Preview
FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523
NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022
532.192. -e--
New yorlt 9upreme Glourt
Appellate Biniston-Ghirh Bepartment
Case No.:
ORIGINAE. ANN HOLLAND and HOWARD HOLLAND, her husband,
532192
wiTH
Plaintiffs-Respondents,
PROOF
OF .
- agamst -
SERV!CE
CAYUGA MEDICAL CENTER AT ITHACA, INC., CAYUGA HEALTH
SYSTEM, INC., a/k/a CAYUGA MEDICAL CENTER a member of
CAYUGA HEALTH SYSTEM,
Defendants-Appellants.
RECORD ON APPEAL Index #: EF2018-0523 CI2022-16702
09/09/2022 01:49:40 PM
Volunie 2 of 2 (Pages 475 to 815) RECORD ON APPEAL (COPY)
Maureen Reynolds, Tompkins Clerk
County
LEVENE GOULDIN & THOMPSON, LLP
Margaret J. Fowler, Esq.
Attorneys for Defendants-Appellants
450 Plaza Drive
Vestal, New York 13850
(607) 763-9200
mfowler@binghamtonlaw.com
FRIEDMAN, HIRSCHEN & MILLER LLP
Jeffrey N. Miller, Esq.
Attorneys for Plaintiffs-Respondents
8 Airline Drive #101
Albany, New York 12205
(518) 377-2225
jmiller@friedmanhirschen.com
Tompkins County Clerk's Index No. EF2018-0523
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ii
TABLE OF CONTENTS
Page
Volume 1
Statement Pursuant to CPLR § 5531 ......................... i
Notice of Appeal, dated October 13, 2020, with
Informational Statement ........................................1
Decision and Order of the Honorable Joseph A.
McBride, dated September 10, 2020 ..................... 6
Notice of Motion, by Defendants, for Summary
Judgment dismissing Complaint, dated
May 15, 2020.........................................................
13
Affirmation of Margaret J. Fowler, Esq., for
Defendants, in Support of Motion for Summary
Judgment, dated May 13, 2020.............................. 15
Exhibit A to Fowler Affirmation -
Summons and Complaint,
dated August 13, 2018 .........................................
22
Exhibit B to Fowler Affirmation -
Answer, dated September 11, 2018...................... 33
Exhibit C to Fowler Affirmation -
Plaintiff's Bill of Particulars,
dated October 22, 2018........................................37
Plaintiff's Supplemental Bill of Particulars,
dated February 4, 2020 ........................................
46
Exhibit D to Fowler Affirmation -
Deposition Transcript of Howard Holland,
dated May 7, 2019 ...............................................
49
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Page
Exhibit E to Fowler Affirmation -
Deposition Transcript of E. Ann Holland,
dated May 7, 2019 ...............................................
120
Exhibit F to Fowler Affirmation -
Deposition Transcript of Kansas Underwood,
dated June 26, 2019 .............................................
144
Exhibit G to Fowler Affirmation -
Deposition Transcript of Rosanna Carpenter,
dated June 26, 2019 .............................................
277
Exhibit H to Fowler Affirmation -
Deposition Transcript of Rachael Hutchinson,
dated June 26, 2019 .............................................
331
Exhibit I to Fowler Affirmation -
Deposition Transcript of Dr. James Gaffney,
dated November 26, 2019....................................
378
Volume 2
Exhibit J to Fowler Affirmation -
Redacted Medical Records for
E. Ann Holland ....................................................
475
Exhibit K to Fowler Affirmation -
Plaintiff's Expert Witness Disclosure,
dated February 4, 2020 ........................................
688
Exhibit L to Fowler Affirmation -
Plaintiff's Notice to Admit,
dated December 5, 2019 ......................................
700
Exhibit 1 to Plaintiff's Notice to Admit -
Hospital Report Regrading Hospira Plum
A+3 Pump......................................................
702
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Page
Exhibit 2 to Plaintiff's Notice to Admit -
Event/Alarm Log for the Hospira Plum
A+3 Pump......................................................
703
Defendant's Letter of Response, dated
December 24, 2019..............................................
706
Exhibit M to Fowler Affirmation -
Half-Life Charts...................................................
707
Affirmation of Frederick S. Cohn, M.D., for
Defendants, in Support of Summary Judgment,
dated May 15, 2020 .............................................
708
Exhibit A to Cohn Affirmation -
Curriculum 712
Vitae..................................................
Affirmation of Michael G. Dunn, M.D., Ph.D.,
for Defendants, in Support of Motion, dated
May 15, 714
2020.........................................................
Exhibit 1 to Dunn Affirmation -
Curriculum 724
Vitae..................................................
Affirmation of Richard Lechtenberg, M.D., for
Plaintiff's,in Opposition of Motion for Summary
Judgment, dated June 22, 2020............................ 727
Exhibit 1 to Affirmation -
Lechtenberg
Curriculum Vitae..................................................
737
Exhibit 2 to Affirmation -
Lechtenberg
Study Published in New England Journal of
Medicine ..............................................................
751
Exhibit 3 to Affirmation -
Lechtenberg
Hospital Patient Documentation.......................... 768
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Notice of Cross-Motion, by Plaintiffs, for an Order
of Preclusion and Cross-Motion for Summary
Judgement, dated July 6, 2020............................. 787
Affirmation of Jeffrey N. Miller, for Plaintiffs, in
Opposition of Motion for Summary Judgment
and in Support of Plaintiff's Cross-Motion,
dated July 6, 2020................................................
789
Exhibit A to Miller Affirmation -
Summons and Complaint,
dated August 13, 2018
(Reproduced herein at pp. 22-32)........................ 801
Reply Affirmation of Michael G. Dunn, M.D.,
Ph.D., for Defendants, in Support of Motion for
Summary Judgment, dated July 23, 2020............ 802
Affirmation of Margaret J. Fowler, Esq., for
Defendants, in Reply and in Opposition to
Cross-Motion, dated July 24, 2020...................... 806
Certification Pursuant to CPLR § 2105 ..................... 815
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EXHIBIT J TO FOWLER AFFIRMATION -
REDACTED MEDICAL RECORDS FOR E. ANN HOLLAND [475 -
687]
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Cl2020-05507 ... Index#:EF2018-0523
MEDICAL CENTER
I, Kimber Inman, hereby certify that I am a lawful custodian of the
Medical Records of Cayuga Medical Center and that the attached Medical
Records dating 04/03/2017 to present for E Ann Holland DOB: are
to the best of my knowledge true and exact copies of medical records
maintained by Cayuga Medical Center.
I further certify that this information is kept in the ordinary course of
Cayurra Medical Center and that it is the ordi nary course of
business to keep such records and that the evento and/or transactions
recorded thereon are recorded at or within a reasonable time after the
Lime events and/or transactions took place.
Kimber Inman,
Health Information Assistant ji
Enclosures
Sworn to Before Me This
29 day of (Aƒ 2018
AlA TC4Ú;Aþ LorrieA.Mahone
Public NotaryPublic,State0fNewYork
Notary No.01MA6149952
QualifiedinTompkinsCoµnty
CommissionExpires 747/2422..
101 Dates Drive . Ithaca, NY 14850 . (607) 274-4011 , www.cayugamed.org
A Member ofCayuga HealthSystern
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Cl2020-05507 -
Index #: EF2018-0523
Cayug a Illlfllllfllllf
Mlllll
MEDICAL CENTER ACCT# A33003647727
A Member
of Cayvga
HeofthSystem
-
101 Dates DriveIthacs,NY14850
607-274-4011
NAME HOLLAND,E ANN
ATTDDR Jarred JohnsonMD
DOB/AGE 79
STATUS DIS IN
MEDRECSH000756818
PATIENTNAME/ADDRESS ADMDATE/TIME DIS DATE/TIME PRIORITY LOCATION SERVICE ROOM/EED
HOLLAND,E
ANN 04/03/17 124704/07/17 1140 EMERGENCY MEDTELE IED 431-01
29 CHASELANE
----------------
DATEOF BIRTE AGE SEX RACE ETHNICITY RESIGION 1 MART4AL
STATUS
ITHACA NY14850 79 F WHITE NON-SPANISUNKOWN M
PEONE603-6 68-2424 ------
D4PLOYER --.----------- --...---------
RETIRED PERSONTONOTIFY/ADDRESS
.................. .. . RELATIONSEIP
._. ---....._.__.....
HOLLAND,HOWARD HUSBAND
GUARANTOR/ADDRESS 29 CHASELANE,ITHACA,NY
14850
HOLLAND,E
ANN HOMEPHONE603-968-2424 WORKPHONE
29 CHASELANE
-__
...------..........................------...-___....,....._........,.
...._.__-.__
NEXTOFKIN/ADDRESS RELATIONSHIP
ITHACA NY 14850 HOLLAND,HONARD
PEONE HUSBAND
603-868-2424 29 GASELANE,ITHACA,NY
14850
EMPLOYER
RETIRED HOMEPHONE603-869-2424 WORKPHONE
FINANCIAL
CLASSMCR
INSURANCEINFORMATION
INS MEDICARE TRICARE
ADDR NATIONALGOVERNMENTSERVICES PCBOX870140
CITY INDIANAPOLIS BURFBIDEBEACK
ST/2IPIN46207 SC29587
POL
NAME HOLLAND.EANN KOLLAND,E
ANN
ACCIDENTINFO REASONFORVISIT
ONBETOFSYHPTOMS/ILLNESS STROKE,CVA9/P TPA
ACCIDENTDATE ADMISSIONCOMMENTS
04/03/17
PRIMARYCAREPEYSICIAN ATTENDINGPEYSICIAN EMERGENCYDEPARTMENT/URGENT
CAREPEYSICIAN
Elisabeth
H Cotton MD Jarred JohnsonMD Drew A. Koch DO
ADMITTING
PEYSICIAN REFERRING
PETSICIAN
FredricKardonMD
CLERK PT'S EMAIL
lergiess :
Garlic,Sulf& Atib10tic
A
CODESTATUS:
|)#ilIlliEll|ll||lllill|ll|
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CLERK INDEX NO. EF2018-0523
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HOLLAND, E ANN
uso.cu ce¢ren ED E/M LEVELING Toot Ao00s3647727 mooovs6ere
itemchecked must have documentation ' ED
Every
II *a a
Medication - SIMPLE
Reconciliation
SimpleNursing Assessment(TriageLevel4/5) 15 . 15
10 min
(less than and/orlessthan 6 meds)
Medication - Complex
Reconciliation
Complex NursingAssessment (TriageLevelL 2 & 3) 30 30
(greaterthan10 min and/orgreaterthan 6 meds)
Neuro Checks (repeat- after the first
initial) 5
Specimen Collection3 or more 30
Cap Refill Assessment 5
Specimen Collecton 1-2 10
Orthostatic
VS 10 Reconstitute
Medications 10.
(PO)
SpinalPrecautions 10 Reconstitute
Medications (IV) 20
BleedingControl 10 Med Administer- PO; PR ONLY (DOES NOT
5
- charge WCWDE W/SUBC charge for eachmed ginn
Vital Signs
(repeat each additional) 5
. MedicationsDispensed/permedication 10
| BP Monitor 5
FlushSaline Lock 5
Pain Assessment(repeat) 5
Peak Flow 5
IV insertion
usingU/S 30
Hypo/Hyperthermia 20 Intakeand Output 5
Isiolation 20
. . , Centra!LineCare central
(existing line only
30
unrelatedto a procedure)
BedsideTesting X-Ray/CT Unaccompanied or Bedside 5
(HemoCue; Hemoccult, Rapid
Gastroccult; Strep;
10 X-Ray/CT Accompanied 15
DOES
Influenza) NOT INCLUDE URINE
PREGNANCY OR FSB GLUCOSE Oxygen Administration 10
PO Chahenge 5 NG Tube Placement/Care . 15
FrequentAssessment/Monitoring(reassessmentof Nasal Airway 10
or neerioscelstatusrequiree
vs.cardiovascular.poirponary 30
orrequiredror
afterinmalassessmentcan deordered BladderScanning 25
interventionor medicationevery15minutes or less)
Recuest MedicalRecords
by EMS/Pol
Arrival ce 5
Complex Request MedicalRecords 15
Meal Qven 5
Transferout by EMS 50
On-going Staff Required
Multiple
Admission Orders 50
EmotionalSupport (documentin detai;) 5
Special/Emotional
Teaching 20
Dysphagia Screening 10
Discharge - Simple
Instructions 10
Discharge / RX - Comolex
Instructions 20
Dischargeto NursingHome / Complex ,30
Admit Medical/Surgical/Telemetry 30
Fetal Heart Tones 10
Admit to OR 0
ContinuousFetal Monitoring 10
Admit to Peds/MCH 30
Pe!vicExam 10 Elopement/AMA 30
Newborn Care 100 LWBS - Only chargeif triage
was completed 20
Care
incontinence 15
1ø 1 ©rm WM
Disimpaction 3D (Continuous Cardiac
Monitoring, Care, Sepsis, "
100
Unconscious.Critical
Care Drips,
STEMi, Code
Gray, Airwayinsertion/Maintenance
etc.)
Colostomy Care - Unrelated
to a Procedure 30 j
Illlil!1111111111II!|lillilllillill
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INDEX NO. E F2018-0523
|FILED : TOMPKINS COUNTY CLERK 05/15/2020 01: 23 P14
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NYSCEF DOC. No. 25
no index#: EF2018-0523
Cl2020-05507 ygi3 go, a Ami
AO00a3647 727 Moco756818
MEDICALCENTER
ED
CJM LEVELING Toot Every itemchecked must have documentationin the patient
chartto support
the charge.
Recheck Wound/Suture Removal 5 OB Deliveryin ED 100
Dressing- Simple(Not relatedto a procedure) 5 DecontaminationHazardous Material 100
- Complex Transferto Another with
Facility RN 200
Dressing (Not related
to a procedure) 10
Transferto Another w/o
Facility RN
Wound - Simple(Not relatedto a 100
Cleaning 10 (Excludept preferenceto TXor NH transfer)
procedure)
PatientDeath in ED 100
Wound Cleaning- Complex (Notrelatedto a
20 DOA 100
Psych Evaluationby Psych RN/SW 100
Ace Wrao (Unrelated to Orthodeviceapplication) 5
SecuringPatientBelongings 10
First Aid Procedures 5
Eye irngation
(No CPT Code) 5
SANE Exam (SANE documentation by RN
OrthoAppliance and
(administration 100
and/orevidence collection)
10
teachirq)
Evidence Collecuon(Legal/ Law Enforecoment)
NO SANE/No LegalBlood Draw (LBD=Should Be 50
Counted MA Guttmit.0
¾üom
Combative/Suicidal/Homicidal 100
Securityat Bedade
Involved
(actively In care for behavior 100
combative
outbursts, pt, CSCM, restraints)
BehavioralObservation(CloseOBS) and/or1:1
50
, (arm length
away)
Mandatory ReportingAPS/CPS/Bum/Legal 50
BehavioralRestraint
Application 100
O Moved to ED Flex Unit
(document time in nurse's notes)
. LEVEL 1 0-35 Points
LEVEL 2 40-95 Points
LEVEL 3 100-160 Points
LEVEL 4 165-250 Points
LEVEL S 255 +Points
Nurse Signaare: . . Date I Time:
Nurm Signature; Date / Time:
l!lIll!
IllMild
IlillIlill11111111
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INDEX NO. EF2018-0523
|FILED: TOMPKINS COUNTY CLERK 05/15/2020 01:23 PH
NYSCEF DOC. NO. 25 RECEIVED NYSCEF: 05/15/2020
Cl2020-05507 Index#: EF2018-0523
.
(3 101 Dates Drive
Yy 9 3
Ithaca, New York 14850
MEDICALCENTER
(607) 274-4011
A Member
of Cayuge
HealthSystem
..
DischargeNote
Patient: HOLLAND,E ANN Account Number: A00083647727
DOB/Age: 79 Medical Record#: M000756818
Admission Date: 04/03/17
Provider:JarredJohnson MD
Patient seen this morning with husband at bedside. Apparently had some L ear/jaw pain that resolved
with tylenol. She isa bit aggravated that I'm bothering her and ispreferring to sleep.
Has some persistent aphasia (improving daily as per husband), not cooperative atthis time with full
neuro exam.
CT head this moming showed evolving infarct,no hemorrhage. Will start EliquIsthis evening,
Transfer to PMRU. Willcontinue current BP meds for now (on 1/2 home dose metoprolol).
signed
04/07/17 0936
Entered by: Jarred
Johnson MD
Entered Date/Time:04/07/17 0933
Copy to
CC: Jarred Johnson MD
1 of 1
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Preview
FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 532.192. -e-- New yorlt 9upreme Glourt Appellate Biniston-Ghirh Bepartment Case No.: ORIGINAE. ANN HOLLAND and HOWARD HOLLAND, her husband, 532192 wiTH Plaintiffs-Respondents, PROOF OF . - agamst - SERV!CE CAYUGA MEDICAL CENTER AT ITHACA, INC., CAYUGA HEALTH SYSTEM, INC., a/k/a CAYUGA MEDICAL CENTER a member of CAYUGA HEALTH SYSTEM, Defendants-Appellants. RECORD ON APPEAL Index #: EF2018-0523 CI2022-16702 09/09/2022 01:49:40 PM Volunie 2 of 2 (Pages 475 to 815) RECORD ON APPEAL (COPY) Maureen Reynolds, Tompkins Clerk County LEVENE GOULDIN & THOMPSON, LLP Margaret J. Fowler, Esq. Attorneys for Defendants-Appellants 450 Plaza Drive Vestal, New York 13850 (607) 763-9200 mfowler@binghamtonlaw.com FRIEDMAN, HIRSCHEN & MILLER LLP Jeffrey N. Miller, Esq. Attorneys for Plaintiffs-Respondents 8 Airline Drive #101 Albany, New York 12205 (518) 377-2225 jmiller@friedmanhirschen.com Tompkins County Clerk's Index No. EF2018-0523 1 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 CI2022-16702 Index #:EF2018-0523 ii TABLE OF CONTENTS Page Volume 1 Statement Pursuant to CPLR § 5531 ......................... i Notice of Appeal, dated October 13, 2020, with Informational Statement ........................................1 Decision and Order of the Honorable Joseph A. McBride, dated September 10, 2020 ..................... 6 Notice of Motion, by Defendants, for Summary Judgment dismissing Complaint, dated May 15, 2020......................................................... 13 Affirmation of Margaret J. Fowler, Esq., for Defendants, in Support of Motion for Summary Judgment, dated May 13, 2020.............................. 15 Exhibit A to Fowler Affirmation - Summons and Complaint, dated August 13, 2018 ......................................... 22 Exhibit B to Fowler Affirmation - Answer, dated September 11, 2018...................... 33 Exhibit C to Fowler Affirmation - Plaintiff's Bill of Particulars, dated October 22, 2018........................................37 Plaintiff's Supplemental Bill of Particulars, dated February 4, 2020 ........................................ 46 Exhibit D to Fowler Affirmation - Deposition Transcript of Howard Holland, dated May 7, 2019 ............................................... 49 2 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 CI2022-16702 Index #:EF2018-0523 iii Page Exhibit E to Fowler Affirmation - Deposition Transcript of E. Ann Holland, dated May 7, 2019 ............................................... 120 Exhibit F to Fowler Affirmation - Deposition Transcript of Kansas Underwood, dated June 26, 2019 ............................................. 144 Exhibit G to Fowler Affirmation - Deposition Transcript of Rosanna Carpenter, dated June 26, 2019 ............................................. 277 Exhibit H to Fowler Affirmation - Deposition Transcript of Rachael Hutchinson, dated June 26, 2019 ............................................. 331 Exhibit I to Fowler Affirmation - Deposition Transcript of Dr. James Gaffney, dated November 26, 2019.................................... 378 Volume 2 Exhibit J to Fowler Affirmation - Redacted Medical Records for E. Ann Holland .................................................... 475 Exhibit K to Fowler Affirmation - Plaintiff's Expert Witness Disclosure, dated February 4, 2020 ........................................ 688 Exhibit L to Fowler Affirmation - Plaintiff's Notice to Admit, dated December 5, 2019 ...................................... 700 Exhibit 1 to Plaintiff's Notice to Admit - Hospital Report Regrading Hospira Plum A+3 Pump...................................................... 702 3 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 CI2022-16702 Index #: EF2018-0523 iv Page Exhibit 2 to Plaintiff's Notice to Admit - Event/Alarm Log for the Hospira Plum A+3 Pump...................................................... 703 Defendant's Letter of Response, dated December 24, 2019.............................................. 706 Exhibit M to Fowler Affirmation - Half-Life Charts................................................... 707 Affirmation of Frederick S. Cohn, M.D., for Defendants, in Support of Summary Judgment, dated May 15, 2020 ............................................. 708 Exhibit A to Cohn Affirmation - Curriculum 712 Vitae.................................................. Affirmation of Michael G. Dunn, M.D., Ph.D., for Defendants, in Support of Motion, dated May 15, 714 2020......................................................... Exhibit 1 to Dunn Affirmation - Curriculum 724 Vitae.................................................. Affirmation of Richard Lechtenberg, M.D., for Plaintiff's,in Opposition of Motion for Summary Judgment, dated June 22, 2020............................ 727 Exhibit 1 to Affirmation - Lechtenberg Curriculum Vitae.................................................. 737 Exhibit 2 to Affirmation - Lechtenberg Study Published in New England Journal of Medicine .............................................................. 751 Exhibit 3 to Affirmation - Lechtenberg Hospital Patient Documentation.......................... 768 4 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 Index #: EF2018-0523 Cl2022-16702 Page Notice of Cross-Motion, by Plaintiffs, for an Order of Preclusion and Cross-Motion for Summary Judgement, dated July 6, 2020............................. 787 Affirmation of Jeffrey N. Miller, for Plaintiffs, in Opposition of Motion for Summary Judgment and in Support of Plaintiff's Cross-Motion, dated July 6, 2020................................................ 789 Exhibit A to Miller Affirmation - Summons and Complaint, dated August 13, 2018 (Reproduced herein at pp. 22-32)........................ 801 Reply Affirmation of Michael G. Dunn, M.D., Ph.D., for Defendants, in Support of Motion for Summary Judgment, dated July 23, 2020............ 802 Affirmation of Margaret J. Fowler, Esq., for Defendants, in Reply and in Opposition to Cross-Motion, dated July 24, 2020...................... 806 Certification Pursuant to CPLR § 2105 ..................... 815 5 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 CI2022-16702 Index#: EF2018-0523 EXHIBIT J TO FOWLER AFFIRMATION - REDACTED MEDICAL RECORDS FOR E. ANN HOLLAND [475 - 687] |FILED: TOMPKINS COUNTY CLERK 05/15/2020 INDEX NO. EF2018-0523 01:23 PN| NYSCEF DOC. NO. RECEIVED NYSCEF: 05/15/2020 Cl2020-05507 ... Index#:EF2018-0523 MEDICAL CENTER I, Kimber Inman, hereby certify that I am a lawful custodian of the Medical Records of Cayuga Medical Center and that the attached Medical Records dating 04/03/2017 to present for E Ann Holland DOB: are to the best of my knowledge true and exact copies of medical records maintained by Cayuga Medical Center. I further certify that this information is kept in the ordinary course of Cayurra Medical Center and that it is the ordi nary course of business to keep such records and that the evento and/or transactions recorded thereon are recorded at or within a reasonable time after the Lime events and/or transactions took place. Kimber Inman, Health Information Assistant ji Enclosures Sworn to Before Me This 29 day of (Aƒ 2018 AlA TC4Ú;Aþ LorrieA.Mahone Public NotaryPublic,State0fNewYork Notary No.01MA6149952 QualifiedinTompkinsCoµnty CommissionExpires 747/2422.. 101 Dates Drive . Ithaca, NY 14850 . (607) 274-4011 , www.cayugamed.org A Member ofCayuga HealthSystern 6 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 CI2022-16702 Index #: EF2018-0523 |FILED: TOMPKINS COUNTY CLERK 05/15/2020 01:23 P1 INDEX NO. EF2018-0523 NYSCEF DOC. NO. 25 RECEIVED NYSCEF: 05/15/2020 Cl2020-05507 - Index #: EF2018-0523 Cayug a Illlfllllfllllf Mlllll MEDICAL CENTER ACCT# A33003647727 A Member of Cayvga HeofthSystem - 101 Dates DriveIthacs,NY14850 607-274-4011 NAME HOLLAND,E ANN ATTDDR Jarred JohnsonMD DOB/AGE 79 STATUS DIS IN MEDRECSH000756818 PATIENTNAME/ADDRESS ADMDATE/TIME DIS DATE/TIME PRIORITY LOCATION SERVICE ROOM/EED HOLLAND,E ANN 04/03/17 124704/07/17 1140 EMERGENCY MEDTELE IED 431-01 29 CHASELANE ---------------- DATEOF BIRTE AGE SEX RACE ETHNICITY RESIGION 1 MART4AL STATUS ITHACA NY14850 79 F WHITE NON-SPANISUNKOWN M PEONE603-6 68-2424 ------ D4PLOYER --.----------- --...--------- RETIRED PERSONTONOTIFY/ADDRESS .................. .. . RELATIONSEIP ._. ---....._.__..... HOLLAND,HOWARD HUSBAND GUARANTOR/ADDRESS 29 CHASELANE,ITHACA,NY 14850 HOLLAND,E ANN HOMEPHONE603-968-2424 WORKPHONE 29 CHASELANE -__ ...------..........................------...-___....,....._........,. ...._.__-.__ NEXTOFKIN/ADDRESS RELATIONSHIP ITHACA NY 14850 HOLLAND,HONARD PEONE HUSBAND 603-868-2424 29 GASELANE,ITHACA,NY 14850 EMPLOYER RETIRED HOMEPHONE603-869-2424 WORKPHONE FINANCIAL CLASSMCR INSURANCEINFORMATION INS MEDICARE TRICARE ADDR NATIONALGOVERNMENTSERVICES PCBOX870140 CITY INDIANAPOLIS BURFBIDEBEACK ST/2IPIN46207 SC29587 POL NAME HOLLAND.EANN KOLLAND,E ANN ACCIDENTINFO REASONFORVISIT ONBETOFSYHPTOMS/ILLNESS STROKE,CVA9/P TPA ACCIDENTDATE ADMISSIONCOMMENTS 04/03/17 PRIMARYCAREPEYSICIAN ATTENDINGPEYSICIAN EMERGENCYDEPARTMENT/URGENT CAREPEYSICIAN Elisabeth H Cotton MD Jarred JohnsonMD Drew A. Koch DO ADMITTING PEYSICIAN REFERRING PETSICIAN FredricKardonMD CLERK PT'S EMAIL lergiess : Garlic,Sulf& Atib10tic A CODESTATUS: |)#ilIlliEll|ll||lllill|ll| 7 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 Cl2022-16702 Index #: EF2018-0523 CLERK INDEX NO. EF2018-0523 FILED: TOMPKINS COUNTY 05/15/2020 01:23 P1 NYSCEF DOC. NO. 25 , R "Fm NYSCEF: 05/15/2020 Cl2020-05507 Index#: EF2018-0523 HOLLAND, E ANN uso.cu ce¢ren ED E/M LEVELING Toot Ao00s3647727 mooovs6ere itemchecked must have documentation ' ED Every II *a a Medication - SIMPLE Reconciliation SimpleNursing Assessment(TriageLevel4/5) 15 . 15 10 min (less than and/orlessthan 6 meds) Medication - Complex Reconciliation Complex NursingAssessment (TriageLevelL 2 & 3) 30 30 (greaterthan10 min and/orgreaterthan 6 meds) Neuro Checks (repeat- after the first initial) 5 Specimen Collection3 or more 30 Cap Refill Assessment 5 Specimen Collecton 1-2 10 Orthostatic VS 10 Reconstitute Medications 10. (PO) SpinalPrecautions 10 Reconstitute Medications (IV) 20 BleedingControl 10 Med Administer- PO; PR ONLY (DOES NOT 5 - charge WCWDE W/SUBC charge for eachmed ginn Vital Signs (repeat each additional) 5 . MedicationsDispensed/permedication 10 | BP Monitor 5 FlushSaline Lock 5 Pain Assessment(repeat) 5 Peak Flow 5 IV insertion usingU/S 30 Hypo/Hyperthermia 20 Intakeand Output 5 Isiolation 20 . . , Centra!LineCare central (existing line only 30 unrelatedto a procedure) BedsideTesting X-Ray/CT Unaccompanied or Bedside 5 (HemoCue; Hemoccult, Rapid Gastroccult; Strep; 10 X-Ray/CT Accompanied 15 DOES Influenza) NOT INCLUDE URINE PREGNANCY OR FSB GLUCOSE Oxygen Administration 10 PO Chahenge 5 NG Tube Placement/Care . 15 FrequentAssessment/Monitoring(reassessmentof Nasal Airway 10 or neerioscelstatusrequiree vs.cardiovascular.poirponary 30 orrequiredror afterinmalassessmentcan deordered BladderScanning 25 interventionor medicationevery15minutes or less) Recuest MedicalRecords by EMS/Pol Arrival ce 5 Complex Request MedicalRecords 15 Meal Qven 5 Transferout by EMS 50 On-going Staff Required Multiple Admission Orders 50 EmotionalSupport (documentin detai;) 5 Special/Emotional Teaching 20 Dysphagia Screening 10 Discharge - Simple Instructions 10 Discharge / RX - Comolex Instructions 20 Dischargeto NursingHome / Complex ,30 Admit Medical/Surgical/Telemetry 30 Fetal Heart Tones 10 Admit to OR 0 ContinuousFetal Monitoring 10 Admit to Peds/MCH 30 Pe!vicExam 10 Elopement/AMA 30 Newborn Care 100 LWBS - Only chargeif triage was completed 20 Care incontinence 15 1ø 1 ©rm WM Disimpaction 3D (Continuous Cardiac Monitoring, Care, Sepsis, " 100 Unconscious.Critical Care Drips, STEMi, Code Gray, Airwayinsertion/Maintenance etc.) Colostomy Care - Unrelated to a Procedure 30 j Illlil!1111111111II!|lillilllillill 8 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 Index #: EF2018-0523 Cl2022-16702 INDEX NO. E F2018-0523 |FILED : TOMPKINS COUNTY CLERK 05/15/2020 01: 23 P14 .JGar..EF: 05/15/2020 NYSCEF DOC. No. 25 no index#: EF2018-0523 Cl2020-05507 ygi3 go, a Ami AO00a3647 727 Moco756818 MEDICALCENTER ED CJM LEVELING Toot Every itemchecked must have documentationin the patient chartto support the charge. Recheck Wound/Suture Removal 5 OB Deliveryin ED 100 Dressing- Simple(Not relatedto a procedure) 5 DecontaminationHazardous Material 100 - Complex Transferto Another with Facility RN 200 Dressing (Not related to a procedure) 10 Transferto Another w/o Facility RN Wound - Simple(Not relatedto a 100 Cleaning 10 (Excludept preferenceto TXor NH transfer) procedure) PatientDeath in ED 100 Wound Cleaning- Complex (Notrelatedto a 20 DOA 100 Psych Evaluationby Psych RN/SW 100 Ace Wrao (Unrelated to Orthodeviceapplication) 5 SecuringPatientBelongings 10 First Aid Procedures 5 Eye irngation (No CPT Code) 5 SANE Exam (SANE documentation by RN OrthoAppliance and (administration 100 and/orevidence collection) 10 teachirq) Evidence Collecuon(Legal/ Law Enforecoment) NO SANE/No LegalBlood Draw (LBD=Should Be 50 Counted MA Guttmit.0 ¾üom Combative/Suicidal/Homicidal 100 Securityat Bedade Involved (actively In care for behavior 100 combative outbursts, pt, CSCM, restraints) BehavioralObservation(CloseOBS) and/or1:1 50 , (arm length away) Mandatory ReportingAPS/CPS/Bum/Legal 50 BehavioralRestraint Application 100 O Moved to ED Flex Unit (document time in nurse's notes) . LEVEL 1 0-35 Points LEVEL 2 40-95 Points LEVEL 3 100-160 Points LEVEL 4 165-250 Points LEVEL S 255 +Points Nurse Signaare: . . Date I Time: Nurm Signature; Date / Time: l!lIll! IllMild IlillIlill11111111 9 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49 PM INDEX NO. EF2018-0523 NYSCEF DOC. NO. 54 RECEIVED NYSCEF: 09/09/2022 Cl2022-16702 Index #: EF2018-0523 INDEX NO. EF2018-0523 |FILED: TOMPKINS COUNTY CLERK 05/15/2020 01:23 PH NYSCEF DOC. NO. 25 RECEIVED NYSCEF: 05/15/2020 Cl2020-05507 Index#: EF2018-0523 . (3 101 Dates Drive Yy 9 3 Ithaca, New York 14850 MEDICALCENTER (607) 274-4011 A Member of Cayuge HealthSystem .. DischargeNote Patient: HOLLAND,E ANN Account Number: A00083647727 DOB/Age: 79 Medical Record#: M000756818 Admission Date: 04/03/17 Provider:JarredJohnson MD Patient seen this morning with husband at bedside. Apparently had some L ear/jaw pain that resolved with tylenol. She isa bit aggravated that I'm bothering her and ispreferring to sleep. Has some persistent aphasia (improving daily as per husband), not cooperative atthis time with full neuro exam. CT head this moming showed evolving infarct,no hemorrhage. Will start EliquIsthis evening, Transfer to PMRU. Willcontinue current BP meds for now (on 1/2 home dose metoprolol). signed 04/07/17 0936 Entered by: Jarred Johnson MD Entered Date/Time:04/07/17 0933 Copy to CC: Jarred Johnson MD 1 of 1 10 of 347 FILED: TOMPKINS COUNTY CLERK 09/09/2022 01:49