The starting point
A medical director's name is not the same as a managed medical operation.
Your physician may be excellent. The problem may have nothing to do with the quality of the doctor.
The clinic may still have no dependable process for chart review, policy updates, new-service approval, incident follow-up, delegation, clinical escalation, or medical-director continuity.
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The owner assumes the physician is managing the medical side. The physician assumes the clinic already has the administrative process. The staff assumes somebody approved what they were told to do.
Then the clinic grows, the team changes, or an issue arises, and everyone discovers that the process depended on assumptions. Maintain gives those responsibilities a permanent place to live.
