All USF providers covered by the Self Insurance Program have a duty to report those events detailed.

• Death (unexpected or unexplained)
• Paralysis, paraplegia, quadriplegia
• Spinal cord injury
• Brain damage
• Total or partial loss of limb, or loss of the use of a limb
• Sensory organ or reproductive organ impairment
• Disability or disfigurement
• Any assertion by a patient that he/she has been medically injured
• Any injury to a part of the anatomy not undergoing treatment
• Misdiagnosis of the patient’s condition resulting in increased morbidity
• Injury/death to either child or mother during delivery
• Any assertion by the patient or family that no consent for treatment (medical or surgical) was given
• Any birth of a term baby that is stillborn, or expires shortly after delivery
• Any other conditions which you feel may result in a claim

You receive any of the following:

• Notice of Intent to Initiate Litigation
• Lawsuit
• Notice of Department of Health investigation
• Subpoena for deposition or trial testimony or a request for attorney conference
• A NICA Petition for Benefits or a letter indicating a NICA Petition for Benefits has been filed
• A patient communication indicating intent to file suit or retain a lawyer
• A subpoena for medical records

Any of these additional circumstances:

• A patient threatens to sue, mentions a lawyer, or demands compensation
• If you believe the circumstances surrounding a patient’s care will likely result in the patient or patient’s family initiating a claim
• Upon learning of an occurrence that has caused or is likely to cause injury to a patient
• Upon discovering a practice that, if not eliminated or corrected, exposes patients to an unnecessary risk of bodily injury

Again, if in doubt, always err on the side of caution and report!