You are receiving the PIAM Practice Bulletin because you are a PIAM Client or MMS member.
Click here if you can't see this email. Subscription information below.

Follow PIAM on Facebook

Follow PIAM on Twitter

Contact us at

Mid-Level Provider Risk for Medical Malpractice

A recently published article in the August 21, 2015 The Standard, an insurance industry magazine, addresses areas of concern regarding medical malpractice claims for mid-level providers, including physician assistants, nurse practitioners, certified nurse midwives and certified nurse anesthetists.

According to Coverys, a Massachusetts Medical Professional Liability insurance company, risk for claims is ranked from highest to lowest related to the following:

  1. Diagnosis
  2. Obstetrics
  3. Medication
  4. Medical treatment
  5. Anesthesia
  6. Surgery
Diagnosis-related concerns lead the list of claims filed, the majority of which in the last five years have been cancer-related. A breakdown in any one of the following processes could lead to a problematic outcome:
  • Initial evaluation of the patient – history & physical
  • Ordering appropriate diagnostic tests
  • Patient follow-up
  • Receipt & transmittal of test results
  • Appropriate referral management
Suggested steps to take to reduce mid-level provider claims:
  • Have proctor requirements in place to supply training for functions once exclusively performed by physicians.
  • Establish guidelines to help mid-level providers through complex diagnostic scenarios.
  • Be sure mid-level providers receive adequate training, including simulation training, to deliver a high level of technical performance.
  • Ensure the ratio of physician to mid-level provider is within acceptable limits.

Pro-active management steps such as these will help offset the risk associated with mid-level providers assuming much of the physicians’ functions.

For more information on professional liability programs for medical practices, go to or or call 800-522-7426.

Sourcenote: The Standard, August 21, 2015 issue, author Robert Hanscom, VP of Business Analytics at Coverys.


Fall Financial Seminar Series, sponsored by PIAM & Baystate Financial - FREE

Please visit us at Physicians Insurance Agency of MA - PIAM on Facebook and "Like" our page. We share many interesting articles from the New England Journal of Medicine, Wall Street Journal, Healthcare Finance, MMS, and more.

Featured MMS Online CME Courses - FREE

Managing Pain Without Overusing Opioids (updated)
3.00 CME Credits | RM | Text & Graphics

The Opioid Epidemic (6 Modules)
MMS 11th Annual Public Health Leadership Forum

2.75 CME Credits | RM | Video & Slides

Legal Advisor: Identifying Drug Dependence
1.00 CME Credit | RM | Text

Managing Risk When Prescribing Narcotic Painkillers
1.00 CME Credit | RM | Text

Opioid Prescribing Series (6 modules)
6.00 CME Credits | RM | Text

Principles of Palliative Care & Persistent Pain Management (2 Modules)
3.00 CME Credits | RM | Video

This content is for informational purposes only and promotes products or services available through PIAM.
This email was sent from PIAM, 860 Winter Street, Waltham, MA 02541.
To unsubscribe, please reply back and request to be removed from the e-newsletter list.
© Copyright 2015 PIAM. All rights reserved.