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A compliance framework for evaluating medical directorship need

Kathryn Culver ( is a Consulting Senior Manager, Tynan Kugler ( is a Consulting Principal, and Lyle Oelrich ( is a Consulting Principal at PYA, headquartered in Knoxville, TN.

Physicians around the country are entering into medical directorship agreements with hospitals, health systems, and other healthcare institutions to fill the important role of medical director. Medical directorship agreements help facilitate an organization’s ability to comply with regulatory and accreditation guidelines; promote the delivery of quality patient care; and provide clinical and administrative leadership to other physicians, clinical staff, and executive management. However, medical directorships continue to face increasing governmental and regulatory scrutiny, such as that demonstrated by the examples of settlements that follow. Healthcare organizations should be aware of key compliance considerations in evaluating the need for medical directorships.

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