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THOMASINA FORD, AS THE PERSONAL REPRESENTATIVE OF THE ESTATE OF PATRICK A. SAILOR, JR., DECEASED MINOR vs FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION, 16-004886N (2016)

Court: Division of Administrative Hearings, Florida Number: 16-004886N Visitors: 19
Petitioner: THOMASINA FORD, AS THE PERSONAL REPRESENTATIVE OF THE ESTATE OF PATRICK A. SAILOR, JR., DECEASED MINOR
Respondent: FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION
Judges: W. DAVID WATKINS
Agency: Florida Birth-Related Neurological Injury Compensation Association
Locations: Jacksonville, Florida
Filed: Aug. 22, 2016
Status: Closed
DOAH Final Order on Friday, February 17, 2017.

Latest Update: Mar. 02, 2017
Summary: This cause came on for consideration pursuant to sections 766.304 and 766.305(7), Florida Statutes, upon the Stipulation and Joint Petition for Compensation of Claim Arising Out of Florida Birth-Related Neurological Injury Pursuant to Chapter 766, Florida Statutes (Stipulation and Joint Petition), filed with the Division of Administrative Hearings on February 14, 2017, for the entry of an order approving the resolution of a claim for compensation benefits filed in accordance with the provisions
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STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS


THOMASINA FORD, as the Personal Representative of the Estate of PATRICK A. SAILOR, JR., deceased

minor,



vs.

Petitioner,


Case No. 16-4886N


FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION,


Respondent,


and


SHANDS JACKSONVILLE MEDICAL CENTER, INC. d/b/a UF HEALTH JACKSONVILLE; AND UNIVERSITY OF FLORIDA BOARD OF TRUSTEES,


Intervenors.

/


FINAL ORDER APPROVING STIPULATION FOR ENTRY OF AWARD


This cause came on for consideration pursuant to sections


766.304 and 766.305(7), Florida Statutes, upon the Stipulation and Joint Petition for Compensation of Claim Arising Out of Florida Birth-Related Neurological Injury Pursuant to Chapter 766, Florida Statutes (Stipulation and Joint Petition), filed with the Division of Administrative Hearings on February 14, 2017, for the entry of an order approving the resolution of a claim for compensation benefits filed in accordance with the


provisions of chapter 766 and a resolution of the exclusive remedy otherwise available as outlined in chapter 766.

By the terms of their stipulation, Petitioner, as parent and natural guardian of Patrick A. Sailor, Jr., deceased, and Respondent, the Florida Birth-Related Neurological Injury Compensation Association (NICA), have agreed that Thomasina Ford is the parent and legal guardian of Patrick A. Sailor, Jr. (Patrick), deceased; that Patrick was born a live infant on or about March 5, 2015, at UF Health Jacksonville Hospital, a “hospital” as defined by section 766.302(6) located in Jacksonville, Florida; and that Patrick’s birth weight exceeded 2,500 grams. The Parties have further agreed that B.F. Irby, M.D., and Isaac Delke, M.D., provided obstetrical services at Patrick’s delivery and were “participating physicians” in the Florida Birth-Related Neurological Injury Compensation Plan, as defined by section 766.302(7). The Parties have agreed that Patrick suffered a “birth-related neurological injury,” as that term is defined by section 766.302(2), which was the sole and proximate cause of his injury and subsequent death.

It is ORDERED:


  1. The Stipulation and Joint Petition filed on February 14, 2017, is hereby approved, and the Parties are directed to comply with the provisions of the Stipulation and Joint Petition.


  2. Petitioner, Thomasina Ford, as the parent and legal guardian of Patrick, deceased, is awarded one hundred thousand dollars ($100,000.00), pursuant to section 766.31(1)(b)1., to be paid as a lump sum to Morgan and Morgan Trust Account on behalf of Petitioner; payment of benefits up to and including the effective date of the Stipulation and Joint Petition pursuant to section 766.31(1)(a), subject to the provisions of paragraph 20 of the Stipulation and Joint Petition; and payment of the

    $10,000.00 death benefit pursuant to section 766.31(1)(b)1.


  3. NICA will reimburse Grant Kuvin, Esquire, attorney for Petitioner, an agreed-upon attorney’s fee of $10,000.00 and expenses of $6,154.32, totaling $16,154.32 in full for services rendered in the filing of this claim.

  4. Upon the payment of the award of $100,000.00, the death benefit of $10,000.00, past benefit/expenses, and $16,154.32 for attorney’s fees and costs, the claims of Petitioner shall be deemed fully satisfied and extinguished.

  5. The Division of Administrative Hearings retains jurisdiction over this matter to resolve any disputes, should they arise, regarding the Parties’ compliance with the terms of this Order.


DONE AND ORDERED this 17th day of February, 2017, in Tallahassee, Leon County, Florida.

S

W. DAVID WATKINS Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060

(850) 488-9675

Fax Filing (850) 921-6847 www.doah.state.fl.us


Filed with the Clerk of the Division of Administrative Hearings this 17th day of February, 2017.


COPIES FURNISHED:

(via certified mail)


Grant A. Kuvin, Esquire Morgan & Morgan, P.A.

20 North Orange Avenue Orlando, Florida 32801 (eServed)

(Certified Mail No. 7005 3110


0002


0289


9946)

David O. Doyle, Jr., Esquire Pearson Biitman

Suite 401

485 North Keller Road Orlando, Florida 32751 (eServed)

(Certified Mail No. 7005 3110


0002


0289


9953)


Kenney Shipley, Executive Director Florida Birth Related Neurological

Injury Compensation Association 2360 Christopher Place, Suite 1

Tallahassee, Florida 32308 (eServed)

(Certified Mail No. 7005 3110 0002 0289 9960)


Amie Rice, Investigation Manager Consumer Services Unit Department of Health

4052 Bald Cypress Way, Bin C-75 Tallahassee, Florida 32399-3275

(Certified Mail No. 7005 3110 0002 0289 9977)


Justin Senior, Secretary Health Quality Assurance

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 1

Tallahassee, Florida 32308 (eServed)

(Certified Mail No. 7005 3110


Amy Hammers, M.D. 655 West 8th Street

Jacksonville, Florida 32209

0002

0289

9984)

(Certified Mail No. 7005 3110

0002

0289

9991)

Isaac Delke, M.D. 653-1 8th Street

Jacksonville, Florida 32209

(Certified Mail No. 7005 1820


0002


9840


6284)

Irby Freeman, M.D. 655 West 8th Street

Jacksonville, Florida 32209

(Certified Mail No. 7005 1820


0002


9840


6345)

Kristine Tibavisky, M.D. 655 West 8th Street

Jacksonville, Florida 32209

(Certified Mail No. 7005 1820


0002


9840


6352)


NOTICE OF RIGHT TO JUDICIAL REVIEW


Review of a final order of an administrative law judge shall be by appeal to the District Court of Appeal pursuant to section 766.311(1), Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings are commenced by filing the original notice of administrative appeal with the agency clerk of the Division of Administrative Hearings within 30 days of rendition of the order to be reviewed, and a copy, accompanied by filing fees prescribed by law, with the clerk of the appropriate District Court of Appeal.

See § 766.311(1), Fla. Stat., and Fla. Birth-Related Neurological Injury Comp. Ass'n v. Carreras, 598 So. 2d 299 (Fla. 1st DCA 1992).


Docket for Case No: 16-004886N
Issue Date Proceedings
Mar. 02, 2017 Certified Return Receipt received this date from the U.S. Postal Service.
Mar. 01, 2017 Certified Return Receipt received this date from the U.S. Postal Service.
Feb. 27, 2017 Certified Return Receipt received this date from the U.S. Postal Service.
Feb. 24, 2017 Certified Return Receipt received this date from the U.S. Postal Service.
Feb. 23, 2017 Certified Return Receipt received this date from the U.S. Postal Service.
Feb. 17, 2017 Certified Mail Receipts stamped this date by the U.S. Postal Service.
Feb. 17, 2017 Certified Mail Receipts stamped this date by the U.S. Postal Service.
Feb. 17, 2017 Final Order Approving Stipulation for Entry of Award. CASE CLOSED.
Feb. 14, 2017 Notice of Filing (Stipulation and Joint Petition for Compensation) filed.
Oct. 24, 2016 Motion for Protective Order Regarding Confidential Documents Related to Petitioner's Medical Records filed.
Oct. 24, 2016 Letter from K. Shipley to G. Kuvin Enclosing Medical Report filed. 
 Confidential document; not available for viewing.
Oct. 20, 2016 Order Granting Extension of Time.
Oct. 13, 2016 Motion for Extension of Time in Which to Respond to Petition filed.
Oct. 04, 2016 Order (Motion to accept K. Shipley as qualified representative granted).
Sep. 21, 2016 Motion to Act as Qualified Representative before the Division of Administrative Hearings filed.
Sep. 20, 2016 Order Granting Motion to Intervene.
Sep. 20, 2016 Order Granting Motion to Intervene.
Sep. 14, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Sep. 12, 2016 Notice of Case Reassignment.
Sep. 09, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Sep. 06, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Sep. 02, 2016 University of Florida Board of Trustees' Petition for Leave to Intervene filed.
Sep. 02, 2016 Shands Jacksonville Medical Center, Inc., d/b/a UF Health Jacksonville's Petition for Leave to Intervene filed.
Aug. 31, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Aug. 30, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Aug. 26, 2016 Certified Mail Receipts stamped this date by the U.S. Postal Service.
Aug. 26, 2016 Letter to Kenney Shipley from Claudia Llado enclosing NICA claim for compensation.
Aug. 26, 2016 Initial Order.
Aug. 22, 2016 NICA filing fee $15.00: Check No. 17138 filed (not available for viewing).
Aug. 22, 2016 Petition for Benefits filed under Protest Pursuant to Florida Statute Section 766.301 et seq. filed.

Orders for Case No: 16-004886N
Issue Date Document Summary
Feb. 17, 2017 DOAH Final Order Hospital and physician provided notice as required. The Stipulation filed by the parties is approved, and the parties are directed to comply with its terms.
Source:  Florida - Division of Administrative Hearings

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