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A. Requirements and Credentials

The Medial Director shall at all times:

1. be a licensed physician certified by the State Medical Board;
2. be a member in good standing of the medical staff;
3. be Board certified or be eligible to become certified;
4. have the experience or a strong desire to perform managerial functions for the management and operation of an ASC

B. General Responsibilities

The Medical Director and the Executive Director will have mutual responsibility for the supervision of administrative, clinical, and educational activities.  Together, they will perform all of the tasks that are necessary for the ASC to provide efficient, high-quality patient care.  In addition, the Medical Director shall assure sufficient anesthesia coverage for maximum and efficient utilization and for conformance to established quality of care standards.

C. Chain of Command

The Medical Director will be responsible to the ASC’s Board of Directors or other governing body for all issues related to medical care and administration.

D. Specific Duties and Responsibilities

Where applicable, the Medical Director and the Executive Director shall:

1. supervise all professional and non-professional activities of the ASC to assure that the ASC is in compliance with the appropriate standards required by all governmental agencies and conforms to the rules, regulations, and bylaws of the ASC organization;
2. set and implement all policies and procedures for the ASC including, but not limited to, pre-admission, evaluation, admission, management of medical care, discharge, and post-discharge follow-up, and shall monitor compliance with such policies and procedures;
3. evaluate the ongoing clinical and QI operations, report the finds to the appropriate committee or department at least bi -monthly, recommend program modifications or new programs to improve utilization and quality of care and implement program changes upon approval by the appropriate committee or department;
4. encourage increased utilization of the ASC by:
5. monitoring physician and patient satisfaction with the ASC including services, policies, and personnel,
6. assisting with orientation and educational programs for the medical and non-medical community at large, and
7. using other appropriate means to inform the medical staff and the public of activities and services available through the ASC;
8. establish organizational relationships and assign duties and responsibilities to ASC personnel, assist the personnel to effectively carry out those duties and responsibilities;
9. perform quality improvement activities as directed by the governing board, department, and/or committee;
10. provide continuing education programs and encourage ASC personnel to participate in continuing educational activities;
11. monitor clinical performance to assure compliance with the established standards, policies, and procedures;
12. be physically available on a day-to-day basis to help coordinate and monitor medical services;

Arrange anesthesia coverage as described below:

1. The number of anesthesiologists needed by the ASC will be determined by the governing board, director, or committee.  This number of anesthesiologists shall be immediately available during the regular operating hours of the ASC (or later, if surgical procedures requiring an anesthesiologist’s services are pending or are in progress).  The purpose of this coverage is to assure that scheduled procedures are not delayed or canceled due to the lack of the availability of anesthesiology services.
2. At least one anesthesiologist must be physically present in the ASC until the last patient who required anesthesiology services has been discharged.
3. The Medical Director shall collect information regarding each anesthesiologist’s availability two months in advance.  She/He or designee will then prepare the anesthesiology schedule based on this information and distribute it to the appropriate parties.
4. The Medical Director shall assure that the anesthesiologists perform anesthesia on all medically appropriate patients, regardless of the patients’ medical insurance coverage.  The anesthesiologists must be contracted providers for all insurance plans that the ASC contracts with, or at least be willing to accept assignment so that patients and surgeons are not discouraged from using the ASC.  No procedure shall be delayed or cancelled as a result of anesthesiologist refusal to perform the procedure for economic reasons.