| Department File Number : | M201884742 |
| Claim Number : | 156933 |
| Date Submitted : | 3/20/2018 |
| 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 | Richard | Petersen | |||
| Street Address | |||||
| 4651 Salisbury Rd. #410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Hiren | K | Patel | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 3115 Harbor Blvd | ||||
| City | State | Zip Code | County | ||
| Port Charlotte | FL | 33952 | Charlotte | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MS000524 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME77996 | Cardiovascular Disease - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Charlotte | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | At home | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | At home | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 12/18/2014 | 6/21/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The decedent was a 58 year-old female who was a heavy smoker. On or about 05/31/14, Mrs. Rovinsky was delivering pizza as a pizza delivery person employed part-time by Pizza Hut, Inc. when she tripped and fell on a sidewalk fracturing her right tibia requiring ORIF; Post-operatively, the decedent began developing wound complications leading to hardware removal on 09/19/14. On 12/17/14, Mrs. Rovinsky presented to Bayfront Health/Peace River Regional Medical Center with acute respiratory failure and acidosis requiring intubation; during her admission, she was diagnosed with pneumonia and had positive blood cultures for Group B Strep. Mrs. Rovinsky had a cardiac consultation performed by a cardiologist who ordered an echocardiogram on 12/18/14; On 12/18/14, an echocardiogram was performed; On 12/19/14 - 12/21/14 (weekend), Dr. Hiren K. Patel covered for the initial cardiologist; On 12/22/14 (Monday), Dr. Patel handed back the patient to the initial cardiologist ; On 12/22/14, Dr. Patel also reviewed the study and found that the study was limited, albeit that he couldn't rule out vegetations; On 12/23/14, Mrs. Rovinsky was discharged home by her initial cardiologist; On 02/15/15, Mrs. Rovinsky was found down in her residence; 911 was called and despite CPR, she was pronounced dead at the hospital | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| The decedent was a 58 year-old female who was a heavy smoker. On or about 05/31/14, Mrs. Rovinsky was delivering pizza as a pizza delivery person employed part-time by Pizza Hut, Inc. when she tripped and fell on a sidewalk fracturing her right tibia requiring ORIF; Post-operatively, the decedent began developing wound complications leading to hardware removal on 09/19/14. On 12/17/14, Mrs. Rovinsky presented to Bayfront Health/Peace River Regional Medical Center with acute respiratory failure and acidosis requiring intubation; during her admission, she was diagnosed with pneumonia and had positive blood cultures for Group B Strep. Mrs. Rovinsky had a cardiac consultation performed by a cardiologist who ordered an echocardiogram on 12/18/14; On 12/18/14, an echocardiogram was performed; On 12/19/14 - 12/21/14 (weekend), Dr. Hiren K. Patel covered for the initial cardiologist; On 12/22/14 (Monday), Dr. Patel handed back the patient to the initial cardiologist ; On 12/22/14, Dr. Patel also reviewed the study and found that the study was limited, albeit that he couldn't rule out vegetations; On 12/23/14, Mrs. Rovinsky was discharged home by her initial cardiologist; On 02/15/15, Mrs. Rovinsky was found down in her residence; 911 was called and despite CPR, she was pronounced dead at the hospital | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The decedent was a 58 year-old female who was a heavy smoker. On or about 05/31/14, Mrs. Rovinsky was delivering pizza as a pizza delivery person employed part-time by Pizza Hut, Inc. when she tripped and fell on a sidewalk fracturing her right tibia requiring ORIF; Post-operatively, the decedent began developing wound complications leading to hardware removal on 09/19/14. On 12/17/14, Mrs. Rovinsky presented to Bayfront Health/Peace River Regional Medical Center with acute respiratory failure and acidosis requiring intubation; during her admission, she was diagnosed with pneumonia and had positive blood cultures for Group B Strep. Mrs. Rovinsky had a cardiac consultation performed by a cardiologist who ordered an echocardiogram on 12/18/14; On 12/18/14, an echocardiogram was performed; On 12/19/14 - 12/21/14 (weekend), Dr. Hiren K. Patel covered for the initial cardiologist; On 12/22/14 (Monday), Dr. Patel handed back the patient to the initial cardiologist ; On 12/22/14, Dr. Patel also reviewed the study and found that the study was limited, albeit that he couldn't rule out vegetations; On 12/23/14, Mrs. Rovinsky was discharged home by her initial cardiologist; On 02/15/15, Mrs. Rovinsky was found down in her residence; 911 was called and despite CPR, she was pronounced dead at the hospital | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/22/2016 | 16002280ca | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Charlotte | 3/20/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | ||||
| Other | Settled between parties | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 3/19/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $40,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| The facts of the claim were discussed with the insured and Risk Management. | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. HIREN K PATEL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HIREN K PATEL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).