| Department File Number : | M201884497 |
| Claim Number : | 2017620781 |
| Date Submitted : | 3/6/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| ASPEN SPECIALTY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 06-1463851 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Joyce | M | Kurtzke | ||
| Street Address | |||||
| 300 Broadhollow Road, Suite 215W | |||||
| City | State | Zip | |||
| Melville | NY | 11747 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (631) 768 - 1175 | 1175 | (631) 768 - 1281 | joyce.kurtzke@sedgwickcms.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jeffrey | Crooms | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1405 Centerville Road Ste 4400 | ||||
| City | State | Zip Code | County | ||
| Tallahassee | FL | 32308 | Leon | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| INSMM0051D17 | $500,000 | $1,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME43049 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Leon | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| TALLAHASSEE MEMORIAL HOSPITAL | 100135 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/8/2016 | 2/6/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| This matter allegedly concerns the medical treatment that was provide to James Joseph Hughes, deceased.Mr. Hughes was under Dr. Crooms's care when he underwent elective laparoscopic cholecystectomy on January 8, 2016 at Tallahassee memorial Healthcare. It is alleged that there was a breach of the prevailing standard of care and that such deviation resulted in injury, harm and ultimately death. Those deviations include failed to timely and appropriately respond, evaluate, diagnose and treat Mr. Hughes' significant peri-operative conditions and complications which resulted in injuries and harms and ultimately the death of James Hughes. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Alleged breach in standard of care during cholecystectomy. | |||||
| Diagnostic Code : | K82.2 | ||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| This was a Cholecystectomy procedure (gallbladder removal). Dr. Crooms noticed a lot of adhesions which was causing organs to stick together. He did remove the gallbladder.Apparently there was a colonic leak after the procedure which Dr. Crooms was able to correct.Sometime after that there was a perforated sigmoid colon which was also repaired.The patient then had bleeding issues and ultimately expired. It appears he passed away many months later. He treated the patient for about 11 months and up until he passed away. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 6/6/2017 | ||||
| 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 | |||||
| 7/18/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $725,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $31,130 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Unknown | |||||||||||||||||||||
| 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.
| Department File Number : | M201573992 |
| Claim Number : | 12-005-AK-000414 |
| Date Submitted : | 3/27/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Crooms, Jeffrey | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-3058949 | ME43049 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Debby | Weber | |||
| Street Address | |||||
| 8600 W. Bryn Mawr | |||||
| City | State | Zip | |||
| Chicago | IL | 60631 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (773) 864 - 8280 | (773) 864 - 8281 | dweber@claritygrp.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jeffrey | Crooms | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1405 Centerville Rd. Ste. 4400 | ||||
| City | State | Zip Code | County | ||
| Tallahassee | FL | 32308 | Leon | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 12-PA-005-AK | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME43049 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Leon | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| TALLAHASSEE MEMORIAL HOSPITAL | 100135 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/2/2011 | 11/16/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient was worked up by a GYN physician for a pelvic mass discovered in 2010. The imaging prior to surgery was consistent with an ovarian cyst. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Dr. Crooms, a general surgeon, was called into the OR to assist the primary GYN surgeon with the excision of a large cystic mass. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| The cystic mass had communication with the spinal/sacral meninges. Removal of the mass caused a CSF leak. The patient underwent multiple surgeries to patch the leak but they were unsuccessful. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient now is a paraplegic. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/28/2014 | 2014CA554 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Leon | 12/22/2014 | ||||
| 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 | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 12/22/2014 | |||||
| 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 | $21,881 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $5,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Patient assessed during the post-op period for dural leak. Referred to tertiary hospital. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. JEFFREY CROOMS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JEFFREY CROOMS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).