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Hospital/Healthcare
Facility Professional Liability
Summary of Services
Risk Management Audit
PRI will
be pleased to conduct a Risk Management Audit of your insurance
program. Experienced investigators will review your risk management
protocols, policies and procedures and occurrence data and offer
suggestions and recommendations that will enhance the loss control
efforts that are currently underway. This service, which would
take approximately 1-2 days, will be provided at no charge.
Customized Surveys & Inservice Education Programs
PRI
will carry out department surveys upon your request. One of
the many benefits of the survey process is in providing our
clients with information that will enable you to meet the standards
set by various regulatory bodies. We will also provide inservice
education programs at no additional cost.
Insurance Claims Audit
On
a consulting basis, PRI can conduct, at your request, an audit
of claims files for prior insurance years. The audit will focus
particularly on those cases with substantial reserves. Experience
has shown this to be extremely helpful to clients offering insight
as to the time element in settling cases and the impact on your
total loss experience. Factors targeted for review include legal
correspondence, expert testimony, reserve setting history and
the defense posture selected for each case.For facilities with
self-insurance retention funds, PRI can assist you with managing
the litigation process, a complex, highly specialized field
that can yield exorbitant costs - both in time and expense -
when not aggressively monitored.
Claims Management Program
Once
a claim has been received or if we have determined that an occurrence
or related inquiry may mature into a claim, PRI will apply the
necessary internal resources to establish reserves and sequester
information that will enhance the defensibility of the case.
You will receive quarterly loss runs that will reflect, at that
time, the current status of all reported suits and claims, including
reserves.
Investigative Services and Risk Management Support
As
part of our underwriting package, PRI will provide the services
of a Risk Control Coordinator (RCC) who will investigate your
potential and actual malpractice cases. The RCCs who are assigned
to our hospital clients are registered nurses with several years
of malpractice investigation experience. Under the direction
of your Risk Manager or other designated individual, the RCC
will review occurrence reports, attorneys’ requests for
information, adverse outcomes and notices of claims on a routine
basis. Appropriate reports and summaries of this work product
will be generated and shared with you for tracking and trending
purposes.
Legal
Defense of Lawsuits
PRI
will assign legal counsel to defend all claims covered under
your insurance policy. Should you have special requests as regard
the assignment of counsel, please let us know so that we may
tailor a program that will suit your needs.
Special Case Conferences
PRI
prides itself on its ability to aggressively monitor malpractice
claims and dispose of frivolous cases in as expedient a manner
as possible. In the event of a high-exposure claim, we will
convene multidisciplinary claims conferences that will include
our in-house claims investigators and other key personnel to
review the fact patterns of each case and to recommend an appropriate
plan of action as regards defense.
Legal Support
As
part of our value-added services, PRI will provide, at no charge,
legal assistance to support your Risk Management program. James
Tuffin, our in-house Counsel, and his staff will be available
during business hours to assist you with any risk management
or insurance related matters. Advice concerning documentation,
informed consent procedures and matters related to malpractice
prevention and defense can be readily obtained on an as-needed
basis.
Jeanne H. Braun
Executive Vice President
Administrators for the Professions, Inc.
Attorney in Fact for Physicians' Reciprocal Insurers
1999 Marcus Avenue, Suite 200
Lake Success, NY 11042
(516) 616-2500, ext. 482
email: j.braun@medmal.com
 TOP 9/99
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