Ohio Administrative Code › Title 3364 - University of Toledo › Chapter 3364-10 - Reporting and processing job injuries; legal counsel › Section 3364-10-16 - Professional liability claims reporting and management

Current through all regulations passed and filed through July 1, 2024
(A)
								Policy statement
The university of Toledo ("UT") will
				promptly report all professional liability claims for UT and the university of
				Toledo physicians ("UTP"), that meet the criteria outlined in this policy, to
				the university of Toledo insurance program ("insurance program"). UT and UTP
				will promptly provide information related to actual or potential claims as
				required by this policy to the office of legal affairs, health science campus
				("office of legal affairs").
(B)
								Purpose of
			 policy
To assure that all professional
				liability claims and anticipated potential professional liability claims of UT
				and UTP are appropriately managed to improve quality of care, reduce the
				financial impact to both UT and UTP and are properly reported to the insurance
				program for insurance coverage.
(C)
								Scope
This policy applies to all UT
				employees, residents and students and to all UTP practitioners (collectively
				"staff").
(D)
								Procedure
(1)
									Classification of claims
(a)
										Class three
			 claims:
Lawsuits - summons and complaints
				served, regardless of court in which the action was filed.
(b)
										Class
			 two claims:
(i)
											
			 One hundred eighty-day letters (Ohio) or notices of intent (Michigan) that give
			 notice of consideration of suing; or requests from patient, family or legal
			 representative for medical records where the request form indicates that the
			 party is considering filing a lawsuit; or
(ii)
											Any written
			 demands for compensation by patient, family or legal
			 representative.
(c)
										Class one adverse
			 events (potential claims): Procedures or treatments that are not yet class two
			 or class three claims and which may meet the following criteria:
(i)
											 The event has
			 resulted in an unanticipated death or major permanent loss of function, not
			 related to the natural course of the patient's illness or underlying condition,
			 including but not limited to unexpected deaths or unexpected outcomes of a
			 serious nature:
(a)
												Unanticipated neurological, sensory or systemic
			 deficits: including but not limited to brain damage, spinal cord injury,
			 paralysis or nerve injury, organ failure or sepsis;
(b)
												Severe burns,
			 including but not limited to thermal, chemical, radiological or electrical,
			 resulting in extensive hospitalization and/or skin grafting;
(c)
												Severe internal
			 injuries, lacerations, infectious processes, foreign body retentions, or
			 sensory or reproductive organ injuries;
(d)
												Substantial
			 disabilities, including fractures, amputations or
			 disfigurements;
(ii)
											Any outcome that
			 is classified as a sentinel event (per rule 3364-100-50-38 of the UT medical
			 center (sentinel events/adverse events)) and requires a root cause analysis to
			 be performed.