Objective To compare the self‐reported role of nursing home medical directors in 1989 (prior
to the implementation of the nursing home reform amendments of OBRA 87 in 1990) with the …

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 …

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 …

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 …

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 …

L expenditures were over 71 billion dollars, only a small fraction of this was spent on nursing
home costs.'The majority of the 35 billion dollars spent on nursing costs were paid by private …

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 …

Long term care facilities are important sites of care for elderly adults. Despite a growing
need and interest in medical direction in nursing homes, there have been limited …

The majority of community-based nursing facilities in the United States have part-time
medical directors whose basic training is either in primary care, internal medicine, or family …

Federal regulations that were published in 1974 required a physician to be employed full or
part time as the medical director by a skilled nursing facilities. Negotiation was needed in …