Page 15 - SFHN JUNE 2020 FLIP BOOK
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Malpractice Insurance
                                                                  EXPERT ADVICE



                                Wave of Lawsuits May Follow Second COVID Wave



           BY VANESSA ORR                              attitude will not last much   doctors didn’t tell them to go immediately   ployed, quite a number of people will be
                                                       longer,” he explained. “There   to the hospital, or why they said it was   scrambling for new health care when they
          It was already a perfect                     are the have and have-nots,   okay to get an elective surgery,” he   lose their employer-based coverage or can
        storm: the medical mal-                        and the economic disparities   explained. “What if a person catches the   no longer afford COBRA.
        practice  marketplace                          are glaring; we’re already see-  virus after a facelift? The doctor can be   “As they go out to get individual poli-
        was hardening consider-                        ing societal cracks.       blamed for knowing it was an elective pro-  cies, many will find that their doctors
        ably as a result of insur-                       “Going deeper, while some   cedure, but still opening up. The entire   won’t be on those networks, which means
        ers losing money not just                      people are saluting the med-  process has been upended.”       an end to those established relationships,”
        in Florida, but in almost                      ical profession as heroes, oth-  While legislators in Florida and at the   warned Gracey.
        every state. Claims fre-                       ers are calling the whole   federal level are debating a medical liabili-  While doctors can hope that help will
        quency was slowly rising                       COVID-19 issue a conspiracy   ty malpractice waiver that could give doc-  come in the form of sovereign immunity,
        as claims severity rose at                     and a hoax,” he continued.   tors sovereign immunity for pandemic   Gracey says that they need to take matters
        a rapid pace; yet pricing                      “At some point, people will   care, there’s no telling if this relief will   into their own hands. “You can hope for
        had been kept very low       Matt Gracey       begin to blame the healthcare   come.                          help from the top down, but you need to
        because of the large                           system, and every scientific   “People are at home trying to figure out   start from the bottom up,” he advised. “Do
        amount of competition and capital in the   fact will be questioned.”      how to make money, and that means that   what you can in your own practice.
        marketplace.                           On top of societal distrust, Gracey adds   there is much to be concerned about on   “The key elements are great communi-
          Then COVID-19 appeared, making a   that political blunders have led to a num-  the lawsuit front,” said Gracey. “Not only   cation and great relationships with
        hardening market even worse.         ber of bad medical responses. “This is not   is the second COVID-19 wave of patients   patients; these two items alone could spare
          “In May, both Wells Fargo and Bank of   the doctors’ fault,” he said. “They have   coming, but there is a current surge of   many doctors from having to go through
        America said that we’re in for a depression,   been working with one or two hands tied   patients coming back into medical prac-  flood of lawsuits I see coming on other
        and I think everyone agrees that we are at   behind their backs because of political   tices who originally stayed away from doc-  side of COVID. It’s Risk Management
        least facing a recession and very difficult   issues in this pandemic.”   tors because they didn’t want to get near   101.”
        economic times,” said Matt Gracey, med-                                   an office or hospital. So there’s a delayed
        ical malpractice insurance specialist at   What Makes a Case?             treatment wave coming as well.”
        Danna-Gracey, the largest independent   With so much confusion around
        medical malpractice insurance agency in   COVID-19, it’s hard to predict what will   Lessening the Threat of Lawsuits
        Florida. “During downturns in the econo-  happen as people start to sue.    While there may be no way to avoid the
        my, claims go up in frequency and severity.   “Malpractice suits are based on whether   coming tide of lawsuits, taking a proactive
        People sue doctors and anyone else for   physicians have violated the standard of   approach to patient care can help.
        mistakes, and they do this more frequently   care, but what is the standard of care these   “We preach to doctors incessantly that
        when times are bad.”                 days?” asked Gracey, giving the example of   the best way to prevent lawsuits is to have
          While everyone is currently caught up   people waiting in their cars to see the doc-  really strong patient/doctor relationships,”   To find out if you’re prepared, contact
        in the country reopening, Gracey believes   tor, or spending time in a waiting room   said Gracey. “Studies have shown that doc-  Matt Gracey or Tom Murphy at
        that people will soon turn their attention   with three or four people, or being told not   tors with these relationships are sued less,   (800) 966-2120 or visit
        to economic woes.                    to come in at all.                   even when they make mistakes.”                       www.dannagracey.com.
          “I believe the whole ‘in this together’   “People will be questioning why their   Unfortunately, with 32 million unem-




        Cover Story:  Patients Avoiding Hospitals During COVID Crisis Do So at Extreme Risk



        Continued from page 1                that we would have enough beds and per-  reason that these people were not coming   said Dr. Lenchus, adding that healthcare
        said that the shelter-in-place instructions   sonnel in case of a surge.”    in for care,” said Dr. Lenchus.   workers are fully supplied with personal
        were never meant to discourage people   At the time, it wasn’t known whether                                  protective equipment (PPE).
        from going to the hospital for acute care.   Florida would follow the Italian model or   Hospitals Ready to Serve   Broward Health opened back up for
        He adds that this trend is not unique to   the California or New York models. “You   While the COVID crisis continues,   elective surgeries, and is seeing an influx
        Florida; many facilities across the country   have to work with the data on the ground   Broward Health and the rest of the   of patients who have been waiting since
        are also seeing an increase in DOAs while   at the time, and try to make needed   healthcare community want to make   the crisis started. ”Some people being
        seeing a decrease in emergency patients.    resources available as safely as possible,”   sure that patients understand that they   contacted to reschedule appointments
                                             said Dr. Lenchus.                    should not avoid going to hospitals—  are still reluctant to come in and remain
        Clarifying the Message                 While people understood the concepts   especially since it could save their lives.   that way, while others reschedule once
          According to Dr. Lenchus, this confu-  of social distancing and shelter-in-place   “Being healthy starts here—we are in   we’ve explained all of the protective
        sion can be credited to several factors.   instructions, not every message was as   the business of caring for patients and if   measures we have in place,” said Dr.
          “In the run up to prepare for the poten-  clear.                        they need medical attention, they can be   Lenchus. “Others have been waiting in
        tial surge of cases, hospitals across the   “In hindsight, what was lost in the mes-  confident that we can protect them as   line, so to speak, and are eager to have
        nation were following an incident com-  sage is that if you need emergency medical   well as our healthcare workers,” said Dr.   their surgeries performed.”
        mand structure, which requires them to   attention, you should seek it,” said Dr.   Lenchus.                    What’s most important, however, is
        free up resources so that they can be   Lenchus. “Unfortunately, for a number of   Patients at Broward Health are asked   that individuals use the hospital when
        brought to bear when needed,” he     reasons, people chose to forego the care   screening questions when they come in,   they need it.
        explained. “Before it hit in Florida, our   they needed.”                 and given a mask if they are not wearing   “We’re encouraging people to re-
        system tried to get patients out of the hos-  Broward Health’s four hospitals in Fort   one. Everyone’s temperature is checked,   engage with the healthcare system,” said
        pital who did not require acute hospital-  Lauderdale saw a 30 percent drop in   and patients who are admitted or who   Dr. Lenchus. “We never close—not even
        ization. They were encouraged to conva-  patients arriving with stroke symptoms,   are having procedures are first tested for   during a pandemic. Talk to your medical
        lesce at home and were provided with   and a 50 percent drop in patients arriving   the virus.                professional about having your proce-
        what they needed, such as additional   with heart attacks. “When you look at the   “We have specific areas for patients   dure scheduled—and understand that
        appointments and medication, to expedite   commensurate increase in deaths at home   who test positive with the virus, as well   there is no reason not to seek emergency
        their safe departure from the hospital so   that EMS personnel recorded, it stands to   as dedicated resources for their care,”   medical attention.”



        South Florida Hospital News                                                              southfloridahospitalnews.com                                                              June 2020                          15
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