NEWSLETTERS
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FALL 2000 Managed Care Organizations (MCO)
• Class Action Suits Involving Managed Care
• Managed Care Organizations (MCO)

 Cardiac
 Medical-Surgical
 Mental Health
 References
The not so distant thunder you may be hearing is the reform taking place in the health care system. It is becoming increasingly difficult to read the news without reading about the collapse of a health plan, shrinking pharmacy benefits coverage, withdrawals from Medicare managed care or health plan litigation. After a decade of the proliferation of managed care, patients, physicians and health groups have said “ENOUGH!”...
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WINTER 2000 Medical Errors
•Medical errors
 Institute of Medicine  Report
 Delay-in-Diagnosis
It was shocking to many to read the 1999 Institute of Medicine (IOM) report “To Err is Human: Building a Safer Health System” and learn that tens of thousands of Americans die each year as a result of medical errors. The Physician Insurers Association of America (PIAA), a trade association of physician-owned malpractice carriers, states that failure-to-diagnose represents one-fifth of all negligence and malpractice claims.
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SPRING 2001 Independent Medical Examinations
•Independent Medical Examinations
Purpose of IME
Specific Issues
Selecting an IME Physician
Content of IME and what to look for
Brief Summaries/Reviews of IME Related Cases
Independent Medical Examinations (IME) may represent two ends of a spectrum. On one end may be a very thorough, impartial, definitive evaluation of a client's past, present and future course of treatment and recovery. Another IME may be a cursory, boilerplate version of a medical evaluation.
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FALL 2001 Pediatric Errors
•Medical Errors
 
Sedation Errors
 House Staff

 Critical Care

 Pediatricians
Pediatrics settlements are twice that of any other medical specialty. Not only are infants and children at greatest risk for medical error, but the significance of errors is magnified by the implication of life-long medical expenses and loss of productivity....
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SUMMER 2002 EMTALA
•EMTALA
 Requirements
 Transferring patients
 Controversies
 Violations
 Cases of Interest
 Changes in EMTALA rules
 Conclusion
This organization has spawned more appellate-level litigation concerning the rendering of emergency services than any other legal source in our history.
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FALL 2002 Laparoscopic Lawsuits
•Laparoscopy
 Urologic
Gynecologic

Autopsy
Cholecystectomy
Myths of Laparoscopic Surgery

Conclusion
Professional liability insurance carriers have seen an increase number of claims and complications with serious or fatal sequelae associated with laparoscopic procedures and various types of laser procedures.
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SPRING 2003 Nursing Home Care
•Nursing Home Care
Deaths
Signs of Abuse
Nursing Home Reform
Malpractice Increasing
Medical Issues
Community Resources
"It's homicide. Don't sugarcoat it. Enormous numbers of patients are being killed in nursing homes throughout the country. "
Dr. Di Maio

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SUMMER 2003 Thromboembolism
•Thromboembolism
Clinical presentation
Diagnostic Testing
Therapy
PE Airlinelitigation
PE Malpractice
Mortality and morbidity rates from venous thromboembolism are best described in two words: substantial and unacceptable.
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WINTER 2004 Neurological Outcomes of Pregnancy
•Neurological Outcomes of Pregnancy
Clinical Conditions: NE/CP

Essential Criteria Litigation
Trends Future impact on
Litigation Life Care Planning Issues
We now know that less than 10% of neurologic impairments in newborns are the result of intrapartum events and of these, the majority were not preventable.
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