Indiana Medical Review Panel: The Malpractice Process

Indiana Medical Review Panel: The Malpractice Process

In Indiana, pursuing a medical malpractice claim is a marathon, not a sprint. Unlike a standard car accident case where you can file a lawsuit immediately, the Indiana Medical Malpractice Act requires nearly all hospital, doctor, nursing home and other healthcare negligence claims to first pass through a time-consuming administrative “gatekeeper” process known as the Indiana Medical Review Panel.

This mandatory process was purportedly designed to filter out frivolous lawsuits while encouraging the settlement of meritorious ones. For victims of medical negligence in Indiana, however, this process poses as a legal minefield that is very complex to maneuver through. and requires precision, patience, and the guidance of an experienced Indiana medical malpractice lawyer.

What is a Medical Review Panel?

In Indiana, if a healthcare provider is “qualified”—meaning they have filed proof of financial responsibility and paid a surcharge into the Indiana Patient’s Compensation Fund—you generally cannot sue them in court until a claim is presented to a panel of healthcare providers.

The panel acts as a quasi-judicial body, charged with evaluating technical medical evidence that a typical jury might find overwhelming. While their decision does not prevent you from going to court, it serves as a powerful expert endorsement—or critique—of your case that can dictate the direction of future settlement negotiations. There is no patient representative on the panel, only peers of the defendant healthcare provider

Composition of the Panel

The panel is composed of four members:

Three Health Care Providers: These are physicians or professionals licensed in Indiana. By law, in cases with a single defendant who is an individual, at least two of the three panelists must be from the same specialty as the defendant to ensure they have the proper “peer” perspective required for an accurate review.

One Panel Chairperson: This is a licensed Indiana attorney who acts as a neutral facilitator. They do not have a vote on the final outcome but manage the evidence, handle legal disputes, and ensure the process follows the strict timelines set by the Department of Insurance.

Common Medical Errors Reviewed by the Panel

When filing a medical malpractice claim in Indiana, the panel evaluates a wide range of negligent acts. While every case is unique, the panel frequently reviews claims involving:

• Surgical Errors: This includes “never events” like leaving sponges or instruments inside a patient, or performing surgery on the wrong body part.
• Misdiagnosis or Delayed Diagnosis: A misdiagnosis lawyer in Indianapolis often handles cases where a provider fails to identify life-threatening conditions like cancer, heart attacks, or strokes in a timely manner.
• Medication Mistakes: Administering the wrong dosage, prescribing the wrong medication, or failing to check for dangerous drug interactions.
• Birth Injuries: Trauma occurring during delivery, such as oxygen deprivation leading to Cerebral Palsy or HIE (Hypoxic-Ischemic Encephalopathy).
• Failure to Diagnose Cancer: One of the most common reasons for an Indiana surgical error lawsuit, often involving delayed treatment that significantly worsens a patient’s prognosis.

These errors often lead to devastating, permanent injuries including nerve damage, organ failure, brain injuries, or even wrongful death.

The Step-by-Step Lifecycle of a Claim

The review process is highly formal and follows a specific chronological order that can take several years to complete.

1. Filing the Proposed Complaint

The journey begins when your attorney files a Proposed Complaint with the Indiana Department of Insurance (IDOI). This document pauses the statute of limitations temporarily for Indiana medical malpractice, protecting your right to seek compensation while the panel conducts its review.

2. Panel Selection and “Striking”

Selecting the panel is often one of the most contentious parts of the case. The plaintiff and defendant each choose one member, and those two choose a third. If the parties cannot agree on a Chairperson, the Clerk of the Supreme Court provides a list of attorneys, and the parties take turns “striking” names until one remains.

3. Discovery and Evidence Gathering

Before the panel can review the case, both sides engage in “discovery.” This involves subpoenaing complete medical records and conducting depositions (sworn testimony) of the involved doctors and nurses. This phase is vital because the panel will only see what is presented to them in the written record.

4. The Submission

This is essentially a “trial on paper.” Since you do not typically testify in person before the panel, your attorney must prepare a written Submission of Evidence. This document includes all relevant medical records, deposition transcripts, and a persuasive legal brief explaining how the doctor breached the standard of care.

5. The Panel’s Deliberation and Opinion

Once the panel receives the submissions from both sides, they meet to deliberate. They must reach a conclusion on whether the evidence supports the claim that the provider failed to meet the standard of care and whether that failure resulted in the patient’s injuries.

Is the Indiana Medical Review Panel Opinion Binding?

No, the panel’s opinion is non-binding. If the panel finds against you, you still have the right to file a lawsuit in a county court. However, you must act quickly; you generally have a 90-day window after the opinion is issued to file your case in state court.

It is important to note that the panel’s opinion is admissible as evidence at trial. A favorable opinion from the panel often creates significant leverage for a settlement with the Indiana Patient’s Compensation Fund or the provider’s insurance carrier.

Understanding Indiana’s Damage Caps

Indiana law limits the total amount recoverable in medical malpractice cases. For claims arising on or after July 1, 2019, the maximum compensation available is $1.8 million. This amount is divided between the healthcare provider and the Indiana Patient’s Compensation Fund:

• Healthcare Provider’s Insurance: Pays the first $500,000
• Patient’s Compensation Fund: Pays up to an additional $1.3 million

This structure is why having the provider qualify with the Patient’s Compensation Fund is so important—it ensures access to the full amount of available compensation beyond the provider’s individual liability.

Note: Different caps apply to claims that arose before July 1, 2019. Your attorney can explain which cap applies to your specific case.

How Long Does the Medical Review Panel Take in Indiana?

One of the most frequent questions we hear is: “How long does the medical review panel take in Indiana?” While the law suggests the process should move quickly, the reality is that due to scheduling conflicts, the difficulty of finding willing panelists, and the complexity of medical evidence, most cases spend two to four years in the panel stage before a final opinion is rendered.

How an Experienced Attorney Navigates the MRP

Because the panel’s opinion carries so much weight in a future trial, you cannot afford to “wing it” during the administrative phase. An experienced Indiana malpractice lawyer provides several vital services:

• Vetting Potential Panelists: A lawyer with deep roots in the Indiana legal community knows which doctors are fair-minded and which tend to be biased in favor of their peers.
• Drafting the Submission: A persuasive submission requires more than just medical records; it requires a narrative that highlights the “why” behind the medical error.
• Neutralizing the Defense: Insurance companies will use every tool available to delay the process. Your attorney ensures the Panel Chairperson keeps the case moving forward.

Contact Powless Law Firm Today

Navigating hospital negligence claims in Indiana requires more than just medical knowledge—it requires a mastery of the Indiana Medical Malpractice Act. At Powless Law Firm, we understand that the process can feel like a “black hole” where cases disappear for years. We are committed to aggressive representation and constant communication to ensure your case moves as quickly as the law allows.

Call us at (877) 769-5377 or contact us online for a free, confidential case evaluation.

The Powless Law Firm is an Indiana law firm that represents victims and families statewide in serious cases involving medical negligence, nursing home neglect, birth injury, personal injury, and wrongful death. If you have concerns about medical negligence, please contact us at (877) 469-2864. Together, we can make a difference.

The Powless Law Firm represents families across Indiana—from Indianapolis to Fort Wayne and Evansville—in cases involving medical malpractice claims, nursing home neglect lawsuits,  and birth injury lawsuits. As experienced nursing home neglect attorneys in Indiana, we are here to listen to your story and help you find the way forward.

Call (877) 469-2864 now for a free, confidential consultation. There is no fee unless we win your case.