Tom-meka Archinard, MD, MBA, FACEP Expert Witness
Curriculum Vitae

Emergency Medicine-Physician Exec/QI/Safety

Contact this Expert Witness

  • Company: Stat Medical Care and Consulting P.C.
  • Phone: 240-234-3621
  • Cell: 240-234-3621

Specialties & Experience of this Expert Witness

General Specialties:

Emergency Medicine and Hospital Administration

Keywords/Search Terms:

Telemedicine, Hospital Operations, Post Acute Care, Quality and Process Improvement, Patient Safety, Emergency Medicine, Graduate Medical Education, Resident Supervision, Advance Practice Provider Supervision, APP supervision

Education:

BS- Cellular and Molecular Biology, Newcomb College of Tulane University; Medical Doctor, Wake Forest School of Medicine at Bowman Gray; MBA, Auburn University Harbert School of Business

Years in Practice:

23

Additional Information

Physician Executive | Emergency Medicine | Hospital Operations | Regulatory & Compliance | Graduate Medical Education | Telehealth & Post-Acute Care I am a board-certified Emergency Medicine physician and senior healthcare executive with extensive experience in acute clinical care, hospital operations, regulatory compliance, graduate medical education oversight, quality and patient safety, and post-acute care delivery. I have practiced in high-acuity emergency departments and have held system-level leadership roles with direct responsibility for clinical operations, regulatory readiness, physician performance, and institutional compliance. My background uniquely integrates front-line emergency medicine with executive oversight of hospital systems, allowing me to provide clear, defensible expert opinions in matters involving standard of care, emergency department operations, resident supervision, EMTALA, regulatory compliance, hospital policies, and systems-based failures. I routinely analyze how staffing, throughput, supervision, documentation, and governance impact patient outcomes. I am offering medical record review, written expert reports, depositions, and trial testimony, and I provide objective, evidence-based opinions grounded in accepted clinical standards, accreditation requirements, and real-world hospital practice. AREAS OF EXPERTISE • Emergency Medicine standard of care • Emergency department operations and throughput • Acute evaluation, diagnosis, and disposition • Hospital policies, protocols, and systems failures • Regulatory compliance and accreditation readiness • EMTALA obligations and emergency care standards • Resident and trainee supervision (teaching hospitals) • Graduate Medical Education (ACGME) oversight • Patient safety events and root cause analysis • Quality improvement and peer review • Telehealth clinical decision-making • Post-acute, subacute, and long-term care • Transitions of care and medical necessity • End-of-life care, capacity, informed consent, documentation PROFESSIONAL EXPERIENCE Board-Certified Emergency Medicine Physician • High-acuity emergency department clinical practice • Rapid assessment and stabilization of complex patients • Time-sensitive decision-making and escalation of care Designated Institutional Official (DIO) • Oversight of ACGME-accredited residency and fellowship programs • Institutional responsibility for supervision, duty hours, and patient safety • Experience relevant to teaching hospital liability and supervision cases Healthcare Executive / Hospital Operations Leader • Oversight of emergency department operations, staffing models, and throughput • Responsibility for regulatory compliance, accreditation standards, and survey readiness • Participation in sentinel event reviews, root cause analyses, and corrective action plans • Physician credentialing, peer review, and professional practice evaluation Telehealth & Post-Acute Care Physician • Telehealth-based assessment, triage, and escalation decisions • Post-acute and subacute care management • Transitions of care and coordination across care settings EDUCATION & CERTIFICATION • Doctor of Medicine (MD) • Residency Training in Emergency Medicine • Board Certified in Emergency Medicine • Active, unrestricted medical license(s) KY, NY, TN, WV, ME, RI, IL, OK, MI, MD, VT, AL, NJ, NH, WI TEACHING & ACADEMIC CONTRIBUTIONS • Teaching and mentorship of residents and physicians • Instruction in clinical judgment, documentation, patient safety, and systems-based practice EXPERT WITNESS SERVICES • Plaintiff and defense case review • Standard of care and hospital operations analysis • EMTALA and regulatory compliance matters • Teaching hospital and resident supervision cases • Telehealth and post-acute care litigation • Written expert reports, depositions, and trial testimony