Facility Governance

1) Healthcare Integration: Its causes and the effects of the loss of the independent medical staff on healthcare quality: See Article in the Bulletin of the American College of Surgeons - Bull Am Coll Surg. 2011 Jun;96(6):28-30. PMID: 22315908 http://www.facs.org/fellows_info/bulletin/2011/2011-june-bulletin.pdf       

2)  Loss of protections of physician fiduciary responsibility (loyalty) to the patient and the repeal of mandatory physician representation on hospital boards. Oct. 23, 2012. 
http://www.mdedge.com/acssurgerynews/article/56422/changing-role-physician  Download Article

3)  Fiduciary responsibility (loyalty) should be to the patient and not the institution.  Governance and Quality Assurance of Accountable Care Organizations (ACO): Comment on the 2011 Accountable Care Organization Proposed Regulation - Apr. 2011: 

• Comment sent regarding the proposed regulation - View Document  

• Final regulations creating a waver process for non-profit ACOs - View Document

3) Prohibition Against Physician Gag Clauses which Involve Discussion of Cost and Quality with the Patient or Patient's Medical Decision Makers.  View KMA Adopted Resolution