Business of dialysis and the role of the medical director

Since the inception of the Medicare End Stage Renal Disease Program in 1972, the medical director has been an important leader in the dialysis unit. The initial duties of the medical director were focused on quality and safety but were gradually expanded over the decades to include the development a...

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Bibliographic Details
Published inSeminars in dialysis Vol. 31; no. 2; pp. 177 - 182
Main Author Scheel, Paul J.
Format Journal Article
LanguageEnglish
Published United States 01.03.2018
Subjects
Female
Hemodialysis Units, Hospital - organization & administration
Humans
Kidney Failure, Chronic - economics
Kidney Failure, Chronic - therapy
Male
Medicare - economics
Physician Executives
Quality Assurance, Health Care
United States
United States
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Summary:Since the inception of the Medicare End Stage Renal Disease Program in 1972, the medical director has been an important leader in the dialysis unit. The initial duties of the medical director were focused on quality and safety but were gradually expanded over the decades to include the development and oversight of protocols to manage metabolic bone disease and anemia. As the total cost of ESRD care has escalated, there have been progressive attempts to control costs through additional bundling and the creation of alternative payment schemes. While we await the financial and clinical outcomes of these initiatives, the medical director's role continues to expand in scope and now includes an enhanced role for not only clinical outcomes but financial outcomes as well.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0894-0959
1525-139X
DOI:10.1111/sdi.12674