Anderson Medical Legal Consulting

EXECUTIVE SUMMARY

* Over 30 years of hospital and healthcare experience

* Clinical expertise in obstetrics, pediatrics, neonatal intensive care and compliance

* Administrative expertise in medical staff peer review, regulatory compliance, quality improvement, utilization review, case management, discharge planning, physician order set development, record audits and Medicare compliance

* Deep understanding of how a hospital runs

PROFESSIONAL EXPERIENCE

Anderson Medical Legal Consulting, LLC Decemeber 2008-present
President/Owner

* Consult with attorneys on medical related cases by screening cases for merit and providing medical
record analysis and summary, including chronologies.

* Review pertinent documents such as policies, regulatory standards, that will assist attorneys in
developing cases.

* Assist with causation issues and assessing damages and injuries and contributing factors

* Assist with preparation of demonstrative evidence.

* Attend independent medical examinations and consult with healthcare providers involved.

* Identify potential tampering of records.

* Assist with finding testifying experts, analyzing expert reports, depositions and testimony, and serving as liaison between the attorney and the medical experts.

* Organize all medical records and related reports for use in case preparation, deposition and trial.

* Research standards of medical and nursing practice and incorporate findings into summary reports for use by the attorney. Analyze the validity of research used by the opposing parties.

* Assist in preparing interrogatories and requests for production.

* Interview plaintiff and defense clients, witnesses and experts

* Assist with cases involving fraud, billing audits and other regulatory matters

Rasmussen College July 2009 to present
Adjunct Faculty – Allied Health Instructor

* Currently teaching several classes in the Allied Health Program

NCH Healthcare System, Naples, FL 1990-October 2008
Director of Quality and Strategic Clinical Development

* Provided direction and daily coordination of staff responsible for quality, utilization review/case
management

* Development/distribution of physician performance profiles (individual and group) and analysis for
patterns and trends that support the re-credentialing process

* Coordinated medical staff peer review activities.

* Responsible for Medicare and Joint Commission compliance and survey preparation. Participated in scheduled and non-scheduled state, federal and accreditation surveys.

* Implemented Documentation Management Program focused on improving accuracy of medical record documentation.

* Developed the first Case Management program for NCH and was responsible for implementation of
clinical pathways that were a precursor to standardized, evidence based physician order sets.

Professional Foundation for Healthcare, Tampa, FL 1986-1989
Regional Manager/Review Staff:

PFHC was the statewide quality improvement organization for Medicare and Medicaid programs
responsible for the utilization and quality review activities in all Florida hospitals. Responsible for 18 southwest Florida hospitals and all nursing staff assigned to hospital-based review activities.

* Maintained positive relationships and ongoing communication with all hospitals in the region.

* Employee management, including assignment, evaluations, education and competencies.

* Responsible for meeting review deadlines according to Medicare contract requirements.

* As review nurse, was initially responsible for all review activities and hospital relationship management of one large hospital.

CLINICAL BACKGROUND

* Neonatal Intensive Care Unit/Transport Team, All Children’s Hospital, St. Petersburg, FL

* Neonatal Intensive Care Unit, Denver Children’s Hospital, Denver, CO

* Associates in Pediatrics (Pediatric group practice), Sarasota, FL

* OB Department (Labor/Delivery/Post-partum/Nursery) St. Joseph’s Hospital, Port Charlotte, FL

PERSONAL STRENGTHS

* Project management/completion within required timeframes

* Prioritization/organizational skills/time management

* Excellent verbal and written communication and presentation skills

* Strong analytic skills

* Positive attitude, enthusiasm and loyalty

* Strong work ethic

* Broad knowledge of healthcare operations and regulatory issues

EDUCATION, TRAINING, & SOFTWARE

* Bachelors of Science in Management
International College, Naples, FL

* Associate of Science in Nursing
Manatee Community College

* Certified Legal Nurse Consultant
Vickie Milazzo Institute

* Member, National Alliance for Certified Legal Nurse Consultants (NACLNC)

* Green Belt Certification
Juran Institute

Multiple Management and Leadership Courses
Microsoft Office (Word, Excel, PowerPoint & Publisher)
Medical Information Technology (Cerner)
Premier Clinical Advisor
Institute for Healthcare Improvement (various programs)



			EXECUTIVE SUMMARY * Over 30 years of hospital and healthcare experience * Clinical expertise in obstetrics, pediatrics, neonatal intensive care and compliance * Administrative expertise in medical staff peer review, regulatory compliance, quality improvement, utilization review, case management, discharge planning, physician order set development, record audits and Medicare compliance * Deep understanding of how a hospital runs PROFESSIONAL EXPERIENCE Anderson Medical Legal Consulting, LLC Decemeber 2008-present President/Owner * Consult with attorneys on medical related cases by screening cases for merit and providing medical record analysis and summary, including chronologies. * Review pertinent documents such as policies, regulatory standards, that will assist attorneys in developing cases. * Assist with causation issues and assessing damages and injuries and contributing factors * Assist with preparation of demonstrative evidence. * Attend independent medical examinations and consult with healthcare providers involved. * Identify potential tampering of records. * Assist with finding testifying experts, analyzing expert reports, depositions and testimony, and serving as liaison between the attorney and the medical experts. * Organize all medical records and related reports for use in case preparation, deposition and trial. * Research standards of medical and nursing practice and incorporate findings into summary reports for use by the attorney. Analyze the validity of research used by the opposing parties. * Assist in preparing interrogatories and requests for production. * Interview plaintiff and defense clients, witnesses and experts * Assist with cases involving fraud, billing audits and other regulatory matters Rasmussen College July 2009 to present Adjunct Faculty – Allied Health Instructor * Currently teaching several classes in the Allied Health Program NCH Healthcare System, Naples, FL 1990-October 2008 Director of Quality and Strategic Clinical Development * Provided direction and daily coordination of staff responsible for quality, utilization review/case management * Development/distribution of physician performance profiles (individual and group) and analysis for patterns and trends that support the re-credentialing process * Coordinated medical staff peer review activities. * Responsible for Medicare and Joint Commission compliance and survey preparation. Participated in scheduled and non-scheduled state, federal and accreditation surveys. * Implemented Documentation Management Program focused on improving accuracy of medical record documentation. * Developed the first Case Management program for NCH and was responsible for implementation of clinical pathways that were a precursor to standardized, evidence based physician order sets. Professional Foundation for Healthcare, Tampa, FL 1986-1989 Regional Manager/Review Staff: PFHC was the statewide quality improvement organization for Medicare and Medicaid programs responsible for the utilization and quality review activities in all Florida hospitals. Responsible for 18 southwest Florida hospitals and all nursing staff assigned to hospital-based review activities. * Maintained positive relationships and ongoing communication with all hospitals in the region. * Employee management, including assignment, evaluations, education and competencies. * Responsible for meeting review deadlines according to Medicare contract requirements. * As review nurse, was initially responsible for all review activities and hospital relationship management of one large hospital. CLINICAL BACKGROUND * Neonatal Intensive Care Unit/Transport Team, All Children’s Hospital, St. Petersburg, FL * Neonatal Intensive Care Unit, Denver Children’s Hospital, Denver, CO * Associates in Pediatrics (Pediatric group practice), Sarasota, FL * OB Department (Labor/Delivery/Post-partum/Nursery) St. Joseph’s Hospital, Port Charlotte, FL PERSONAL STRENGTHS * Project management/completion within required timeframes * Prioritization/organizational skills/time management * Excellent verbal and written communication and presentation skills * Strong analytic skills * Positive attitude, enthusiasm and loyalty * Strong work ethic * Broad knowledge of healthcare operations and regulatory issues EDUCATION, TRAINING, & SOFTWARE * Bachelors of Science in Management International College, Naples, FL * Associate of Science in Nursing Manatee Community College * Certified Legal Nurse Consultant Vickie Milazzo Institute * Member, National Alliance for Certified Legal Nurse Consultants (NACLNC) * Green Belt Certification Juran Institute Multiple Management and Leadership Courses Microsoft Office (Word, Excel, PowerPoint & Publisher) Medical Information Technology (Cerner) Premier Clinical Advisor Institute for Healthcare Improvement (various programs)