In 2014, a medical malpractice insurance company made a payment on behalf of a physician (MD) in Puerto Rico for approximately* $995,000. Payment was made in response to a claim of medical malpractice claim involving an injury along the lines of quadriplegia, brain damage, or the need for lifelong care suffered by a female patient between 40 and 50 years old. The nature of the claim is broadly described as: "diagnosis related." The payment report submitted by a medical malpractice payer described the allegations in the claim as "Failure to Diagnose."
* The payment amount is approximate because the National Practitioner Data Bank codes payments as a range value. The report's description of $995,000 corresponds to a malpractice payment somewhere between $990,001 and $1,000,000.Year of Payment: 2014
Location: Puerto Rico
Allegation: Failure to Diagnose
Act or Omission: 2009
Payment Range: Between $990,001 and $1,000,000
Nature of Claim: Diagnosis Related
Payer: Insurance Company - Excess Insurer
Type of Care: Inpatient
Reporter: A Medical Malpractice Payer
With respect to any medical malpractice payment, there are three major components of any claim. First, there is the act or omission that gave rise to an injury and whether the provider departed from an accepted standard of practice. Second, there is the nature of the injury itself, which includes several factors like its severity, duration, the impact on the patient’s life, the age and general health of the patient, along with many other elements. Third, there needs to be a causal connection between the negligent act or omission by the provider and the injury itself. Even with a showing of negligence, a medical provider is not legally responsible for an outcome that was not caused by the negligence.
With this in mind, the Data Bank does have some information that can give context to the medical malpractice payments, including the patient’s age, gender, whether it was inpatient or outpatient care, the type of malpractice or medical mistake that was alleged, and the ultimate outcome to the patient.
The information has significant limitations, however, that everyone should keep in mind. For one thing, the information is usually self-reported by the healthcare provider and his or her representatives. When reviewing this information, you should consider whether the patient would have described his or her injury as “minor” or “temporary” or “emotional only.” Further, there are important aspects of any claim valuation that simply cannot work in a database. Flagrant negligence might be coded the same way as what could be described as a smaller error, and one would have no way of knowing from these data. But even with these limitations and even where some required information is missing from any particular report, each of the payment reports in the database have enough to provide some insightful information that can help evaluate medical malpractice claims going forward.
A medical provider's malpractice history can be extremely insightful. A long history of malpractice claims and discipline can certainly affect whether a matter is resolved and for how much. One of the most important goals of the National Practitioner Data Bank is to track providers' disciplinary and malpractice payment history throughout interstate moves or new employment situations.
In addition to this particular malpractice payment, this provider has another report on record. Specifically, this provider has a total of three malpractice payments in the database. To put this number in perspective, throughout over 200,000 payment records, approximately 55% of them are associated with providers with multiple payments. This provider's total of three malpractice payments is more than 82% of all providers in the database, which is limited to providers with malpractice payment history.
Age: Between 60 and 70 Years Old in 2009 When Allegations Arose
Education Completed: Between 1970 and 1980