LIMB PRESERVATION
CENTERS OF AMERICA
(A special member network)
ABOUT US
Amputation Prevention Experts Health Network (APEX) is a company owned by limb preservation experts and seasoned healthcare executives.
Our business model offers an approach that is:
Flexible
A partner who is willing to share risk
Educationally-Focused
Academic focus on advances in healthcare to grow programs and heal patients
Hands-On
Frequent communication & an "open door" policy
OUR SERVICES
The limb preservation centers of america®
Once a Center of Excellence has been established for limb preservation, the OBL and/or wound care center will become part of a network of centers, called the Limb Preservation Centers of America®. This designation indicates that the center meets certain criteria, including:
a multidisciplinary team led by vascular/endovascular and surgical podiatry specialists with an exceptionally high level of expertise in the treatment of a specialized population of patients
adoption of evidence-based clinical protocols and pathways designed to prevent patients from major lower leg amputations
a successful business model where outcomes and quality are tracked and benchmarked and where patient satisfaction exceeds expectations
patients receive expeditious assessment and interventions with coordination of care with an interdisciplinary team
MANAGEMENT TEAM
Miguel A. Sandoval
Miguel Sandoval is President & Chief Executive Officer of Amputation Prevention Experts Health Network, LLC (APEX). Miguel has over 25 years of healthcare experience. He has worked in the hospital, physician group and health plan settings focusing on managed care, business development, physician relations and finance. Miguel Sandoval was the co-founder and President of Paradigm Medical Management, a successful wound care and hyperbaric oxygen management company, which was acquired by a larger management company in 2014. Miguel earned his B.A. in economics at the University of California at Santa Cruz and attended graduate school at the University of Southern California studying health administration.
Krishna Jain, MD
Dr. Jain is Chief Medical Officer for APEX and founder of Limb Preservation Centers of America®. He is a board-certified vascular surgeon who has been intimately involved in the growth of office-based endovascular labs (OBLs) throughout the U.S. since 2007. He is a founding member of the Outpatient Endovascular and Interventional Society (OEIS) and a distinguished fellow of Society for Vascular Surgery (SVS). Dr. Jain has authored many widely-quoted papers and has written the textbook that serves as an expert guide in developing and operating an OBL, entitled “Office-Based Endovascular Centers” (Jain, K. M., 2019. Office-Based Endovascular Centers. Elsevier Health Sciences).
Diane L. Boone
Diane Boone is Executive Vice President and Chief Nursing Officer for APEX. She is a registered nurse with a master of science in healthcare management who has spent the last 30 years in the field of wound care as a clinician and administrator. Prior to that, Diane worked as a nurse in multiple settings, including hospitals, public health, and case management. From 2003-2014 she was chief executive officer of Paradigm Medical Management, a wound care and hyperbaric medicine management company that she co-founded with Miguel Sandoval. Diane obtained her master of science degree in healthcare management from California State University at Los Angeles.
MEDICAL ADVISORY PANEL
David Armstrong, DPM, MD, PhD
Dr. Armstrong is Professor of Surgery with Tenure at the University of Southern California. Dr. Armstrong holds a Master of Science in Tissue Repair and Wound Healing from the University of Wales College of Medicine and a PhD from the University of Manchester College of Medicine, where he was appointed Visiting Professor of Medicine.
He is founder and co-Director of the Southwestern Academic Limb Salvage Alliance (SALSA). Dr. Armstrong has produced more than 575 peer-reviewed research papers in dozens of scholarly medical journals as well as over 100 books or book chapters.
He is founding co- Editor of the American Diabetes Association’s (ADA) Clinical Care of the Diabetic Foot, now entering its fourth edition. Armstrong is Director of USC’s National Science Foundation (NSF) funded Center to Stream Healthcare in Place (C2SHiP) which places him at the nexus of the merger of consumer electronics, wearables and medical devices in an effort to maximize hospital-free and activity-rich days.
Dr. Armstrong was selected as one of the first six International Wound Care Ambassadors and is the recipient of numerous awards and degrees by universities and international medical organizations including the inaugural Georgetown Distinguished Award for Diabetic Limb Salvage. In 2008, he was the 25th and youngest-ever member elected into the Podiatric Medicine Hall of Fame. He was the first surgeon to be appointed University Distinguished Outreach Professor at the University of Arizona. He was the first podiatric surgeon to become a member of the Society of Vascular Surgery and the first US podiatric surgeon named fellow of the Royal College of Surgeons, Glasgow. He is the 2010 and youngest ever recipient of the ADA’s Roger Pecoraro Award, the highest award given in the field.
Dr. Armstrong is past Chair of Scientific Sessions for the ADA’s Foot Care Council, and a past member of the National Board of Directors of the American Diabetes Association. He sits on the Infectious Disease Society of America’s (IDSA) Diabetic Foot Infection Advisory Committee and is the US appointed delegate to the International Working Group on the Diabetic Foot (IWGDF). Dr. Armstrong is the founder and co-chair of the International Diabetic Foot Conference (DF-Con), the largest annual international symposium on the diabetic foot in the world. He is also the Founding President of the American Limb Preservation Society (ALPS), a medical and surgical society dedicated to building interdisciplinary teams to eliminate preventable amputation in the USA and worldwide.
Lawrence Lavery, DPM, MPH
Lawrence A. Lavery, D.P.M., M.P.H., is a Professor in the Department of Plastic Surgery at UT Southwestern Medical Center. He is also the Medical Director of the Diabetic Limb Salvage (DLS) program at Parkland Memorial Hospital and works as part of the DLS team at William P. Clements Jr. University Hospital. Dr. Lavery’s clinic and research interests involve diabetic foot complications, infections, and wound healing.
Dr. Lavery completed his undergraduate studies at Indiana University and then earned his medical degree at the Rosalind Franklin University of Medicine and Science, Dr. William Scholl College of Podiatric Medicine in Chicago. He completed a residency in podiatric medicine and surgery at the University of Texas Health Science Center in San Antonio, where he also earned a Master’s degree in Public Health.
He is board certified by the American Board of Podiatric Surgery and a Fellow of the American College of Foot and Ankle Surgeons and the Royal College of Surgeons (Glasgow).
Prior to joining UT Southwestern in 2010, Dr. Lavery was a Professor in the Department of Surgery at the Texas A&M Health Science Center College of Medicine, Scott and White Medical Center in Temple, Texas; the University of Texas Health Science Center in San Antonio; and Loyola University Medical Center in Maywood, Illinois. He has also served as a staff podiatrist at VA hospitals in San Antonio and Maywood, Illinois.
Dr. Lavery’s research group has published over 320 peer reviewed scientific paper and textbook chapters. His H-index is 91. They have received research funding from the National Institutes of Health, Agency for Health Care Policy and Research, American Diabetes Association, Veterans Administration, Qatar National Research Foundation, American College of Foot and Ankle Surgeons, American Podiatric Medical Association, and private industry.
Lee C. Rogers, DPM
Lee C. Rogers, D.P.M. is an Assistant Professor of Podiatric Medicine and Surgery at Western University of Health Sciences in Pomona, California and has authored more than 150 published articles, books, or book chapters on the lower extremity complications of diabetes, their costs, and health policy. He has delivered more than 500 speeches and his work has brought him to all 50 states and more than 30 countries.
In 2009, he became Chair of the Foot Care Council of the American Diabetes Association, and his most noted accomplishment was the creation of consensus guidelines for the treatment of Charcot foot which took place at the Pitié-Salpêtrière Hospital in Paris, France. The guidelines were jointly published in the Journal of the American Podiatric Medical Association and Diabetes Care and is the most frequently referenced paper on the syndrome. He received the Rising Star Award from the APMA in 2011 for outstanding national accomplishments. In 2013, he received the Master's Award from the American Professional Wound Care Association. Rogers was named by Podiatry Management Magazine as One of America's Most Influential Podiatrists in 2017. He was one of fewer than 20 American podiatrists ever selected as a Fellow of the Faculty of Podiatric Medicine in the Royal College of Physicians and Surgeons in Glasgow, Scotland, in 2017.
After serving several years on the exam committee, Rogers was elected as a board member of the American Board of Podiatric Medicine, where he founded the Certificate of Added Qualification in Amputation Prevention and Wound Care. The exam was first offered by the Board in 2017. Rogers founded the American Board of Podiatric Medicine - International in 2019, which is the first board exam offered to podiatrists outside the United States.
Rogers has been instrumental in defining the role of podiatrists on the healthcare team and within health systems. He co-authored the Toe-Flow Team Guidelines and the Global Vascular Guidelines published in the Journal of Vascular Surgery. He also authored privileging guidelines for podiatrists working in hospitals, supervising hyperbaric oxygen treatment and the ABPM's position statement on hospital and surgical privileges for podiatrists.
Dr. Rogers graduated with a Doctor of Podiatric Medicine (DPM) from Des Moines University College of Podiatric Medicine in 2004 where he was president of the student body. He completed a residency in podiatric medicine and surgery at Saint Vincent's Catholic Medical Center in New York, New York and then later a fellowship in limb salvage and research with David G. Armstrong at Rosalind Franklin University of Medicine and Science in North Chicago, Illinois.
Rogers or his work has been quoted in the Wall Street Journal, U.S. News & World Report, the Washington Post, CBS News, and many medical specialty magazines.