Health Care Law

Worked closely with medical staff leadership for health system with separate medical staffs on credentialing, privileging, professionalism and effectiveness, quality and peer review matters for medical staffs, GME residents/fellows and advance practice providers. 

Managed and developed medical staff bylaws and governing documents for multi-hospital health system with separate medical staffs to standardize the processes and bylaws language for credentialing, privileging, peer review and corrective action across the system.

Advised and worked closely with medical staff leadership to conduct reviews of medical staff governing bylaws, rule and regulations, policies and procedures for compliance with Medicare conditions of participation, applicable law and private accreditation standards (i.e., TJC, HFAP, DNV/NIAHO) making recommendations for standardization and industry best practices.

Complete redraft of medical staff bylaws, rules and regulations, credentialing, peer review and fair hearing policies for a large health system with separate medical staffs.

Worked closely with teaching faculty and hospital leadership for academic medical center with over 100 training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Advised and conducted reviews of hospital and GME policies and procedures for sponsoring institution and program compliance with Medicare conditions of participation and ACGME requirements. Developed and negotiated affiliation agreements and program letters for education and clinical training of residents and fellows.