ED Quality Solutions, LLC was formed by career Emergency Department (ED) professionals to promote excellence in the delivery of Emergency Medical Care services. Our mission has expanded to include inpatient and outpatient education as well. The goal is to serve our clients’ continuing educational, consulting and liability needs effectively, innovatively and at a reasonable cost. Our experts have helped hospitals in over 35 states leverage our extensive national experience.
President / CEORobert I. BroidaMD, FACEP
Robert I. Broida, MD, FACEP is the President / CEO of ED Quality Solutions, LLC. He is a board-certified Emergency Medicine Physician with over 20 years experience. His areas of expertise include emergency department risk and quality management, professional liability and patient safety. Dr. Broida has a strong track record of improving ED operations and patient experience through innovative quality, efficiency, safety, and satisfaction initiatives. He founded ED Quality Solutions, LLC in order to promote excellence in emergency care on a national basis.
Dr. Broida also serves as the Chief Operating Officer of Physicians Specialty Limited, Risk Retention Group (PSLRRG), a South Carolina captive insurance company. He is on the Board of Directors of PSLRRG and previously served on the US Acute Care Solutions (USACS) National Clinical Governance Board, where he chaired the Risk Management Committee.
Dr. Broida represents ACEP on The Joint Commission Technical Expert Panels for Comprehensive Cardiac Centers and Stroke Certification. These national expert panels set new standards for all levels of Cardiac and Stroke Center Certification. He is also the ACEP appointee to the AMA National Task Force on Opioids and previously served on the Joint Commission’s Professional Technical Advisory Committee (PTAC).
Dr. Broida was appointed to the ACEP Clinical Data Registry Task Force after serving on the Quality Measure Technical Expert Panel. He is the past Chair of the ACEP Section on Quality Improvement/Patient Safety.
- Healthcare Risk Financing Playbook, co-author (2017), published by the American Society of Healthcare Risk Management (of the American Hospital Association)
- ACEP Boarding Task Force, co-author of the 2016 White Paper on ED Crowding
- Physician co-author of Risk Management Pearls for the ED (2016), published by the American Society of Healthcare Risk Management (of the American Hospital Association)
- Subcommittee Chair and primary author for the 2013 ACEP Policy Paper on ED Admission/Transition Orders
- Emergency Medicine Quality and Patient Safety Curriculum (Acad EM Med)
- Improving ED Hand-Offs (Annals)
- Use of Time-Out Protocols in Emergency Medicine (TJC Quality Journal)
- Procedural Safety in Emergency Care (TJC Quality Journal)
EMTALA ServicesRobert A. BittermanMD, JD, FACEP
Dr. Bitterman is a physician-attorney and consultant specializing in EMTALA Compliance and Emergency Medicine Risk Management. He is CEO of Bitterman Health Law Consulting Group, which has its particular focus on Federal laws and regulations governing hospital-based Emergency Services and complex Emergency Medicine liability. Dr. Bitterman has served as a consultant to the American College of Emergency Physicians (ACEP) and other healthcare organizations, hospitals, peer-review organizations and law firms throughout the country on EMTALA and Emergency Department quality, legal, and risk management issues. He is frequently invited to speak at national conferences, and has published extensively on federal laws (EMTALA), state laws, and risk management, and administrative issues concerning Emergency Medicine and patient transfers.
He is the physician editor of the Emergency Department Management Letter, a contributing editorial board member for the Emergency Department Legal Letter, and past Chairman of the national ACEP Medical-Legal Committee. He has published extensively on EMTALA and ED risk management issues, including authoring the comprehensive text “Providing Emergency Care under Federal Law: EMTALA.”
Dr. Bitterman earned his medical degree from Wayne State University and his law degree from the University of Detroit. He completed an Emergency Medicine residency at the University of Cincinnati and practiced Emergency Medicine for over 30 years.
- Rosen’s Emergency Medicine: Concepts and Clinical Practice, 9th Edition. Chapter e11: Emergency Medical Treatment and Active Labor Act and Medicolegal Issues. Elsevier (2017)
- Court Applies EMTALA to Hospital’s Urgent/Walk-in Care Center, Emergency Department Legal Letter (2018)
- CMS and OIG Refuse to Disclose “60-Day” QIO Reports in EMTALA Cases. Connections, American Health Lawyers Association (2018)
- EMTALA – The Law That Forever Changed the Practice of EM. ACEP Now (2018)
- Feds Increase EMTALA Penalties against Physicians and Hospitals. Emergency Physicians Monthly (2017)
ED Consulting ServicesJames J. AugustineMD, FACEP
James J Augustine, MD, FACEP is a nationally-known leader in emergency medicine, as well as EMS Medical Director and a Clinical Professor in the Department of Emergency Medicine at Wright State University in Dayton, Ohio. He currently serves as Vice President of the Emergency Department Benchmarking Alliance (EDBA) as well as Medical Director with Fire Rescue agencies in Atlanta, Georgia, Naples, Florida and Dayton, Ohio.
Dr. Augustine has served in many roles for the American College of Emergency Physicians (ACEP), where he just completed his final term on the Board of Directors. He also served as Chair for The Joint Commission Hospital Professional Technical Advisory Committee (PTAC), and on their Board of Commissioners. Jim is a former member of the faculty at Emory University Department of Emergency Medicine.
Dr. Augustine is a national consultant, author and speaker on Emergency Department operations, data and design. He has over 250 publications in the fields of emergency medicine and emergency medical services. His career focus has been on the improved performance of Emergency Departments, specifically ED design and flow.
A Faculty Member for the multi-year course “Emergency Department of the Future” at the Harvard University School of Design in Cambridge, Massachusetts, Jim has worked with multiple architectural firms on educational programs and design projects. These include ED redesign projects, focused ED renovation and greenspace designs.
Jim has served multiple stints as an ED Medical Director in large and small ED’s. Each of these resulted in improved operations and program enhancements in the ED and hospital.
Litigation – Regulatory StressLouise B. AndrewMD, JD, FACEP, FIFEM
Louise B. Andrew, MD, JD, FACEP, FIFEM is a fifth-generation physician trained and certified in Internal Medicine and Emergency Medicine at Duke and Johns Hopkins, where she was Assistant Professor.
Dr. Andrew served on the American College of Emergency Physicians (ACEP) Executive Committee and as Speaker of the ACEP Council. She chaired the Personal and Professional Well Being Committee, the Public Relations Committee, the Bylaws Interpretation Committee, as well as various subcommittees of the Medical Legal Committee.
Dr. Andrew is an attorney, and a national leader on physician wellness, risk management, litigation and regulatory stress management, dispute resolution, the ethics of medical expert testimony, women’s issues, and physician depression and suicide. She co-founded, and has led a number of service organizations, including the American Association of Women Emergency Physicians, the International and Wellness Sections of ACEP, the Society for Professional Well-Being, and the Coalition and Center for Ethical Medical Testimony.
She has received numerous awards, including the inaugural Distinguished Alumni Award from Johns Hopkins Emergency Medicine and the ACEP James D. Mills Award for outstanding service to Emergency Medicine (2006). She is an ACEP charter Life Fellow and charter Fellow of the Order of the International Federation of Emergency Medicine (IFEM).
Louise practiced Emergency Medicine for many years, and now does mission work in several countries. She teaches, counsels and sometimes mediates between physicians, hospitals and attorneys on aspects of physician and attorney wellness, behavior, litigation and regulatory stress management, and suicide prevention.
Health & WellnessMaya R. HeinertMD, MBA, FAAP
Maya Heinert, MD, MBA, FAAP is a double board-certified physician with over 20 years of clinical and leadership experience in Healthcare. Dr. Heinert’s range of clinical experience spans national healthcare enterprise, managed care, primary care, and private industry. She brings expertise in organizational health, leadership, human health and wellness, and employee engagement. Her personal focus centers on increasing strength and wellness within organizations by engaging the workforce and inspiring collaboration and personal ownership.
Dr. Heinert is Board Certified in General Pediatrics and Pediatric Emergency Medicine and completed her medical studies and training at Wayne State University School of Medicine and The Children’s Hospital of Michigan / Detroit Medical Center. She earned an executive MBA from California State University Sacramento.
Dr. Heinert currently serves as Medical Director for Central California Alliance for Health and provides private consulting in executive and organizational health.
Hospitalist ServicesDavid ChandMD, MSE, MBOE, FAAP
Dr. David Chand joined ED Quality Solutions in 2019. He serves as a Medical Director for Aetna Insurance, as well as a practicing Pediatric Hospitalist. He held Operational Excellence and Innovation leadership positions at Akron Children’s Hospital from 2008-2019. His professional experience also includes two years as a Business Management Consultant for McKinsey & Company, where he focused on implementing growth strategies and operations improvements for major healthcare providers in the U.S. and Canada.
Dr. Chand earned his B.S. and M.S.E. in Biomedical Engineering from The Johns Hopkins University. He then earned his M.D. through the Health Sciences and Technology program at Harvard Medical School and The Massachusetts Institute of Technology. David completed his internship, residency, and chief residency in pediatrics at Rainbow Babies & Children’s Hospital in Cleveland, Ohio. In 2011, he earned his Master of Business Operational Excellence and Six Sigma Black Belt from the Fisher College of Business at The Ohio State University.
ED ConsultingAmit ArwindekarMD, MBA, FACEP
Amit Arwindekar, MD, MBA, FACEP is a clinical leader and educator practicing emergency medicine in Chicago, IL. His passion is building the systems to make high-quality emergency care accessible to all patients. As a physician leader, he has improved efficiencies in urban community and academic emergency departments. Notable past experience includes ED Medical Director at Mercy Hospital in Chicago as well as appointment to a risk management committee for a national ED group.
Dr. Arwindekar received his medical degree from the Georgetown University School of Medicine and his MBA from the McDonough School of Business.
Nurse EducatorGina CarbinoBSN, RN, CEN, CPEN, TCRN, CFRN, CTRN, CCRN, PCCN, SANE-A
Gina Carbino joined ED Quality Solutions in 2017. She lectures at professional conferences at a national level and has accepted national awards from the Emergency Nurses Association, the Board of Certification for Emergency Nursing (BCEN), and the International Association of Forensic Nurses.
She maintains multiple national certifications in critical care, emergency nursing and forensics. Gina is one of four women in the world to maintain all five BCEN certifications.
She is currently a clinical educator at a large university hospital and is working towards her nursing doctorate degree. Gina spends her free time sharing her passion for learning.
Most of Gina’s professional career has been spent clinically – practicing at the bedside. This core background formed the basis for her teaching endeavors.
Gina has served as a clinical educator, system educator, and coordinator of nursing internship and mentorship programs with a focus on both critical care and emergency nursing.
A leader on both state and national levels, she has served as the South Carolina Statewide Forensic Nurse Coordinator and is currently the Coordinator of the Coastal Regional Human Trafficking Taskforce.
Gina holds multiple certifications from the BCEN, IAFN, and the American Association of Critical Care Nurses. She is an active member of the South Carolina Association of Nursing Professional Development, the International Association of Forensic Nursing, the Emergency Nurses Association as well as the American Nursing Association.
Behavioral HealthMonica CookeBSN, MA, RNC, CPHQ, CPHRM, DFASHRM
Monica joins ED Quality Solutions as a nationally recognized expert in the field of Behavioral Health patient safety, risk management and healthcare workplace violence. She has more than 30 years of experience in the field serving in clinical, administrative, and executive risk/quality positions. Her passion is to partner with organizations to identify opportunities to mitigate risk caring for behavioral health patients throughout the continuums of care via onsite assessments and support.
Monica has lectured extensively at national and state levels, including the ENA’s National Convention and has authored textbook chapters on Behavioral Health Risk Management and Suicide Risk Screening, as well as numerous newsletters and journal publications. She is Past President of the Maryland-DC Society for Healthcare Risk Management (MD-DCSHRM) and of the Maryland Association for Healthcare Quality (MAHQ). She has served on multiple committees for the American Society for Healthcare Risk Management (ASHRM) and has contributed to several ASHRM publications.
In 2006, Monica founded Quality Plus Solutions LLC, a Behavioral Health Risk/Quality Management Consulting firm. Monica also has had many years of Legal Nurse Expert work and as a Certified Psychiatric/Mental Health Nurse. She continues to practice as an RN in a detox and rehab treatment setting twice a month.
Her professional designations include:
- Distinguished Fellow of ASHRM
- Certified Professional in Healthcare Risk Management (CPHRM)
- Certified Professional in Healthcare Quality (CPHQ)
- Certified Psychiatric/Mental Health Nurse (C).
Nurse EducatorJessica R. MunozMSN, APRN-RX, FNP-BC
Jessica R. Munoz is an emergency medicine nurse practitioner who works clinically in Honolulu, Hawaii, where she was awarded Nurse of the Year in 2007.
She earned her BSN at California State University – Long Beach and her Master’s Degree at University of Hawaii – Manoa.
Her passion is prevention of child sex trafficking and creating uniquely designed programming to meet their needs. Over the past 12 years she has published articles, provided training and strategies on identification, intervention, and response for hundreds of health care professionals, service providers, law enforcement, and community leaders.
Jessica channeled her energy into founding a non-profit organization, Ho’ōla Nā Pua (HNP) which means “New life for our children.” Its mission is the prevention of child sex trafficking and providing care for exploited youth.
An enthusiastic and engaging speaker, she joins ED Quality Solutions to further spread the word about this nationwide problem facing children and young adults.
Awards and Accolades:
- 2010 State of Hawaii – Faces of Nursing
- 2012 Emergency Medicine Physicians – Nurse Practitioner of the Year
- 2013 TedX – Honolulu Conference Speaker
- 2017 PBN – 40 Under 40 Leadership Award
- 2018 Pacific Century Fellow Alumni
- 2018 UH School of Social Work – Commencement Speaker
- 2019 Hawaii News Now – Hometown Hero
- 2020 Honolulu Magazine – Woman of Distinction
- 2021 Honolulu Business Magazine – “20 for the next 20”
Nurse EducatorCindy WrightRN, CLNC, CPC
Cindy Wright, RN, CLNC, CPC joins ED Quality Solutions with over 20 years of nursing leadership experience including critical care and emergency nursing. For the last 13 years she served as Vice President of Clinical Operations for a regional ED physician staffing and practice management company, responsible for the day-to-day physician practice operations at 16 client emergency departments.
Cindy assisted hospitals with national certification as Trauma / Stroke / Chest Pain centers as well as with TJC accreditation visits. She helped hospital systems set up free standing ED’s and taught ESI Triage and Patient Satisfaction classes.
She participated in LEAN and SIX SIGMA initiatives and developed a robust quality and risk management program for the physician group, which she represented on multiple hospital quality and risk management committees. She led ED risk assessments to identify areas of potential risk to patient safety and produced comprehensive and actionable reports to hospital administration and ED leadership.
Cindy worked clinically and held various certifications, including CCRN, CEN, TNCC, ACLS, and MICN. Additionally, she became a CLNC (Certified Legal Nurse Consultant) and worked with both plaintiff and defense attorneys to review medical records and plan legal strategy. Most recently, she earned her CPC (Certified Professional Coder) certification and has educated physicians on proper documentation to minimize risk and maximize reimbursement.
Nurse EducatorRochell C. McMillanRN, BSN
Rochell McMillan joins ED Quality Solutions with over 20 years of Emergency Nursing leadership experience. She most recently served as Tenet Healthcare’s Director of Emergency Services Performance Optimization. Previous positions included Director of the ED at Baylor, Scott & White Surgical Hospital in Los Colinas and 15 years as Emergency Department Director at Texas Health Resources Arlington Memorial Hospital, an 80,000 annual census, 60-bed unit where she managed a staff of 120 FTE’s.
Rochell is an energetic leader with a proven record of helping hospitals achieve national accreditation, Joint Commission certification, and improving key patient satisfaction and performance benchmarks.
Rochell’s credentials include a BSN from University of Texas (Arlington), as well as Emergency Nursing Pediatric Course and Trauma Nursing Core Course. Honors include the Nursing Excellence Award (2011), Living the Mission Award (2007), and the Dallas/Fort Worth Great 100 Nurse. Additionally, she oversaw the Super Bowl emergency response team and several other community events.
Nurse EducatorPamela D. BartleyBSN, RN, CEN, TCRN, CCRN, CFRN, CTRN, CPEN
Pam Bartley has over 30 years’ experience as an Emergency Nurse and educator. In 2011, she started her own company to work full-time on her passion, teaching CEN, CPEN, TCRN, and CCRN Review Courses. Additionally, she teaches BLS, ACLS, PALS, TNCC, and ENPC. She joined ED Quality Solutions, LLC in 2017 in order to reach a broader audience by offering online nursing education classes.
In 2001 and again in 2013, Pam was elected as the South Carolina Emergency Nurses Association’s President. In 2014, Pam was honored as the South Carolina Area Health Education Center (AHEC) Educator of the Year. In that same year, she was selected for the ENA Board Mentoring Program and the Academy of Emergency Nursing’s EMINENCE Mentoring Program.
Pam Bartley is a contributing author of Emergency Nursing: The Profession, the Pathway, the Practice through the Honor Society of Nursing Sigma Theta Tau.
Nurse EducatorAngela N. FontanaMSN, ANP, CNS, CEN, ONC
Angela is a national speaker for topics in Orthopedics, Emergency and General Nursing. A 1993 graduate of the Adult Nurse Practitioner program at Florida International University in Miami, she continued her studies and earned a Clinical Nurse Specialist certification in Orthopedics. She became the first privileged Nurse Practitioner to work in an Orthopedic Specialty practice in Hollywood, Florida.
After moving to South Carolina, Angie gained experience working in various NP positions including Bone Marrow Transplant, Orthopedic Surgery and the Emergency Department, where she currently works clinically. She then became a featured speaker for the National Association of Orthopedic Nurses, a position she held from 2001 to 2018. She remains a national, regional and local speaker for conferences, hospitals and private practices.
Her research and scholarly activities include authoring a textbook chapter entitled “Prevention and Management of Osteoporotic Conditions – A Nursing Perspective,” as well as multiple journal articles. Angie received the American Academy’s Nurse Practitioner State Award of Excellence in South Carolina.