Dr. Gurpreet Singh Padda, MD, MBA, MHP
Authorized Official, CareGuard (PSO P0268).
Dr. Padda is the Authorized Official of CareGuard — the role the Patient Safety Act assigns to the person responsible for certifying a Patient Safety Organization’s compliance to AHRQ — and the point of contact on the federal listing for PSO P0268.
He is a physician in St. Louis with more than three decades in practice, board certified in anesthesiology, interventional pain, addiction medicine, obesity medicine and pain medicine. His National Provider Identifier is 1427035955.
He is not an operator of the facilities CareGuard reviews and holds no position in any of them.
The positions CareGuard works from are his
CareGuard’s programs are not neutral about medication in long-term care, and it is worth saying whose clinical judgment they rest on.
- Deprescribing is critical in older adults, and it is a discipline with named tools — the AGS Beers Criteria, STOPP/START v3 (2023), STOPPFrail — rather than an improvisation. Deprescribing for health optimization.
- Overuse of antihypertensives is a major contributor to falls in older adults, through orthostatic hypotension, with the morbidity and mortality that follows a fracture or a head injury. Blood pressure medication and falls.
- Statin use is associated with new-onset type 2 diabetes, which is on the FDA label and is a trade-off to weigh rather than a reason to stop. Statins and new-onset diabetes.
- Restraints, chemical or physical, are a failure of care planning rather than a clinical tool. Restraint-free care.
On the visibility problem
In his own words, on why CareGuard exists: there is a tremendous disconnect between a local site manager and the facility ownership or the administrative ownership that may be off site — and the reporting channel is designed to move what is seen in the building to the people who can act on it, quickly, before a problem gets out of control. The visibility gap.
Elsewhere
Boards, societies and affiliations
Dr. Padda holds five board certifications and the professional affiliations below. CareGuard does not issue credentials of any kind; these are his.
