Goals Of Care Expert Witnesses

Walnut Creek, California

Nursing Homes - Nursing Home, SNF, Skilled Nursing Facility, Hospice, Infections, Palliative Care, Geriatrics, Dementia, Neglect, Goals of care, Delirium, Polypharmacy, Alzheimer's, COVID, Bed Sores, Pressure Ulcers, Medical Malpractice, long term care, Hypertension, Diabetes

Dr. Taher is board-certified in Internal Medicine. He completed his residency in Internal Medicine at the Alameda County Medical Center in Oakland, California, and a Rheumatology Fellowship at the University of California, San Francisco. His practice focuses mainly on skilled nursing facilities, caring for adult geriatric patients, including patients in sub-acute facilities who are ventilator-dependent. He has extensive experience in all aspects of nursing home care, including fall prevention, pain management, treatment of diabetes, hypertension, stroke, end-of-life care, common infections, and policies and procedures related to skilled nursing homes. He is currently the Medical Director at three San Francisco Bay Area skilled nursing facilities, one of which includes a sub-acute unit. He also serves as a hospice medical director. Specialty areas include; COVID-19, nursing homes, long-term care, medical negligence, elder abuse/neglect, nursing home falls, physical and chemical res...

Millbrae, California

Nursing Homes - Nursing Home, SNF, Skilled Nursing Facility, Hospice, Infections, Palliative Care, Geriatrics, Dementia, Neglect, Goals of care, Delirium, Polypharmacy, Alzheimer's, COVID, Bed Sores, Pressure Ulcers, Medical Malpractice, long term care, Hypertension, Diabetes

Dr. Andrew Ng is board-certified in Internal Medicine. He began practice working as a hospitalist in the acute care setting both in Michigan and then in California. After starting part-time work caring for patients in the skilled nursing environment, Dr. Ng transitioned to full-time practice in Skilled Nursing Facilities (SNF) and long-term care settings. Dr. Ng specializes in short-term and long-term care for patients who reside in SNFs. He is aware of the intricacies involved in providing care in this setting and appropriate standards of care. He can provide efficient case reviews in all aspects of nursing home care. Specialty areas include; COVID-19, nursing homes, long-term care, medical negligence, elder abuse/neglect, nursing home falls physical and chemical restraints, elopement, dementia, memory care, geriatric polypharmacy, bedsores (pressure wounds or pressure ulcers), nursing home infections (MRSA, VRE), dehydration, geriatrics, head trauma, accidental and suspected non...

Beverly Hills, California

Geriatrics, Internal Medicine - Gerontology, Elder abuse, life expectancy, falls, functional decline, medical malpractice, standard of care, nursing homes, assisted living facilities, hospitals, accidents, neglect, hospice, palliative care, goals of care, end of life

I have 20 years experience as an expert witness. I am a Professor of Medicine and have extensive experience as a medical director, chief and clinician and can opine on standard of care in hospital, nursing home, assisted living facilities, and ambulatory care setting, as well as life expectancy, functional decline, elder abuse and neglect. I am a subject matter expert in geriatric syndromes including but not limited to dementia, delirium, falls and injury prevention, polypharmacy, functional decline, goals of care. I am triple board certified in Internal Medicine, Geriatric Medicine and Hospice & Palliative Care Medicine.

Fort Collins, Colorado

Family Medicine, Hospice and Palliative Care - Hospice Medicine, End-of-life decision making, Goals of care documentation, Capacity assessments, Medical ethics, Palliative care, Functional decline, DNR/DNI decisions, Geriatrics, Terminal agitation and sedation, Medical decision-making capacity, Goals of care, Standard of care in terminal illness

I am a board-certified family physician and practicing hospice medical director with over 15 years of clinical experience in outpatient care and end-of-life settings. I maintain an active clinical practice and hold an unrestricted medical license. I provide expert medical opinions on standard of care, causation, and medical decision-making capacity in hospice and palliative care settings, as well as primary care. I work directly with attorneys representing plaintiffs or defendants in cases involving: • Delayed or missed hospice or palliative care referrals • Inappropriate or premature withdrawal of life-sustaining treatments during end-of-life transitions • Failure to assess or document decision-making capacity • Poor interdisciplinary communication within hospice and palliative teams • Missed diagnoses or delayed treatment in primary care • System-level care coordination failures in hospice or palliative care transitions My reviews address both individual clinician conduct and b...

Gainesville, Georgia

Hospice and Palliative Care, Geriatrics - Hospice Fraud, Terminality, Medical Necessity, Capacity Assessments, Testamentary Capacity, Undue Influence, Standards of Care, Palliative Medicine, Geriatrics, Medicare Compliance, False Claims Act, Informed Consent, Patient Autonomy, Goals of Care, Surrogate Decision-making, Dementia, Terminal Prognosis, Advance Directives

As a board-certified physician in Hospice and Palliative Medicine, I have been at the forefront of the field for over two decades. In 2008, I founded and developed WellStar Health System's Palliative Care program, establishing the clinical protocols, ethical frameworks, and documentation standards at a time when only one other program (Emory) existed in the region. Having served as a hospice medical director before Face-to-Face (F2F) documentation was a regulatory requirement, I have experienced the full evolution of hospice oversight. This foundational experience provides me with a unique and historically grounded perspective on the National Standard of Care. I bring extensive clinical experience in leading high-stakes goals-of-care conversations and thoroughly documenting patient wishes. I have firsthand experience with the nuances of family disagreements and the challenges of evaluating the validity of Advance Directives. My forensic expertise lies in determining whether clinica...

Houston, Texas

Hospice and Palliative Care - Hospice, Palliative, LCD, Hospice eligibility, fraud, OIG, end-of-life, terminal, medicare, medicaid, compliance, CMS, hospice malpractice, medical record review, life expectancy determination, capacity, goals of care, standard of care, wrongful death

Dr. Tiffany Richter is a Hospice and Palliative Medicine & Family Medicine board certified physician with more than 17 years of experience in hospice and palliative care. Throughout her career, she has served in clinical, administrative, and executive leadership roles, including Hospice Medical Director and Chief Medical Officer, overseeing the delivery of care to thousands of patients across multiple states and diverse healthcare settings. Dr. Richter possesses extensive expertise in Medicare hospice eligibility, prognostication, hospice documentation, regulatory compliance, quality improvement and physician oversight. She has significant experience reviewing medical records, evaluating clinical decision-making, assessing hospice eligibility determinations, and interpreting Centers for Medicare & Medicaid Services (CMS) regulations and Local Coverage Determinations (LCDs). In addition to her clinical and leadership experience, Dr. Richter has participated in administrative and ...