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Our Services

Comprehensive Flow

Get the story straight the first time with the sortable chronological and witness-oriented bird’s eye view: The Comprehensive Flow organized in SOAP format.

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Master Table of Contents

The Master Table of Contents will have you and your staff quickly and efficiently separating the relevant from the extraneous records and locating critical event documentation.

Editorial Narrative Summary 

This helps you build your strong case, starting with the medical professional's impression, with rationales and supportive literature if requested.

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Case-Custom Glossary

Slash your learning curve for medical terminology, jargon, and abbreviations in the searchable case-relevant reference sheet. 

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Document Request List

The Document Request List helps you to know exactly what's missing, from what medical facility, and how obtaining it will contribute to your case. We can even help with chasing down medical records for you.

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Deposition Assistant

The Deposition Assistant is like having a nurse practitioner in your pocket while you're questioning your witness. Your Consultant will provide you with the right probing questions to get to the bottom of your case.

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Customize My Order

If you're ready to give us a try, here's your chance! Your request is a la carte. You or your paralegal can give us a call and we will walk through a custom order with you, help you select a Team Lead NP and set you up with case strategy and estimate.

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Comprehensive Flow Chronology Timeline

At Discovery NP Legal Consultants, we believe that the work product you purchase belongs to you, the malpractice attorney--not to the consultant. Therefore, you should be able to add to it and adjust or edit it to your heart’s content! You and your paralegals will receive sorting and editing and printing access to this living spreadsheet, which integrates critical information from medical documents from all sources into one comprehensive clinical timeline picture.


There are numerous ways and combinations to sort and display the data, and you should get to choose what makes the most sense for this case. Our highly-trained consultants will help your paralegal learn how to isolate the information you need to create any type of report you desire out of the collected information. Besides your basic chronological flow, the information can be organized by document, by Bates numbers, according to witness, by topic, or by any other criterion you can imagine or request. 

The comp flow is also written in a SOAP format, which is your standard medical provider’s cognitive organization of the facts: subjective (the patient’s complaints), objective (the provider’s sensory observations), assessment (the diagnosis), plan (including interventions undertaken). This format is not one you’ll see provided by your average LNC; our nurse practitioners think more like a doctor, but with the holistic perspective of a seasoned nurse.


WHY THIS MATTERS: This format of chronology allows you to review the information as an integrated chronological narrative, analyze relative timeframes between micro-events, and to quickly access what events your witnesses were involved in or should be questioned about so that your staff can gather exhibits for effective, organized deposition, and much more. Knowing where to find the exhibits with which to confront your witnesses increases your chances of settling or winning your case. More settled cases mean more caseload tolerance, and more revenue for your firm.

Master Table of Contents

 

This spreadsheet pulls in and categorizes information from all PDF’s acquired during the initial document-gathering or discovery. Organizing the information into type of document and the information contained therein can aid you in narrowing down your search when you need to locate a particular type of information.


Rather than paying your paralegal hourly to pour through 1249 pages for a single nurse’s note at 14:37 on April 7, 2018, you can simply identify where in the Table of Contents the information you seek is likely to be (Nursing Notes from inpatient hospitalization at St. John’s Hospital), and then search the 52 pages of nursing notes located in PDF 2, page 46-98. Since page 46-98 is organized chronologically, locating the note on that particular day and time is a matter of minutes; not hours!


WHY THIS MATTERS: This can save you hundreds of dollars in wages for your paralegal, whose time is better spent doing other, more productive tasks than hunting for that one nursing note that contains your “smoking gun”. Furthermore, having never worked in the hospital herself, more often than not, the paralegal will take 5 minutes to identify the type of document she is looking at, while our seasoned nurses can identify in 2.732 seconds (seriously, we've timed them! Lisa is a whiz at it)

Editorial Narrative Summary

Also a real-time collaborative and editable document (aka "living document"), the pinnacle of the package, this 5-10 page summary is a collection of the facts of the case (with hyperlinked references to original PDF’s) and relevant opinions of the NP reviewer.

 

The summary is written in an organized by-topic format to cover critical events in an “editorial” fashion. This format is easier to digest when you’re needing an overview of the findings and main points to consider covering in your opening and closing statements.

If you request it, the NP may include links to relevant case studies or research in the literature that supports the standard of care position. The NP reviewer is well-equipped with the vocabulary, comprehension, and database access (not available to laypersons nor to RNs--providers only!) to search the literature and locate the ever-changing standard of care practices. Furthermore, having had additional formal training in research and statistics above and beyond your average RN legal nurse, she can more efficiently evaluate the studies for robustness and relevance.


WHY THIS MATTERS: As the summary will also include an ongoing record of all communications between the NP and the Firm’s staff as they relate to the content of this client’s case. This helps reduce the super-confusing patchy “reply/reply all” email threads that get lost in your inbox.


First and foremost, the opinions contained in Narrative Summary document will help you to make a clear decision about whether or not to take the case in the first place. If you decide, based on all the findings, that the case has no merit, you’ll save yourself all the time and resources pursuing a case that is not likely to win.

 

As you well know, accepting a meritless case for lack of full understanding of the issues at hand could cost thousands in--often uncompensated--man-hours, while diverting your attention away from more certain, and potentially more fruitful cases. Furthermore, a loss will negatively impact your success ratios--never mind unjustly putting hard-working, well-meaning, conscientious medical providers through hell, which no self-respecting attorney means to do.

 

Certainly, declining a winnable case, simply because you don’t feel confident about your fuzzy understanding of the chronology, or because you can’t quite truly appreciate the intricacy of the convoluting facts in the initial weeks of the case, could potentially cost your firm millions in potential winnings--and worse, deny your client the justice and financial compensation they deserve.

Case-Custom Glossary 

A companion to--and hyperlinked to--the narrative, the Case-Custom Glossary provides links to hand-picked and curated short videos, explanations, or definitions of lesser-used medical concepts and terminology to break through the legal/medical language barrier so that you and your paralegals can feel confident in your comprehension and communication of the medical jargon. 


WHY THIS MATTERS: Let’s face it: You’re not a doctor, and you’re not a nurse, and that’s ok. Most the time you feel like you’re flying by the seat of your pants with all this medical stuff. Sometimes you feel like you don’t even know what you don’t know!


Not having to dig for reliable and concise layperson information about the basic anatomy (body structures) and physiology (normal function) and pathophysiology (abnormal function) of the human body as it relates to the case is critical in understanding what went wrong so you can not only understand the case yourself, but also so that you can confidently convince the jury and judge of what you believe to be the breach in standard of care and its long term impact on your client.

Document Request List

The Document Request list is a living spreadsheet of requested documents for, based on what was available in the initial PDF submission--and what was not.


This spreadsheet will instruct your staff on what to request, from which medical facility, as well as the date range for the request. This makes your paralegal’s job very easy in the paperwork goose-chase. It also reduces the cumbersome task, and obligatory billable expert witness hours spent gleaning through thousands of unwanted pages of records that were sent based on a vague request.


Most importantly, each line item on The Document Request List will include a statement indicating what piece of information is being sought in the requested document.

 


WHY THIS MATTERS: Knowing where exactly to search for records and what precise records to request increases your chance of having all the requested documents at your disposal when you’re ready to go to deposition or trial.


Furthermore, when the document arrives, whether it’s tomorrow or in three months, or in a year its precise relevance to the case will be immediately recalled--staff turnover notwithstanding--saving everyone involved valuable time rehashing the case.

Deposition Assistant

The Deposition Assistant is a special by-request-only feature of the Comprehensive Flow Chronology in which you’ll get a peer’s perspective on what questions to ask the nursing and medical staff.


Your chronology can be sorted by witness so you can approach your depositions in a systematic and organized way. You’ll never forget a question again that could make or break your case. You’ll even get a list of suspected responses and algorithmic suggestions for follow-ups.


 WHY THIS MATTERS: Would you know to ask the nurse if your client’s continuous pulse oximeter was a stationary or a mobile Dinamap unit? Without the counsel of a nurse practitioner consultant to the legal profession, the question may not even cross your mind... and why should it?


But the NP who is “once a nurse, always a nurse” knows that mundane detail could explain why the patient was on an oximeter at one point, then not the next… can pulse oximeters walk away?

Yes, yes they can, Counsel!…

Ask the right questions, get the right answers.


How do Services Work?

At Discovery NP Legal Consultants, our nurse practitioner consultants to the legal profession function on a retainer that is based on a three-tiered assessment of the scope of your original request for the initial deliverable analysis.

 

After you place your custom order, a specialist will reach out to you to let you know which retainer tier your request falls under: 5 hrs, 10 hrs, or 15 prepaid hrs retainer, depending on the overall scope of your project. The specialist can collect the retainer with an easy online payment.


After your retainer has been collected, you can then select, we can recommend, or your case can be assigned to one of our specialty Nurse Practitioner Consultants to the Legal Profession who will act as a Team Lead for your case. We will then schedule the initial verbal discussion on your case, which is done via Zoom.

You will be notified when our team has billed out 80% of the current retainer on the case, and you may then choose to schedule a call with your consultant to discuss the progress so far. Unless otherwise specified, each subsequent retainer will be about 60% of the initial retainer. The team will resume work on your case as soon as the account is loaded with a subsequent retainer.


Once the initial consulting deliverable is complete, your Nurse Practitioner Team Lead consultant will reach out to you to invite you or your staff to schedule a deliverable wrap-up conversation about your case. You may invite whomever makes sense to you to this discussion, including any partners, paralegals, or the plaintiff.

Your Team Lead Nurse Practitioner's assistance with your case does not have to end there. Your Nurse Practitioner consultant will provide you with suggestions on additional documents you may wish to request, and we can provide Discovery document collection assistance services to aid in this process. Our team can continue to provide “incident to” services on existing cases, integrating new information into the work product, up to and including deposition and trial preparation assistance in whatever non-testifying capacity makes sense for your process. 


As of the latest update on this section (12/2021) our aim is to eventually complete our service ensemble by providing Expert Witness Location Services (independent contractors), which our company intends to begin offering once our database has a sufficient diversity of experts to be effective and competitive in that space. 

Discovery NP Legal Consultants, LLC (R) is not a law firm. We do not provide medical or legal advice of any kind. Our work is done in the capacity of a consultant, and not as a medical provider. We do not engage in any patient-provider relationship with clients, their plaintiff or anyone else. Our services are geared to medical malpractice attorneys who take cases for the plaintiff.

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