Paul K. Bronston, MD

Dr. Bronston is a retired Emergency Medicine Physician and is the former National Chairman of the Ethics and Professional Policy Committee of the American College of Medical Quality, has been a member of their board of trustees and been instrumental in the drafting and adoption of national standards in medical quality management.

He has extensive defense and plaintiff medical-legal experience regarding, Emergency Medicine, Credentialing, Hospital Liability, EMATA, medical bad-faith and provider fraud issues. He has consulted and lectured for medical malpractice insurance companies regarding managed care systems and their impact on physicians' performances and the liability issues involved. Dr. Bronston was the plaintiff expert witness in the landmark Wilson vs. Blue Cross of California case, which involved medical insurance and utilization review responsibility and liability in a patient's bad outcome.

Dr. Bronston has consulted with the State of California regarding workers' compensation reform regarding the State's medical quality and utilization management regulations covering this area. He was instrumental in advising and formulating the Certification Standards for the new Health Care Organizations (HCOs) for the Division of Workers' Compensation. He has been a special consultant for the Department of Managed Health Care which regulates Health Maintenance Organizations (HMOs). Dr. Bronston has been a medical consultant/reviewer for the California Medical Licensing Board. He has been a physician expert reviewer for Health Care Advisory Group that is responsible with overseeing patient care and EMTALA issues for the Center for Medicare and Medicaid Services (CMS) for over a decade.

Dr. Bronston has over a decade of experience consulting for both private utilization review organizations and the providers of medical care regarding justifiable, accountable, defensible and documented medical decision making.

He has lectured nationally to The Association of Trial Lawyers of America (ATLA), The Defense Research Institute (DRI) and The National Judicial College among others on various issues such as appropriate development and implementation of practice parameters/guidelines, physician credentialing/profiling issues/report carding, medical necessity and benefit determinations, and standards of care. He brings ethics, clarity and practicality to medical decision-making and the interacting oversight review systems which ultimately produce quality medical care delivered in an efficient and cost-effective manner.

Dr. Bronston has been a physician in Emergency Medicine for over 30 years and in Los Angeles, California. He was national sub-committee chair on economic credentialing for the American College of Emergency Physicians (ACEP) and was a contributing author on managed care in ACEP's book Emergency Medicine Risk Management. He has sat on his hospitals' quality assurance and utilization review committees and brings a balanced, common sense and practical approach to problem solving and system development.

He is also on the Los Angeles County Expert Approved List to provided expert consulting/witness for criminal cases for the City of Los Angeles.

AREAS OF EXPERTISE AND AREAS I CAN OPINE UPON

1. Emergency Medical Care

2. Emergency Medicine

3. Triage

4. EMTALA

5. ETHICS

6. EXPERIMENTAL CARE

7. INVESTIGATIONAL CARE

8. UTILIZATION REVIEW

9. QUALITY ASSURANCE

10. CREDENTIALING

11. RISK MANAGEMENT

12. Informed Consent

13. Peer Review

14. CASE MANAGEMENT

15. HOSPITAL LIABILITY

16. NURSE LIABILITY

17. Elder Abuse

18. Nursing home quality assurance

19. Paramedic

20. EMS (EMERGENCY MEDICAL SERVICES)

21. First Aid

22. Head Injuries

23. Health Care Regulations

24. HMO Liability

25. Managed Care Liability

26. Medical Trauma

27. Malpractice, Medical

28. Medical Bad Faith

29. Paramedic Liability

30. Medical Necessity Determinations

31. Benefit Determinations

32. Reimbursements

33. Medical Insurance Bad Faith/Liability

34. Medical Standards of Care