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MFMD guide · Medical director governance

What should I tell my Medical Director before adding a new service?

The right answer depends on the facility’s actual structure, regulatory status, services, payer model, and licensed team. This guide organizes the facts that should be resolved before a decision is made.

Direct answer

Tell the Medical Director before the service is marketed or launched. A new medication, procedure, device, pharmacy source, practitioner, or clinical workflow can change the governance structure the physician originally accepted — so it needs to be reviewed and built in first, not discovered afterward.

Open the full explanation2 sections and primary sources
01

What changes should trigger a call to the Medical Director?

A new clinical service, a new drug or product, a new route/procedure/device, a pharmacy or source change, a new prescriber, a new location, a controlled substance, or a major workflow change all warrant a conversation before go-live.

02

Why bring the Medical Director in before a new line launches?

Bringing the director in early is how a new line launches on a compliant footing. See how MFMD helps structure a new line at /service-line-setup.

Primary sources

Review the cited source before applying the answer to a facility.

How to use this guide

Separate the public question from the facility decision.

First confirm the facility type, AHCA or exemption status, payer model, licensed roster, and services. Then check the current official source and document who evaluates, prescribes, orders, administers, supervises, and escalates an exception.

MFMD can structure facility governance and present the proposed services and responsibilities to a physician. Clinical authority and acceptance remain with the reviewing physician.

Start with the facts of your facility

Build the right governance scope for your facility.

The two-minute estimator uses business and facility information to define your planning scope.

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