1 / 6100%
BUSI 506 - Legal and Ethical Issues for Health Professionals
Alternative Dispute Resolution: An Option for Medical Malpractice Cases
Eric Lopez
March 2, 2022
Respectfully submitted to: Professor Kippenhan
Medical malpractice has been a consistent issue over the generations of the established health
care system in the United States of America, and quite frankly will continue to be due to human
error or negligence. The role of a health care professional is to provide the patient population
with evaluation and treatment with the utmost care possible. Although physicians are trained
extensively, they will encounter cases where they will be subjected to a malpractice suit. In this
research paper, we will find descriptions of medical malpractice in the United States as well as
the option of alternative dispute resolution with mediation. Alternative dispute resolution is an
option for conflict resolution that is cost-effective and reasonable for time purposes. The goal of
this study is to understand the concept of alternative dispute resolution as a substitute for the
conventional method of going to court. Ideally, health systems across the United States will use
or at the very least encourage this method for conflict resolution techniques.
Alternative Dispute Resolution: An Option for Medical Malpractice Cases
Introduction
For many centuries, health care professionals have implemented policies and procedures and
developed impeccable standards in order to appropriately treat a person who is no longer in the
best of physical, mental, or emotional health. The main objective of a health care professional,
from an executive administrator to medical technician (and everything in between), is to care and
serve sick or ill individuals. Physicians, more specifically, are trained with many years in the
education system growing in their knowledge of human anatomy and physiology.
Along with a proper foundation of the human body is an appropriate number of clinical hours to
perfect interpersonal and mechanical skills. That being said, it is vital for physicians to interact
with their patient population in the most appropriate manner involving: proper communication
and standard of care to all. These characteristics in a physician and patient connection are the
foundation of a sound, caring relationship and will influence how a physician will care for the
patient during examinations, non-invasive procedures, and surgery. Even with all the educational
and clinical training there are situations where health care professionals may make mistakes or
purposely injure a patient. This concept is referred to as medical malpractice, and although
unfortunate, the United States legal and health system has learned a great deal of how to properly
take care of these types of situations.
Medical Malpractice and Alternative Dispute Resolution
Firstly, medical malpractice is described by Bal (2009) “as any act or omission by a physician
during treatment of a patient that deviates from accepted norms of practice in the medical
community and causes an injury to the patient." Also, in simpler terms, medical malpractice is
"occurs when a hospital, doctor or other health care professional, through a negligent act or
omission, causes an injury to a patient" (American Board of Professional Liability Attorneys,
2017). As we can see, there is a simple concept described in both definitions:
A health care professional that causes injury to a patient due to improper implementation of
standard of care. These unfortunate situations are happening all over the country and
"approximately 15,000 to 19,000 medical malpractice suits are filed each year in the United
States" (Shipley, 2018). That being said, patients who are unsatisfied with the outcomes or
perceived that a professional wronged them in some manner during a procedure could be taken
to court, but it does not mean that the health care professional committed medical malpractice.
These sorts of legal suits are somewhat common here in the United States of America. Of course,
with any legal case there must be some sort of resolution in order to ensure that both parties are
compensated, or the perpetrator suffers the appropriate consequences. According to Bal (2009)
there are four essential components that must be proven in order to confirm a medical
malpractice situation, which include:”
A professional duty owed to the patient; breach of such duty; injury caused by the breach; and
resulting damages." According to "Evaluating the medical malpractice system and options for
reform" (2011), the United States health systems have a defense budget of about 2-3 percent of
their overall budget; which amounts to about $50 billion (Kessler, p.93). Unfortunately, "the
United States Department of Health and Human Services has estimated that between $76 and
$126 billion is spent per year on litigation in medical malpractice. In addition, there are indirect
costs to the healthcare system in the form of defensive medicine, estimated at between $83 and
$151 billion" (Sohn & Bal, 2012). Legal suits for a medical malpractice cases can be resolved by
one of two ways. The first way of resolving the case would be in the form of taking the suit to
court and resolving the manner with a judge. This form of conflict resolution is costly, and also
requires an intense amount of time and effort; not only for the plaintiff but also for the defendant.
Secondly, and also the most common form of conflict resolution not just in medical malpractice
cases but for general lawsuits as well. The term alternative dispute resolution is coined as "a term
that refers to a number of processes that can be used to resolve a conflict, dispute or claim"
(American Bar Association, n.d.). From a legal standpoint, alternative dispute resolution is
sometimes seen as one of the more effective form of settling a legal quarrel.
Advantages of Alternative Dispute Resolution with Mediation
One of the most common methods of alternative dispute resolution comes in the form of
mediation. Mediation can be described as a private meeting with discussion on coming to terms
on an agreement to settle a dispute; which is negotiated with the support of a non-biased third-
party individual (American Bar Association, n.d.). So, that being said, what is the benefit from
using this method of legal conflict resolution rather than the original method of taking an
individual to court? Well, the answer is simple. Using mediation in cases that are specifically
compromising in nature would benefit from the lost-cost and time saving method of dispute
resolution. Another reason is that it offers a form of appearance for those who are not necessarily
in the best condition to appear in court. This method also allows the individuals or parties
involved in this situation the opportunity to express themselves in a healthy and productive
manner. As this forum proceeds, it can be noted that the mediator itself is not making the
decisions at the end of the session or during at any point. The mediator will simply be monitoring
and guiding the discussions being made by the two parties. Alternative dispute resolution
accompanied by a mediator allows the two parties involved to come to an agreement, as well as
come to an emotional and mental closure. This closure is primarily accredited to the dialogue
that is occurring during the sessions. Of course, if no agreement can be made then at that point
this forum will be moved to an actual court proceeding where there will be no more discussion
and more of a lengthy and costly trial. Another major aspect of this form of dispute resolution is
the component of creativity. During the more traditional litigation, we would find that the
ultimate and only form of compensation a plaintiff would obtain is the financial compensation
allotted by the court. With mediation, the two parties are free to discuss compensation in more
ways than just a simple monetary solution if they so choose. This form of resolution not only
provides the patient with the financial compensation they desire, but also express their concerns
for future patients who may be subjected to a similar unfortunate situation.
Perspective
After reviewing all of the information and conclusions of other scholars, alternative dispute
resolution has become a common option for settling legal disputes. Medical malpractice cases
are accruing all throughout the year and can become extremely costly for a local health system as
well as for the patient involved. Although a budget is set in place in order to defend a health
system, using alternatives could surely decrease the amount spent on medical malpractice cases.
Funds that are not used could be diverted to be used in other needed areas in the health system.
According to Coben (2007), "boards should [...] promote processes and policies to address
communication breakdowns and organizational conflict with the same care and deliberateness
they routinely use to address clinical failures" (An Intentional Conversation About Conflict
Resolution in Health Care, p.221). Executive leadership are called to maintain order and guide
the employee population towards achieving the overall goal of serving the community in the best
way possible. Encouraging alternative dispute resolution with mediation could become cost
effective for both parties involved in a dispute.
As Christians working in the health care system, there must be an undying drive to serve and
care for all patients, coworkers, and leadership. When it comes to conflict resolution, a biblical
worldview would support the idea of a speedy and selfless confrontation. Matthew 18:15-17
says, "if your brother or sister sins, go and point out their fault, just between the two of you. If
they listen to you, you have won them over. But if they will not listen, take one or two others
along, so that 'every matter may be established by the testimony of two or three witnesses'" This
is a great reminder not just for Christians, but for all health care professionals, to be ready to
confront wrongdoers in an appropriate manner. By addressing these situations in a manner that is
cost-effective for both parties and compensates most of the demands of the individuals involved,
a proper resolution could be achieved. Medical malpractice cases are a real ordeal here in the
United States of America, and our patients should be served at the highest standard of care. It is
amazing to see how far the legal system, in regard to health care, has come over the many
centuries and more importantly how it can protect health systems and patients in the best way
possible. When establishing dispute resolution techniques, health systems in the United States
must consider alternatives to litigation; and alternative dispute resolution with mediation is an
appropriate option.
References
American Bar Association. (n.d.). Dispute Resolution Processes. Retrieved January 30, 2019,
From https://www.americanbar.org/groups/dispute_resolution/resources/DisputeResolutionProc
esses/American Bar Association. (n.d.). Mediation. Retrieved March 1, 2019, from
https://www.americanbar.org/groups/dispute_resolution/resources/DisputeResolutionProc
esses/mediation/
American Board of Professional Liability Attorneys. (2017). What is Malpractice? Retrieved
February 28, 2019, from https://www.abpla.org/what-is-malpractice Bal, B. S. (2009). An
introduction to medical malpractice in the United States. Clinical Orthopaedics and Related
Research, 467(2), 339-347.
Coben, J. R. (2007). An Intentional Conversation About Conflict Resolution in Health Care.
Hamline J. Pub. L. & Pol'y, 29, 211.
Kessler, D. P. (2011). Evaluating the medical malpractice system and options for reform. Journal
of Economic Perspectives,25 (2), 93-110.
Sohn, D. H., & Bal, B. S. (2012). Medical malpractice reform: the role of alternative dispute
resolution.
Clinical Orthopaedics and Related Research®, 470 (5), 1370-1378.
Students also viewed