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Healthcare Credentialing & Privileging Expert Witnesses

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Richard H. Bailey, MD, CPE, FACP, FAAPL
1411 Maple Hill Rd.
Wassau WI 54403
USA
phone: 715-301-9277
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Richard Bailey Healthcare Quality Control Expert PhotoRichard H. Bailey, MD, CPE, FACP, FAAPL, President and Chief Medical Officer of Bailey Healthcare Solutions, LLC, is American Board Certified in Internal Medicine and a Certified Physician Executive, certified by the Commission of Medical Management.

As an experienced physician executive and skilled clinician, Dr. Bailey is committed to improving the quality and safety of patient care through leadership, innovation, collaboration, and change management. He has more than 15 years of progression physician leadership positions with a strong reputation and demonstrated success in the areas of medical affairs, practice management, physician engagement and alignment, medical informatics, evidence based practice, hospital medicine, health care quality and safety, and utilization management.

Dr. Bailey's services help healthcare organizations refine health care delivery systems for the sole purpose of improving patient care. He is committed to the professional role that physicians have in improving health care quality and patient safety through quality assurance, continuous quality improvement, and total quality management. His work includes peer review, quality review, medical necessity and utilization review for hospitals, third party payers, quality improvement organizations, quality review organizations, and for medico-legal purposes.Litigation Support - Licensed in Wisconsin, New Hampshire and Kentucky, Dr. Bailey provides expert witness services to counsel representing both Plaintiff and Defendant. His services and expertise are available for complicated healthcare matters including:
  • Sentinel Event Investigation
  • Peer Review
  • Case Review
  • Utilization Review
  • Medical Necessity Review
  • Second Opinions
  • Provider Behavior Review
  • Patient Safety / Incident Review
  • Medication Errors
  • Credentialing
  • Medical Staff Governance
  • Distressed Physicians
  • Physician Behavior
  • Quality & Patient Safety
  • Palliative Care
  • Hospital & Medical Staff Relations
  • View Dr. Bailey's Consulting Profile.
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    Jonathan Burroughs, MD, MBA, FACHE, FAAPL
    48 Forest Ledge Road
    PO Box 540
    Glen NH 03838
    USA
    phone: 603-733-8156
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    Jonathon Burroughs Healthcare Expert PhotoJonathan H. Burroughs, MD, MBA, FACHE, FAAPL, is President and CEO of The Burroughs Healthcare Consulting Network, Inc., and works with some of the nation’s top healthcare consulting organizations to provide ‘best practice’ solutions and training to healthcare organizations throughout the country in the areas of governance, physician–hospital alignment strategies, credentialing, privileging, peer review and performance improvement/patient safety, medical staff development planning, strategic planning, physician performance, and behavior management as well as ways in which physicians and management can work together in new ways to solve quality, safety, operational, and financial challenges.

    Litigation Support: Dr. Burroughs offers litigation support services to counsel representing both Plaintiff and Defense. He provides general expert witness services for cases involving:
    • Regulatory Compliance
    • Negligent Credentialing
    • Negligent Privileging
    • Negligent Peer Review
    • Physician Performance Management
  • Fraud and Abuse
  • Fair and Judicial Hearings
  • Patient Safety
  • Physician Contracts
  • Medical Staff Bylaws, Policies, Procedures, Rules & Regulations
  • Dr. Burroughs serves on the national faculty of the American College of Healthcare Executives and the American Association for Physician Leadership (formerly the American College of Physician Executives), where he has been consistently rated as one of their top speakers and educators. He and Dr. David Nash were recently awarded a development grant by the American College of Healthcare Executives (ACHE) to develop a twelve hour national program to address population health and the disruptive innovative business models necessary to support it. He is the author or coauthor of the following books: Redesign the Medical Staff Model-A Collaborative Approach (published by Health Administration Press, January, 2015), The Complete Guide to FPPE (2012), Medical Staff Leadership Essentials (2011), Engage and Align the Medical Staff and Hospital Management: Expert Strategies and Field Tested Tools (2010), A Practical Guide to Managing Disruptive and Impaired Physicians (2010), The Top 40 Medical Staff Policies and Procedures, Fourth Edition (2010), Emergency Department On-Call Strategies: Solutions for Physician-Hospital Alignment (2009), and Peer Review Best Practices: Case Studies and Lessons Learned (2008).

    Dr. Burroughs is a former Senior Consultant and Director of Education Services for The Greeley Company where he was rated as one of their top healthcare consultants and educators over an eight year period. He is also a past medical staff president, past president of the New Hampshire chapter of the American College of Emergency Physicians, and served as an emergency department medical director. As a member of the governing board of Memorial Hospital in New Hampshire, he chaired the ethics, succession planning, and bylaws committees and sat on the joint conference, strategic planning, and medical executive committees. He previously served as a member of the clinical faculty of Dartmouth Medical School, where his research interests included introducing EMT defibrillation and automatic defibrillation into the field.

    View Dr. Burroughs' Consulting Profile.
    11/11/2015 · Healthcare
    Population health is not possible in a discounted fee-for-service world, and the significant healthcare business challenge is how to transition from fee-for-service to risk-based capitation in a sustainable way. The following represents an outline for how this transition can be staged so that early steps exploit the benefits of fee-for-service while the latter ones exploit a more capitated model:

    10/21/2015 · Healthcare
    Not too long ago, I had the sad task of testifying at a civil litigation and a judicial hearing for two physicians who had been suspended from their respective medical staffs. In both cases, the suspensions and resultant procedural rights were avoidable because proactive communication and management did not effectively take place. Such events should be rare and most medical staffs can easily avoid them by focusing on preventive actions and addressing potential performance issues early in a supportive and assertive manner.

    Hospital CEOs may have once cast a wary eye when a retail clinic opened in their backyard, but that paradigm has shifted as health systems are increasingly opening their own retail clinics or affiliating with retail clinic operators.

    7/24/2015 · Healthcare
    Regulatory hurdles prevent more hospitals from using e-health to its full potential. Federal and state policies and regulations on care rendered via technology from a remote site spin a tangled web for providers either engaged in e-health or who want to be. A February 2014 article in Health Affairs found strong associations between state policies and hospitals' adoption of e-health, also known as tele-health or telemedicine.

    Alarm fatigue has moved to the forefront of hazards on the hospital floor. Nursing staff gets bombarded by hundreds or thousands of beeps, rings, whistles and pings emanating from bedside devices in a shift, and it can be difficult for them to distinguish the critical from the routine. An analysis of hospital alarms at Johns Hopkins Hospital counted a total of 59,000 alarms over a 12-day observation period, an average of 350 alarms per patient per day.1

    Jon Burroughs, MD, FACHE
    In this book, the author, an experienced physician leader and healthcare consultant, describes key changes that must be made to redesign the medical staff model. He provides specific guidance and examples to help healthcare leaders and executives work with their physician leaders to face these changes successfully. Well-regarded contributors and subject matter experts offer additional examples and insights with special content throughout the book.
    Jon Burroughs, MD, et al
    The Complete Guide to FPPE provides step-by-step guidance for developing an FPPE process and policy, selecting indicators, collecting data, conducting performance conversations with practitioners, and managing FPPE for low-volume and advance practice practitioners.
    Jon Burroughs, MD, et al
    Sharpen medical staff leadership skills with proven educational strategies and succession planning tools. Medical Staff Leadership Essentials: A Guide to Developing Leadership Skills and Recruiting the Next Generation delivers a step-by-step process for becoming an effective physician leader and training future leaders. Veteran and new physician leaders alike will gain valuable insight to help the medical staff develop, retain, and recruit a legacy of effective physician leaders.
    Jon Burroughs, MD, et al
    Real-world solutions to problem physician behavior Don t let disruptive physician behavior and impairment negatively affect your hospital s operations or put your patients, staff, and colleagues at risk. This resource will help you implement a sound program to manage impairment and prevent disruptive physician behavior.
    Jon Burroughs, MD, et al
    This resource combines the expertise of advisors from The Greeley Company and in-the-trenches hospital and medical staff leaders. You ll get real-world solutions to engage practitioners in medical staff activities and align them with hospital goals. Unlike other theory-based books, this resource provides tools and strategies that have helped your peers break the cycle of disengagement and apathy.
    Jon Burroughs, MD, et al
    Developed by trusted Greeley Company experts, the fourth edition of this concise guide will help you develop medical staff policies and procedures that comply with Joint Commission requirements and promote current industry best practices. Don t wade through lengthy manuals and Web sites full of outdated information.
    Jon Burroughs, MD, et al
    Move from reactive deals to shared costs and sustainable physician-hospital alignment. This edition provides fully updated strategies, tools, and step-by-step approaches from multiple ED call panel experts.
    Jon Burroughs, MD, et al
    Peer Review Best Practices: Case Studies and Lessons Learned will help you transform peer review theory into best practice. This book and CD-ROM set is built on contemporary peer review design and demonstrates how hospitals have used those theories to tackle real peer review challenges. Twenty case studies cover topics ranging from fixing your peer review system to tracking and trending data to reconciling peer review conflicts.
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    Dennis E. Coleman, JD, MPH
    1237 S. Victoria Ave., # 265
    Oxnard CA 93035
    USA
    phone: 661-313-6579
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    Dennis E. Coleman, JD, MPH, has over 40 years of experience in Hospital and Healthcare Management. In 1990, he formed his own hospital administration / healthcare management services consulting firm provide healthcare management services to various healthcare provider clients in a variety of areas, including strategic planning, business development, operations management, sales and marketing, policy & procedure development, and human resources management.

    Mr. Coleman's academic background includes a Juris Doctor degree from Southwestern University in Los Angeles and a Masters in Public Health degree with a Hospital Administration major and a Bachelor of Arts degree in Political Science, both from the University of California, Los Angeles.

    Litigation Support - As a hospital administration expert witness consultant, Mr. Coleman is an advocate for applying community standards which are relevant, based upon the time frame, subject matter and administrative practice(s) appropriate to each case. He has consulted and provided case review, expert witness services, and/or strategic litigation preparation services in more than 200 legal matters. He accepts cases on behalf of Plaintiffs or Defendants.

    Mr. Coleman is willing to serve as either a work product consultant or a designated expert based upon the particular strategic litigation needs of each case.

    Cases Include:
    • Medical Staff Credentialing & Clinical Privileging-ELAM
    • Hospital / Physician Relations-MEJIA Ostensible Agency Issues
    • Administrative Community Standards
    • Medical Staff Bylaws, Rules & Regulations
    • Provider-Based Physician Contracting Negotiations & Contract Administration
    • Administrative Policies & Procedures
    • Hospital Joint Commission Accreditation, Licensing & Regulatory Compliance Issues
    • Wrongful Termination / Constructive Discharge / Whistleblower Issues
    • Patient rights; Informed Consent
    • Patient Safety; Environment of Care
    • Governance; Corporate Negligence
    View Dennis Coleman's Consulting Profile.
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    Dr. Laura Streyffeler, PhD, LMHC,BCETS, CCDV, CCFC
    Licensed Mental Health Counselor
    2204 Brevard Ave.
    Fort Myers FL 33901
    USA
    phone: 239-822-1699
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    Laura Streyffeler Mental Health Expert PhotoLaura Streyffeler, PhD, is a Licensed Mental Health Counselor and a Board Certified Expert in Traumatic Stress specializing in individual, couples and family psychotherapy.

    Dr. Streyffeler believes that an being an expert means not only having education, knowledge, and experience , but integrity as well. She wants for you to understand that being an expert in domestic violence, does not mean being an expert only for victims, but for truth.

    As an expert, Dr. Streyffeler is able to discern between those who are truly victims and those who are claiming to be victims in order to get a ‘leg up’ in the court process. Sadly, all too often non-victims use domestic violence allegations, when going through a divorce (or other legal matter), in order to manipulate the court (i.e. attorneys, mental health professionals/ parenting evaluators, judicial outcome).

    “Guns for hire” are not experts. They are people who use their credentials and experience to financially prey on those struggling in the legal system. “Guns for hire” often make sure that their opinion matches the retainer, even if it doesn’t fully match the facts. Dr. Streyffeler will only accept cases that she believes her expert testimony (and/or consultation) will bring justice, not just dollars.

    Dr. Streyffeler provides both forensic and victim related expert witness testimony in both and criminal and civil court cases. She has provided trial consulting services to the State Attorney offices throughout Florida. She has testified and consulted in battery and murder cases on the issue of Domestic Violence, Battered Spouse Syndrome, and/or Sexual Violence. Dr. Streyffeler has also provided forensic services in civil court cases on behalf of numerous victims of domestic violence who are or have been victims of domestic violence and/or sexual assault.

    In addition to being a Board Certified Expert in Traumatic Stress and a Diplomate of the National Center of Crisis Management, in Collaboration with the American Academy of Experts in Traumatic Stress, Dr. Streyffeler is certified as an expert in both domestic violence and forensic counseling by the National Association of Forensic Counselors.

    Dr. Streyffeler is listed as an expert witness in domestic violence, sexual violence, and trauma in the National Center for Crisis Management in Collaboration with the American Academy of Experts in Traumatic Stress list of experts.

    View Dr. Streyffeler's Consulting Profile.
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    Dr. John C. Shershow
    240 Central Park South Suite 2H
    New York NY 10019
    USA
    phone: 800-388-9299
    Dr. John Shershow is a nationally known expert in all aspects of Hospital and Clinic Administration. In his nearly 20 years of experience as a Senior Hospital Executive and Healthcare Consultant, Dr. Shershow has surveyed or consulted to hundreds of hospitals, both as an accreditation surveyor for JCAHO and as a private consultant for hospitals nationwide.

    Dr. Shershow has been Medical Director of two prestigious hospitals and an Associate Dean of a nationally known medical school. He is Board Certified and was educated at Harvard, Yale and the University of Southern California.

    Areas Of Expertise Include:
  • Hospital Administration
  • Staffing
  • Quality of Care
  • JCAHO Accreditation
  • Medical Quality Assessment and Review
  • Medical Staff Affairs
  • Hospital And Ambulatory Standards of Care
  • Patient Rights
  • Health Care Risk Management
  • Medical Quality Assurance
  • Administrative Medicine
  • Peer Review
  • JCAHO Standards
  • Physician Credentialing & Privileging
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    Jon R. Wampler
    Healthcare Management Consultant
    88 Westcourt Ln
    San Antonio TX 72857
    USA
    phone: 949-933-8823
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    Jon R. Wampler, the former CEO/President of PacifiCare of California, has over thirty years of experience in Healthcare Management. His experience running a Fortune 200 sized company and working with large national employers as well as governmental agencies gives him unique insight into this country’s healthcare system.

    Experience operating a $6 Billion, 4000 employee HMO/Medicare risk program serving 2.2 Million insureds puts Jon Wampler in the company of very few CEOs in the US. The breadth of his experience in almost every facet of managed health care enables him to integrate knowledge from a wide variety of sources to bring to bear in the area of expert witness testimony.

    Mr. Wampler provides litigation support services to attorneys for both Plaintiff and Defense. He is often able to focus the strategic direction of a case based upon nuances a less experienced or informed expert would miss. Having testified as an expert witness approximately 20 times, Mr. Wampler speaks plainly and directly, is easily understood, and projects confidence in his presentations.

    Areas of Expertise:
    • Managed Healthcare Operations
    • Physician, Hospital and Ancillary Care Contract Negotiations
    • Capitation
    • Sales and Marketing Operations
    • Training, Development, Team Building
    • Building Medical Groups
  • Directing Service Area Expansions
  • Acquisitions
  • Member Services Management
  • Credentialing and Credential Review
  • Finance
  • Human Resources
  • View Jon Wampler's Consulting Profile.
    5/14/2014 · Healthcare
    When Congress recessed and members returned to their districts, they mostly heard, "Keep your hands off my healthcare!" In light of the government's recent inability to successfully establish, operate and pay auto dealers accurately and on time in a straightforward and seemingly simple process (cash for clunkers), what can we expect from a government bureaucracy charged with operating an extremely complex healthcare system that is neither straightforward nor simple?