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December 2019 Newsletter

PPN | Minnesota, National, News, Newsletter | Source | December 20, 2019

Personal injury attorneys target definition of a patient With courts increasingly reviewing physician liability for patients they have never treated, the answer to what defines a patient could shape the future of access to care. The issue stems from a recent case in which a Minnesota physician was held liable for harm to a patient he had never examined, reviewed her records or spoke to directly. Under review was whether or not the physician still had a “legal duty of care” following a conversation with a Nurse Practitioner, in which he recommended that the patient not be admitted to the hospital-based on a series of symptoms. The AMA’s Litigation Center, in an amicus brief, argued that the duty of care was premised on a patient-physician relationship, which was not present in this case. While lower courts agreed, highlighting the importance of informal consultations among health care professionals, the Minnesota State Supreme Court overruled these verdicts. A moot court review of the case at the 2019 AMA Interim Meeting saw audience members raise concerns about a number of issues arising from the decision, including “the chilling effect of the decision, decision-making authority of NPs and physician assistants, legal ethics and medical…

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November 2019 Newsletter

PPN | Connecticut, Iowa, News, Newsletter, Pennsylvania | Source | November 26, 2019

Iowa’s liability climate is changing – for worse The Iowa Medical Society (IMS) highlighted how the state’s medical liability climate is shifting and threatening access to care in the Fall edition of Iowa Medicine. In 2017, a series of reforms including certificate of merit and expert witness requirements were implemented to drive down the number of meritless lawsuits filed in the state. Unfortunately, at the time, reasonable limits on non-economic damages were included only as a “soft cap,” allowing the limit to be waived by a jury in certain instances. MaryGrace Elson, MD, MME, FACOG, President of IMS and an OB/GYN from Iowa City, highlights the outcome of the soft cap in the edition’s feature story, “Our Medical Liability System in Crisis.” “In the past three years, Iowa’s medical liability climate has shifted dramatically,” she notes. “… Iowa’s trial bar has begun cherry-picking cases where there is no dispute that a medical error occurred. Employing questionable tactics that play to juries’ emotions and drive up award expectations, we have seen a string of high-dollar verdicts against physicians and facilities.” Over the past two years, just five lawsuits have led to awards of $63 million in noneconomic damages, and impacted patient…

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Electronic-related med mal claims increasing: The Doctors

Judy Greenwald | National, News | Source | September 30, 2019

SOURCE: Business Insurance The number of medical malpractice claims stemming at least in part from electronic health records is increasing and may become a more frequent risk factor, says a report by a medical malpractice insurer. An analysis of 216 claims closed from 2010 to 2018 indicates the pace of these claims grew from a low of seven in 2010 to an average of 22.5 cases per year in 2017 and 2018, according to the study by Napa, California-based The Doctors Co. Electronic health records “are typically contributing factors rather than the primary cause of claims, and the frequency with an EHR factor continues to be low (1.1 percent of all claims closed since 2010),” says the study by Darrell Ranum, vice president of patient safety and risk management at the insurer. “Still, as EHRs approach near-universal adoption, they may become a more prevalent source of risk.” The report says the EHR-related claims closed from 2010 to 2018 were caused by either system technology and design issues, such as electronic systems or technology failure, or by user-related issues. One example presented in the study was of an elderly female patient with sinus complaints, for whom the physician intended to order…

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