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The Quality Assurance Privilege: Why It Exists, What It Protects, and How Health Care Providers Can Effectively Utilize It

(186 reviews)

Produced on June 06, 2017

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Course Information

Time 1h
Difficulty Intermediate
Topics covered in this course: Health Care

Course Description

In order to provide quality care and anticipate care related issues, health care providers must have the ability to criticize themselves without retribution. Over the past twenty years, federal and state laws have recognized this need for internal examination and have carved out privileges aimed at keeping health care providers’ internal investigations confidential. Courts have recognized the importance of confidentiality in this process; without it, health care providers would be reluctant to perform comprehensive self-reviews which could potentially be used against them in litigation.

This course, presented by Alexis A. Langella and Alexis A. Graziano, attorneys in Buchanan Ingersoll and Rooney, PC’s Health Care Litigation department, addresses the evolution of the Quality Assurance Privilege, the current status of the law, and how health care providers can employ best practices to combat disclosure of their vital internal investigations and self-evaluations. 

Learning Objectives: 
  1. Understand the purpose of the quality assurance privilege
  2. Effectively interpret the federal and state laws and regulations recognizing and expanding the privilege
  3. Develop skills to identify quality assurance issues when (and, hopefully, before) they arise
  4. Build a working knowledge for effectively utilizing the privilege based upon practical guidance regarding same 

Credit Information

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Alexis Graziano

Buchanan Ingersoll & Rooney PC

Alexis A. Graziano concentrates her practice on representation of long-term care, sub-acute rehabilitation, assisted living, home health and hospice care corporations in New Jersey and Pennsylvania. As a member of a high-volume litigation team, Alexis utilizes her own experience in collaboration with her colleagues to provide quality litigation defense services to clients. 

What Clients Can Expect

In Alexis, clients can expect a creative, energetic advocate both in the courtroom and out in the field. Alexis connects with clients on a professional and personal level, guiding and advising them through the challenges of litigation and ensuring that clients understand the strengths and weaknesses of each case. 

On a regular basis, Alexis prepares witnesses for depositions and litigation-related appearances. These witnesses come from a variety of educational and cultural background. Alexis strives to demystify the litigation process and give her witnesses the confidence to present their best self.

Outside the Office

Alexis lives in Fairmount – a neighborhood in Philadelphia, PA – with her husband, Charlie. She loves music (including but certainly not limited to Bruce Springsteen), art in all its forms, running outside, OrangeTheory and hiking. Alexis was born and raised in Philadelphia and South Jersey. Having studied abroad in both Australia and Italy, Alexis loves to travel.

Proof Points

  • Taken over 75 depositions
  • Defended over 90 depositions, a majority of which involved extensive preparation with facility/company witnesses, and several of which involved preparation of expert witnesses
  • Negotiated settlements in over 15 high-exposure matters
  • Successfully enforced signed arbitration agreements in over 10 cases via both motion practice and negotiations with opposing counsel
  • Secured dismissal of over 10 matters via motion practice and/or substantive discussions with opposing counsel following internal investigations

Alexis Langella

Buchanan Ingersoll & Rooney PC

Alexis Langella focuses her practice on a wide range of health care related services, including litigation, regulatory and compliance matters. Alexis has experience counseling clients on complex regulatory/compliance issues, conducting internal investigations of fraud and abuse and developing policies and procedures. Alexis also represents skilled nursing facilities in professional liability litigation. With a hybrid practice and experience in both litigation and compliance, Alexis is able to represent her client’s interests across a broad spectrum.

Prior to joining Buchanan, Alexis gained valuable experience in mass tort and pharmaceutical litigation, acting as local counsel for the largest generic drug manufacturer with over 2,000 cases in the Philadelphia mass tort program. Alexis also gained experience in various realms of civil defense litigation, defending clients at arbitrations, mediations and settlement negotiations, arguing dispositive motions and participating in all aspects of discovery.

Alexis was selected to the Pennsylvania Super Lawyers Rising Stars list in 2015.

Upon receiving her law degree, Alexis served as judicial law clerk to the Honorable Paul Innes, Presiding Judge of the Superior Court of New Jersey, Civil Division, in Mercer County.


Sarah M.

Very informative

Stefani V.

I liked the back and forth. Sounded more conversational (which held my interest) than some others that I've watched. Great job!

Lauren F.

Very interesting presentation!

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