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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       

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.  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