STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS

KAI PAGE and JOSEPH PAGE, as parents ) and natural guardians of KAILA JO ) PAGE, a deceased minor, )

)

Petitioners, )

)

vs. ) Case No. 00-0456N

) FLORIDA BIRTH-RELATED NEUROLOGICAL ) INJURY COMPENSATION ASSOCIATION, )

)

Respondent. )

)

FINAL ORDER APPROVING STIPULATION AND JOINT PETITION FOR COMPENSATION OF CLAIM ARISING OUT OF FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY PURSUANT TO CHAPTER 766, FLORIDA STATUTES

This cause came on to be heard pursuant to Section 766.304, Florida Statutes, upon the stipulation and joint petition of the parties, filed February 23, 2000, for the entry of an order approving the resolution of a formal claim for compensation benefits heretofore filed in this cause in accordance with the provisions of Chapter 766, Florida Statutes, and a resolution of the exclusive remedy otherwise available as outlined in

Chapter 766, Florida Statutes.

By the terms of their stipulation, the parties have agreed that Petitioners, Kai Page and Joseph Page, are the parents and natural guardians of Kaila Jo Page (Kaila), a deceased minor; that Kaila was born a live infant on March 5, 1999, at Columbia

Tallahassee Community Hospital, a hospital located in Tallahassee, Florida; and that her birth weight was in excess of 2,500 grams. The parties have further agreed that the physician delivering obstetrical services during the birth of Kaila was Tara Wah, M.D., who was, at all times material hereto, a participating physician in the Florida Birth-Related Neurological Injury Compensation Plan, as defined by Section 766.302(7), Florida Statutes. Finally, by their stipulation, the parties have agreed that Kaila suffered a "birth-related neurological injury," as that term is defined by Section 766.302(2), Florida Statutes.

After due consideration of the interests of all parties, and being otherwise fully advised in the premises, it is

ORDERED that:

1. The stipulation of the parties, filed of record February 23, 2000, is hereby approved, and the parties are directed to comply with the provisions thereof.

2. The Petitioners, Kai Page and Joseph Page, as the parents of Kaila Jo Page, a deceased minor, are accorded a lump sum award of One hundred thousand dollars ($100,000.00).

3. Upon payment of the lump sum award of One hundred thousand dollars ($100,000.00) to the parents (claimants), payment of past expenses, and payment of attorney's fees and other expenses of Five hundred dollars ($500.00) incurred in the

   representation of the parents in this case, the claims of the Petitioners (claimants) shall be deemed fully satisfied and extinguished.

4. The Division of Administrative Hearings retains jurisdiction over this matter to resolve any dispute as to the interpretation of any provision of the parties' stipulation and to resolve any disputes, should they arise, regarding the parties' compliance with the terms of such stipulation.

DONE AND ORDERED this 25th day of February, 2000, in Tallahassee, Leon County, Florida.

COPIES FURNISHED:

(By certified mail)

Kai and Joseph Page 4023 Bloxam Cutoff Road

Crawfordville, Florida 32327

WILLIAM J. KENDRICK

Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060

(850) 488-9675 SUNCOM 278-9675

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

Filed with the Clerk of the Division of Administrative Hearings this 25th day of February, 2000.

Lynn Larson, Executive Director Florida Birth-Related Neurological

Injury Compensation Association Post Office Box 14567 Tallahassee, Florida 32317-4567

Tara Wah, M.D. 1219 Hodges Drive

Tallahassee, Florida 32308

Columbia Tallahassee Community Hospital 2626 Capital Medical Boulevard Tallahassee, Florida 32308

Ms. Charlene Willoughby

Agency for Health Care Administration Consumer Services Unit

Post Office Box 14000 Tallahassee, Florida 32308

Daniel Y. Sumner, General Counsel Department of Insurance

The Capitol, Lower Level 26 Tallahassee, Florida 32399-0300

NOTICE OF RIGHT TO JUDICIAL REVIEW

A party who is adversely affected by this final order is entitled to judicial review pursuant to Sections 120.68 and 766.311, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings are commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Division of Administrative Hearings and a second copy, accompanied by filing fees prescribed by law, with the appropriate District Court of Appeal. See Section 120.68(2), Florida Statutes, and Florida Birth-Related Neurological Injury Compensation Association v. Carreras, 598 So. 2d 299 (Fla. 1st DCA 1992). The Notice of Appeal must be filed within 30 days of rendition of the order to be reviewed.

STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS

CLAIMANTS: KAI PAGE and JOSEPH PAGE, on behalf of and :

as parents and as Co-Personal Representatives of the Estate of KAILA JO PAGE, a deceased minor

ASSOCIATION: FLORIDA BIRTH-RELATED

NEUROLOGICAL INJURY COMPENSATION ASSOCIATION

RESPONDENTS: COLUMBIA TALLAHASSEE COMMUNITY

HOSPITAL, DR. TARA WAH, and ANY AND ALL ADDITIONAL HEALTH CARE PROVIDERS INVOLVED IN THE BIRTH OF THE INJURED PARTY

DATE OF INJURY: March 5, 1999

DOAH CASE #:00-0456N

STIPULATION AND JOINT PETITION FOR COMPENSATION OF CLAIM ARISING OUT OF FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY

PURSUANT TO CHAPTER 766, FLORIDA STATUTES

The Claimants and the Association (Collectively the "Parties") hereby jointly petition for entry of an Order by the Administrative Law Judge of the Division of Administrative Hearings approving this Stipulation and Joint Petition for Compensation (the "Stipulation) specified herein claims arising out of the birth-related neurological injury (the "Injury"), suffered by Kaila Jo Page, deceased. The parties hereby stipulate that the facts contained herein are true and shall be considered as established by competent, substantial evidence before the Administrative Law Judge of the Division of Administrative Hearings:

1. Kaila Jo Page, (the "Injured Party"), deceased, incurred an Injury as the term is defined by Section 766.302(2), Florida Statutes, on or about March 5, 1999. The Injury occurred in Leon County, Florida and falls within the jurisdiction of the Administrative Law Judge of the Division of Administrative Hearings.

2. Kai and Joseph Page, (the "Claimants"), are the parents of the Injured Party (deceased), and are the Claimants as defined by Section 766.302(3), Florida Statutes.

   
   

3. Columbia Tallahassee Community Hospital ("CTCH") is where the Injury was incurred on March 5, 1999, as defined by Florida Statutes, Section 766.302(6).

   
   

4. Tara Wah, M.D. ("Wah"), is a participating physician as defined in Florida Statutes, Section 766.302(7).

   
   

5. The Claimants have filed a petition under Section 766.305, Florida Statutes, seeking compensation from the Association, and that petition is incorporated herein by reference in the entirety, including all attachments. Any reference made within this document to the Association encompasses, where appropriate, The Florida Birth-Related Neurological Injury Compensation Plan which the Association administers.

   
   

6. The Claimants, the Association on behalf of itself, and all Respondents, known or unknown, agree that the aforementioned Injury comes within the jurisdiction of the Administrative Law Judge of the Division of Administrative Hearings and is governed by Section 766.301, et. seq. Florida Statutes.

   
   

7. The rights of all parties shall be governed by Sections 766.301-766.316, Florida Statutes, and nothing herein is intended to change these rights. The Claimants and the Association agree that the rights and remedies granted by this plan on account of the Injury shall exclude all other rights and remedies of such infant, her parents as the claimants or next of kin at common law or otherwise, for the Injury and any claims arising out of the Injury, against any person or entity directly or indirectly involved with the labor, delivery or resuscitation during which time the Injury occurred. This Stipulation shall not constitute a waiver of any cause of action that Kai Page or Joseph Page may have as a result of a physical injury to Kai Page resulting from medical malpractice during labor and delivery with respect to the birth of Kaila Jo Page ("deceased").

   
   

8. The Claimants and the Association hereby agree as follows:

   
   

   a) The Claimants shall receive from the Association

   $100,000.00. This payment is authorized pursuant to

   Section 766.31(1)(b), Florida Statutes. It is the parents wish to receive this payment in a lump sum. The association has no objection to this method of payment.

   
   

   1. The Association will pay all medical expenses as authorized by F.S. 766.31 for which the Claimants have become obligated for in the past. Payment of past benefits under Section 766.31(1)(a), Florida Statutes, shall be subject to the provisions of Paragraph 16 of this Stipulation.

      
      

   2. The Association agrees to an attorney's fee of $500.00 to be paid to Frederick D. Page, Esquire.

   
   

9. The Claimants further agree that this payment, agreed to herein above by the terms and provision of this Stipulation, is a full, complete and absolute discharge of any and all responsibility and liability of the Respondents, and the Association not only to the Claimants in their official capacity as the parents of the Injured Party, Kaila Jo Page ("deceased") for the Injury, but also a full and complete discharge of whatever liability the respondents and the Association has or may have to the claimants in their personal capacity as the parents of the Injured Party, Kaila Jo Page ("deceased") for the Injury. The Claimants further acknowledge that payment in full shall result in a full and complete discharge as to any and all liability of the Respondents, or the Association, which they may have to any other relatives of the Injured Party, Kaila Jo Page ("deceased"). This is not to preclude pursuit of any individual claims of Kai and Joseph Page arising out of injuries to Kai Page or Joseph Page, as noted above in Paragraph 7.

   
   

10. The Claimants further agree that there is no evidence of bad faith, malicious purpose or willful and wanton disregard of human rights, safety, or property on the part of any of the parties or of any person or entity mentioned within this Stipulation that would otherwise support a civil action as provided in Section 766.303(2), Florida Statutes. The Claimants also acknowledge that no civil suit has been filed, nor will be filed for the Injury, and if a suit or notice of intent has been filed for the Injury, and/or served it will hereby be dismissed with prejudice by motion of the Claimants, against the Respondents or the Association or any other person or entity either known or unknown and so named as a result of the Birth Injury sustained by the Injured Party, Kaila Jo Page ("deceased"). This is not intended, and shall not be admissible

    to prejudice any claims of Kai Page and/or Joseph Page arising out of an injury to her except for any claims precluded by Florida Statutes, Section 766.301-766.316.

    
    

11. The Claimants represent and acknowledge to the Administrative Law Judge of the Division of Administrative Hearings that they understand this stipulation to be a complete and final settlement for any claims arising out of the Injury in its entirety, not including the individual claim of Kai or Joseph Page arising out of injuries to Kai Page or Joseph Page as described in Paragraph 7. The Claimants further represent and acknowledge that they have retained legal counsel which has provided legal advice in regard to this Stipulation, and the option of accepting this Stipulation as opposed to whatever other rights and remedies the Claimants otherwise have had, either in their official capacity or personal capacity and that their legal counsel has advised them of the legal significance of each and every part of this Stipulation. Further, the Claimants represent and acknowledge to the Administrative Law Judge of the Division of Administrative Hearings that they understand that the Petition which has been filed seeking compensation from the Association is hereby deemed to be satisfied in its entirety.

    
    

12. The parties to this Stipulation agree that the order approving this stipulation, if such order is entered, shall not be appealed.

    
    

13. It is understood by and between the parties that if this Stipulation is not approved by the Administrative Law Judge of the Division of Administrative Hearings, this Stipulation will be null, void and of no effect. It is stipulated and agreed by and between the parties that this Stipulation shall be presented to the Administrative Law Judge of the Division of Administrative Hearings for his consideration and for the entry of a proper Order of approval.

    
    

14. It is understood and agreed that when the Administrative Law Judge of the Division of Administrative Hearings approves this Stipulation, that this Stipulation shall not be subject to modification or change, in any way, without the express written consent of the parties to this Stipulation, unless so ordered by a court of competent jurisdiction for good cause.

    
    

15. References made in this Stipulation to the "parties" or all "parties" shall be deemed to include the Claimants in

    their capacity as parents and legal Guardians of the Injured Party, Kaila Jo Page ("deceased"); the Respondents and the Association and any and all medical providers involved in the birth of the Injured Party, Kaila Jo Page ("deceased"), for the injuries sustained by Injured Party, Kaila Jo Page ("deceased").

    
    

16. In order for the Association to carry out its responsibility as provided in this Stipulation, the Claimants shall provide within thirty (30) days from the date of approval of this Stipulation, the following:

    
    

    1. A complete list (with copies of invoices and names and addresses of providers) of all known past expenses under Section 766.31(1)(a), Fla. Stat., for which the Claimants seek reimbursement in accordance with the terms and provisions of this Stipulation. The Association is relying upon the timely submission of such claims and to the extent that any such claims for past expenses are not submitted within the afore- described time period, the Claimant shall have intentionally and knowingly forever waived and relinquished their right to submit any such claims for payment to the Association; and

       
       

    2. A complete list, under oath, of any source of funds or payments of any kind or nature, whether from state or federal government, pre-paid health plan, health maintenance organizations, or other providers of insurance (collectively "insurance programs"); and

       
       

    3. A fully executed authorization of release of any and all medical records, insurance program records, and such other authorization as may reasonably be required by the Association to complete its duties hereunder, and

    4. Such other reasonable information as may be required by the Association, regardless of when the point in time in which the information may be requested so long as this Stipulation is effective.

    
    

17. The Administrative Law Judge of the Division of Administrative Hearings shall retain jurisdiction to resolve any disputes as to interpretation of any provision of this Stipulation.

    
    

18. Nothing in this Stipulation is intended to provide any of the Respondents, their agents or other persons any greater,

or less, rights and/or immunities than those provided in by Section 766.301- 766.316, Florida Statutes, under the circumstances of this matter.

The foregoing has been read and is fully understood by the parties, hereto who have executed same this 21st day of, February, 2000.

Lynn Larson, Executive Director Florida Birth-Related Neurological Injury Compensation Association 1435 Piedmont Drive East, Suite 101

Tallahassee, Florida 32312

Kai Page, Mother

as Claimant and natural guardian of Kaila Jo Page, a deceased minor

Joseph Page, Father

As claimant and natural guardian of Kaila Jo Page, a deceased minor

Docket for Case No: 00-000456N

Orders for Case No: 00-000456N