Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575849
Claim Number : 153129
Date Submitted : 9/21/2017
 
Insurer Information
 
Insurer Name Coverage Type
HEALTH CARE INDEMNITY, INC. Primary
Insurer FEIN Professional License Number
61-0904881  
Insurer Contact Information
Type First Name MI Last Name
Individual Teresa   Ross
Street Address
One Park Plaza P.O. Box 555
City State Zip
Nashville TN 37202
Phone Ext Fax E-Mail Address
(615) 344 - 5804     Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
Type Entity Name
Entity Westside Regional Medical Center
Insurer Type Street Address of Practice
Licensed 8201 West Broward Blvd.
City State Zip Code County
Plantation FL 33324 Broward
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10114 $5,000,000 $10,000,000
Profession or Business Other Profession or Business
Hospitals  
License Number Specialty Code & Classification Certification Number
     

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Broward
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
WESTSIDE REG. MED. CTR (PLANTATION) 100228
Location of Institutional Injury Other Location of Institutional Injury
Other Cardiac Catheterization Laboratory
Date of Occurrence Date Reported to Insurer
4/21/2014 9/5/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Acute myocardial infarction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent cardiac catheterization. Several hours later patient needed to be returned to ccatheterization lab. Patient went into ventricular arrest with ventricular fibrillation & was resuscitated for prolonged period of time. Patient suffered hypoxic ischemic encephalopathy.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Anoxic brain injury.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Legal Information
 
Date of Suit Circuit Court Case Number
  *NR
County Suit Filed in Date of Final Disposition
*NR 10/5/2016
Other Defendants Involved in this Claim
Zelnick, M.D., Kenneth
Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/4/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $15,250,000
Loss Adjust Expense Paid to Defense Counsel $242,579
All Other Loss Adjustment Expense Paid $164,618
Injured Person's Total Non-Economic Loss $1,000,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $388,000 $9,358,047
Wage Loss $737,495 $3,766,458
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
No updates found.

 

 

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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