Dr. Patricia A Maisano

Varna LLC
873 East Baltimore Pike, Suite 214
Kennett Square , PA 19348
Mobile: 302-379-3330
Office: 302-379-3330
Fax: 610-444-5090


As my Curriculum Vitae will show, I have a history of more than 40 years in nursing, and more than 20 years of those years has been as an experienced witness. I have done every aspect of case work, between mediations, arbitrations, closed hearings and hearings and trials with and without a jury. The nature of these cases have been med malpractice, standards of care (both medical and psychological), abuse of the elderly ( financial and physical) and the life needs of these groups

I was on the forefront of case management in the very early 80's and one of the first providers of advocacy for the elderly and disabled. I have been recognized as a matter expert in nursing, life care, and issues of disability. I created the first national franchise ( IKOR) in the area of Advocacy, which covered the major cities in the US. To date there has been no entity to compete with it. I also created the framework for the software of IKOR, Datikor. With Datikor my understanding of the demand for instant information and the government need for HIPAA has remained sharp.

I have also worked with attorneys as a consultant when have been considering cases and when they have needed the medical game plan for a successful outcome. My testimony has been favored over Doctors and Psychologists by the courts, with most of the cases I have been involved in hostile and lawyers combative. Although I certainly appreciate the "more easy" case, in this part of the US I have a reputation for handling the ugly.

Areas of Expertise

  • Alcohol
  • Americans with Disabilities Act (ADA)
  • Arbitration & Mediation
  • Audiology
  • Child Abuse
  • Child Custody
  • Community Mental Health
  • Competency
  • Disability
  • Hospital Security
  • Inadequate/Negligent Security
  • Marketing
  • Medical Records
  • Medical Valuation
  • Nursing
  • Nursing Homes
  • Palliative Care
  • Post Traumatic Stress Disorder
  • Psychology
  • Risk Management
  • Spousal Abuse
  • Structured Settlements

Expert Background

Q: Please list your professional accreditations, degrees, licenses, and certificates granted:
A: Education: RN and Behavioral Health (BS), Assessment and Evaluations (MS), Health Science (PhD)

Accreditation: CCM ( Case Management) , FAACM, ( a Fellow in Case Management), PGCM ( Professional Geriatric Care Manager), NCG ( National Certified Professional Guardian), MoCA ( certified in Dementia evaluation), ABDA ( certified board of Disability Analysts - diplomate status

Licensed: RN in PA and DE ( a license which is recognized for practice in any other state)
Q: Please list your affiliations or memberships in any professional and/or industry organizations:
• American Association of Nurse Assessment Coordinators
• National Guardianship Association
• National Association of Professional Geriatric Care Managers
• American Board of Certified Case Managers
• American Board of Disability Analysts
• International Association of Rehabilitation Professionals
• Pennsylvania Bar Institute Faculty Member
• Chester County Estate Planning Council
• Philadelphia Estate Planning Council

Q: Please list any teaching or speaking experience you have had, including subject matter:
A: * Experienced as a nursing instructor for theoretical and practical aspects
* Teaching experienced RN's to become Case / Care Managers country wide and nursing standards
* Numerous public speaking experiences on various topics over the last 20 years ( Case Management, Abuse of the Elderly &
Disabled, Nursing Practices, and Working with Dementia and Head Injury) for groups usually of 50 -100 people
* Guest lecturer for CLE credits
Q: Have any of your accreditations ever been investigated, suspended or removed? (if yes, explain)
A: No, none of my accreditation have been suspended or removed
Q: On how many occasions have you been retained as an expert?
A: Approximately 50 - 100 times
Q: For what area(s) of expertise have you been retained as an expert?
A: As a professional Guardian, as a Guardian Ad Litem, as an RN for nursing practices, med mal practices cases, criminal charges, disabled children with catastrophic injury,
Q: In what percentage of your cases were you retained by the plaintiff?
A: roughly 80%
Q: In what percentage of your cases were you retained by the defendant?
A: roughly 20%
Q: On how many occasions have you had your deposition taken?
A: approximately 8 times
Q: When was the last time you had your deposition taken?
A: about 2 years ago
Q: On how many occasions have you been qualified by a court to give expert testimony?
A: every time I have been put before the court, I have been accepted as an expert
Q: On how many occasions have you testified as an expert in court or before an arbitrator?
A: between 50 and 100 times
Q: For how many years have you worked with the legal industry as an expert?
A: 21 years
Q: What services do you offer? (E.g.: consulting, testing, reports, site inspections etc.)
A: Consulting, reports, site inspections ( in Guardianship) and deposition or testimony
Q: What is your hourly rate to consult with an attorney?
A: Telephone consult for 30 minutes - no charge
Face to face meeting inclusive of travel - expenses and no charge for 30 minutes consult after 30 minutes $350/hour
Q: What is your hourly rate to review documents?
A: $350 hour to review documents and video along with associated actions
Q: What is your hourly rate to provide deposition testimony?
A: $500 per hour
cancellation fee with 2 days or less prior to scheduled testimony $500
Q: What is your hourly rate to provide testimony at trial?
A: $500 per hour ( $5000 for full day) Full day for out of town testimony
Less than 2 days prior to scheduled testimony $2000
3-7 days prior to scheduled testimony $1000
8 or more days prior to scheduled testimony - no charge

Q: Please list any fees other than those stated above (E.g.: travel expenses, copy fees, etc.)
A: All expenses incurred ( flights, food lodging) past through to you for out of town work
excess copy fees and postage when incurred


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