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Medical Record Chronology

January 12, 2022

Medical Records

If you would like to see our redacted medical record chronology samples, call to schedule a free consultation, 800-327-3026.

A medical record chronology is an outline of medical events presented in chronological order. Creating an accurate, concise medical chronology as part of a review of voluminous or complex medical records can be challenging. Producing a medical chronology is part detective work, part analysis, and part communication. It requires determining what is relevant in the medical record and organizing that information into a succinct document of the facts.

It is a crucial part of any medical-legal case, and a good medical chronology provides facts and sources to assist expert witnesses in determining merit and damages in a timely and cost-effective manner, without the need for an expert to review a page by page record, until it has been determined that the case has merit.  

Our nurse consultants review medical records for individual cases such as personal injury, medical malpractice, nursing home, drug and medical devices, product liability, and all cases where voluminous records get in the way of determining whether or not the case is worth pursuing and/or the specific damages associated with negligent acts.

An accurate medical record chronology requires reading through hundreds of pages of an individual’s medical records to summarize the relevant events in sequential order. Our medical record chronologies present verbatim health information in an objective manner, while taking care to focus on information relevant to the specific facts of your case.

The benefits of a Medical Chronology are:

  • Send medical record chronologies to experts to reduce their review time
  • Increase efficiency by evaluating cases faster
  • Use as a reference tool before and during depositions, mediation, negotiations, and trial
  • Objective information direct from the medical record
  • An objective tool in settlement discussions
  • Exclude duplicative records or discover missing records.
  • Highlight the Significant point of medical evidence.

For more information about medical record chronologies for medical record reviews and pricing, or if you would like to see redacted samples of our medical record chronologies or set up a free consultation, contact us today.

 

Covid-19 and the Law

July 21, 2021

There are four areas where Covid-19 cases are appearing in the courts:

  • Nursing Home related infections

One out of four coronavirus deaths in the United States are nursing home residents, according to a new analysis of federal data conducted by the Associated Press. Close to 1 in 10 of all COVID-19 cases are contracted by nursing home residents, as well.

Administrators at nursing homes and assisted living facilities owe a duty of care to their residents. This duty of care includes acting quickly and taking reasonable steps to prevent the spread of COVID-19, such as:

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There is no Yelp for Experts

March 1, 2021

It is common knowledge that expert witness fees can be one of the highest costs in litigation, if not the highest.  Especially if a referral service invoices for the expert assisting on the case. Therefore, an attorney will try to mitigate these costs by:

Finding an expert on their own, and using that expert on multiple cases

Asking around, via email blast or word of mouth, to see if anyone has an expert in the required specialty

Using a local doctor to screen their case, and trying to find an expert that agrees with this opinion

In addition to the risks and costs of the above there are many expert horror stories, that involve:

  • Not disclosing a disciplinary action
  • Not actively performing the procedure or care in question
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To Knock or Not to Knock

November 9, 2020

 

Breonna Taylor, a 26-year-old woman from Louisville, Kentucky, was shot to death by police shortly after midnight on March 13, 2020, in the apartment she shared with her boyfriend, Kenneth Walker. The police had a no-knock warrant and entered with a battering ram to search for evidence of drug dealing; none was found.  A Kentucky grand jury indicted former detective of the Louisville Police Department, Brett Hankison, on charges of reckless endangerment for his role in the raid. No charges were filed against Jonathan Mattingly and Myles Cosgrove, the two officers who fired shots inside the apartment. This has spurred a nationwide discussion of the use of no-knock warrants—and reforms that might prevent unnecessary death and injury in the future. (more…)

 

The Pitfalls of the Expert Search

August 3, 2020

Yes, knowing that you need an appropriately qualified expert is the first step in properly investigating the merits of your case, and connecting with the right expert is an investment that pays off starting with record review, all the way through to trial. Let Saponaro, Inc. assist you from the beginning, so you avoid these common mistakes.

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To Serve and Protect

July 6, 2020

Law enforcement is an integral part of our communities.  They ensure justice for over 8 million crimes a year and are responsible for 10 million arrests per year. Respect for police has been waning in recent years as methods of enforcement are increasingly called into question.  The perception of police as overzealous and abusive has eroded public trust and confidence.

In the last decade, 85,000 police officers have been investigated.  Reporters from USA TODAY and the nonprofit invisible Institute spent more than a year compiling records of police misconduct throughout the United States.

The records obtained include more than 110,000 internal affairs investigations by hundreds of individual departments and more than 30,000 officers who were decertified by 44 state oversight agencies. (more…)

 

Corona Virus Ravaging Nursing Homes

May 27, 2020

saponaro-nursing-home-abuse-and-infractions

As we continue to wind through the coronavirus, the most obvious cases of infection have centered around our nursing homes. There is no doubt that nursing homes and similar group living facilities are in a difficult position. USA TODAY reports that a minimum of 2300 long-term care facilities in 37 states have reported positive cases of COVID-19 and that over 3000 residents had died. Because the infection spreads rapidly and is not always symptomatic, nursing homes that exercise reasonable care may still experience an outbreak. USA TODAY also reports that before the pandemic, 75% of nursing homes had been cited for failing to properly monitor and control infection in the past three years.

Elderly and immuno-compromised individuals are particularly vulnerable to COVID-19 and whether the facility that they reside in is responsible for their infection requires a thorough investigation. (more…)

 

How to expand your practice with one phone call.

March 26, 2020

Expanding your practice can come with many hurdles. We can help you grow by taking the workload off your desk and allowing you to focus on the practice of law. Outsourcing leads to higher efficiency and productivity, with the ability to meet deadlines and to start new projects quickly and at lower operational costs. These advantages help level the playing field by giving smaller firms and solo practitioners the same economy of scale in regard to efficiency and expertise, without an increased payroll.

Saponaro, Inc. has developed a menu of services to assist in all aspects of litigation support including our:

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Certificate/Affidavit of Merit -Easy 2 Step Process

February 18, 2020

We can simplify your Certificate/Affidavit of Merit process

Our Comprehensive Case Evaluation service is a simple and cost effective approach to meet your State requirements in the preparation of a Certificate/Affidavit of Merit

 

What Must the a Certificate/Affidavit of Merit cover?

The specific language requirements of the affidavit vary from state to state. But generally speaking, the a Certificate/Affidavit of Merit must state three things:

  • the expert signing the affidavit qualifies as an expert in the same medical field or healthcare profession in which the defendant health care provider practices
  • the expert has reviewed your case, and
  • the expert is of the opinion that your case has merit — meaning that the defendant’s conduct has deviated from the accepted standards of care under the circumstances.

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Breast Implant Complications May Lead to Harm

October 23, 2019

What is a breast implant?

A breast implant is an implanted device used to augment existing breast tissue for cosmetic purposes or to reconstruct the breast after surgery such as mastectomy. Litigation from alleged harm due to breast implants is not new, but recently a new form of lymphoma thought to be associated with implants added to concerns over the safety of these devices, which have also included implant rupture and contracture.

In 2018, silicone implant breast augmentation was the #1 performed plastic surgery for women in the United States, with 928,914 procedures performed. Implants range from round to oval to teardrop shape to best approximate the patient’s natural shape and may contain silicone or saline. Both silicone and saline implants have an outer shell made from silicone. Some implants have a smooth surface, others have a textured surface thought to stabilize the implant and decrease scar tissue formation.

 

Fig 1 Breast implants (image courtesy FDA; https://www.fda.gov/medical-devices/implants-and-prosthetics/breast-implants, accessed 6/1/19)

 

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