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Hospital Administration Expert Witnesses

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Michael F. Arrigo
620 Newport Center Drive
Suite 1100
Newport Beach CA 92662
USA
phone: 949-335-5580 x101
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Michael F. Arrigo, CPHIT, CPEMR, is Managing Partner of No World Borders works with health systems, health IT companies, and health plans and provides opinions in compliance with Rule 702 based on his knowledge, skill, training, education and experience based on facts in the case, and application of testable principle and methods.

Professional Summary:
  • Expert for work with health system, health IT company, and insurance firm in landmark federal trade commission case
  • Quoted in Wall Street Journal, New York Times; regular speaker, published as expert in the field
  • Clinician, coder, medical billing, claims, E.H.R, practice management software, and regulatory usual, customary and reasonable (UCR) medical and prescription charges experience
Litigation Support - Mr. Arrigo provides expert opinions in matters at county, state, and federal levels. He has worked on cases regarding individual plaintiffs and defendants, city governments, law enforcement agencies, insurance firms, and hospital systems and physician groups, as well as class action law suits with tens of thousands of members throughout the U.S.

Mr. Arrigo has the ability to explain complex concepts such as HIPAA EDI, claims, payor-provider contracting and resultant reimbursement, and other processes to lay-persons and the Court in expert reports, depositions and at trial. He has balanced plaintiff / defendant law firm engagement experience.

Education:

Currently studying at Stanford Medical School in biomedical informatics, business degree from University of Southern California, studies in economics, computer science and statistics at the University of California Irvine.

Areas of Expertise:

  • Affordable Care Act
  • Coding & Billing
  • Health Care Administration
  • Health Care Finance
  • Health Care Policy & Procedures
  • Health Care Regulations
  • Insurance Laws and Regulations
  • HIPAA Privacy & Security
  • HITECH Act
  • HMO / Managed Care
  • Hospital Records
  • ICD-10
  • Insurance Claims
  • Insurance Compliance
  • Insurance Fraud
  • Medicare
  • Meaningful Use of Electronic Health Records
  • Medicaid
  • MRI, CT Scans
  • Medical Records Review
  • Regulatory Issues
  • Cost Benefit Analysis
  • Online Privacy & Security
  • Usual, Customary & Reasonable (UCR) Medical Costs


  • View Michael Arrigo's Consulting Profile.
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    William C. Mohlenbrock, MD, FACS
    816 C Avenue
    Coronado CA 92118
    USA
    phone: 858-354-0415
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    William (Bill) C. Mohlenbrock, MD, FACS, has practiced General Orthopedics and Trauma Care, including total joint and arthroscopy surgeries and sports medicine and related injuries for many years at Scripps Memorial Hospital in La Jolla, California. He is senior physician in a group of 8 orthopedic surgeons and 2 Physician Assistants.

    In addition to orthopedic experience, Dr. Mohlenbrock is a nationally recognized expert in the objective assessment of hospital medical outcomes, Clinical Quality and Cost Efficiencies for inpatient care. He has consulted for hospitals who have found themselves in potential legal situations where the quality of their clinical care has been called into question.

    Dr. Mohlenbrock received his BS degree from the University of Illinois and his MD from the St. Louis University School of Medicine. He holds fellowships in the American Academy of Orthopaedic Surgeons, American College of Surgeons and the American Association of Physician Leadership. He is a noted lecturer and has published numerous articles on measuring and improving the quality and cost efficiency of medical care.

    Comprehensive Quality Data used to Defend Hospitals for Med Mal


    Litigation Support - Attorneys wishing to take advantage of Dr. Mohlenbrock's orthopedic and quality assessment experience as well as his communication skills, will receive unbiased, evidence-base opinions. He assists the legal profession whose clients are either plaintiffs or defendants.

    Areas of Expertise:
    • Orthopedic Surgery
    • Adult Reconstructive Surgery
    • Total Joint Surgery
    • Scoliosis Surgery
    • Arthroscopy Surgeries
  • Sports Medicine
  • Sport-related Injuries
  • Hospital Medical Outcome Assessments
  • Medical Care Efficiency
  • Medical Care Quality
  • View Dr. Mohlenbrock's Consulting Profile.
    The legal strategies for defending hospitals against medical legal liabilities are certainly many and varied. An additional consideration to augment every defense strategy might be contained in each hospital’s own store of big data. Heretofore these data have been underutilized for medical legal purposes...

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    LaTonya Washington, MD, MBA, CPE, FAAP
    2005 Elzey Avenue
    Memphis TN 38104
    USA
    phone: 901-310-8215
    fax: 1-888-859-3997
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    LaTonya Washington, MD, MBA, CPE, FAAP, is physician Board Certified in Internal Medicine and Pediatrics with clinical experience expertise in Hospital Medicine for both adult and pediatric patients. Her experience also includes pediatric urgent care and emergency care.

    Background - In addition to providing care for hospitalized pediatric and adult patients, Dr. Washington has served as a healthcare executive with experience managing an inpatient facility with a focus on clinical integration and physician alignment.

    Litigation Support - Dr. Washington serves as a medical file review consultant utilizing Interqual and Milliman guidelines. Her expertise is available to attorneys for plaintiff and defendant for medical malpractice and other cases involving Hospitals, Healthcare Systems, Insurers for Peer Review, Risk Management, and Utilization Review. Dr. Washington's services include medical chart review for medical standard of care, objective opinions, deposition, and trial testimony.

    Areas of Expertise:
    • Pediatric Medicine
    • Internal Medicine
    • Healthcare Systems
    • Hospital Medicine
    • Hospital Acquired Infections
    • Standard of Care
  • Hospitalist
  • Primary Care Hospital Management
  • Infection Control
  • Pharmacy and Therapeutics
  • Revenue Management
  • Patient Safety
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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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    Dr. Paul Hofmann
    346 Rheem Blvd.
    Suite 101
    Moraga CA 94556
    USA
    phone: 925-247-9700
    fax: 925-247-9702
    Expert Witness: Retained in Washington, D.C., and over 20 states as an expert in hospital administration who could render opinion after assessing medical records, hospital policies and procedures, medical staff bylaws and regulations, JCAHO standards, depositions, etc. Served as Expert Witness for Plaintiff and Defense.

    Consultant: Has assisted hospitals and health systems with accelerating their performance improvement efforts. Speaks, writes and consults on ethical issues in health care.

    Background Highlights:
    • Consultant, Executive Vice President and Chief Operating Officer of health system.
    • Executive Director of two academic medical centers: Emory University Hospital in Atlanta, Georgia, Stanford University Hospital and Clinics at Stanford.
    • Past chairman of the national advisory board for the University of Chicago’s Center for Clinical Medical Ethics.
    • An author of over 175 publications, he has written articles for USA Today, Health Management Quarterly, Trustee, Health Progress, the Journal of Health Administration Education, Frontiers of Health Services Management, Bioethics Forum, Modern Healthcare, the Cambridge Quarterly of Healthcare Ethics, Stanford Medicine, and Healthcare Executive among others.
    • Co-editor of Management Mistakes in Healthcare: Identification, Correction and Prevention, published by Cambridge University Press in 2005.
    • Co-editor of Managing Ethically: An Executive's Guide, published by Health Administration Press in 2001, and a second edition, Managing Healthcare Ethically: An Executive's Guide was published in 2010.
    • Fellow of the American College of Healthcare Executives, a past member of its Leadership Advisory Committee, and a consultant on health care management ethics since 1994.
    • Served as Distinguished Visiting Scholar at Stanford University’s Center for Biomedical Ethics.
    • Recipient of American Hospital Association's Award of Honor in 2009 and an Albert Schweitzer Leadership Award in 2012.
    • Faculty appointments held at Harvard, UCLA, Stanford, Emory, the University of California, and Seton Hall University.
    • Bachelor of Science, Master of Public Health, and Doctor of Public Health degrees are from the University of California, Berkeley.
    In 1989, I agreed for the first time to serve as an expert witness in a case brought by the family of a terminally ill pregnant patient who had a cesarean section performed against her will in a prominent university teaching hospital. Since then, whether retained as a plaintiff or defense expert, I have been surprised and disturbed by the number and types of cases in which hospitals and other health care facilities have been sued.

    Progress has been made on improving patient safety and reducing clinical mistakes, but errors happen and, in spite of everything, patients are still harmed.

    The belated but formal acknowledgement of medical errors and their impact has been well documented.1 Curiously, the topic of management or executive mistakes in healthcare is not raised in professional meetings nor, until recently, addressed by an article in health administration journals

    Paul Hofmann (Editor), Frankie Perry (Editor)
    While increasing attention has been directed recently toward recognizing and reducing medical errors, healthcare organizations have yet to benefit from a similar scrutiny of management mistakes.
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    Gary W Tamkin MD Inc.
    Dr. Gary Tamkin, MD, FACEP
    4 Valley High
    Lafayette CA 94549
    USA
    phone: 925-786-8469
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    I am a board-certified emergency medicine physician. I have been called upon to express opinions in the areas of medical malpractice, personal injury, negligence, standard of care, and causation. I am involved in both plaintiff and defense cases, and expert witness work accounts for less than 5% of my total income.

    My qualifications include:

    o Award-winning emergency medicine physician in active practice with 20+ years clinical experience.

    o Tenured Associate Clinical Professor of Emergency Medicine at University of California San Francisco School of Medicine, regularly lecturing medical students and teaching clinical medicine in the ED.

    o Current VP of company that staffs 35 emergency departments, overseeing more than 800 ER providers in risk management and quality assurance issues

    o Fellow of the American College of Emergency Physicians (FACEP)

    o Past President of the California Chapter of the American College of Emergency Physicians

    o Medical Director of California Highway Patrol

    o Extensive publication and speaking experience in the area of emergency medicine

    o Experienced expert witness

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    Carol Janse, MPH, BSN, RN, CLNC, CNLCP
    Janse LLC - CEO
    324 S. Diamond Bar Blvd #644
    Diamond Bar CA 91765
    USA
    phone: 909-590-3909 or 818-468-9914 (cell)
    fax: 909-591-2712
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    Carol Janse, MPH, BSN, PHN, RN, CEO of Janse Consulting, is a Nurse Life Care Planner and Legal Nurse Consultant serving clients in California and throughout the Country. Ms. Janse has 25 years of clinical and administrative hospital experience. She is masters prepared with an MPH, specializing in Health Education and Program Planning. Ms. Janse has a strong foundation in research which supports her judgment and ability to serve the needs of her clients. Her goal is to provide every client with a thorough and diligent case review or detailed cost analysis supported by evidence based medicine and data research.

    As a legal nurse consultant, Ms. Janse assists attorneys by reviewing medical records, identifying Breaches in Standards of Care and Tampering of Records. She functions under the Scope of Practice governed by the Board of Registered Nurses and is able to assimilate voluminous medical records, research issues and synthesize information into a concise report. As a Life Care Planner, Ms. Janse assesses medical costs, needed services, and goods of an injured person over an estimated life span.

    Ms. Janse provides expert testimony supporting plaintiff or defense counsel. She has experience in high profile and complex cases.

    Areas of Expertise are::
    • Spinal Cord Injuries
    • Multiple Traumas
    • Traumatic Brain Injury
    • CRPS / Chronic Regional Pain Syndrome
    • Amputations
    • Personal Injury / Falls
  • Motor Vehicle Accidents
  • Developmentally Disabled / Cerebral Palsy
  • Elder Abuse
  • Defense Critiques: Renal Failure, Multiple Traumas,Traumatic Brain Injuries, Motorcycle Accident, Gun shot wounds, crushing injuries and hip fractures.
  • View Carol Janse'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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    Paul M. Adler, DO, FACEP, MBA
    PO Box 6743
    Ventura CA 93006
    USA
    phone: 917-974-8073
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    Paul M. Adler, DO, FACEP, MBA, Medical Director for the Ventura County, California, Department of Corrections, has worked in Correctional / Jail/ Prison Medicine since 1995. He has overseen the care of inmates in Jails in California and New York, as well as Prison inmates who have been transferred to county facilities to serve their terms for years in county jails in California. He has also overseen Correctional health car in locked units in Hospitals .

    Dr. Adler is the President-Elect of The American Correctional Health Services Association of California / Nevada, which represents all clinicians and administrators in Jails/Prisons in California and Nevada. He previously oversaw a County Hospital, County Nursing Home and ran a County Health Department and oversaw Correctional healthcare for the Westchester, New York Jail.

    Litigation Support - Dr. Adler has defended Jails and Prisons in Southern California, Idaho, Texas, North Carolina, New York, Pennsylvania, etc. He has been involved in Plaintiff litigation in many states including against Rikers Island, NY and Cook County Jail.

    Dr. Adler still works as a full-time practicing physician and has helped attorneys and insurance companies in Emergency Medicine, Nursing Home Medicine, Public Health and Hospital Administration since 1985. Dr. Adler is available to review and consult on clinical Correctional/Jail/Prison cases for attorneys for both Plaintiff and Defense.

    Services:
    • Screen Cases for Merit
    • Review, Analyze and interpret Medical Records
    • Provide Basic or Comprehensive Written Reports
    • Interpret Standards of Care, Deviation and Adherences as they Relate to Correctional Health Care
    • Develop Chronological Time Lines
    • Policy and Procedure Development
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    Georgia J. Persky, RN, MBA, PhD, CLNC
    Legal Nurse Consultant and Healthcare Executive
    Harrison New York USA
    phone: 914-552-2277
    fax: 914-921-6467
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    Georgia Persky Legal Nurse Consultant Expert PhotoGeorgia J. Persky RN, MBA, PhD, CLNC, is a Columbia University trained nurse researcher with over 40 years of broad Clinical Nursing experience and 25 years of senior leadership in healthcare organizations. She has 20 years of Surgical Nursing and Operating Room experience. Dr. Persky has expertise in the micro issues in adult patient care and the broad management, quality, and regulatory issues in hospitals.

    Background Experience - Dr. Persky served as Vice-President of Nursing and Patient Care Services for New York Presbyterian Hospital at Columbia University Medical Center. For nine years, she was responsible for Patient Care Services, Risk and Quality Management and Patient Satisfaction for a 750 bed academic hospital. She directed a $200 million budget with 33 patient services units and Care Management, Respiratory Therapy, Social Work and Admitting Departments with 9 direct reports and 2,000 patient services FTEs.

    Litigation Support - As a Certified Legal Nurse Consultant and Quality Reviewer, Dr. Persky has investigated hundreds of Malpractice and Injury cases as a quality reviewer and can assist in legal case review with chronologies, timelines, and evidence based reports. She has testifying experience with human resource and employee discrimination cases with ability to attest to standards of care in clinical litigation. Dr. Persky's services are available to attorneys for plaintiff and defense seeking an expert in nursing and patient care with a strong understanding of how hospitals work.

    Areas of Expertise:
    • Nursing Standards of Care
    • Surgical and Perioperative Nursing
    • Quality and Risk Management
    • Fall and Pressure Ulcer Prevention
    • Medical Device Safety
    • HIPPA
  • Hospital Policy and Procedure
  • Medication Safety
  • Nursing Informatics
  • Hospital Administration
  • State, Federal, Joint Commission Regulatory Compliance
  • View Dr. Persky's Consulting Profile.