| Department File Number : | M202092932 |
| Claim Number : | 181817263 |
| Date Submitted : | 7/9/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Baptist Health Care | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-242515 | 4456 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Mitchell | Branltey | |||
| Street Address | |||||
| 1000 W Moreno St | |||||
| City | State | Zip | |||
| Pensacola | FL | 32501 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (850) 934 - 2592 | mdbrantley@bellsouth.net | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Mitchell | Brantley | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1000 W Moreno St | ||||
| City | State | Zip Code | County | ||
| Pensacola | FL | 32501 | Escambia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 01 | $5,000,000 | $5,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME87928 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Santa Rosa | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| GULF BREEZE HOSPITAL | 110003 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 12/7/2018 | 1/7/2020 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient was in auto accident. He was diagnosed with a Jones fracture (fracture of thumb) and ultimately diagnosed with a duodenal (small bowel) injury. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient was evaluated solely by the PA. He was diagnosed with thumb injury at the time of his presentation and splinted and referred to Ortho follow-up. His duodenal injury was diagnosed later. I, the attending physician assigned to the case, was not consulted nor was I involved in any of the decision making upon presentation, during the evaluation or at the time of discharge. All aspects of the patient's care were performed by the PA. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Delay in diagnoses of duodenal injury | |||||
| 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 | ||||
| 8/12/2019 | 01 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Santa Rosa | 2/15/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| Wallace, Latoya Baptist Healthcare Corporation | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 2/15/2020 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Patient was evaluated and dispositioned by a PA. I have since reviewed the patient's chart and have gone over the care of the patient with the PA. We have discussed improved documentation practices and physical signs of other injuries in evaluation of patients. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. MITCHELL BRANTLEY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MITCHELL BRANTLEY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).