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role of medical director of nursing home
from ref [2]
1) physician leadership
- ensure appropriate physician & healthcare provider coverage & services
- assist in development of a process for reviewing physician & healthcare provider credentials
- guidance for physician performance expectations
- help ensure a system is in place for monitoring performance of healthcare providers
- facilitate feedback to physicians & other healthcare providers on performances & practices
2) patient care - clinical leadership
- participate in administrative decisions & in development of policies & procedures related to patient care
- help develop, approve & implement specific clinical practices into policies & procedures, including those required by law or other regulations
- develop procedures & guidance for staff regarding contacting practitioners, including information gathering & presentation, change in condition assessment,& when to contact the medical director
- review, consider, &/or implement consultant recommendations that affect resident care policies & procedures or care of an individual resident
- review, respond to & participate in external surverys & inspections
- help review policies & procedures regarding adequate protection of patient'e rights, advance care planning & other ethical issues
3) quality of care
- help establish systems & methods for reviewing quality of care & other health-related services & provide feedback
- participate in the quality improvement process
- advise on infection control issues & approve infection control policies
- help provide a safe, caring environment
- help promote employee health & safety
- assist in development & implementation of employee health policies & programs
4) education, information & communication
- promote a learning culture within the facility by educating, informing & communicating
- provide information to ensure pratices consistent with the standard of care
- help develop medical information & communication systems with staff, families & others
- represent the facility on medical & patient care issues
- maintain knowledge of the changing social, regulatory, political & economic factors that affect health services for long-term care residents
- help establish relationships with other healthcare organizations
from ref [1]
1) organize comprehensive medical services
2) ensure that primary care physicians fulfil their obligations to their residents & the facility
3) monitor & continually attempt to improve quality of medical services
a) establish ongoing relationships with primary & consultative medical staff
b) quality assurance activities
1] infection control
2] autopsies
3] pharmacy
4] safety committees
4) collaborate with administrators & other department heads to develop & implement appropriate policies & procedures
5) oversee the employee health program
6) assist in the development, organization & presentation of educational activities for staff, residents & families
7) act as a spokesperson for the facility, its staff & residents to the community & other health care agencies
8) facilitate appropriate research by reviewing protocols, discussing them with staff, & monitoring their implementation
References
- Ouslander JG
Medical care in the nursing home.
JAMA 262:2582, 1989
PMID: 2572706
- Geriatric Review Syllabus, 8th edition (GRS8)
Durso SC and Sullivan GN (eds)
American Geriatrics Society, 2013