Month: July 2024

Medical directors play a pivotal role in healthcare facilities, but those in hospice have a special kind of personality. It takes a unique person to work with patients who know they’re dying and to give them the care they deserve.

In general, medical directors oversee and manage the facility’s operations and staff, directly influencing the quality of patient care.

Physicians may be directly responsible for their patient’s medical care, but how they treat and care for their patients reflects on the facility and everyone who works there. Medical directors must keep things running smoothly to maintain their facility’s standards and ensure the best patient care.

Medical Directors Are Business People 

Medical directors run a facility’s business side, ensuring the medical side remains top-notch.

They work with vendors to keep their stock supplied, they maintain the budget, and they ensure government and insurance compliance, among many other things.

Creating A Good Work Environment

Medical directors are also responsible for maintaining the best possible working environment for their physicians and other staff. Facilitating a good work environment includes ensuring the staff feels supported and keeping an excellent physical environment with up-to-date equipment.

They develop and uphold the facility’s policies, procedures, and protocols to ensure everything runs smoothly.

Medical directors continually work to improve their facilities. The medical field is highly competitive, and science is constantly changing, so medical directors must stay on top of their game to keep their facilities running at the highest standards.

Likewise, this means that medical directors push their staff to continually learn, whether it be in-facility medical training, scientific research, or other educational tools.

Why Are Medical Directors Needed In Hospice Care?

Hospice patients are some of the most vulnerable in the medical community. As such, medical directors are essential in regulating their facilities and staff so patients reach the end of their lives with peace and dignity.

What Do Hospice Medical Directors Do?

One study observed six medical directors working in hospice care over two years to understand their responsibilities better. Here are the primary responsibilities these medical directors were observed performing:

•     Consulting and maintaining communication with physicians
•     Work with the patient’s primary physician to determine life expectancy
•     Approve cases for hospice admission
•     Education of staff
•     Helping with care plans
•     Maintaining quality assurance
•     Handling budget issues
•     Work as a primary physician as needed

Interestingly, most medical directors in hospice care work only a few hours a month, meaning they are not involved in the day-to-day activities.

While the job of a medical director in other settings sometimes involves communicating directly with the patient and their family, hospice medical directors rarely interact with those receiving care in their organizations.

So You Want To Be A Medical Director In Hospice Care?

Becoming a medical director is not a linear path. It’s a complex career with many responsibilities, and medical directors come from various medical and professional backgrounds.

Medical Directors Come From Many Backgrounds

Some medical directors begin their careers as physicians, eventually expanding their jobs to include running a facility as medical directors.

Others are hospital administrators with less of a medical background and more of a professional one. Others may be leaders of specific units, such as hospice, or clinical directors.

It’s common for medical directors to earn a master’s degree in public health, health administration, or other healthcare-related fields.

Certifications For Hospice Medical Directors

While certifications aren’t always necessary depending on the organization, they are wonderful for educating current and prospective medical directors and can improve the quality of their work.

The American Academy Of Hospice And Palliative Medicine

The American Academy of Hospice and Palliative Medicine offers medical directors and physicians certification in hospice care. Hospice regulations are complex, and knowledge of hospice care is constantly evolving. The certification helps prepare hospice medical directors by expanding their skills and expertise.

The Hospice Medical Director Certification Board

Other facilities may require prospective hospice medical directors to pass the Hospice Medical Director Certification because hospice care requires unique skills and knowledge that typical medical directors may not have.

To be eligible for the HMDCB certification exam, you must have a license to practice medicine in the United States or Canada, have participated in at least 400 hours of hospice “activities,” and conform to the HMDCB’s code of conduct.

The Qualities Of A Good Hospice Medical Director 

Various qualities are helpful for someone pursuing a hospice medical director career, but organizations typically seek the following skills:

Professionalism. Situations in healthcare can be stressful, especially in situations where the patient is nearing the end of their life, like in hospice. A medical director must be able to remain professional, no matter what complications may arise.

Respect. Likewise, patients nearing the end of their lives want respect and dignity—they don’t want to be treated like a number. Medical directors must also treat their staff with respect since the staff can make or break an organization.

Responsibility. Medical directors have many duties, including maintaining patient care, policies and procedures, and adequate work conditions for their staff.

Integrity. Caring about people and wanting to do the right thing is invaluable for anyone working in the healthcare industry, even if they aren’t hands-on with the patient’s care.

Empathy. A significant part of a medical director’s job is ensuring that physicians and other staff members provide the best patient care. They must look out for the patient’s best interest, evaluate the quality of care, and recognize areas where care is lacking.

Will You Become A Hospice Medical Director?

The road to becoming a hospice medical director may be long, but it’s rewarding in all the best ways. You’ll be responsible for maintaining an amazing facility where the staff feels supported, and the patients feel cared for.

If you have the right qualities and the drive to work hard, becoming a hospice medical director might be your calling.

We have Openings for Hospice Medical Directors

Momentum Healthcare Staffing is all about connecting medical professionals to their dream jobs. If you’re seeking a rewarding career as a Hospice Medical Director, please reach out to us today or visit our job board to learn more. We can help match you to the position that aligns with your professional and personal goals.

Federal legislation such as the ICAN Act (H.R. 8812 and S. 5212) aims to remove practice barriers for Nurse Practitioners (NPs). If passed, these bills would expand NPs’ authority to perform more comprehensive healthcare services, including roles traditionally reserved for physicians. This includes certifying the need for inpatient services, performing physical exams in skilled nursing facilities, and more​​.

Additionally, other states are enacting healthcare-related laws. For example, Missouri introduced bills (MO SB79 and MO HB271) to grant full practice authority to NPs, allowing them to work independently without physician oversight. ​

In April, Washington Governor Jay Inslee signed a staffing law to address the healthcare worker shortage. This legislation mandates that hospitals adhere to specific staffing standards and establish staffing committees, including nursing staff and administrators, by January 1. These committees are responsible for approving annual staffing plans, which must be submitted to state officials by 2025. Hospitals falling below 80% compliance with these plans are required to report their noncompliance. Subsequently, the state departments of health and labor and industries will assign corrective action plans to these hospitals. Failure to comply with these corrective plans could result in fines of $50,000 per month​

These changes reflect ongoing efforts to address healthcare access and provider shortages across the country

$25 Minimum Wage – SB 525

Sen. Maria Elena Durazo proposed delaying the $25 minimum wage for California’s lowest-paid health care workers to align with the state fiscal year and allow more time for budget discussions. Gov. Gavin Newsom, who signed the law last fall, suggested a delay due to the state’s budget shortfall. With the wage increase set for June 1, many health workers remain uncertain about their pay raises, though some have already been notified of increases.

Newsom’s recent budget proposal indicates ongoing negotiations to adjust the wage law, with a promised deal before the budget is signed. SEIU-UHW, the union behind the law, launched an ad campaign emphasizing the importance of the wage increase amid worker confusion. The governor proposed tying wage increases to the state’s budget, facing a $27.6 billion deficit, with the wage hike potentially costing around $4 billion annually, although the UC Berkeley Labor Center estimates lower costs.

Despite potential changes, some employers are proceeding with the wage increases. The California Hospitals Association and the California Kidney Care Alliance confirmed compliance with the law, and health workers are set to receive between $18 to $23 an hour starting next month, with the full $25 phased in over the years. Some health systems, like UC Health and Kaweah Health Medical Center, have already raised wages to stay competitive and retain employees.

The $25 minimum wage law for California’s lowest-paid healthcare workers specifically applies to a wide range of workers in the healthcare sector. This includes:

•         Hospital workers
•         Dialysis clinic workers
•         Home health aides
•         Nursing assistants
•         Medical technicians
•         Support staff such as janitors and food service workers within healthcare facilities

The law is aimed at ensuring that these essential but often underpaid workers receive a living wage, which will be phased in over several years until it reaches $25 per hour.

Professional Healthcare Staffing Agency

As new staffing legislation underscores the critical need for adequate healthcare staffing, our role as a healthcare staffing company becomes even more vital. By ensuring hospitals can meet the mandated staffing standards, we help improve patient care and reduce the burden on existing healthcare workers. Momentum’s team of experienced professionals is ready to support hospitals in forming effective staffing committees, devising robust staffing plans, and maintaining compliance to avoid hefty fines. Partner with us to navigate these regulatory changes seamlessly and ensure your facility is well-equipped to provide exceptional patient care. Together, we can address the healthcare worker shortage and build a stronger, more resilient healthcare system.

For more information on how we can assist, contact us today.

Sources:

Calmatters.org
beckershospitalreview.com
nurse.org
openai.com