Jonathan 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 has been involved with 148 legal cases, 40 depositions, and 13 trial testimonies since 2010. Dr. Burroughs is currently a JD candidate at the Concord Law School at Purdue Global International, Los Angeles, California and has received two CALI Excellence for the Future Awards for Highest Performance in both Legal Analysis and Torts. He provides general expert witness services for cases involving:
Negligent Peer Review
Physician Performance Management
Fraud and Abuse
Fair and Judicial Hearings
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.
Dr. Burroughs is the author or coauthor of the following books: Essential Operational Components for High Performing Healthcare Enterprises (2018, awarded the James A. Hamilton Award for outstanding healthcare management book of the year in 2020 by the American College of Healthcare Executives); Redesign the Medical Staff Model-A Collaborative Approach (published by Health Administration Press, January, 2015, awarded the James A. Hamilton Award for outstanding healthcare management book of the year by the American College of Healthcare Executives in 2016); 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.
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:
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.
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
The future of healthcare is clear. The move toward value-based care is happening at an unprecedented rate and requires healthcare enterprises to build delivery models that focus on clinical and business outcomes, not on volume. In this book, Jon Burroughs and other nationally respected experts highlight the operational building blocks necessary to engage, align, and transform healthcare organizations into integrated delivery systems capable of delivering population healthcare outcomes in new ways. They must marshal cutting-edge tools, including cloud-based data storage, disruptive innovation technologies, and strategic partnerships that span the globe.
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.
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.
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.
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.
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.
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.
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.
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.
Hospital Healthcare Management Expert Witness Dennis Coleman
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.
Medical Staff Credentialing & Clinical Privileging / ELAM
Mark A. Smith, MD, MBA, FACS, FACHE, CPHQ, is an independent senior Healthcare Consultant and a Practicing Vascular Surgeon as a Clinical Assistant Professor of Surgery at the University of California, Irvine. Dr. Smith previously served as the Chief Medical Officer with Morrisey Associates Inc/ Morcare LLC for six years. He is a member of HG Healthcare Consultants LLC. Dr. Smith brings over 30 years of clinical practice and hospital management experiences to his work with physicians and hospitals across the United States. He is Board Certified in Vascular Surgery and is a Fellow of the American College of Surgeons, the American College of Healthcare Executives. He is a member of the American College of Physician Executives, the Society for Vascular Surgery and the Southern California Vascular Surgical Society. Litigation Support - Dr. Smith provides expert witness services to attorneys representing plaintiff and defendant. His decades of clinical practice as a surgeon and multiple roles in senior hospital administration to his work on peer review, credentialing, ED call, and other matters involving physicians and hospitals across the United States. He has testified several times in the past 5 years. Areas of Expertise:
Leonard J. Weiss, MD, is a Forensic Psychiatrist with unparalleled qualifications, Board-Certified physician in six distinct and complementary disciplines applied to Medical-Legal questions:
Dr. Weiss has more than 40 years of experience including 20 years as a Board-Certified Psychiatrist, Forensic Psychiatrist and Addiction Psychiatry specialist, preceded by more than 2 decades in Internal Medicine.
As an Addiction Psychiatry specialist, Dr. Weiss developed and served as Chief of the first Dual Diagnosis (Addiction) program at Michael Reese Hospital of the University of Chicago. He has served as Medical Director of (rehab) Austin Lakes Hospital and taught residents at several renowned universities.
Before pursuing his interest in psychiatry, Dr. Weiss practiced Internal Medicine in Michigan where he maintains a Medical License. He has treated patients in psychiatric practice in Atlanta, Georgia, and in 2013 relocated to Austin, Texas.
Dr. Weiss graduated from Wayne State University Medical School and MIT (Mathematics), with residency training in Internal Medicine, Fellowship in Clinical Nutrition, and Psychiatry at, respectively, the University of Michigan Henry Ford Hospital, Memorial Sloan-Kettering Cancer Center in New York (Fellow) and Michael Reese Hospital in Chicago.
Litigation Support: Dr. Weiss has special training and experience in the application of psychiatric knowledge to legal issues, and works in areas where Mental Health and the Legal System overlap, such as Medical Malpractice and Standard of Care. He offers objective evaluations and psychiatric consultation in a wide variety of legal matters, including expert testimony, as well as clinical work with perpetrators and victims.
Dr. Weiss provides IMEs and expert opinions on mental health questions via written report, deposition, or courtroom testimony. He works with attorneys, courts, and other parties involved in actual or potential litigation. His research and assessment and his clinical practice cover areas such as:
Research & Planning Consultants, LP (RPC) has been assisting clients with expert services for over 45 years, including consulting and expert witness testimony for personal injury, healthcare litigation, commercial litigation and Certificate of Need matters. RPC also offers a wide selection of health data. They have served clients across the U.S, from Alaska to Florida and from New England to California.
A Complete Team of Damages Experts for Personal Injury Litigation
Research & Planning Consultants, LP provides the following services:
PERSONAL INJURY - RPC provides comprehensive damages analysis in personal injury litigation. Their expert team has life care planners, vocational evaluators, board-certified physicians, economists and neuropsychologists.
Areas of Expertise include: Life Care Plans, Loss of Earning Capacity or Support, Present Value of Damages, Medical Bill Analysis, Chargemaster Analysis, Neuropsychological Testing & Traumatic Brain Injury, Vocational Evaluations, IMEs, Section 18.001, Prestanding ED Chargemaster Analysis
COMMERCIAL LITIGATION- RPC has provided expert analysis on commercial litigation concerning many industries: chemicals, refining, forestry, waste management, pipelines, water resources, oil and gas EDP, fisheries, agriculture, electrical generating plants, transmission lines, telecommunications, and real estate development. Our special expertise in the healthcare industry has proven valuable to business litigators unfamiliar with this complex industry.
Areas of Expertise: Breach of Contract / Commercial Economic Damages, Construction Disputes, Litigation over Non-Competitive Agreements, Environmental Torts and Toxic Torts, Commercial Disparagement, Wrongful Termination
HEALTHCARE LITIGATION - RPC offers economic, statistical, data and clinical analysis in a wide range of healthcare litigation. They have experience with payment disputes, qui tam litigation, physician-hospital disputes, practice valuations and construction litigation.
Areas of Expertise: Qui Tam Healthcare Litigation, Medical Staff Disputes, Professional Liability, Payment Disputes, Health Facility Construction Disputes, Freestanding ED Chargemester Analysis
CERTIFICATE OF NEED - RPC provides Certificate of Need (CON) planning services nationwide. We have over 35 years of experience developing regulatory strategy, preparing applications and testifying in public and administrative hearings.
Areas of Expertise: Satellite Hospitals, New Hospitals, Relocation and Transfer of Beds, Observation Beds, Geriatric Psychiatric Units, Children’s Hospitals, Comprehensive Inpatient Rehabilitation Units, Neonatal Intensive Care Units, Open Heart Surgery Services, Long Term Acute Care Units, Projects that exceed CON Capital Threshold Limits, Projects for Specifically Listed Services, Programs Requiring CON, Hospices, Senior Living Facilities
Ronald T. Luke, JD, PhD, is a principal consultant and President of RPC, LP. Ron joined RPC in 1976 and became its president and principal owner in 1979. He has consulted on projects for health care providers, managed care plans and public agencies in more than 25 states. He also serves as an expert witness in trials, administrative proceedings and legislative hearings.
Active in the Health Policy Arena, Dr. Luke has been accepted as an expert in Economics, Socioeconomic Impact Analysis, and Policy Analysis by state and federal courts, and state administrative agencies. The types of cases in which he has provided expert testimony include personal injury, contractual disputes, health care payment disputes, construction defects, utility construction permitting, and certificate of need. He has testified on health care matters including market structure, billing fraud and abuse, reasonableness of charges, medical staff credentialing, workers’ compensation fee guidelines, utilization review, physician contracts, and managed care contracts.
Kacy L. Turner, MS, CRC, CVE, CLCP, is a Certified Life Care Planner and Vocational Consultant with RPC. She has over 20 years of experience in Rehabilitation. Ms. Turner has experience writing life care plans for both plaintiff and defense clients. She has experience as a rehabilitation consultant in three states and has been qualified as a testifying expert in state and federal court.
Ms. Turner has worked on cases in several states as well as the country of Trinidad. To determine the pre-injury and post-injury employability in personal injury cases, she provides vocational testing, transferable skills analysis, job requirements analysis, rehabilitation plans, and definition of reasonable accommodations under the American with Disabilities Act. She is a member of the International Association of Rehabilitation Professionals, the Texas Association of Rehabilitation Professionals and Providers of Services, and Vocational Evaluation and Career Assessment Professionals.
Brian Piper, PhD, is an Economist with RPC specializing in Quantitative Analysis and Modelling. He works on a variety of cases including personal injury and certificate of need. He is experienced in data extraction, management, simulation, and analysis using STATA, SQL, ARC GIS and a variety of other programs. Dr. Piper has taught graduate classes in statistics and econometrics in both MBA and Ph.D. programs.
Dr. Piper is an experienced expert, providing testimony, reports, and affidavits on the issues of economic damages in personal injury litigation, healthcare litigation, False Claims Act litigation, and other commercial litigation. He has testified on behalf of plaintiffs and defendants.
Dr. Piper specializes in the economics of healthcare. He has been retained by healthcare providers and insurers in payment disputes. He has analyzed the reasonableness of charges and expected payment for past and future medical services for providers, insurers, plaintiffs, and defendants. Besides work in litigation, Dr. Piper has provided analysis of Certificate of Need applications and the economic impacts of proposed legislation.
Jeffrey M. Wilder, DC, FIANM(us), CCSP, FICC, has 38 years of experience in private Chiropractic Practice. Engaged in private family-oriented practice as a chiropractor in Madison, Wisconsin since 1981, Dr. Wilder has completed a post-doctorate program in chiropractic orthopedics from National College and is a Board Certified Chiropractic Neuromusculoskeletal Specialist, a Diplomate of the American Board of Chiropractic Orthopedists, and a Fellow of the International Academy of Neuromuscular Medicine. This program is successfully completed by less than 1% of the nation’s chiropractors.
Dr. Wilder has also been certified by the American Chiropractic Association Sports Council as a Certified Chiropractic Sports Physician, a 120-hour certificate program dealing with sports training, and the treatment and prevention of sports injuries. He has completed state requirements in physiological therapeutics, surface EMG,and clinical nutrition, among others.
Dr. Wilder has also served as an officer on the Board of Directors for the Congress of Chiropractic State Associations, which commissioned the chiropractic profession’s first nationwide clinical protocol, known as, Guidelines for Chiropractic Quality Assurance and Practice Parameters: Proceedings of the Mercy Center Consensus Conference, 1993, Aspen Publishers, Gaithersburg, MD.
A Past President of the 1,800 member Wisconsin Chiropractic Association, Dr. Wilder had one of the longest terms (6 years) in the 100+ year history of the organization. He currently serves as the representative for the chiropractic profession to the Wisconsin Medicare Carrier Advisory Commission. He has also been a consulting expert to the state of Wisconsin's Worker's Compensation Division for the past 21 years.
Dr. Wilder has taught extensively to chiropractors around the country, providing continuing education. He has been a frequent spokesperson for chiropractic in the press, television and radio, including regular appearances on statewide Wisconsin Public Radio.
Litigation Support: Dr. Wilder has extensive experience over the past 26 years as a court-recognized Chiropractic Expert throughout the United States and Puerto Rico. Dr. Wilder has served as an expert in over 300 cases of alleged Chiropractic Malpractice, Motor Vehicle Accidents and Fraud Review. He has reviewed and testified in court for both plaintiffs and defendants in cases involving chiropractic treatment, including claims of: