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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

Commonwealth Court Holds That a Claimant Who Was Struck By a Car While Crossing the Street During an Unpaid Break Was In the Course and Scope of Employment

This case involved a claim petition filed by a claimant who sustained injuries after being struck by a vehicle while crossing the street in front of the employer’s premises. The employer denied the claim based on course and scope, as the accident occurred during one of two mandatory fifteen (15) minute breaks provided to the claimant. The claimant would punch out at the beginning of a break and punch back in when the break was over.  On the date of the incident, the claimant punched out and left the building to get lunch at a restaurant, which required her to cross the employer’s parking lot, and then a public street, where the injury occurred. The Workers Compensation Judge (WCJ) dismissed the petition, noting that that during the two mandatory fifteen-minute breaks per shift allowed by the employer, the claimant was free to leave the employer’s premises, and during breaks, permitted to engage in whatever activity she desired. The WCJ found that at the time of the accident, the claimant was on her own time, in the middle of the street, and going to get lunch.   The claimant filed an appeal with the Worker’s Compensation Appeal Board (Board), and the Board reversed.  According to the Board, the claimant’s location was still on the employer’s premises, as the claimant was taking her customary route while using a reasonable ingress/egress from the employer.  Further, the Board found that the “Personal Comfort Doctrine” applied, as the claimant was on a momentary departure to take care of her personal comfort, within the window of time she was allotted for her break.  The Board remanded the case, and a WCJ granted the claim petition.  The Board affirmed, and the employer appealed to the Commonwealth Court. Before the Court, the employer argued that the claimant was not in the course and scope of her employment, because the injury did not occur on its premises, and the claimant was outside the bounds of the Personal Comfort Doctrine. The Court, however, rejected these arguments, and dismissed the employer’s appeal.  The Court noted that the break given to the claimant was so cursory, when she set out to relieve her hunger for her own personal comfort,  she remained in the course of her employment when she sustained her injuries.  A Petition for Allowance of Appeal in the Supreme Court has been filed by the Employer, Giant Eagle.

Thought Leadership

Appellate Court Rejects Horizontal Immunity Defense to Company Not Acting as Statutory Subcontractor

The First District Court of Appeal held that a property management company was not entitled to horizontal immunity under section 440.10(1)(e), Florida Statutes, in a negligence action brought by an employee of another company working on the property. The claimant was injured while servicing a swimming pool at an apartment complex. His employer had contracted with the property owner to maintain the pool. Following the accident, the claimant received workers' compensation benefits through his employer’s carrier. The claimant subsequently filed a negligence action against the property management company, alleging that it failed to maintain the premises in a reasonably safe condition and failed to warn him of a dangerous condition that caused his injuries. The property management company had been retained by the property owner to maintain the complex in good operating condition and to perform routine maintenance and repair work. The property management company argued that it was immune from suit under section 440.10(1)(e) of Florida’s Workers’ Compensation Law. That provision grants immunity to a subcontractor providing services in conjunction with a contractor on the same project or contract work from civil actions brought by employees of another subcontractor, subject to limited exceptions. According to the property management company, it qualified as a subcontractor working on the same project as the claimant’s employer and was therefore entitled to horizontal immunity. The trial court agreed and entered summary judgment in its favor. On appeal, however, the claimant argued, and the appellate court agreed, that horizontal immunity applies only when a contractor has sublet work arising from a contractual obligation owed to a third party. The court noted that prior decisions consistently held that an entity acting solely on its own behalf as the owner of property, rather than pursuant to a contract with a third party, is not a “contractor” under section 440.10(1), even when it hires other companies to perform work on the property. In Teed, the property management company could not establish that the property owner had a primary contractual obligation to a third party to maintain either the apartment complex or the swimming pool, which it then delegated to the claimant’s employer or the property management company. As a result, the property owner did not qualify as a statutory contractor, and the property management company was not a subcontractor entitled to horizontal immunity under section 440.10(1)(e). The First District therefore reversed the lower court’s ruling and remanded the case for further proceedings on the claimant’s negligence claim.

Thought Leadership

New Jersey Workers’ Compensation Legislation Updates

Since June 1, 2026, there have been no new New Jersey workers’ compensation related cases from the Appellate or Supreme Courts. As such, below will highlight any new legislative updates since February. A1023 | S3984 - Medical Use of Cannabis Under Certain Circumstances This requires workers’ compensation, PIP, and health insurance coverage for the medical use of cannabis under certain circumstances. It was introduced on January 13, 2026 and referred to the Assembly Financial Institutions and Insurance Committee. It was also introduced on March 19, 2026 and referred to the Senate Commerce Committee. A1045  - Certain Injuries to Volunteer and Professional Public Safety and Law Enforcement Personnel This revises workers’ compensation coverage for certain injuries to volunteer and professional public safety and law enforcement personnel. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. A1384 | S2757 - Reduce Statute of Limitations in Medical Fee Disputes This reduces statute of limitations from six years to two years in medical fee disputes in workers’ compensation matters. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A1870 | S1379 - Workers' Compensation Benefits For Certain Workers Due to September 11, 2001 Terrorist Attacks This provides workers’ compensation benefits for certain public safety workers who developed illness or injury as result of responding to September 11, 2001 terrorist attacks. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. It was also introduced on the same day and referred to the Senate Labor Committee. On February 5, 2026, it was reported from the Senate Committee, 2nd Reading, and referred to the Senate Budget and Appropriations Committee. A2779 | S1521 - Excludes Certain Illegal Aliens This excludes certain illegal aliens from workers’ compensation and temporary disability benefits. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A2792 | S1555 -  Prevent Intoxicated Employees from Workers’ Compensation This prevents intoxicated employees from receiving workers’ compensation. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A3167 | S2372 - Workers’ Compensation Insurance Requirements for Certain Corporations and Partnerships This concerns workers’ compensation insurance requirements for certain corporations and partnerships. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A3548 | S3571 – Maximum Benefits for Certain Volunteers This provides certain volunteer and other workers with maximum compensation benefit for workers' compensation claim regardless of outside employment. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. On March 2, 2026, it was reported from the Senate Committee, 2nd Reading, and referred to the Senate Budget and Appropriations Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. On May 7, 2026, it was reported and referred to Assembly State and Local Government Committee. A3724 - Personal Liability to Employer Officers for Failure to Pay for Coverage This provides personal liability for owner, executive officer, or executive director of employer for failure to pay for workers' compensation coverage. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. On May 7, 2026, it was reported and referred to Assembly Judiciary Committee. A4617  - Certain Workers' Compensation Supplemental Benefits and Funding Method This concerns certain workers' compensation supplemental benefits and funding method. For a permanently and totally disabled worker or surviving dependents after December 31, 1979, with some exceptions, this bill provides for an annual cost of living adjustment in the weekly workers’ compensation benefit rate. It was introduced on March 10, 2026 and referred to the Assembly Labor Committee. S241 - Inclusion in Database of Appointed Officials This requires that workers’ compensation judges and administrative law judges be included in database of appointed officials. It was introduced on January 13, 2026 to the Senate, Referred to Senate State Government, Wagering, Tourism & Historic Preservation Committee. S2290 -  Mandatory Retirement Age This increases statutory mandatory retirement age for Supreme Court Justices, Superior Court Judges, Tax Court Judges, Administrative Law Judges, and Workers’ Compensation Judges from 70 to 72. It was introduced on January 13, 2026 and referred to the Senate Judiciary Committee. S3144 - Testimony in Workers’ Compensation This concerns submission of testimony in workers’ compensation claims. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. S3342  - Increase Mandatory Retirement Age This increases statutory mandatory retirement age for Supreme Court Justices, Superior Court Judges, Tax Court Judges, Administrative Law Judges, and Workers’ Compensation Judges from 70 to 75. It was introduced on February 5, 2026 and referred to the Senate Judiciary Committee.