Karen represents health care systems, hospitals, clinics, and other providers in matters of quality management, medical staff credentialing and peer review, medical staff structures, bylaws and confidentiality, as well as National Practitioner Data Bank, state professional board, and other government reporting. She also regularly assists health care providers with state licensure and Medicare certification survey compliance, joint commission accreditation, EMTALA and HIPAA compliance, and many other regulatory matters touching clinical operations. Karen advises health care clients in antitrust, contracting, and other disputes related to hospital/medical staff relationships. She has substantial experience handling contested matters before administrative bodies including hospital, surgery center and managed care peer review panels, Medicare QIOs, The Joint Commission, and many state professional boards and in avoiding or resolving such matters. Karen also works actively on patient-related legal issues such as refusal of treatment, restraints and advance directives, and she spends each spring immersed in state legislative issues affecting providers. In all these areas, Karen has worked with a wide range of providers including urban, academic, community, and rural hospitals, physician practices, outpatient clinics, and surgery centers.