Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201679599 |
Claim Number : | 15-0132-A-13 |
Date Submitted : | 9/1/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Dionysia | Lawson | |||
Street Address | |||||
560 Davis Street | |||||
City | State | Zip | |||
San Francisco | CA | 94111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(415) 735 - 2013 | (415) 735 - 2097 | dlawson@norcalmutual.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jane | Bistline | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2031 Palm Beach Lakes Blvd. Suite 100 | ||||
City | State | Zip Code | County | ||
West Palm Beach | FL | 33409 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG000301 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME64772 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
CENTRAL PALM BEACH SURGERY CENTER LTD | 147 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/12/2013 | 6/3/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Burning, severe cervical pain and numbness post procedure (cervical discetomy) | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Insured prescribed Gralise and Roxicodone; informed patient to follow up with surgeon. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Evaluation did not go far enough regarding patient's post operative neurological and motor defecits | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient is a quadriplegic | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/21/2015 | 2015 CA 007259 AH | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 5/11/2016 | ||||
Other Defendants Involved in this Claim | |||||
Columbia Hospital LP dba West Palm Hosp.HCA, Inc entral Palm Beach Surgery Ctr CPBS Management, National Orthopaedics and Neurosurgery, PA Mendel, Richard Bistline Interventional Pain Management, Inc nterventional Pain, LLC | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/11/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $36,438 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Circumstances of this case were discussed with the insured and risk management was notified. Risk management discussed the case with the insured. |
Updates | |
No updates found. |
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Does Dr. JANE BISTLINE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JANE BISTLINE, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).