise as a direct counter to a misuse defense. As he noted, “If our misuse defense is that the plaintiff didn't use a product properly or safely, then the failure to warn claim is that we didn't tell them how to use it properly.” He emphasized that these claims can stem from either the absence of warnings or criticisms of existing warnings, such as insufficient specificity or lack of clarity about risks. Pennsylvania’s Unique Evidentiary Landscape One of Salvati’s most notable points was the stark difference in how Pennsylvania treats evidence of compliance with industry standards. He highlighted that Pennsylvania is “one of the only states…where that evidence is not admissible” in strict liability cases. Manufacturers cannot rely on compliance with ANSI, UL, ISO, or even federal safety standards to defend the product against a strict liability claim—because the focus is solely on the product itself, not the manufacturer’s conduct. Salvati acknowledged the challenge this creates for defense counsel and clients who expect such compliance to carry weight. Understanding the Three Defect Theories Salvati also walked through the three primary defect theories recognized in many jurisdictions: - Design defect – a flaw in the product’s intended design - Manufacturing defect – a deviation affecting a specific unit - Failure to warn – inadequate instructions or warnings He noted that warnings claims are increasingly significant and sometimes stand alone when design or manufacturing theories are weak. As he put it, plaintiffs often default to warnings claims because “the default position seems to be, ‘If I got hurt, there must be something wrong.’” Warranties and State‑by‑State Variations Salvati addressed how breach‑of‑warranty claims fit into the broader framework, explaining that implied warranties—such as merchantability—often overlap with strict liability in Pennsylvania. He emphasized the importance of understanding local nuances, as warranty law and admissibility rules vary widely across states. Looking Ahead: The Growing Importance of Warnings In his closing remarks, Salvati stressed that warnings should never be treated as an afterthought in product liability defense. He observed that warnings‑only claims are becoming more common and urged manufacturers and insurers to continually evaluate the clarity and completeness of their instructions and warnings. His takeaway: “We should always be talking about what are the instructions that come with our products…to bolster a misuse defense.” Listen to the complete webinar here: https://www3.ambest.com/conferences/events/eventregister.aspx?event_id=WEB1074.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict. 

Thought Leadership

The Enforceability of Online Arbitration Agreements Remains Unresolved in Pennsylvania, But the Pennsylvania Superior Court has Provided Substantive Guidance on the Issue

Key Points: The Pennsylvania Supreme Court confirms that an order compelling arbitration is not immediately appealable as collateral orders. The outcome of Chilutti II has generally left the substantive enforceability issues with browsewrap agreements unresolved in Pennsylvania. Until this issue is resolved by the Pennsylvania courts, companies operating in the Commonwealth should strive to ensure that their registration websites and/or application screens conspicuously present arbitration agreements in manners which ensure their users and consumers assent to the terms of the agreements by following the standards set forth in Chilutti I. Browsewrap agreements have been defined as agreements “‘in which a website offers terms that are disclosed only through a hyperlink and the user supposedly manifests assent to those terms simply by continuing to use the website,’ and typically do not require an electronic signature.” See, Cobb v. Tesla, Inc., 2026 WL 458470, at *1 n. 2 (Pa. Super. Feb. 18, 2026) (citation omitted). They are largely regarded as the “if you keep using this, you agree to everything buried in this link” terms embedded into almost every online agreement consumers and users sign before proceeding with purchases of goods and/or services. While consumers are generally aware of them, many almost never click on the link, nor read them in their entirety. This leaves many consumers and users ignorant of the terms and impact of such agreements. However, one’s ignorance of the otherwise neatly-tucked-away terms rarely renders them unenforceable. The issue of the enforceability of browsewrap agreements has been up for debate for some time in many jurisdictions, including Pennsylvania. Indeed, Pennsylvania had a brief grip on this issue for a period in time. Specifically, in 2023, an en banc Superior Court set forth heightened standards for companies to meet in order to secure assent and enforce browsewrap arbitration agreements. See Chilutti v. Uber Techs., Inc., 300 A.3d 430 (Pa.Super. 2023) (en banc) (“Chilutti I”) Chilutti I involved a husband and wife who sued Uber and its subsidiaries after the wife, a wheelchair bound passenger using Uber’s rideshare service, fell, struck her head, and lost consciousness due to her uber driver failing to provide a seatbelt and making an aggressive turn during the trip. The Chilutti’s filed a negligence lawsuit against Uber and its subsidiaries. In response, the defendants moved to compel arbitration, arguing that “the couple’s conduct on the company’s website and application — when they registered for the ridesharing service — signified that they agreed to be bound by the mandatory arbitration provision found in the hyperlinked terms and conditions.” The trial court granted the defendants’ petition and stayed the proceedings pending the results of arbitration, and the Chilutti’s appealed. On appeal, the Superior Court addressed two issues. First, it addressed the issue of whether it had jurisdiction to hear the appeal. A divided Superior Court determined that it did, with its basis for the holding being that the order from which the Chilutti’s appealed was a collateral order. Next, the Superior Court set out to address the merits of the Chilutti’s substantive claim. The Superior Court concluded that the parties lacked a valid agreement to arbitrate. Its rationale was that Uber’s website and application did not provide reasonably conspicuous notice of the terms to the Chiluttis. In reaching this decision, the en banc Superior Court held that browsewrap arbitration agreements are enforceable in Pennsylvania only if the registration website and application screens explicitly inform consumers that they are waiving the right to a jury trial, the registration process cannot be completed until the consumer is fully informed of this waiver, and, when the agreement is available via hyperlink, the waiver appears at the top of the first page of the terms in bold, capitalized text. Since the ruling, Pennsylvania courts have applied Chilutti I to determine if browsewrap agreements are enforceable.  For instance, the Allegheny County Court of Common Pleas invoked Chilutti I to reject an agreement that lacked an express jury-trial waiver on the assent screen.  See Miller v. Festival Fun Parks, LLC, 92 WDA 2025 (C.P. Alleg. Cnty. Mar. 24, 2025). Similarly, the Superior Court has held that notice which failed to explicitly state the consumer was waiving a jury-trial right did not “me[e]t the strict burden set forth by our en banc Court in Chilutti I.” Pierce v. FloatMe Corp., 348 A.3d 1077, 1088 (Pa. Super. 2025). While the issue of enforceability of browsewrap agreements appeared to have been resolved by Chilutti I, Pennsylvania courts’ grip on this issue has been slackened by the Pennsylvania Supreme Court’s January 21, 2026, opinion in Chilutti II. See Chilutti v. Uber Techs., Inc., 349 A.3d 826 (Pa. 2026) (“Chilutti II”). Therein, the Supreme Court did not address the merits of the Chiluttis’ substantive claim, but rather the issue of whether the Superior Court had appellate jurisdiction to immediately review the orders staying litigation pending arbitration. The Court ultimately vacated the en banc opinion on jurisdictional grounds, holding that the Superior Court did not have appellate jurisdiction because the trial court’s order from which the Chiluttis appealed did not qualify as a collateral order and, thus, the Superior Court erred in holding to the contrary and lacked jurisdiction to entertain the merits” of the Chiluttis’ substantive claim. As such, Chilutti II has rendered Chilutti I nonbinding, and the issue of enforceability of online arbitration agreements remains unresolved. However, in light of the fact the Supreme Court did not address or comment on the merits of the Chiluttis’ appeal, Chilutti I is still meaningful. Specifically, it provides guidance as to the standards a company should strive to meet to ensure they have obtained users’ assent so that they are able to enforce online arbitration agreements. Additionally, it may serve as persuasive authority in judges’ evaluations of petitions and/or motions to compel browsewrap arbitration agreements until this particular issue is properly put before our appellate courts. Keanna works in our Pittsburgh, PA office. She can be reached at (412) 803-1174 or KASeabrooks@MDWCG.com.