Accreditation Team

TSIG Consulting, Inc. (TSIG) consists of multi-disciplined professionals who are experienced in different fields such as AutoCAD, CAFM, Building Condition Assessments, The Joint Commission, Web Design and Computer Programming.

We work on a team basis and support each other with strong backgrounds and experiences. Our goal is to deliver first class service to our clients.

Larry Barlow – CHSP : Vice President, Mid-West Region

Larry Barlow – CHSP

Vice President, Mid-West Region (212) 420-8724

Larry Barlow, Vice President Mid West Region, has more than 40 years of experience in the healthcare field, most of which has been devoted to helping organizations achieve and maintain compliance with The Joint Commission standards, Life Safety Code, and federal, state, and local requirements. Larry has extensive experience in Life Safety, Utility Management, Equipment Management and Safety. Larry has performed countless Life Safety Assessments, Fire Safety Evaluation Surveys, TJC Clarifications, and state and local remediations. Larry is a nationally recognized speaker, and his presentations are considered “down to earth” and user friendly.

Richard T. Cotter – MS, Med : Senior Consultant

Richard T. Cotter – MS, Med

Senior Consultant (212) 420-8724

Rick has over 25 years experience in providing non-clinical, regulatory compliance and accreditation services to healthcare facilities. His expertise is in the technical areas of life safety, health & safety, hazardous materials, and facilities management coupled with process and performance improvement skills for organizational management.

For 10-years, Rick was the Sr. Vice President for Technical Services at MedSafe, Inc. There he was responsible for managing the technical consulting staff for the accreditation and regulatory compliance services and focused his efforts on The Joint Commission’s management of Environment of Care chapters, EPA requirements, OSHA compliance, and hospital decontamination. For approximately 12 years prior to MedSafe, Rick worked as a Corporate Executive at Clean Harbors, Inc., a national environmental service company. Among his responsibilities, he managed profit centers dealing with hazardous materials and biological emergencies, hazardous materials transportation systems, a multi-million dollar hazardous materials commercial training program and a Hazardous Material Training Center for chemical spill response.

Rick holds a degree in Biological Sciences (Human Physiology) and graduate degrees in education and environmental sciences, and has been certified in Health and Safety through the OSHA Training Center.

Michael Craig – CFI : Compliance Specialist

Michael Craig – CFI

Compliance Specialist (212) 420-8724

Michael is a highly respected fire service officer with more than 30 years of experience and who has demonstrated broad discipline fire service management and supervisory expertise with over 30 years reaching the rank of Captain. As a Life Safety Consultant Michael provided codes-based consultations to healthcare clients Nationwide. Michael served 14 years on the Tennessee Fire Safety Inspectors Association BOARD of Directors including 4 years as Vice President. He has also served on several NFPA Technical Committees, and was a fire service instructor for the TN Fire and Code Academy for 25 years. Welcome Michael!

Timothy Crowley – CHSP, FSM : Compliance Specialist

Timothy Crowley – CHSP, FSM

Compliance Specialist (212) 420-8724

Tim possesses over 25 years of professional healthcare safety and engineering experience. He is recognized for his exceptional talent for training and educating staff. As a consultant, he has provided guidance and tutorship to many hospitals that has led to successful survey outcomes and he possesses a wealth of knowledge and experience in other areas of the Physical Environment such as preparing Statement of Conditions, Environment of Care Audits, Utility Management, Emergency Management, Interim Life Safety Measures, Monitoring of Construction and Risk Assessments. Prior to joining TSIG, he served as the Director of Environmental Health and Safety at Beth Israel Medical Center and Bronx Lebanon Hospital.

Lori Dinney – MS CHSP PE : Compliance Specialist

Lori Dinney – MS CHSP PE

Compliance Specialist (212) 420-8724

Lori joins our team as Senior Accreditation & Compliance Specialist, and has come to TSIG with extensive experience in healthcare engineering, NFPA code compliance, construction plan reviews, surveys for Fire Safety, Life Safety, the development of equivalencies, and in building/commissioning fire suppression systems. Lori possesses over 25 years of experience and has provided consultation to healthcare providers on Fire Safety Programs & Plan Reviews, managed programs for AutoCAD, created traditional equivalencies as well as fire safety evaluation system equivalencies, managed building maintenance programs and prepared hundreds of Statement of Conditions.

Brian Harless : Compliance Specialist

Brian Harless

Compliance Specialist (212) 420-8724

Brian joins the TSIG team with over 15 years of healthcare experience.  His previous healthcare experience has ranged from management of key departments within the hospital to private consulting for life safety, management, and staffing development.  His last position was Director of Support Services at The University of Tennessee Medical Center where the majority of his time was devoted to managing the Statement of Conditions, Life Safety Program, and Utility Management. He also worked extensively with Environment of Care and Safety.  Brian brings an understanding of the challenges faced by today's Healthcare Professionals and works hard to anticipate and support the compliance environment.

Skip Jones – CHFM, CHSP : Compliance Specialist

Skip Jones – CHFM, CHSP

Compliance Specialist (212) 420-8724

Skip comes to TSIG from Texas Health Resources, one of the largest faith-based nonprofit healthcare systems in the United States with over 3800 licensed beds, and the largest healthcare system in North Texas in terms of patients served.

During his fourteen years at Texas Health, Skip served in various roles in Security, Environment of Care (EC) and Life Safety (LS), including Safety Officer and Life Safety Specialist. His most recent role was as Regulatory Compliance Program Manager at the corporate level, overseeing regulatory readiness for sixteen hospitals and conducting EC and LS inspections for new construction and renovation projects.

Skip currently holds CHFM and CHSP certifications and is a member of the NFPA, ASHE and Texas Association of Healthcare Facilities Management.

Wayne Kestler, CHFM, CEM, CJCP : Compliance Specialist

Wayne Kestler, CHFM, CEM, CJCP

Compliance Specialist (212) 420-8724

Wayne Kestler has joined us after spending 32 years at ARAMARK Healthcare and its predecessors, in various capacities with the final 16 years as FM Director of Operations Support. In that capacity he provided the following services:

Performed Life Safety Code & Environment of Care mock survey assessments for healthcare institutions preparing for TJC and DNV surveys for accreditation, supported healthcare facilities in 28 states and Washington DC, managed FM Start Ups, performed FM program audits (IPA’s), developed long range capital improvement plans, co-authored a book on compliance with EPA regulations, instructed managers in the use of proprietary CMMS, developed RFP’s and bid specifications for major facility improvement projects, served as an authorized safety trainer for OSHA-related compliance programs.

Wayne has the following certifications/credentials:

• Certified Joint Commission Professional by Joint Commission Resources

• Certified Healthcare Facility Manager by the American Hospital Association

• Certified Energy Manager by the Association of Energy Engineers

Byron Kitagawa – HEM : EOC Compliance Specialist Western Region

Byron Kitagawa – HEM

EOC Compliance Specialist Western Region (212) 420-8724

Byron Kitagawa, HEM; who joined our firm in February of 2016 and comes to us with an outstanding background of experience and vast knowledge of regulatory compliance with over 20 years of hands-on experience in managing and maintaining Environment of Care ( EC), Life Safety (LS) and Emergency Management (EM) programs. Byron currently resides in San Diego County, California.
Having spent the previous 11 years as a Life Safety Code Surveyor for the Joint Commission, Byron’s significant experience includes having surveyed over 500 hospitals, including critical access hospitals, long-term care facilities and ambulatory surgery centers. Byron not only possesses a comprehensive understanding of the survey process, he has also reviewed countless sets of Life Safety Plans, progress and updates of Building Integrity & Compliance with NFPA 101- including preparation of Statement of Conditions and Life Safety audits, as well as detailed evaluations of Management Plans & Annual Evaluations, including other EC related documentation such as ILSM procedures and implementations, Risk Assessments, etc.
Prior to working for the Joint Commission, he served as the Senior Safety Management Specialist for Sharp Healthcare in San Diego- a 2007 recipient of the prestigious Malcolm Balrige Award and where he acquired over 10 years working experience, enhancing the Environment of Care, Fire Safety, Hazardous Materials and Waste, and Medical Equipment programs.
Prior to working with Sharp Healthcare, he earned recognition and high praise serving as the Hospital Risk Manager and Safety Officer for County Hospital in Monterey California for 12 years. Mr. Kitagawa also attained professional competence as a Manager for Safety, Security, Communications, Environmental Services, Laundry/Linen, and Disaster Preparedness. Mr. Kitagawa was also one the contributors / co-author of the second edition of the “Design Guide for the Built Environment of Behavioral Health Facilities” published in 2007. Mr. Kitagawa maintains a certification as a Healthcare Environmental Manager (HEM) from ECRI.

Tom Lyons – CHSP, FSM : Life Safety Code Specialist

Tom Lyons – CHSP, FSM

Life Safety Code Specialist (212) 420-8724

Mr. Lyons has over 20 years experience working at hospitals in engineering and safety. During that time he has held the position of Director of Facilities Management at North Shore University Hospital at Forest Hills and St. Charles Hospital and Rehabilitation Center in Port Jefferson, New York. He was the Assistant Director of Engineering at South Nassau Communities Hospital, and the Lead Engineer & Fire Safety Officer at Syosset Community Hospital as well. Tom has a BS in Occupational Safety and Health Engineering from Columbia Southern University, Certificates in HVAC and Building Automation, Facility Management, Construction Project Management, and Hi-Rise Fire Safety from New York University and is a member of the NFPA, ASHE, and HESGNY.

Kenneth McGraw – CHSP : Senior Consultant

Kenneth McGraw – CHSP

Senior Consultant (212) 420-8724

Ken has been working in the area of facilities management for approximately 30 years, of which 21 years has been at the executive level. Prior to entering facilities management he received an excellent technical background by working in various trade areas and managing his own contracting business specializing in commercial/residential work in the field of HVAC, electrical, plumbing and carpentry.

In addition to a strong management and technical background, Ken also has extensive knowledge in the following areas of compliance: The Joint Commission, OSHA, Life Safety Code and EPA. Ken has led numerous Joint Commission surveys as well as OSHA and EPA inspections. Ken’s top priority is assuring that the facility is in a constant state of readiness for spot or scheduled inspections.

Ken was previously employed by The Joint Commission in the position of Life Safety Code Specialist. In this position, he surveyed facilities around the country for compliance with Joint Commission standards as they relate to the Environment of Care and the Life Safety Code.

Having spent his entire Healthcare career in the Ohio area, Ken has worked at facilities of varying sizes, including the Cleveland Clinic, University Hospitals, Lake Hospital System, Saint Vincent’s Charity Hospital and Medina General Hospital in Chicago.

Don Metcalf, CHFM, CIH : Compliance Specialist

Don Metcalf, CHFM, CIH

Compliance Specialist (212) 420-8724

Don Metcalfe has 26 years of professional safety and industrial hygiene experience including both general industry and healthcare. For the past 11 years Don has been responsible for coordinating the physical environment program and managing the safety and hazardous waste programs for a 637 bed hospital along with the associated urgent care, ambulatory care, and business locations. His responsibilities included performing surveys/audits for life safety, physical environment, and infection prevention, as well as risk assessments, accident investigations, exposure monitoring, and ergonomics evaluations. He has also developed numerous educational resources and provided training on a wide variety of topics. Prior to working in the healthcare setting Don worked as a consultant providing risk evaluation, program audits, and investigations to reduce risk and improve safety performance.

Don has experience with CMS, The Joint Commission, and DNV accreditation processes and brings a broad based experience and technical knowledge to identify opportunities for improvement, develop plans, and coordinate programs and training to help improve performance.

Don will be working very closely with Ken Gregory, Vice president South Atlantic Region, and will provide accreditation services to hospital throughout the US.

Sheldon Mills : CAD Manager

Sheldon Mills

CAD Manager (212) 420-8724

Mr. Mills brings over 22 years CAD and CAFM experience to the TSIG healthcare team. His extensive experience in design, drafting, and engineering gives him the ability to coordinate all work the healthcare team does as it relates to electronic and paper drawings, as well as maintenance of the filing system. He maintains and updates CAD standards and procedures, trouble-shoots all CAD related problems, coordinates CAD protocols for every project, improvises new CAD technologies (electronic laser measuring devices and Palm technology) and works on improvement of production by adding new features to CAD. He is thoroughly conversant in the use AutoCAD 14R and above, Archicad 6.5, and Aperture.

Eric Phillips : Director, Sales & Marketing

Eric Phillips

Director, Sales & Marketing C:(347) 867-5321 O:(212) 420-8724

Director of Sales & Marketing for Healthcare Accreditation, CAD/CAFM, and web based solutions. Mr. Phillips brings a broad range of healthcare industry experience, managing an array of market penetration strategies via direct sales, education, strategic partnerships, content management, and internet marketing. He most recently served as National Director of Business Development & Marketing for a small accreditation consulting firm and has held regional and national business development positions for a CMMS solution provider and served as a national leader in medical equipment lifecycle solutions.

Dean Samet – CHSP, CJCS : Regulatory Compliance Officer

Dean Samet – CHSP, CJCS

Regulatory Compliance Officer (212) 420-8724

Dean Samet is one of those select few individuals whose name is distinctly recognizable with The Joint Commission and TJC’s Environment of Care standards. With nearly 40 years experience, Dean is serving as TSIG’s Regulatory Compliance Officer where he is an invaluable resource to both TSIG consulting staff and clients for Environment of Care, Life Safety, and Emergency Management standards interpretations and TJC’s survey process. He also helps provide timely responses to TOLCAM, TSIG’s On-Line Compliance Assistance Manager.

Dean served as an Associate Director, Senior Engineer, and Certified Joint Commission Surveyor for over 17 years at The Joint Commission where he helped in the development of the Environment of Care standards and surveyor training. He was also TJC’s chief liaison to the NFPA, ASHE, AIA, VA, DOD, IHS, and CMS on Environment of Care, Life Safety, and Emergency Management issues. Dean graduated from Southern Illinois University with a BS degree in Engineering Technology and is a Master’s Candidate in Healthcare Administration from St. Joseph College. He is also a Certified Healthcare Safety Professional.

John Taylor – CHFM : Compliance Specialist

John Taylor – CHFM

Compliance Specialist (212) 420-8724

John Taylor joined TSIG in 2011 as a Compliance Specialist. John brings five years of progressive experience in Regulatory Compliance and Facility Management based upon thirty-one years of experience in the healthcare engineering and environment of care field. He managed Engineering Departments of small and medium sized hospitals, providing strong technical expertise based upon experience, knowledge, codes and standards and staff development. He draws upon this Environment of Care and life safety experience to partner with clients and help them successfully meet regulatory compliance goals in a responsible manner. Partners include facilities using TJC, CMS, DNV, AOA, HAFC and CARF standards for deeming and accreditation purposes. Whether conducting life safety assessments, mock surveys, document reviews, speaking engagements or training sessions, inspiring engineers to provide the safest and healthiest environment possible is his goal.


William M. Wagner – ScD CHSP CHEP CHCM : Vice President Quality Compliance

William M. Wagner – ScD CHSP CHEP CHCM

Vice President Quality Compliance (212) 420-8724

Dr. Wagner has vast experience in quality healthcare compliance gained from serving as a Research Scientist and Health Administrator at the National Institutes of Health (NIH), Senior Scientist at the Centers for Disease Control and Prevention (CDC), and Vice President, Education, Research and Development with Safety Management Services, Inc. His wide-ranging knowledge of The Joint Commission and DNV compliance requirements has been acquired from over 30 years of healthcare consulting and has been applied during the survey preparedness and inspection process for organizations nationwide.

Over his career, Dr. Wagner has given numerous presentations at national meetings, including the American Society of Healthcare Engineers (ASHE), Association for Professionals in Infection Control and Epidemiology (APIC), and Association for the Healthcare Environment (AHE). He has also published articles in national journals and provided programs as state organizations on a variety of subjects.

Dr. Wagner is a graduate of Emory University (BS, Physics), Georgia Institute of Technology (MS, Physics & Nuclear Engineering), and The Johns Hopkins University (ScD, Environmental Health), He retired from the US Public Health Service (US-PHS) where he served at both NIH in Bethesda, MD and CDC in Atlanta, GA. He holds certifications as a Certified Hospital Safety Professional (CHSP), Certified Hospital Emergency Professional (CHEP), and Certified Hazard Control Manager (CHCM).

Currently, Dr. Wagner is the Chairman of the Board for the APIC Consulting Service and has served as the Chairperson for the APIC Emergency Preparedness Committee. He is also a member of the ASHE, AHE, APIC, and National Fire Prevention Association (NFPA).

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