Reports required under RCW 48.140.020 must contain
the following information in a form and coding protocol
prescribed by the commissioner that, to the extent possible and
still fulfill the purposes of this chapter, are consistent with
the format for data reported to the national practitioner data
bank:
(1) Claim and incident identifiers, including:
(a) A claim identifier assigned to the claim by the insuring
entity, self-insurer, facility, or provider; and
(b) An incident identifier if companion claims have been
made by a claimant. For the purposes of this section, "companion
claims" are separate claims involving the same incident of
medical malpractice made against other providers or facilities;
(2) The medical specialty of the provider who was primarily
responsible for the incident of medical malpractice that led to
the claim;
(3) The type of health care facility where the medical
malpractice incident occurred;
(4) The primary location within a facility where the medical
malpractice incident occurred;
(5) The geographic location, by city and county, where the
medical malpractice incident occurred;
(6) The injured person's sex and age on the incident date;
(7) The severity of malpractice injury using the national
practitioner data bank severity scale;
(8) The dates of:
(a) The incident that was the proximate cause of the claim;
(b) Notice to the insuring entity, self-insurer, facility,
or provider;
(c) Suit, if filed;
(d) Final indemnity payment, if any; and
(e) Final action by the insuring entity, self-insurer,
facility, or provider to close the claim;
(9) Settlement information that identifies the timing and
final method of claim disposition, including:
(a) Claims settled by the parties;
(b) Claims disposed of by a court, including the date
disposed; or
(c) Claims disposed of by alternative dispute resolution,
such as arbitration, mediation, private trial, and other common
dispute resolution methods; and
(d) Whether the settlement occurred before or after trial,
if a trial occurred;
(10) Specific information about the indemnity payments and
defense expenses, as follows:
(a) For claims disposed of by a court that result in a
verdict or judgment that itemizes damages:
(i) The total verdict or judgment;
(ii) If there is more than one defendant, the total
indemnity paid by or on behalf of this facility or provider;
(iii) Economic damages;
(iv) Noneconomic damages; and
(v) Allocated loss adjustment expense, including but not
limited to court costs, attorneys' fees, and costs of expert
witnesses; and
(b) For claims that do not result in a verdict or judgment
that itemizes damages:
(i) The total amount of the settlement;
(ii) If there is more than one defendant, the total
indemnity paid by or on behalf of this facility or provider;
(iii) Paid and estimated economic damages; and
(iv) Allocated loss adjustment expense, including but not
limited to court costs, attorneys' fees, and costs of expert
witnesses;
(11) The reason for the medical malpractice claim. The
reporting entity must use the same allegation group and act or
omission codes used for mandatory reporting to the national
practitioner data bank; and
(12) Any other claim-related data the commissioner
determines to be necessary to monitor the medical malpractice
marketplace, if such data are reported:
(a) To the national practitioner data bank; or
(b) Voluntarily by members of the physician insurers
association of America as part of the association's data-sharing
project.
[2006 c 8 § 203.]