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Standard of Care Adherence Reviews

In litigation, proving—or disproving—a breach of professional standards often determines the outcome. Our multidisciplinary review service now examines Occupational Therapists, Registered Nurses, and Medical Doctors to assess whether each provider met accepted practice guidelines at every intervention poin

Our Standard of Care Adherence Reviews include:

Comprehensive Record Compilation & Chronology

Gather all relevant documentation for each discipline:
- Occupational Therapy: evaluations, progress notes, treatment plans, discharge summaries.
- Nursing: nursing assessments, care plans, shift notes, medication records.
- Medical Doctors: physician progress notes, orders, operative reports, discharge summaries, clinic visit notes.
Construct a clear, date‐stamped timeline of assessments, interventions, reassessments, and discharge planning across all involved providers (OT, RN, MD).

Benchmarking Against Authoritative Guidelines

For OTs, compare each intervention to AOTA’s Scope of Practice, state licensure regulations, and peer‐reviewed literature (e.g., neurorehabilitation protocols, pediatric OT standards).
For RNs, evaluate against American Nurses Association (ANA) Standards of Practice, state Board of Nursing regulations, and specialty‐specific protocols (e.g., wound care, medication administration, patient education).
For MDs, benchmark each decision point against relevant clinical practice guidelines (e.g., UpToDate, specialty society recommendations, hospital protocols) and state Medical Board expectations.
Confirm each provider’s licensure status, board certifications, and facility credentialing to ensure professional competency.

Deviation Analysis & Impact Assessment

Identify any deviations from standard practice for each discipline:
- OT Deviations (e.g., missed reassessment intervals, absence of occupation‐based goals).
- RN Deviations (e.g., failure to follow medication‐administration protocols, missed patient education, delayed wound‐care interventions).
- MD Deviations (e.g., failure to order appropriate diagnostics, delayed or inappropriate surgical referrals, non‐adherence to established clinical guidelines).
Assess whether identified deviations likely contributed to adverse outcomes, increased care costs, or prolonged functional impairment.

Litigation‐Ready Expert Report

Structured into discrete sections for each discipline:

1. Background & Clinical Chronology (OT, RN, MD timelines side by side)
2. Guideline Comparison (AOTA, ANA, MD specialty society protocols)
3. Findings by Discipline (detailed narrative of any breaches or confirmatory adherence)
4. Combined Opinions & Impact (how OT, RN, and MD interactions influenced overall patient outcome)
5. Recommendations & Risk Mitigation (steps to address gaps, if any, and bolster future compliance)

Include annotated exhibits:

1. Side‐by‐side comparison of progress‐note excerpts versus benchmark language.
2. Deviation tables for each discipline (e.g., RN chart vs. ANA standard).
3. Chronological flowcharts demonstrating multidisciplinary care pathways.

Expert Consultation & Testimony Support

Offer discipline‐specific and multidisciplinary consultations (1–2 hours) to review findings, clarify methodology, and finalize areas of emphasis.
Provide deposition preparation and mock examinations tailored to cross‐examination on OT, RN, and MD standards.
Supply demonstrative exhibits (e.g., color‐coded timelines, red‐flag flowcharts) that clearly highlight any deviations across disciplines.
Deliver confident, impartial testimony explaining:
- How each provider (OT, RN, MD) met—or failed to meet—accepted standards.
- The clinical significance of any deficiencies and their downstream impact on function, safety, or care cost.

Why Choose Our Standard of Care Reviews?

Multidisciplinary Expertise: We maintain active licensure and continuing education across OT, Nursing, and Medicine—ensuring each opinion reflects the latest best practices in every field.
Evidence‐Based & Up‐to‐Date: Reviewers track AOTA, ANA, and relevant medical society updates so that all benchmark comparisons are current.
Neutral, Impartial Analysis: Whether working for plaintiff or defense, our reviewers focus solely on objective, literature‐supported judgments—avoiding hyperbole or speculation.
True Collaborative Perspective: We synthesize OT, RN, and MD documentation to show exactly how each discipline’s decisions interacted, reinforcing a holistic view of patient care.
Clear Visual Aids: Chronological tables, flowcharts, and comparison matrices guide legal teams through complex, multidisciplinary clinical data.

Getting Started

Step 1:

Initial Inquiry

Call (201) 343‐0700 or email standardofcare@kwvrs.com for a preliminary discussion.

Step 2:

Secure Record Transfer

We’ll send a secure link to upload all provider notes, care plans, medication records, and discharge summaries for OT, Nursing, and Medical services.

Step 3:

Review & Report

Receive a comprehensive multidisciplinary expert report within 2–3 weeks. A follow‐up consultation (60–90 minutes) will walk your team through findings, implications for your case strategy, and practical recommendations for next steps.