EXPERT WITNESS & LITIGATION SUPPORT

Opinion on how healthcare systems fail.

Most healthcare litigation turns on a clinical decision. Frequently the decision was constrained by staffing, scheduling, protocol or supervision structures set well above the clinician. Dr. Bains reviews and opines on both — the clinical standard and the system that shaped it.

EXPERTISE

Areas of instruction

Dental standard of care Diagnosis, treatment planning, and the adequacy of care delivered in institutional and general practice settings.

Correctional healthcare operations Access, continuity, and the delivery of care within custodial environments.

Healthcare administration How policy, protocol and supervision structures produce or prevent clinical failure.

Staffing and workforce adequacy Whether staffing models, ratios and supervision were sufficient for the population served.

Quality assurance and audit The design and operation of QA programs, and whether findings were acted upon.

Systems failure analysis Root cause analysis applied to adverse outcomes, using Lean Six Sigma method.

ENGAGEMENT

Scope of work

INSTRUCTION Records review and written opinion. Testimony by arrangement.

PARTIES Instructions accepted from both plaintiff and defense.

TURNAROUND By agreement, set at the point of instruction.

PRIOR TESTIMONY Deposition experience in healthcare operations matters; specifics subject to confidentiality.

CURRICULUM VITAE Provided to instructing counsel on request.

QUALIFICATION

Standing to opine

A practicing clinician who also carries executive operational accountability across a multi-site health system — the combination that lets one witness speak to both the standard of care and the conditions around it.

CLINICAL DMD, Tufts University. BDS, King’s College London. MJDF, Royal College of Surgeons of England.

OPERATIONAL Regional Dental Director with executive oversight across a multi-site correctional health system.

METHOD Lean Six Sigma Black Belt. Published in the Journal of Correctional Health Care.

REGISTRATION California and Oregon. United Kingdom and Australia registrations current; international instructions considered case by case.

INSTRUCTION

Contacting counsel

Send the matter type, jurisdiction and a conflict check. Curriculum vitae provided on request. Availability, scope and terms are confirmed before any material is reviewed.

An inquiry does not create an engagement, and material sent before terms are agreed in writing is not treated as confidential or privileged. Matter type and jurisdiction are enough to run a conflict check — please do not send case material.

Send an instruction inquiry

Nothing on this page constitutes an undertaking to accept instruction in any matter. Inquiries are subject to conflict check and to the terms of Dr. Bains' primary employment.