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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201783870
Claim Number :	160031
Date Submitted :	11/26/2018

 

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-10116		$5,000,000		*NR
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
Patients' Room
Date of Occurrence			Date Reported to Insurer
10/15/2016			12/15/2016

 

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
Allege failure to perform a more proper evaluation & tests to diagnose pulmonary embolism. Patient presented with shortness of breath & possible acute coronary syndrome. Patient was discharged with elevated troponins, an abnormal echocardiogram & an enlarged right ventricle, which can all be attributed to pulmonary embolism. There was no pulmonary consult, no diagnosis for shortness of breath, & pulmonary embolism was not ruled out. Patient returned to ER 4 days later & was given tPA for possible pulmonary embolism. Resuscitation was unsuccessful.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Pulmonary embolism, death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
3/14/2017			CACE-17-005061
County Suit Filed in			Date of Final Disposition
Broward			11/26/2018
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
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/6/2017

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$2,000,000
Loss Adjust Expense Paid to Defense Counsel					$72,027
All Other Loss Adjustment Expense Paid					$19,503
Injured Person's Total Non-Economic Loss					$2,000,000
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.

 

Updates

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

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