System Quality & Peer Review
Clear, practical medical insight that clinical teams can rely on.
I provide consulting support for emergency departments and health systems focused on quality improvement, peer review, and clinical performance in high-risk, time-sensitive care. This work draws on frontline emergency medicine practice, cardiovascular expertise, and experience with system-level implementation.
Engagements are designed to support learning, improvement, and operational clarity rather than attribution of blame.
Scope of Work
Health system consulting and peer review services may include:
Structured peer review of emergency department cases
Review of adverse events, near misses, and diagnostic delays
Evaluation of clinical decision-making in high-risk presentations
Support for morbidity and mortality review processes
Development or refinement of clinical pathways and protocols
Advisory input on quality metrics and performance improvement initiatives
Each engagement is tailored to the organization’s goals and defined by a clear scope.
Areas of Focus
This work most commonly involves emergency department care related to:
Chest pain and acute coronary syndromes
Arrhythmias and ECG interpretation
Pulmonary embolism and thromboembolic disease
Aortic emergencies
Cardiac arrest and post-resuscitation care
Decompensated heart failure
Diagnostic error and cognitive bias in acute care
This list is not exhaustive and does not imply availability for all requests.
Approach to Peer Review & Quality Improvement
My approach emphasizes:
Clinical realism and context
Standards of care as they existed at the time of care
Systems factors, workflow, and operational constraints
Separation of quality improvement from disciplinary or legal processes
Clear articulation of learning points and actionable recommendations
The goal is to support durable improvement rather than retrospective judgment.
Engagement Process
Health system quality and peer review engagements typically follow this process:
Initial inquiry describing the system need or concern
Scope definition and clarification of goals
Confirmation of engagement terms
Case review, analysis, and recommendations
Follow-up discussion with clinical or leadership teams, when appropriate
This work is non-medicolegal and distinct from expert witness services
No physician-patient relationship is established
Peer review and quality consulting do not constitute legal opinion
Scope, purpose, and deliverables are confirmed in writing prior to engagement
Engagements may be declined based on scope, conflict, or fit
Disclosures & Boundaries
Why Work With Me
Frontline emergency medicine perspective
Review and recommendations are informed by active practice in high-acuity emergency settings.
Cardiovascular and ECG expertise
Fellowship training and academic focus in cardiovascular emergencies and ECG interpretation.
Systems-oriented approach
Attention to workflow, staffing, cognitive load, and operational realities.
Improvement-focused framing
Emphasis on learning and performance improvement rather than attribution or blame.
Request a Health System Inquiry
Health systems or clinical leaders seeking quality improvement or peer review support may submit a professional inquiry through the contact page. Please include a brief description of the clinical focus and organizational goals. Scheduling is offered only after scope and objectives are confirmed.
For medicolegal case review or health technology of AI advisory work, please return to the Consulting page.
For patient-related services, including concierge or personal injury care, please visit the Concierge & Private Care section.