OUR SERVICES

Expert Witness Services & Clinical Chart Review

We are comprised of medical professionals including nurses, nutritionists, social workers and technicians.

We partner with legal professionals by providing expert services in a variety of settings.

Our customers include:

• Law Firms
• Health Care Facilities
• Insurance Companies
• Government Offices
• Risk Management Departments

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Clinical Services: Facility & Patient Care Consultation

We save our clients thousands of dollars of unnecessary costs with prevention and treatment programs.

We designed a full range of leading-edge strategies to:

• Improve Patient Care
• Decrease Length of Stay
• Accelerate Healing
• Decrease Costs
• Enhance Patient & Family Education
• Produce Consistently Superior Outcomes
• Decrease Complications
• Enhance Competitive Advantage

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Continuing Education Seminars & Workshops

Education is key to improving patient outcomes and enhancing patient satisfaction.

We can empower your staff and foster autonomy by increasing their technical competence

We provide a compelling portfolio of specialized tools in a variety of settings for:

• Patients & Families
• Professional Staff
• Company Sales Representatives

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EXPERT WITNESS SERVICES & CLINICAL CHART REVIEW

We specialize in case review, evaluation and expert testimony.

Since 1999, Premier Health Solutions, LLC has provided expert legal case review services to attorney clients across the nation.

Our health care professionals are experienced in:

• Acute Care
• Sub-Acute Care
• Long Term Care
• Home Care
• Out Patient Care
• Assisted Living Facilities

We partner with legal professionals by providing expert services in a variety of settings.

Our customers include:

• Law Firms
• Health Care Facilities
• Insurance Companies
• Government Offices
• Risk Management Departments

EXPERT WITNESS SERVICES

Your one stop shop for expert case reviewers and expert witnesses for medical malpractice cases. We will promptly and thoroughly review your charts so you can develop your cases efficiently and cost effectively. Your cases will be reviewed by highly credentialed experts who will identify key issues and provide relevant documents to help you build your case.

Review potential malpractice cases for merit

• Enable attorneys to develop cases effectively and cost efficiently
• BENEFIT – Save time and money.

Provide expert case reviewers and expert witnesses

• Locate most qualified experts
• Serve as liaison between the attorney and expert witnesses
• Train expert reviewers
• BENEFIT – Highly credentialed and trained experts will help build your case for a successful outcome.

Develop chronology of key medical aspects

• Define deviations and adherences to the applicable standards of care
• Assess the injuries and damages
• Identify factors that caused or contributed to the alleged injuries and damages
• Review relevant medical records, hospital policies, procedures and other essential documents
• BENEFIT – Saves time in identifying key issues to support your case.

Provide individual written report for each case

• Summarize medical records and prepare written opinion reports
• Identify additional documents essential to the case
• Conduct literature searches and integrate the literature and standards of care into the case analysis
• Expand the attorney’s medical library
• BENEFIT – Summary of relevant documents to support your case.

PREMIER HEALTH SOLUTIONS HAS THE RIGHT RESOURCES FOR YOU

We are comprised of medical professionals including nurses, nutritionists, social workers and technicians. All of our reviewers are well qualified in their specialties through education, training and experience and are available on an as needed basis. Resumes for each reviewer are available at your request.

We currently have experts in the following fields:

• Administration*
• Adults
• Adult Nurse Practitioner-Outpatient
• Bariatrics
• Burns
• Cardiovascular
• Continence
• Critical Care
• Developmental Disabilities
• Diabetes

• Emergency Department (Adult/Pediatric)
• Geriatrics
• Medical-Surgical
• Nurse Practitioner
• Nutrition
• Obstetrics
• Occupational Therapist
• Operating Room
• Ostomy
• Out-patient Surgical Center
• Post-Anesthesia Care Unit
• Pediatric Critical Care Transport

• Pediatric NCIU
• Physician Assistant Emergency Dept (PA ED)
• Physical Therapist (PT)
• Radiology
• Respiratory Therapist (RT)
• Social Work
• Vascular
• Wounds
• Surgical
• Chronic {pressure injuries ,venous ulcers, arterial (ischemic) ulcers, diabetic
  (neuropathic) ulcers, other miscellaneous wounds}

* Including but not limited to falls, medication errors and restraints. Premier Health Solutions, LLC, is continuously adding qualified healthcare experts to our panel. If you have a need in a specialty not listed, please contact us, and we will make every effort to secure a reviewer to meet your needs.

EXPERT TESTIMONY DELIVERABLES

Based upon the requirements of each case, Premier Health Solutions is able to provide the following:

• Written report
• Oral report
• Affidavit
• Deposition
• Testimony
• PowerPoint® report or study tools for attorney
• Literature search results for information applicable to the case

CLINICAL SERVICES: FACILITY AND PATIENT CARE CONSULTATION

STUDIES HAVE SHOWN THE BENEFITS OF PROVIDING WOUND, OSTOMY AND CONTINENCE SERVICES.

Premier Health Solutions has designed a full range of leading-edge strategies to:

• Improve patient care
• Enhance patient/family education
• Decrease length of stay
• Produce consistently superior outcomes
• Accelerate healing
• Decrease complications
• Decrease costs
• Enhance competitive advantage

Wounds-Prevention of Pressure Injuries is Key

• Save thousands of dollars of unnecessary costs with prevention and treatment programs.
• Premier Health Solutions uses evidence-based practices based on the benchmarks in the industry
• Such as the Agency for Healthcare Research and Quality (AHRQ), Wound Ostomy and Continence Nurses Society (WOCN), National Pressure Injury Advisory Panel (NPUAP) and the Wound Healing Society (WHS)

Ostomies- Leakage is an emotionally devastating and costly problem.

• The most common cause of leakage is improper appliance fitting. Premier Health Solutions will work with you to prevent this problem and increase patient satisfaction.

Continence – MYTH: Briefs will solve all your problems

• Briefs only address the symptoms and not the problem.
  Treatment for incontinence depends on the causes of the disorder and preferences of the patient.
• Premier Health Solutions will provide several choices that can improve or cure a greater percentage of cases.

HELPING TO ACHIEVE POSITIVE PATIENT OUTCOMES

Premier Health Solutions has developed a range of clinical tools designed to ensure adherence to standard protocols and applicable standards of care in order to achieve positive patient outcomes.

• Patient Care Standards
• Quality Assurance Monitors
• Patient Education Discharge Instructions
• Patient Education Booklets
• Patient Teaching Records

REDUCE LITIGATION THROUGH CONSISTENT QUALITY OF CARE

Premier Health Solutions is nationally recognized as an expert in Wound, Ostomy and Continence Care. Our goal is to help your facility gain a competitive advantage by standardizing the quality of care, reducing liability and improving patient satisfaction. We will assist your facility in developing customized protocols and standards of care while at the same time identifying quality improvement opportunities.

Your staff will be involved in the development process to improve their competencies and ensure acceptance of the new process.

• Assist in Developing Policies and Procedures
• Create Staff Guidelines

EDUCATION AND RESEARCH

Education is key to improving patient outcomes and enhancing patient satisfaction.

Premier Health Solutions (PHS) can empower your staff and foster autonomy by increasing their technical competence.

PHS provides a compelling portfolio of specialized tools in a variety of settings for:

• Patients/Families
• Professional Staff
• Company Sales Representatives

One of the most overlooked secrets of any successful business is the education of the professional staff, sales force, clients or patients.

Key Benefits

• Increase Staff Efficiency
• Reduce Risk of Citation
• Lower Costs of Care Delivery
• Improved Patient Outcomes
• Ensure Appropriate Utilization of Resources

Specialized Educational Tools
To achieve the benefits that education can provide, Premier Health Solutions has developed specialized tools. These include:

• Workshops and seminars
• Policies and procedures tailored for your specific needs
• Evidence-based protocols designed for Wound, Ostomy and Continence Care
• Standardized documentation
• Continuous quality improvement monitors

CONTINUED NURSING EDUCATION

Customized Courses for New Product Introductions
Sales representatives face the challenge of reaching nursing professionals to introduce their products. Premier Health Solutions will partner with your company to create custom courses or self-learning activities developed from your existing materials or based on your educational objectives. These activities provide you with the opportunity to interact with your targeted nursing audience.

Clinical Experts for Workshops or In-service
We can provide clinical experts to present workshops or in-services. Self-learning activities can be distributed in a variety of settings including customer calls, annual meetings, workshops and tradeshows. These tools provide the busy professional with an educational resource they can take advantage of at their convenience.

Expertise
Premier Health Solutions’ clinical professionals have expertise in adult learning principles, educational design, development of course objectives and content and selection of teaching and evaluation methodologies. Our experts will work with your company to create programs that meet the needs of your target audience, are grounded in clinical evidence and are free of commercial bias as required by commercial support guidelines.

INCREASE YOUR STAFF’S TECHNICAL COMPETENCE

Below is a sample of the education programs that Premier Health Solutions offers. We can also develop custom programs to assist you. If you don’t see the education/research program you need, contact us today.

Our education programs are listed below. Please click on a topic to view the table of contents:

• WOC Nurse: Expanding the role
• The Importance of Pressure Injury Documentation Related to Legal Issue
• Revised (2010) WOCN Guidelines for Prevention and Management of Pressure Ulcers
• Wound Management in the Patient with Inflammatory Bowel Disease
• Wound Care Update for the Advanced Practice Nurse
• Topical Dressing Update
• Deposition Do’s and Don’t’s
• Legal Aspects of Pressure Injuries: What is Your Risk?
• Wound Care Workshop
• Wound Care Fundamentals
• Wound Assessment, Evaluation and Documentation
• Objectives for Wound Care and Product Selection
• Nutrition and Wound Healing
• Pressure Ulcers (Prevention and Treatment)
• Venous Ulcers
• Arterial (Ischemic) Ulcers
• Neuropathic (Diabetic) Ulcers
• Adjunctive Wound Therapies
• The Role of Topical Silver Preparations in Wound Healing
• Traumatic Wounds: Stories and Tips Every Nurse Should Hear
• Ostomy Management: Tricks of the Trade
• Role Justification: Marketing WOCN Services
• Prevention of Chronic Wounds, Documentation, Reimbursement, Risk Management, and Legal Issues
• The WOCN Professional Practice Manual: Taking Your Practice to the Next Level
• Pressure Injuries in Long-Term Care: CMS Guidelines Tag F314
• Litigation Free EMR
• Understanding the NPUAP Changes in Terminology and Staging of Pressure Injuries
• Prevalence and Incidence: Implications for Clinical Practice
• WOC Nurse: Expanding the Role

PUBLICATIONS

Tomaselli, N. Regulations for conservative sharp debridement for nurses in the USA (2015). In L Teot, S Meaume, V DelMarmil, A Sadanori, & W Ennis (Eds.), Skin Necrosis. New York, NY: Springer-Verlag.
Sood, A., Granick, M.S., & Tomaselli, N.L. (2014) Wound dressings and comparative effectiveness data. Advances in Wound Care, 3 (8), 511-529.
Pastor, C.J., Trovato, M.J., Granick, M.S., Tomaselli, N.L., & Bates-Jensen, B.M. (2012).Management of the wound environment with advanced therapies. In C. Sussman & B.M. Bates-
Jensen (Eds.), Wound care: A collaborative practice manual for health professionals. (4th ed.).Gaithersburg, MD: Aspen Publishers, Inc.
Crawford, P.E. & Fields-Varnado, M. (2012). Guidelines for the management wounds in patients with lower-extremity neuropathic disease. Mt. Laurel, NJ: Wound, Ostomy and Continence Nurses Society. (In press).
Pastor, C.J., Trovato, M.J., Granick, M.S., Tomaselli, N.L., & Bates-Jensen, B.M. (2012). Management of the wound environment with advanced therapies. In C. Sussman & B.M. Bates-Jensen (Eds.),
Wound care: A collaborative practice manual for health professionals. (4th ed.). Gaithersburg, MD: Aspen Publishers, Inc.
Kelechi, T., & Johnson, J.J. (2011). Guidelines for the management of wounds in patients with lower-extremity venous disease. Mt. Laurel, NJ: Wound, Ostomy and Continence Nurses Society
Ratliff, C., & Tomaselli, N. (2010) Guidelines for the Prevention and Management of Pressure Injuries.Mt. Laurel, NJ: Wound, Ostomy and Continence Nurses Society.
Tomaselli,N. (2010). Support Surfaces and Special Beds. In A.G. Perry & P.A. Potter (Eds.), ClinicalNursing Skills and Techniques (7th ed.), St. Louis: Mosby, Inc.