The place of the medical director in the acute care general hospital is discussed. The federal
legislation mandating medical directors for nursing homes is summarized, and is criticized …

In 1974, in response to perceived quality-of-care problems, Medicare regulations, for the first
time, required that a physician serve as medical director in skilled nursing facilities and be …

Years of experience show that improving nursing home care through the continuing
supervision of physicians raises issues that are not easily resolved. Quality medical care is a …

The medical director is an important member of the healthcare team in a nursing home, and
is responsible for overall coordination of care and for implementation of policies related to …

The federal requirement for skilled nursing facilities to retain medical directors, which
became effective on January 2, 1976, introduced a concept that was totally new to many …

The Challenges Opinions have always varied widely as to desirable medical director roles.
For example, a 1978 article presented the views of over 1,000 administrators, nurses, and …

To illustrate the evolution of the Medical Director concept, phases I, II and III of “The
Maryland Story” are presented. The Medical Director should be an integral part of the …

The medical director's role in the nursing home will continue to be a crucial one, but
because of the limited availability of physicians, this role should be redefined realistically to …

Objective To evaluate what nursing home medical directors actually do, what they and other
nursing home personnel believe would be desirable to do, and what problems and …

Physicians have a legal and ethical responsibility to provide leadership in the care of our
institutionalized elderly. In the nursing home, this responsibility includes three components …