Jeffrey Segal, MD, JD - Medical Justice

Win the Battle; Lose the War

August 15, 2024October 12, 2010 by Jeffrey Segal, MD, JD

We heard of a doctor who performed a routine injection on his patient. No written consent. Should have been plain-vanilla and without consequence. Until he dropped her lung. The patient was sent to the ER, had a chest tube placed, and was out of the hospital in a couple of days. The doctor never visited … Read more

The Most Outrageous HIPAA Release – from Angie’s List

August 15, 2024October 12, 2010 by Jeffrey Segal, MD, JD

Most of you know Angie’s List as a consumer rating site. They launched as a web portal, rating assorted service providers such as roofers and plumbers. Believing that the practice of medicine is little different than roofing and plumbing, they dipped a toe into rating doctors.

One of our beefs with their system is that doctors are foreclosed from responding to outrageous posts. The reason: federal and state privacy laws. Whereas roofers and plumbers can tell their side of the story, doctors cannot.

Angie’s List has doubled down by offering a service to resolve complaints patients may have with their doctors. This is where the most outrageous HIPAA Release emerges. In an effort “to be fair,” Angie’s List appears to require the full medical record to make its determination. Do you think they have experts from the specialty in question deliberating over the material?

Three Things Every Doctor MUST Know About Medical Malpractice

August 15, 2024October 7, 2010 by Jeffrey Segal, MD, JD

Everyone knows that physicians are much more educated than most, knowledgeable of all the complex systems of the human body, how they work together, and what to do when those systems fail. But today’s doctor needs to know a lot more than that. He or she must also be a bit of an entrepreneur and manager, familiar with many aspects of business. Perhaps the most important non-medical aspect for a physician to become well versed in is risk management.

Here are three things that every doctor must know about medical malpractice:

What Do You Do When A Malpractice Suit Strikes?

August 15, 2024October 6, 2010 by Jeffrey Segal, MD, JD

You always knew it could happen. Statistically, you knew it WOULD happen sometime in your career. Now there’s a registered letter on your desk, from a law office, and you’re afraid to open it. You summon up the courage to read it, and find that a patient you’ve done your best for has decided to sue. As far as you recall, there wasn’t even a bad outcome, but you must’ve missed something, because there’s this letter on your desk informing you that they’ve been retained by your patient, and requiring records as part of their fact-finding. Now what?

Hey, Doc! Here’s The Cure For What Ails Ya!

August 15, 2024September 28, 2010 by Jeffrey Segal, MD, JD

When people ask how things are going, it’s most often a polite habit, a rhetorical question. When a physician asks a patient that same question, they really do want and need to know. After all, how can a doctor diagnose and treat and cure anyone if they don’t know what’s wrong? It’s generally easier, more accurate and more efficient for the patient to provide the complaint. How can the doctor know what to fix if the patient doesn’t say what’s bothering?

It’s said that the doctor who treats himself has a fool for a patient. In this circumstance, though, we really don’t have much of a choice. But that doesn’t change the diagnostic method a bit. We still have to know what’s wrong with our healthcare system before we can fix it. “Fool for a patient” or not, we’re still the only ones that can do the job. So let’s go ahead and ask the question. How are you doing? What are your complaints? What ails ya?

Dr. Jeff Segal published in “Health Reform Report”

August 15, 2024September 25, 2010 by Jeffrey Segal, MD, JD

Dr. Segal’s article, “Doctor-to-Doctor: The Administration Promises “Budget Dust” To Fix Medical Malpractice Morass” was just published by the Center for Health Transformation’s Health Reform Report. Read the article here.

Litigation Promotes Patient Safety – Are You Kidding?

August 15, 2024September 24, 2010 by Jeffrey Segal, MD, JD

Recently, a defense attorney hosted Malpractice 101 on the physician social networking site, sermo.com. A multitude of questions were answered.

Sprinkled in the answers was the conclusion the tort system has a number of salutary effects – namely patient safety. The moderator recited the (now stale) observation from the 1980’s. To paraphrase: Anesthesiologists embraced pulse oximetry because their med mal premiums were too high. They identified the source of high premiums – anoxic injuries and deaths, and crafted a solution. Pulse oximetry. Once embraced, their ORs became safer, and premiums went down.

While I will not quibble that pulse oximetry is a good thing, (it is), I would argue it was a basic innovation that was embraced by the profession, irrespective of premium cost. Here’s why.

Medical Justice on ReachMD

August 15, 2024September 24, 2010 by Jeffrey Segal, MD, JD

Medical Justice CEO, Dr. Jeff Segal, was recently featured on the ReachMD radio program “Preventing Frivolous Lawsuits and Frivolous Testimony,” hosted by Shane Jackson, Executive Vice President of Jackson Healthcare/President, LocumTenens.com. Dr. Segal shared his experience of being sued, and his expertise in the areas of defensive medicine, frivolous lawsuits, frivolous testimony, and non-legislative solutions … Read more

Healthcare Reform – A Duty To Patients, A Call To Arms

August 15, 2024September 17, 2010 by Jeffrey Segal, MD, JD

Being a physician, one’s first duty is to one’s patients. When Congress passed the healthcare reform bills, more than a few of us were doubtful that this was going to help. Many more felt there were far better possible solutions to be found. Few felt the entire 500+ seats of Congress should have taken an entire year to come up with that legislation. But when it passed, we hoped for the best, and figured it could always be changed before it went into full effect. That last may be the best idea in the whole stew.

Flawed Malpractice Insurance Profiling Affects 22% of Physicians

August 15, 2024September 12, 2010 by Jeffrey Segal, MD, JD

Medical Malpractice Insurance companies, employing a two-tier system to pigeonhole doctors by costs, have been demonstrated to inaccurately classify those physicians 22% of the time. (Rand Corp. Report, New England Journal of Medicine.)

“Consumers, physicians, and purchasers are all at risk of being misled by the results produced by these tools,” concluded the researchers who analyzed aggregated claims data for 2004 and 2005 from four Massachusetts insurance companies. Using “commercial software,” they looked at data from 12,789 physicians in 10 specialties and constructed “homogeneous episodes of care” to create cost profiles for healthcare episodes such as treatments for diabetes, heart attack or urinary tract infection.

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