Kayur V. Patel MD, MRO, FACP, FACPE, FACHE, FACEP
Hospital Negligence and Emergency Department Expert Witness
Dr. Patel is a Practicing Emergency Department Physician. He is trained in both Emergency Medicine and Internal Medicine and is Board Certified in Emergency Medicine.
Dr. Patel is also a highly experienced physician executive. He has over twenty years of practical experience in medical management. This includes serving as the Former Chief Medical Officer of a 278-bed Community Hospital in Terre Haute, the former Medical Director for Emergency Medicine and Occupational Health, the former Director to Health Care Excel, the Quality Improvement Organization for Indiana, and current Chief Medical Officer of Access2MD, which offers Quality Provider Solutions and Patient Centered Practice Management.
Dr. Patel is a frequent speaker on the subject of quality in healthcare. He has extensive chart review experience focused on quality and adverse events. Dr. Patel has a special clinical interest in Pulmonary Embolism and Thrombolytics in an Acute Stroke.
Dr. Patel currently serves as consultant to KEPRO, the Quality Improvement Organization (QIO) for more than 30 states. His primary responsibility is to review medical records to see whether they meet the Standard of Care.
Honors and Awards
Previous Leadership Roles
Health Care Excel
- Engage and educate CEO’s, CMO’s, CNO’s, Physician Groups, Nursing Staff, and Hospital C-Suites to do quality medical review for sufficient documentation, coding, corrections, medical necessity, to ensure accuracy of payments.
- Review charts for medical necessity based on the Milliman Criteria.
- Deliver presentations at various settings to engage hospital executive boards, C-Suites, physicians, nursing staff, and other hospital personnel to meet the CMS quality agenda.
- Present at various groups in the state of Indiana regarding quality metrics and CMS guidelines.
Health Care Excel (HCE), was the Quality Improvement Organization (QIO) for the State of Indiana since the past 25 years, till 2013. HCE takes its directive from the Centers for Medicare & Medicaid Services (CMS) to implement, execute, and monitor quality metrics set out by the CMS.
The CMS task the QIOs with implementing initiatives similar to those found in the Partnership for Patients Initiative, especially those aimed at the prevention of healthcare associated infections.
This work falls under the Improve Individual Patient Care section of the QIO contract; the goals are to improve overall hospital and provider participation in the reduction of hospital-acquired infections and educate physicians and C-Suite staff on upcoming CMS incentives in the implementation of the Value Based Purchasing model.
Vice President of Quality
- Review charts for quality metrics for appropriateness, high risk cases.
- Appropriate documentation for exams, developing tools, protocols, systems to trigger critical pieces for the decision making process and simplifying the decision making process using lean 6 sigma methodology.
- See that hospital is meeting quality standards and strategize maximization of physician effort to achieve these standards.
- Preparing and training physicians for deposition through live recordings, in terms of what to expect, body language, attire, responding to questions, etc.
- Put together modules on Risk Management targeting Physicians in all specialties, Case Management staff, Administrative Representatives, Quality and Risk Managers, Directors and Nursing staff in all specialty areas.
- Efficiently recruit and maintain staff to strengthen management team and staff to drive growth and development for the organization with plan implementation for tracking performance.
- Branding TeamHealth in the local market.
A publicly traded company, TeamHealth (NYSE: TMH) is the nation’s largest provider of hospital-based clinical outsourcing in the United States. Through its 21 regional locations and multiple service lines, TeamHealth’s more than 13,000 affiliated healthcare professionals provide emergency medicine, hospital medicine, anesthesia, urgent care, and pediatric staffing and management services to approximately 990 civilian and military hospitals, clinics, and physician groups in 47 states.
In 2015, TeamHealth was named among “The World’s Most Admired Companies” by Fortune magazine and among “150 Great Places to Work in Healthcare” by Becker’s Hospital Review. In 2014, TeamHealth was named among “America’s 100 Most Trustworthy Companies” by Forbes magazine.
Chief Medical Officer
Terre Haute Regional Hospital
- Maintain CMS CORE measures by aligning physicians and hospital administration with the quality agenda.
- Engaging protocols for the physicians and nursing staff.
- Work closely with organizational and community, major decision-making committees to routinely evaluate success of expectations.
- Ensure the delivery of high standards of care and improve hospital name.
- Direct guidelines towards effort to integrate new facilities‘ involvement in providing high levels of healthcare.
The only Hospital Corporation of America (NYSE: HCA) facility in the state of Indiana, Terre Haute Regional Hospital is a 278-bed community-based medical center with comprehensive medical and surgical programs. Terre Haute Regional is accredited by The Joint Commission on Accreditation of Healthcare Organizations. In 2006, Regional Hospital became the first Wabash Valley Hospital to be designated as an Accredited Chest Pain Center by the Society of Chest Pain Centers and Providers.