Healthcare Quality Control Expert 43031 CA(S)

Expertise Description

I have over 40 years experience in quality control, cost containment, organizational leadership, and other critical needs areas in health care delivery, as well as general health care business law, professional liability, labor laws, medical staff credentialing, process, medical staff bylaws, rules and regulations, provider-based physician contracting, hospital-physician relations, media and agency issues, administrative policies and procedures, community standard of administrative practice and JCAHO accreditation, JCAHO credentialing, and licensing and regulatory compliance. I have more than 20 years expert witness experience with consultations, deposition, and courtroom testimony.

Areas of Expertise

Expert Witness

My expert witness experience includes: Medical staff credentialing and clinical privileging – ELAM; Hospital-physician relations – MEIJA & Ostensible Agency; Hospital administrative community standards; Medical staff bylaws, rules, and regulations; Provider-based physician contracting negotiations and contract administration; Hospital join commission accreditation, licensing, certification, and regulatory compliance; Wrongful termination/constructive discharge/whistle-blower issues; Patient rights, informed consent; Patient safety, environment of care; Governance, corporate negligence.

Consulting Experience

My consulting services include: Physician/hospital collaboration; Medical staff development; Hospital and healthcare facility business development; Hospital administrative policy and procedure development; Human resources management; Healthcare facility marketing and sales; Hospital delivery system development; Hospital strategic planning.

Professional Experiences

My professional experience includes: President of consulting firm that provides healthcare management services to various healthcare providers; Over 30 years of hospital administration experience. I have consulted on at least 30 occasions in matters where allegations of negligent credentialing were an issue in the case. I have also testified as an expert regarding the negligent credentialing issue in several of those 30+ cases.

Relevant Experiences

I am very familiar with the issue of medical licensure in the context of both the credentialing of licensed independent practitioners, (e.g., physicians, dentists, podiatrists, nurse practitioners, etc.) as well as the negotiation, administration, and monitoring of provider-based physician agreements. I have served as a hospital executive in several different settings during which I actively involved in the credentialing process at both the medical staff organization and the governing body levels. In addition, as a hospital executive, it was one of my responsibilities to make certain that we maintained compliance with all Federal and state laws and regulations with respect to all aspects of provider-based agreements and that the agreements were current and up-to-date.


JDLawSouthwestern Law School
MPHPublic Health (Hospital Administration)University of California Los Angeles
BAPolitical ScienceUniversity of California Los Angeles

Licenses Certifications

Pre-medical studies
University of Southern California

Awards & Affiliation

Primary Affiliation

Hospital Council of Southern California

Partial List of Consulting Expert Witness Cases