Department File Number : | M201987904 |
Claim Number : | 55000000141482562 |
Date Submitted : | 2/14/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Lakeland Regional Medical Center, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-2650456 | 4413 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lisa | Knight | |||
Street Address | |||||
1324 lakeland hills blvd | |||||
City | State | Zip | |||
Lakeland | FL | 33805 | |||
Phone | Ext | Fax | E-Mail Address | ||
(863) 687 - 1025 | lisa.knight@mylrh.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DANIEL | WESTAWSKI | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1324 lakeland hills blvd | ||||
City | State | Zip Code | County | ||
Lakeland | FL | 33805 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PH1706346 | $10,000,000 | $10,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME133838 | Surgery - Plastic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
Lakeland Regional Medical Center | 100157 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/31/2018 | 8/31/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
hypertrophy of breast | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
bilateral reduction mammaplasty | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Developed postoperative infection, left nipple necrosis, and loss of viable breast tissue. Required repeat operation and will need breast reconstruction. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 11/7/2018 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/7/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $75,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Infection Control Department reviewed all current infection control policies for effectiveness, re-educated all staff and physicians, and monitored compliance regarding same. |
Updates | |
No updates found. |
Department File Number : | M202092434 |
Claim Number : | 5500000160372396 |
Date Submitted : | 5/12/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Lakeland Regional Medical Center, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-2650456 | 4413 | ||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | Lakeland Regional Medical Center, Inc. | ||||
Street Address | |||||
1324 Lakeland Hills Blvd | |||||
City | State | Zip | |||
Lakeland | FL | 33805 | |||
Phone | Ext | Fax | E-Mail Address | ||
(863) 687 - 1025 | lisa.knight@mylrh.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DANIEL | WESTAWSKI | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1324 Lakeland Hills Blvd | ||||
City | State | Zip Code | County | ||
Lakeland | FL | 33805 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PH1706346 | $10,000,000 | $10,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME133838 | Surgery - Plastic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
Lakeland Regional Medical Center | 100157 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/18/2018 | 8/31/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
bilateral breast hypertrophy | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
bilateral reduction mammaplasties | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Developed postoperative infection and loss of viable breast tissue. Required repeat operations and breast reconstruction | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 4/24/2020 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
4/24/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Infection Control Department reviewed all infection control policies for effectiveness, re-educated all staff and physicians, and monitored compliance regarding same. |
Updates | |
No updates found. |
Does Dr. DANIEL WESTAWSKI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DANIEL WESTAWSKI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).