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Jail Correctional Medical Director Expert Witness

Provides Opinion & Testimony In:

Jail Medicine, Jail Correctional Medical Director Osteopathic Doctor, Jail Correctional Medical Director Correctional Medicine, Prisoner Medicine, Prison Medicine, Jail Medical Director, Nursing Home Care, Geriatrics, Hospital Medical Administration, Occupational Health, Public Health, Tuberculosis, TB, HIV, Environmental Health, Ambulatory Care Medicine, Physician Credentialing, Urgent Care, Osteopathic

Expert Witness No.965

California

Professional Experience:

7/2012- Present, Site Medical Director, California      
Oversee clinical care for largest jail system between Los Angeles and San Francisco. System consists of 4 jails, including a Juvenile Detention Center.

4/2012 – Present, Consultant on Medicare Risk Adjustment
Consultant advising on Clinical Risk and Quality Verification   

8/2010 - 4/2012,  Medical Director, Westchester County, N.Y.  Dept. of Corrections
Oversee clinical care for largest jail system outside New York City. System recently privatized.
Helping re-build bridges with Westchester Medical Center and New York Medical College
Monitor contracts with Mount Vernon Hospital and Westchester Medical Center
Hired new  Psychiatric staff
Hired new Nursing and Nurse Practitioner staff
Hired new Health Service Administrator
Successfully passed American Correctional Association and National Commission  on Correctional Health Care Accreditations
Instituted Electronic Medical Record
Helped to become most profitable site for private correctional health care company

6/2010- 9/2010, Consultant, NY
Consultant advising on planning, developing and hiring  for new startup company specializing in ambulatory care clinics in NYC metropolitan area.  .

6/2010- 8/2010, Consultant/Attending Physician.
Health care consultant to large multi-state Correctional Health Care Company based out of Tennessee. New contracts overseeing 1700 inmates at Westchester, New York 
Jail with inadequate Medical, Nursing and Administration. Advising Corporate Chief Nursing Officer, Corporate Chief Medical Officer and Health Services Administrator to upgrade medical, psychiatric and nursing care
to meet American Correctional Association and National Commission on Correctional Health Care standards of care.
Helping to re-do Policies and Procedures specific to Westchester County Jail.
Helping set- up and run Chronic Care clinics.
Streamline and simplifying consultant and out of facility diagnostic services
Restoring good working relationship with correctional staff.
Working on improving Medical Records accessibility.
Educating new correct care solutions staff on cost conscious delivery       
of quality care.

11/2009- Present, Houston, Texas
Correctional care consultant to OSS. OSS is a law enforcement consultant agency comprised of police, jail, security and correctional care experts.
We advise county, state and federal agencies on law enforcement policy and procedure development, medical policy and procedures development, professional risk management and security or police training.
Helped to evaluate the Correctional Medical and Mental Health system for Northumberland County, Pennsylvania.
Helped write and re-write Correctional Health Policies and Procedures and Jail Security Policy and Procedures.
Helped to select and interview private correctional health contractor to implement policies and procedures.
Helped defend County of Northumberland against a Section 1983 Class Action suit concerning security and correctional health and safety issues. 

4/2008- 5/2010, Medical Director, Yonkers, N.Y.
Largest long-term care developmental disability facility in N.Y. State. Administrative and medical oversight for developmentally disabled individuals in other non-profit, private, governmental living facilities, day programs, educational and rehabilitation programs throughout Westchester, Orange and Rockland County, N.Y. Oversee quality of care, cost of care, regulatory compliance, modernization of not-for-profit long-term care developmental disability organization
stretching over three counties in New York, with covered population of over 1.5 million people, multiple large facilities, Group Homes, Day Programs, Schools and public-private facilities. Oversee acute-care hospitalization of our residents at two tertiary care medical centers and two community hospitals, a nationally recognized palliative care hospital and two sub-acute rehabilitation facilities stretching over two New York counties.Extended Medical Directors job from overseeing largest long-term care facility in New York to overseeing all aspects of care, all regulatory compliance,
budgeting, cost of care and cost of modernization throughout the organization and to all facilities in the three-county coverage zone.
Under budgetary constraints in late 2008, brought cost-containment to clinical care while increasing quality for medical, surgical, pharmaceutical and podiatric services as evidenced by best survey results from Office of Mental Retardation and Developmental Disability (OMRDD) in years.
Instituted verifiable infection control procedures throughout organization.
Assisted in redesign of clinical space, administrative space, nursing and maintenance space for largest developmental disability facility located in Yonkers N.Y.
Met budget mandated by New York State.
Successfully managed outbreaks of H1N1, RSV and MRSA receiving commendation from OMRDD and NYS Department of Health.
Redesigned efficient use of school/programs and active movement rehabilitation center to optimize institutional resources and staff within budgetary constraints.
Redesigning computer-assisted E-prescription system for organization to decrease med errors, medical costs, and pharmaceutical costs and increase efficiency.
Consolidated clinical departments with resultant efficiencies and cost savings through elimination of jobs and cross-training of clinical staff.

3/1995-3/2008, Medical Director of Health and Hospitals, Medical Director, Nursing Care Center, and County Jail
Facilities included a 120-bed medical/rehab/psych facility, a 350-bed skilled nursing facility, a 40-bed Alzheimer’s unit, and a 300-bed jail
Responsible for quality assurance, credentialing, personnel budget, pharmacy budget, morbidity and mortality review, medical staff, and long-range planning for new acute care hospital. Oversee care at hospital, nursing home, Alzheimer’s unit, outpatient health clinics, and correctional health care.
Oversee JCAHO and NCCHC accreditation, liaison to County Executive, County Legislature and Commissioners of Mental Health, Social Services and Health Department.Enacted emergency care plan on hiring to meet Article 28 deficiencies found in NYS Department of Health survey.  Passed next inspection with no deficiencies.
Within 3 years of hiring, eliminated  taxpayer contribution to health care budget.
Privatized dental services, with increase in quality and cost savings.
Privatized pharmaceutical services then unprivatized services with resultant better quality and lower cost.
Investigated privatizing physician services, which resulted in increased physician productivity without need to privatize.
Helped design new hospital/nursing home for 2011 construction.
Won prestigious Palisades Institute of Dominican College Quality Improvement Award and in 2004 was asked to sit on Board of Governors of Palisades Institute.
Guided jail through first National Commission on Correctional Health Care accreditation and became first NCCHC accredited jail in Northern Hudson River
Valley.
Underwent four successful Joint Commission surveys covering hospital, behavioral and long-term care.

1998-2000, Acting Medical Director, Health Department, New York
Co-managed health department on interim basis.
Helped train new Health Commissioner from private sector.
Instrumental in discovering and identifying West Nile Virus (2nd confirmed case in U.S. was in Rockland N.Y.)
Brought quality assurance methods to oversight of health department
Expanded HIV and TB clinics.
Proposed and designed expansion of public health clinics to cover indigent and illegal aliens in Rockland County.

1/1994-2/1995, Acting Chairmen, Department of Emergency Services, Director of Residency Training, Emergency Medicine Residency,
Private Hospital and Private Hospital, Weil Cornell School of Medicine
Started MBA and worked as a part-time physician at only center for Emergency Medicine training in Brooklyn New York. After MBA, CEO of  Hospital asked me to help reorganize the emergency department after a poor evaluation by the Residency Review Committee of the ACGME.
I agreed to a medium term assignment to turn department around.

4/1991-5/2002, Part-time Attending Physician, Emergency Department, The Private Hospital Center

5/1987-4/1991, Director of Emergency Medical Service, Private Hospital, Attending Physician, Private Hospital, Department of Medicine,Department of Surgery and Department of Ambulatory Care.
City Public Hospital attached to Private Medical Center and the Private School of Medicine. Oversaw medical section, surgical section, pediatric section, and psychiatric emergency departments. Oversaw all resident training in four emergency department sites. This included residents in internal medicine, surgery, pediatrics, family medicine, ob-gyn, physician assistants and nurse practitioners. Oversaw budget for emergency services.
Started affiliation with emergency medicine residency at Private Hospital.
Increased surgical coverage on night and weekends.
Mandated and accomplished ensuring all EM attending and all full-time nurses were ACLS. PLS and ATLS certified.

5/1986-5/1987, Associate Program Director, Residency Training Program, Department of Emergency Medicine, Private Hospital

1985-1986, Assistant Director, Training Program in Emergency Medicine at Private Medical School, Philadelphia, Pennsylvania

1983-1986, Attending Physician in Emergency Medicine, Private University Hospital, Philadelphia, Pennsylvania

1978-1980, General Medical Practice, Cleveland, Oh

Education and Training:

7/1991-6/1994, Masters in Business Administration Executive Program, Stern School of Business, New York University

8/1981-6/1983, Emergency Medical Residency, Louisiana State University, School of Medicine, New Orleans, Louisiana; Chief Resident, 1982-1983

9/1980-7/1981, Emergency Medicine Residency, Martin Luther King Jr. Hospital, University of California at Los Angeles School of Medicine

7/1977-6/1978, Rotating Internship, Brentwood Hospital, Cleveland, Ohio

9/1973-6/1977, Doctor of Osteopathy, Chicago College of Osteopathic Medicine, Chicago, Illinois

9/1970-9/1973, Ohio State University – Columbus, Ohio, B.S.

BOARD CERTIFICATION AND LICENSURE:

American Board of Quality Assurance, Diplomate, 2001
Recertified 2004
Recertified 2007
American College of Emergency Medicine, Fellow, 1986
American Board of Emergency Medicine, Diplomate, 1984
Inactive Status 2001-2006
Recertification in Process
Medical Board, State of New York

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