AAPL logo

Medical Malpractice Lawsuits: How Not to Change the Law but Level the Playing Field

Howard Smith, MD, MHA


Nov 7, 2025


Healthcare Administration Leadership & Management Journal


Volume 3, Issue 6, Pages 314-320


https://doi.org/10.55834/halmj.6059373217


Abstract

It is undeniable that practitioners cause systemic medical errors. However, practitioners do not cause random errors of nature, which also may follow medical interventions. Because medical errors and errors of nature are clinically indistinguishable, every year an unreported number of alleged medical malpractice claims are reviewed by plaintiff attorneys, and 85,000 medical malpractice lawsuits are filed. Some are medical errors; some are errors of nature; some are frivolous. Once attorneys secure a certificate of merit from a medical expert, it no longer matters which are which. The games begin. Once the games begin, 55,000 claims are dropped without ever being adjudicated. Until now, a frivolous lawsuit has had no consequences; however, medical malpractice does have consequences — a national cost of $56 billion per year. CCC+C is a proposed decision-making tool that distinguishes a medical error from an error of nature with 95% confidence. CCC+C does not change the law, but because it quantitatively determines type I and type II errors, it levels the playing field and opens doors to consequences without changing the law.




LEADERSHIP IS LEARNED™

For over 50 years.

The American Association for Physician Leadership has helped physicians develop their leadership skills through education, career development, thought leadership and community building.

The American Association for Physician Leadership (AAPL) changed its name from the American College of Physician Executives (ACPE) in 2014. We may have changed our name, but we are the same organization that has been serving physician leaders since 1975.

CONTACT US

Mail Processing Address
PO Box 96503 I BMB 97493
Washington, DC 20090-6503

Payment Remittance Address
PO Box 745725
Atlanta, GA 30374-5725
(800) 562-8088
(813) 287-8993 Fax
customerservice@physicianleaders.org

CONNECT WITH US

LOOKING TO ENGAGE YOUR STAFF?

AAPL provides leadership development programs designed to retain valuable team members and improve patient outcomes.

©2025 American Association for Physician Leadership, Inc. All rights reserved.