This case arises from the alleged negligence of two ambulance crews in their emergency treatment of James R. Cyphers. On June 22, 1989, Mr. Cyphers was driving along Northern Parkway in Baltimore City when he suffered an asthma attack. He was able to enlist the temporary assistance of a passing motorist who, after driving a few blocks, spotted a private ambulance owned by Metropolitan Ambulance Service, Inc. The private ambulance crew rendered further assistance but, at some point, summoned a City ambulance. The City Medic Unit, operated by James W. Artis, Jr., appellant, and Steven Patrick, arrived at 3:09 p.m.
Because of his certification as a cardiac rescue technician, Artis took charge of Cyphers’s treatment. There is some dispute as to Cyphers’s precise condition upon Artis’s arrival—even as to whether he was conscious or unconscious—and also as to exactly what Artis did to assist him. At some point after his removal to the City ambulance, Mr. Cyphers went into cardiopulmonary arrest. There is a dispute whether, at that time, Artis inserted an esophageal airway; he claims that he did, but other evidence suggests that he did not. Although they were then only a mile or two from Good Samaritan Hospital—a five minute trip—Artis continued to work with Cyphers at the scene, establishing radio contact with the hospital at 3:33 p.m. He and Patrick finally transported Cyphers to the hospital at 3:50 p.m., by which time Mr. Cyphers was in full cardiac arrest, had no pulse, and could not be resuscitated. He was formally pronounced dead at 4:56 p.m.
*637 Cyphers’s widow, for herself and her minor children and as personal representative of her husband’s estate, filed a claim with the Health Claims Arbitration Office and also a wrongful death and survivor’s action complaint in the Circuit Court for Baltimore City. Both actions named as defendants Metropolitan Ambulance Service, Inc., the crew operating Metropolitan’s ambulance, the City, and Artis and Patrick. When the health claims were dismissed for want of jurisdiction, Ms. Cyphers filed an action to nullify that award, and the two actions, which rested on the same facts and sought essentially the same relief, were consolidated in the circuit court.
All defendants, it appears, moved for summary judgment. The motion filed on behalf of Metropolitan and its employees was denied, and, as of the date this appeal was noted, the case against them remained alive in the circuit court. Patrick’s motion for summary judgment was granted, but the motion of Artis, which included the defenses of public official and good Samaritan immunity, was denied. This appeal, by Artis, challenges only the court’s ruling that he did not possess either public official or good Samaritan immunity. Ms. Cyphers and her children have moved to dismiss the appeal as premature. We shall grant that motion.
Discussion
It is undisputed that there is not yet a final judgment in the circuit court. Nor is there any claim by appellant that the order denying his motion is immediately appealable under Md. Code Cts. & Jud.Proc. art., § 12-303. The sole basis for the appeal is that the denial of Artis’s claim of immunity is appealable under the collateral order doctrine.
Before discussing the elements of that doctrine, it would be well, we think, to consider the nature of the immunity asserted by Mr. Artis. As we indicated, there are two independent kinds of immunity claimed-—public official immunity and “good Samaritan” immunity.
The nature of public official immunity, under Maryland common law, was explained in
James v. Prince George’s
*638
County,
“Before a governmental representative in this State is relieved of liability for his negligent acts, it must be determined that the following independent factors simultaneously exist: (1) the individual actor, whose alleged negligent conduct is at issue, is a public official rather than a mere government employee or agent; and (2) his tortious conduct occurred while he was performing discretionary, as opposed to ministerial, acts in furtherance of his official duties [citations omitted]. Once it is established that the individual is a public official and the tort was committed while performing a duty which involves the exercise of discretion, a qualified immunity attaches; namely, in the absence of malice, the individual is free from liability [citations omitted]. The rationale underlying this grant of immunity ‘is that a public purpose is served by protecting officials when they act in an exercise of their discretion.’ ”
Confirming principles enunciated in
Duncan v. Koustenis,
The Court also noted that these four guidelines “are not conclusive, and the emphasis which may be placed on each varies depending upon the circumstances present in each case.”
Id.,
The standard for determining whether the conduct of the actor is discretionary, as opposed to ministerial, was set forth by the
James
Court at 327,
These, then, are the kinds of rulings that must be made in determining whether a public employee is entitled to public official immunity.
See also Ashburn v. Anne Arundel County,
The good Samaritan immunity claimed by Artis is found in Md. Code Cts. & Jud.Proc. art., §§ 5-309 and 5-309.1. Section 5-309(a) provides that a person described in subsection (b) is not civilly liable for any act or omission in giving any assistance or medical care if (1) the act or omission is not one of gross negligence, (2) the assistance is provided without compensation, and (3) the assistance is provided at the scene of an emergency, in transit to a medical facility, or through communications with personnel providing emergency assistance. Subsection (b) states four categories of persons, including members of a municipal rescue squad, as being entitled to this protection, provided that they possess at least one of three enumerated qualifications.
Section 5-309.1 affords rescue company personnel immunity from civil liability for any act or omission in the course of *640 performing their duties, other than “any -willful or grossly negligent act” and other than with respect to actions for the negligent operation of a motor vehicle for which insurance coverage exists.
Entitlement to the qualified immunity afforded by these sections obviously requires a finding that the defendant satisfies the conditions stated in the statutes, not the least of which is a conclusion that he falls within the enumerated categories of persons protected and that his alleged negligence does not amount to gross negligence.
The seminal case in Maryland on the immediate appealability of an order rejecting an immunity defense is
State v. Hogg,
The State counterdefendants moved to dismiss the counterclaim on the ground of sovereign immunity. Regarding the counterclaim as a defensive maneuver in the nature of a claim for recoupment, the circuit court held that it was not barred by sovereign immunity and therefore denied the motion as to the State and MDIF. Those two entities took an immediate appeal from that ruling, urging that the appeal was permissible under the collateral order doctrine.
The Court of Appeals noted the four requirements of the collateral order doctrine as it exists in this State—the order must conclusively determine the disputed question, resolve an important issue, be separate from the merits of the action, and
*641
be effectively unreviewable on appeal from a final judgment. It found no difficulty with the first three requirements and offered little discussion as to them. The one in question was the fourth—whether the order could be effectively reviewed in a later appeal from a final judgment. Relying largely on certain pronouncements in
Nixon v. Fitzgerald,
Less than four months after deciding
Hogg,
the Court issued its per curiam Opinion in
Bunting v. State,
*642
The Court found no right of immediate appeal, concluding that the “single transfer rule” was more in the nature of a right to be returned to the sending State than a right to avoid trial in the receiving State.
Id.
at 479,
“In sum, the idea that an issue is not effectively reviewable after the termination of the trial because it involves a ‘right’ to avoid the trial itself, should be limited to double jeopardy claims and a very few other extraordinary situations. Otherwise, as previously indicated, there would be a proliferation of appeals under the collateral order doctrine. This would be flatly inconsistent with the long-established and sound public policy against piecemeal appeals.”
In a footnote to that last sentence, the Court stated that Hogg should not be viewed as reflecting a contrary policy, adding that “[wjhile the opinion in that case may contain some broad language relating to assertions of immunity from the trial itself, such language must be read in the context of what was before the Court.” Judge Eldridge, concurring, expressed the belief that the approach taken in Bunting indeed could not be reconciled with that taken in Hogg and that Hogg should be overruled. The fact is, however, that, so far, Hogg has not been overruled and thus remains the law.
Within days after the Court of Appeals filed its Opinion in
Bunting,
this Court decided
Board of Trustees v. Fineran,
Although their right to take an immediate appeal from what clearly were interlocutory rulings was not challenged by the plaintiff, and indeed was conceded by him, we addressed the point briefly, noting at 297,
“Ordinarily, an immediate appeal does not lie from the denial of a motion to dismiss or for summary judgment. Where the effect of that denial is a rejection of the defendant’s claim of immunity from suit, however, such an appeal does apparently lie under the collateral order doctrine. State v. Hogg,311 Md. 446 ,535 A.2d 923 (1988), and cases cited therein.”
In a footnote to that statement, we expressed concern about the apparent breadth of Hogg, even in light of Bunting. We said, in part:
“We would be less than candid if we did not express our concern about the breadth of this aspect of Hogg and the practical difficulties that are involved in allowing immediate appeals whenever the defense of sovereign or governmental immunity is rejected through the denial of a motion to dismiss or for summary judgment under Md. Rule 2-322. In Hogg, and in most (though not all) of the cases allowing these essentially interlocutory appeals, the issues relating to the immunity defense can be resolved without becoming too entangled in the facts and merits of the underlying claim. Indeed, it is that very separation that brings the case under the collateral order doctrine. That is not the situation here, however. As we shall see, one cannot resolve the immunity questions in this case without effectively deciding the merits as well. This is particularly a problem when the relevant facts, as pled or as shown, are in dispute, for we then have to view the facts in a very partial light and draw inferences and conclusions that the trier of fact ultimately may reject.”
Notwithstanding this concern, we concluded that Hogg “articulates no distinctions between entangled and unentangled cases ...” and that, as evidenced by Judge Eldridge’s concur *644 ring Opinion in Bunting, while that case limited Hogg “in some undefined way,” it did not overrule the earlier case. Our reading of Hogg, even in light of Bunting, convinced us, most reluctantly, that the appeal, raising issues of both absolute and qualified immunity, was procedurally valid.
The Court of Appeals returned to this issue in
State v. Jett,
The Court of Appeals dismissed the appeal, concluding ultimately that the issue raised was not one of trial avoidance but rather the reach of the Tort Claims Act. The thrust of that Act, which effected a broad waiver of immunity and manifested a consent to suit, was not an emphasis “on protecting state officials and employees from disruption in the performance of their duties by defending against tort claims” but rather was on protecting the public treasury by limiting financial exposure.
Id.
at 257,
More significant to the present case than the actual holding in
Jett
is the Court’s discussion of the issue. At 255,
“We analogized the rejection of the sovereign immunity defense to the rejection of public official immunity defenses where the United States Supreme Court has applied the collateral order doctrine. See Mitchell v. Forsyth, 472 U.S. *645 511,105 S.Ct. 2806 ,86 L.Ed.2d 411 (1985) (denial of a claim of qualified immunity, to the extent it turns on an issue of law); Nixon v. Fitzgerald, 457 U.S. 731,102 S.Ct. 2690 ,73 L.Ed.2d 349 (1982) (absolute privilege).”
(Emphasis added.)
In a footnote to that statement, the Court observed that “[a] long line of United States Courts of Appeal decisions have been applying the collateral order doctrine to denial of absolute and qualified immunity defenses asserted by public officials who were sued for alleged torts, either of the federal constitutional variety or based on state law,” citing several Federal and State decisions to that effect.
Following
Jett,
this Court, in
Rice v. Dunn,
The last case in the current Maryland chain is
Town of Brunswick v. Hyatt,
Appellees make a number of points in their motion to dismiss. Essentially, they urge that the right to an immediate appeal from the rejection of an immunity defense should be limited to the rejection of a defense based on
absolute
immunity, which is resolvable as a matter of law, and should not be recognized when the defense is one of
qualified
immunity— either statutory or common law—which may be fact-based. They point out that the Court of Appeals has never approved (or disapproved) an immediate appeal from an interlocutory order rejecting a defense of qualified immunity, and they ask us to reconsider
Fineran
and, implicitly,
Brunswick.
Relying on the reasoning expressed in Justice Brennan’s dissenting Opinion in
Mitchell v. Forsyth, supra,
This argument implicates the third criterion in the collateral order analysis—whether the decision appealed is completely separate from the merits of the action—at least as much, if not more, than the fourth criterion expounded upon in Hogg. There is much to be said for it, and, as we earlier indicated, we made essentially the same point in Fineran. Hogg, however, as confirmed in Jett, seems to preclude the drawing of that kind of distinction.
In
Hogg,
Because the Court of Appeals has chosen to follow the lead of the Supreme Court in this general area, we need to look more closely at what the Supreme Court has actually done.
In
Nixon v. Fitzgerald, supra, 457
U.S. 731,
As a prelude to reaching the substantive issue, the Supreme Court concluded that an immediate appeal did lie in the case under the collateral order doctrine. It noted, at 742,
It was in
Mitchell v. Forsyth, supra,
For several years, the case traveled between the District Court and the Court of Appeals for the Third Circuit on the issue of Mitchell’s asserted defenses of absolute and qualified immunity. The last District Court decision, on cross-motions for summary judgment, was that (1) Mitchell was not entitled to absolute prosecutorial immunity because he had conceded
*649
that the wiretap was not ordered to facilitate any prosecutorial decision or further a criminal investigation but merely to gather intelligence needed for national security purposes, and (2) he was not entitled to qualified immunity under
Harlow v. Fitzgerald,
The Supreme Court granted certiorari to consider a number of issues. It first held that the Attorney General did not enjoy the kind of absolute immunity afforded to the President, legislators, and judicial officials performing judicial duties, but that he did have the qualified immunity set forth in Harlow v. Fitzgerald. That formed the central underlying basis of its subsequent discussion of appealability, and it is important to keep that context clearly in mind.
The essential holding in
Harlow
is that “government officials performing discretionary functions, generally are shielded from liability for civil damages insofar as their conduct does not violate clearly established statutory or constitutional rights of which a reasonable person would have known.”
“refashioned the qualified immunity doctrine in such a way as to ‘permit the resolution of many insubstantial claims on summary judgment’ and to avoid ‘subjecting] government officials either to the costs of trial or to the burdens of broad-reaching discovery’ in cases where the legal norms the officials are alleged to have violated were not clearly established at the time.”
The
Mitchell
Court continued, at 526,
“Unless the plaintiffs allegations state a claim of violation of clearly established law, a defendant pleading qualified im *650 munity is entitled to dismissal before the commencement of discovery____ Even if the plaintiffs complaint adequately alleges the commission of acts that violated clearly established law, the defendant is entitled to summary judgment if discovery fails to uncover evidence sufficient to create a genuine issue as to whether the defendant in fact committed those acts. Harlow thus recognized an entitlement not to stand trial or face the other burdens of litigation, conditioned on the resolution of the essentially legal question whether the conduct of which the plaintiff complains violated clearly established law. The entitlement is an immunity from suit rather than a mere defense to liability; and like an absolute immunity, it is effectively lost if a case is erroneously permitted to go to trial.”
(Emphasis added in part.)
It was on that basis that a plurality of the Court (Justice White, Chief Justice Burger, and Justices Blackmun and O’Connor) concluded, with respect to the effective reviewability of the decision following trial, that “the reasoning that underlies the immediate appealability of an order denying absolute immunity indicates to us that the denial of qualified immunity should be similarly appealable: in each case, the district court’s decision is effectively unreviewable on appeal from a final judgment.”
Id.
at 526-27,
The Court then turned to two other elements of the collateral order doctrine—whether the decision appealed conclusively
*651
determined the disputed issue and whether it is collateral to the rights asserted in the action. Our interest here is in the latter. Again recalling that the Court’s focus was exclusively on the qualified immunity provided for in
Harlow,
it observed, at 528,
“An appellate court reviewing the denial of the defendant’s claim of immunity need not consider the correctness of the plaintiffs version of the facts, nor even determine whether the plaintiff’s allegations actually state a claim. All it need determine is a question of law: whether the legal norms allegedly violated by the defendant were clearly established at the time of the challenged actions or, in cases where the district court has denied summary judgment for the defendant on the ground that even under the defendant’s version of the facts the defendant’s conduct violated clearly established law, whether the law clearly proscribed the actions the defendant claims he took.”
(Emphasis added.)
The Court noted that, in some instances, the resolution “of these legal issues” will entail consideration of the factual allegations made by the plaintiff but no more so, it concluded, than is the case with claims of double jeopardy or immunity under the Speech and Debate clause.
On this analysis, the Court held that a district court’s denial of a claim of qualified immunity, “to the extent that it turns on an issue of law,” is immediately appealable.
The plurality view in Mitchell v. Forsyth may be entirely appropriate when the qualified immunity at issue is that stated in Harlow, for the very reasons stated in Part III of the Mitchell Opinion. To take the plurality holding out of that context, however, and apply to it every form of common law or statutory qualified immunity that exists in Maryland is neither compelled nor rational. In Harlow, the Court “refashioned” the public immunity doctrine to cleanse it of subjective elements and present a unitary objective standard. That, and that alone, it seems to us, is what allowed the four Justices in Mitchell to view the issue presented in an immediate appeal as *652 being purely legal in nature and thus not requiring the appellate court, at that preliminary stage of the litigation, to become immersed in the underlying factual claims and responses.
That indeed, seems to be how the Federal appellate courts have construed
Mitchell.
Where the qualified immunity being asserted is the
Harlow
immunity and its existence does not hinge on unresolved disputed facts, immediate appeals have been allowed.
Clark v. Link,
As we have observed in our discussion of the immunity grounds asserted by Mr. Artis, we are not being presented here with wholly legal issues. Whether Artis enjoys the good Samaritan immunity he claims will depend on whether his alleged negligence constituted gross negligence, a matter that is in sharp dispute. Ordinarily, unless the facts are so clear as to permit a conclusion as a matter of law, it is for the trier of fact to determine whether a defendant’s negligent conduct amounts to gross negligence.
Romanesk v. Rose,
A similar situation exists with respect to the common law qualified immunity asserted by Artis; that, too, depends on a number of fact-specific elements—those relating to whether he is a public official, whether he was engaged in discretionary as opposed to ministerial acts, and whether his conduct, if negligent, constituted gross negligence. There are, already, disputes as to each of these factors.
The Court of Appeals, on more than one occasion, has looked to the plurality pronouncements in Mitchell v. Forsyth as persuasive authority, and we certainly can do no less. But we shall accept them in their proper context, as we believe the Court of Appeals intended to do, and not extend them to circumstances that are foreign, and indeed antithetical, to their underpinnings.
There are instances when a defendant will raise in a Maryland court the public official immunity stated in Harlow; that is the test to be applied in actions arising under 42 U.S.C. § 1983. If that immunity is rejected on motion, an immediate appeal will lie. To that extent, we follow Mitchell. Where other forms of statutory or common law qualified immunity are raised, an intermediate step may be required.
Whether a defendant possesses a qualified immunity is ultimately an issue of law for the court to determine. To the extent that it depends on the resolution of disputed material facts, however, some of those disputes—the existence of gross negligence or malice, for example—may be for the trier of fact to resolve; others—whether the defendant is a public official and, if so, whether the duty he was performing was discretionary or ministerial—will be for the court. To the extent the issue hinges on factual disputes that must be resolved by the trier of fact, the court will not be able to resolve the legal issue on preliminary motion, thereby forcing the defendant to wait until judgment has been entered. Where the factual issues can be resolved by the court, the *654 parties may take advantage of Md. Rule 2-502 and have the court decide those facts, and with them the legal issue of immunity, preliminarily. 3 In that circumstance, immediate appellate review of a ruling rejecting the qualified immunity defense would be permissible, for it would place the appellate court in no different position than if it were reviewing the rejection of an absolute immunity defense or a Harlow type of qualified immunity defense; the issues would be legal ones.
We do not conceive this as inconsistent with any holding of the Court of Appeals, although it departs from our holding in Fineran. We justify this result on three grounds: first, as we indicated, the appellees in Fineran and Brunswick did not contest the right of the appellants to take an immediate appeal, and this is therefore the first case in which the issue has been squarely argued by the parties; second, through Jett, which was not decided at the time of Fineran, we have gained greater insight into what was at issue in Mitchell; and third, it is a far better result.
APPEAL DISMISSED;
APPELLANT TO PAY THE COSTS.
Notes
. The issue in
Public Serv. Comm’n.
was not public official immunity in the traditional sense but whether, in an action for judicial review of a Public Service Commission order, the members of the Commission could be required to submit to a pre-trial discovery deposition. The circuit court denied the Commission’s motion for protective order, whereupon the Commission appealed. Recognizing that the appeal was from an interlocutory discovery order, the Court nonetheless allowed it under the collateral order doctrine, regarding the situation as “analogous to that of a government official claiming immunity as a defense to a civil action” and citing
Nixon v. Fitzgerald
and
Forsyth v. Kleindienst,
. The Court’s consideration of the appealability question was in Part III of the Opinion. The Opinion as a whole was authored by Justice White and joined in by Justice Blackmun. Chief Justice Burger and Justice O’Connor also joined in Part III. Justice Stevens concurred in the judgment of the Court because he believed that Mitchell was entitled to absolute immunity. Justices Brennan and Marshall dissented from Part III, finding "no justification for distinguishing between the denial of Mitchell’s claim of qualified immunity and numerous other pretrial motions that may be reviewed only on appeal of the final judgment in the case.”
. Md. Rule 2-502 provides:
"If at any stage of an action a question arises that is within the sole province of the court to decide, whether or not the action is triable by a jury, and if it would be convenient to have the question decided before proceeding further, the court, on motion or on its own initiative, may order that the question be presented for decision in the manner the court deems expedient. In resolving the question, the court may accept facts stipulated by the parties, may find facts after receiving evidence, and may draw inferences from these facts. The proceedings and decisions of the court shall be on the record, and the decisions shall be reviewable upon appeal after entry of an appeal-able order or judgment.”
