| Department File Number : | M201679727 |
| Claim Number : | PLFHMC076135 |
| Date Submitted : | 9/20/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Florida Physicians Medical Group | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-3214635 | 800014080 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Matthew | Evans | |||
| Street Address | |||||
| 900 Hope Way | |||||
| City | State | Zip | |||
| Altamonte Springs | FL | 32712 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (407) 357 - 2272 | matt.evans@ahss.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | RONALD | R | RASMUSSEN | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 301 MEMORIAL MEDICAL PKWY | ||||
| City | State | Zip Code | County | ||
| DAYTONA BEACH | FL | 32117 | Volusia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 8258 - 2013 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME90946 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Volusia | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MEMORIAL HOSPITAL - ORMOND BEACH | 100169 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/30/2012 | 12/26/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Nausea & vomiting x 1-week, right upper quadrant pain with a significant family history of gall bladder disease. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Laparoscopic cholecystectomy. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged failure by the physician to have properly identified the patient's ductal and vascular structures pre-operatively; cutting the ductal and vascular structures; performing surgery too quickly; failure to appreciate injuries; and failure to timely follow-up after surgery; which plaintiff claimed will result in lifelong pain, follow-up care, monitoring, surgeries and studies. | |||||
| Severity Of Injury | |||||
| Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 5/20/2014 | 2014 30812 CICI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Volusia | 8/18/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Florida Hospital Memorial Medical Center | |||||
| 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 | |||||
| 8/18/2016 | |||||
| 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 | $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 | |||||||||||||||||||||
| n/a | |||||||||||||||||||||
| 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 : | M202092251 |
| Claim Number : | PLFHMC097482 |
| Date Submitted : | 4/16/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Florida Hospital- Ormond Memorial | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-0973502 | 4201 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Linda | Boelke | |||
| Street Address | |||||
| 900 Hope Way | |||||
| City | State | Zip | |||
| Altamonte Springs | FL | 32714 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (407) 357 - 1313 | linda.boelke@ahss.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Ronald | Rasmussen | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 6500 38th Avenue North | ||||
| City | State | Zip Code | County | ||
| St Petersburg | FL | 33710 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 8258 - 2018 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME90946 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Volusia | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MEMORIAL HOSPITAL - ORMOND BEACH | 100169 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/30/2018 | 11/29/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Diverticulitis. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Laparoscopic with conversion to open sigmoid colectomy with colostomy. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Retained lap pad. | |||||
| Severity Of Injury | |||||
| Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/29/2020 | 2020-30095 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Volusia | 4/10/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| AdventHealth Daytona Beach | |||||
| 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 | |||||
| 4/10/2020 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $62,500 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201990306 |
| Claim Number : | PLFHMC099296 |
| Date Submitted : | 10/17/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Florida Hospital- Ormond Memorial | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-0973502 | 4201 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Linda | Boelke | |||
| Street Address | |||||
| 900 Hope Way | |||||
| City | State | Zip | |||
| Altamonte Springs | FL | 32714 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (407) 357 - 1313 | linda.boelke@ahss.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Ronald | Rasmussen | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 875 Sterthaus Avenue | ||||
| City | State | Zip Code | County | ||
| Ormond Beach | FL | 32174 | Volusia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 8258 -2019 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME90946 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Volusia | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| MEMORIAL HOSPITAL - ORMOND BEACH | 100169 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 5/10/2017 | 5/10/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Diagnosis of Stage IV metastatic sigmoid colon cancer treated with chemotherapy and positive response to therapy demonstrated on PET and CT scans. A pre-operative CT scan indicated a "complete pathological response to the chemotherapy". | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Laparoscopic sigmoid colectomy. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged failure to perform an intraoperative endoscopy of the rectum; alleged failure to remove rectal tumor. This morbidly obese patient underwent a colonoscopy by another practitioner with a finding of ¿a large nodular ulcerated circumferential tumor at the distal sigmoid extending into proximal rectum.¿ Pretreatment PET/CT demonstrated hypermetabolism in the sigmoid colon compatible with the history of the primary malignancy.Patient was diagnosed with adenocarcinoma of the sigmoid colon with metastasis by another practitioner. The case was presented to the Tumor Board; the patient was determined not to be a candidate for radiation but underwent chemotherapy. Post treatment PET scan showed a response and CT scan indicated a ¿complete pathological response to the chemotherapy.¿ The patient was referred to Dr. Rasmussen for surgical removal of the previously diagnosed sigmoid tumor. During the laparoscopic sigmoid colectomy, the previously identified "sigmoid tumor" was not found. The rectal stump was palpated to check for the presence of any tumor and none was found.An intraoperative endoscopy of the rectum was not performed due to the risk of bowel perforation. After pathology of the resected colon was negative, Dr. Rasmussen recommended another PET scan. Approximately three months later, the patient subsequently underwent removal of a mass in the mid to proximal rectum. None of the other providers involved in the care prior to the subject surgery correctly identified the location of the mid to proximal rectal tumor, which had been misidentified previously as a sigmoid tumor. Supportive expert review was obtained for this practitioner. The claim was resolved as an economic decision to avoid an adverse outcome in plaintiff-oriented venue with a sympathetic plaintiff. | |||||
| 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 | 9/24/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| Florida Hospital Memorial Medical Center | |||||
| 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 | |||||
| 9/24/2019 | |||||
| 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 | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. RONALD R RASMUSSEN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RONALD R RASMUSSEN, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).