Medical-Legal Case Study

“Medical malpractice occurs when a hospital, doctor or other health care professional, through a negligent act or omission, causes an injury to a patient. The negligence might be the result of errors in diagnosis, treatment, aftercare or health management.” (Admin) One of the most common type of claims that pharmacies face are negligence claims. Negligence is one of the categories that falls under the area of law called Torts. In the Hundley v Rite Aid case, a tort was filed for injuries that were sustained by Gabrielle Hundley after she took medication from an incorrectly filed prescription. The case involved a jury trial verdict involving Gabrielle Hundley, a minor child, against Howard Jones, the pharmacist, and the Rite

This physician must evaluate all the above listed for the consult with the primary care doctor. Including competency and diagnosis.

Authorizations to see a specialist to have services provided are the result of a doctor putting

In addition, CA MTUS criteria for the use of epidural steroid injections include an imaging study documenting correlating concordant nerve root pathology; and conservative treatment. As noted above, this is an appeal to the previously denied request on 02/09/16. The appeal letter states that the patient has low back pain. MRI report showed disc bulge at L5-S1 with left neural foramina narrowing. However, 01/06/16 progress report noted that there was no radiculopathy with a negative SLR on exam. The guidelines require documentation of radiculopathy on exam. In addition, there is no documentation of a trial or failure of conservative treatment, including PT, as recommended by the guidelines. Furthermore, there is no documentation of any focal neurological deficits on the exam that would indicate nerve pathology. The motor and sensory exam was normal. Medical necessity has not been established. Recommend

The patient wants to also update me as far as the arm pain he mentioned last time. He says his left arm is feeling better now. He is noticing that his right shoulder is hurting at times, especially in certain positons such as while he is sleeping and if he has his arm raised over his head while he is lying down. He had no specific injury or trauma. He is not aware of anything that makes it better or worse. He is not using any medication for it thus far. He would be interested in having

On the other hand, if RN Mark is not sure if there is a less restrictive way or none, he can consult Dr Chin. Dr Chin can decide if it is necessary for her to make a recommendation for assessment so that an authorised doctor can assess if Hai is a candidate for a treatment authority. An authorised doctor must undergo the necessary procedures to establish whether a less restrictive way is available to treat an individual (MHA, s. 43). With the assessment, the authorised doctor can determine whether Tim can be Hai’s statutory health attorney, who can consent Hai’s treatment. If it is established that there is no valid statutory health attorney for Hai, the authorised doctor will complete the form for treatment authority and undertake the necessary

Also, we will await the applicant’s attorney’s response to my letter objecting to the selection of Rehab One Medical Group as the applicant’s primary treating physician. If we do not hear a response from the applicant’s attorney’s office. We will proceed with filing a Declaration of Readiness to Proceed to an Expedited Hearing.

The committee reviewed the current procedure when a provider indicates no hospital privileges or board certification. The current process has the credentialing specialist follow-up with a provider until a response is received regarding 1) “No” response to board certification; 2) no answer to either board certification or hospital privileges; and 3) Admission process for providers with no hospital privileges. Since neither area are requirements for a provider to be a panel member, it was decided to have the specialists only make one attempt to obtain a response or obtain additional information. If no response is received, “NA” will be placed on the log and indication that an attempt was made to obtain information but no response received will

We denied the medical services listed above because after a review of the clinical information provided by Dr. Carol DeCosta, the Medical Director has determined that Electromyography (A diagnostic test that records the electrical activity of muscles) and Nerve conduction studies (Measure conduction in response to an electrical stimulus) are not medically necessary.

History is taken from the patient, who is a good historian along with records from her inpatient stay at Portsmouth Regional Hospital and her outpatient visit for Dr. Tan. In short, she is a 64-year-old right-handed white female who on August 8, 2015 awoke with acute weakness on the right side of her body. She had difficulty getting out of bed. She was able to move around and walk, but she had noted coordination problems. She called family who was concerned about her slurred speech. After they arrived, they recommended that she go to the emergency room. The patient did not notice any visual field cut. She did not notice any language problems other than slurred speech. There was no dizziness. No significant sensory changes. She has no history of palpitations. Her risk factors are all poorly controlled diabetes, hypertension, hypercholesterolemia, and cigarette smoking. She was not on an aspirin a day at the time of her event. She presented to the emergency room, where she noted significant improvement. She was discharged with minimal findings on the right side for outpatient physical therapy. She has one more physical therapy visit on Thursday. Currently, she states that she has no problems with ambulation. As far as the stroke is concerned, because her hip pain will affect her before any fatiguing, she thinks she has only a 10 to 15% deficit as far as overall right-sided strength. She is able to do her ADLs. She is having

Due to a schedule conflict my co-worker Chris Callahan attended the appointment with Mr. Price and Dr. Werner on 6/15/16. Mr. Price said that he has difficulty gripping with the right hand. He also reports numbness and tingling to the first three fingers. He stated this has been consistent since the injury. Dr. Werner reviewed the EMG report. Grip test showed that his right hand is weaker than the left. Dr. Werner did tapping and repositioning of the hands and wrist which resulted in numbness to the first four fingers of the right hand. Tapping to the elbow also caused the fifth finger to go numb. Ms. Callahan asked for clarification on the cause of the Carpal Tunnel (CTS) diagnosis. Dr. Werner stated that changes in the right shoulder

election even though he was up against another candidate who received great sums of money from the US Chamber of Commerce. Diaz, unlike his opponent, was not considered to be pro-business and would vote in favor of citizens rights when it came to tort reform, so the US Chamber of Commerce was willing to spend money to get a pro-business justice. However, after winning the election, the US attorney began to investigate him for fund donated to his campaign; a good friend of his who was a lawyer cosigned on a loan to fund his campaign and he was investigated for bribery even though Diaz had always refused to hear a case involving Minor in the past due to the conflict of interest. After he was acquitted from the bribery counts, he was investigated

Following legislation passed into law in 2008, veterans who have served in a combat theatre of operations are automatically eligible for enrollment in health care through the Department of Veterans Affairs for five years after separating from service. Under the current system those veterans must apply for VA health coverage themselves following separation from service. This process is complicated by a VA bureaucracy that is slow to enroll eligible veterans. In order to provide the best health care possible, a new policy of automatically enrolling eligible veterans in to the VA system should be implemented. This change would improve health outcomes, combat the trend in veteran suicides, and………

Scheduling attempted to schedule Pamela for the EGD that Dr. Piaseck approved, however, the patient is requesting a consult with a physician first.

S: Aerotek TM reported his Left wrist pain on 9/6/2016. According to the TM, the pain started the day after the several attempted blood draw from his left AC on 8/30/2016 for his TB. On 8/31/2016 his left arm was edematous, and he had pain to his left arm. Within next few days, left arm edema and left forearm resolved but his left wrist pain remained. TM denies any previous injury to the location, or current work process may have contributed to his left wrist pain. The pain is related to his AC puncture for his TB labs, since he never had any issues prior to this event.