X² Clinical Advisory & Compliance

Independent Clinical Advisory

Clinical Expertise. Objective Review. Defensible Standards.

X² Clinical Advisory & Compliance provides independent clinical consulting, case review, medical oversight, and compliance support for attorneys, healthcare organizations, treatment programs, and clinical practices.

Led by Jessica B. Doto, BSN, MSN, APRN, ANP-C

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Clinical Services

01

Substance Use Disorder & Independent Medical Evaluations

Comprehensive clinical assessment for complex cases — integrating medical history, substance-use history, psychiatric and psychosocial factors, prior treatment, and current clinical status.

  • —Comprehensive substance use disorder evaluations
  • —Independent medical and clinical evaluations
  • —ASAM-informed level-of-care assessment
  • —Medication for opioid use disorder assessment
  • —Treatment and rehabilitation recommendations
  • —Court and attorney consultation
  • —Written clinical reports

02

Medico-Legal & Malpractice Case Review

Clinical analysis for attorneys and legal teams — independent review of cases involving alleged medical negligence, adverse outcomes, patient injury, and questions regarding standards of care.

  • —Medical record review and preliminary case screening
  • —Standard-of-care analysis
  • —Identification of potential departures from accepted clinical practice
  • —Clinical chronology development
  • —Emergency and critical-care case review
  • —Causation-focused clinical analysis
  • —Expert consultation and case preparation

03

Medical Direction, SOP & Compliance

Clinical infrastructure for healthcare organizations — developing safe, consistent, defensible systems of care ranging from focused policy review to ongoing clinical oversight.

  • —Medical direction and clinical oversight
  • —Standard operating procedure development
  • —Clinical policy and protocol development
  • —Scope-of-practice review
  • —Documentation standards
  • —Quality assurance and quality improvement
  • —Regulatory readiness and risk-management review

Clinical Leadership

Jessica B. Doto

BSN, MSN, APRN, ANP-C  ·  Adult Nurse Practitioner  ·  25+ years

Jessica Doto is an Adult Nurse Practitioner with more than 25 years of nursing and advanced-practice experience across emergency medicine, intensive care, hospital medicine, addiction medicine, medical education, and healthcare operations.

Her work focuses on complex clinical assessment, patient safety, standards of care, evidence-based clinical systems, and translating medical evidence into practical healthcare operations.

Full Profile

Professional Referrals

Work With X²

X² Clinical Advisory & Compliance accepts professional referrals and consulting engagements from attorneys, healthcare organizations, treatment programs, clinical practices, and other professional entities.

For case review, consulting, medical direction, or clinical compliance inquiries

[email protected]

New York

X² Clinical Advisory & Compliance

Clinical Expertise. Objective Review. Defensible Standards.

© 2026 Jessica Barfield Doto, Nurse Practitioner Adult Health, PLLC D/B/A X² Clinical Advisory & Compliance. All rights reserved.