Georgia Injury Law Blog

Today’s Atlanta Journal Constitution front-page article provides a shocking revelation from the Department of Transportation.A twenty-nine year employee charged with inspecting state bridges faked his reports since last fall.Falsified inspection reports could suggest that faulty bridges are safe. A bridge collapse could lead to serious personal injuries or even death for the occupants of vehicles.

The two-man inspection team fell behind in their work, partly because one team member took off a good deal of time from work last year.Rather than own up to missing a deadline, they falsified reports.Not apparently the swiftest, the team claimed to have inspected 18 bridges in one day, which caught the attention of a supervisor.The DOT reports it will send out a new team to inspect the 54 bridges affected by the employee lying scandal.

Bridges are inspected at two-year intervals.However, bridges deemed critical may get an annual inspection.Valid DOT inspection reports show that one in five Georgia bridges are in need of repair or new design.Georgia spends about $100 million a year on bridge maintenance, but claims it needs $2.5 billion to rebuild deficient bridges.

As the Georgia General Assembly is currently in session, another topic that we’ll try to stay on top of for you is the funding of the state’s seven mental health hospitals.The Georgia Department of Human Resources runs these facilities statewide.The seven hospitals are Northwest Georgia Regional in Rome, Georgia Regional in Atlanta, Central State in Milledgeville, East Central Regional in Augusta, Georgia Regional in Savannah, Southwestern State in Thomasville, and West Central Regional in Columbus.

Thanks in large part to an investigative report by the Atlanta Journal Constitution this year; attention has been focused on the appalling medical care deficiencies at these hospitals.Justly, these hospitals have become a hotbed of medical malpractice claims.

In 2007, the hospitals reported twenty-one deaths.One hundred and fifteen patients died in the four-year period from 2002 to 2006.All of these deaths arose from abuse or neglect.Most of these facilities are understaffed and overcrowded.Many of these deaths occurred due to over-medicating, misdiagnosing symptoms, and nurses or aides failing to follow doctor’s orders.

January 14, 2008

The Georgia General Assembly begins its 2008 session today.Constitutionally, the legislature is charged with approving a budget for the state.One critical item on this year’s agenda must be saving cash-strapped Grady Memorial Hospital, which is in critical condition.

Grady Memorial Hospital (“Grady”), in the heart of downtown Atlanta, serves 850,000 outpatients a year and admits 30,000 inpatients.It is the only Level One Trauma Center in north Georgia, and it provides the city of Atlanta’s only emergency ambulance fleet.In addition to treating accident victims, Grady has the state’s only poison center and has an esteemed burn center.Serious accident victims are often transferred to Grady for care.

Last week the Atlanta Journal Constitution reported the case of Teri Ramsey, a former St. Joseph’s Hospital nurse turned whistleblower whose False Claims Act lawsuit against St. Joseph’s cost the hospital $26 million with a net reward to her of $4.9 million.This is the highest paid health care fraud in Georgia history.

Ramsey, a nurse by profession, was hired to review hospital admissions.Within weeks of beginning her job, Ramsey noticed that many outpatient services were billed as inpatient services.The billing distinction allowed for St. Joseph’s to collect significantly more from Medicare.Ramsey complained to supervisors and doctors, but claims she was quickly rebuffed and even told not to “rock the boat.”Ramsey’s persistence caused her to be ostracized by co-workers and intimidated by supervisors.The hospital culture created a disincentive to whistle blowing.

Ramsey persisted, nevertheless.She contacted an attorney and filed a complaint under the federal False Claims Act. This Act, also known as a qui tam proceeding, allows private citizens to sue on behalf of the United States for fraudulent claims on United States funds.The False Claims Act has considerable teeth. Defendants found liable under the Act must pay treble (three times) damages of the actual over billing.Also, the Act provides for civil penalties of $5000 per each fraudulent claim.Finally, in order to encourage private citizens to turn in defrauders, the private citizen is entitled to collect 15 to 25 percent of the recovery.Often, federal prosecutors step into the suit and pursue it on behalf of the government.

Last week, a divided Georgia Supreme Court in Nathans v. Diamond, S07A0738 tightened the rules relating to expert testimony in medical malpractice cases.

In 2003, Dr. Andrew Diamond of Northside Ear, Nose and Throat (Northside ENT) performed surgery on plaintiff Nathans to correct his sleep apnea.During the surgery, Nathan suffered bleeding, respiratory distress and lapsed into a coma.After recovering, Nathans and his wife filed a medical malpractice lawsuit against Diamond, claiming he failed to adequately inform him of the risks of the surgery.

As required in Georgia under O.C.G.A. § 9-11-9.1, all medical malpractice complaints must be filed with an attached affidavit of a medical expert attesting that the defendant deviated from the standard of care.The Nathans attached an affidavit of a pulmonologist from Tampa, Florida.

November 26, 2007

Last week, the Wall Street Journal’s (subscription required) front-page story explained insurance subrogation through its personal effect on Wal-mart employee, Deborah Shank.Fifty-two year old Shank worked as a night clerk at Wal-mart for years in order to care for her three sons during the day.Seven years ago while shopping at a yard sale, Shank was hit by a semi tractor-trailer, leaving her paralyzed and brain damaged for life.

Shank’s family sought legal help and eventually obtained a one million dollar settlement, which were the limits of the defendant’s liability insurance policy.With the settlement, the Shanks paid their attorneys, paid off some debts and purchased a wheelchair accessible home for Mrs. Shank.They placed the remaining $417,000.00 in a special trust to care for her at home long term.