Evenson says this shifting dynamic will also require a new relationship between medical directors and practice administrators. " It is probably more important now than ever to have a strong physician administrator team and have a strong understanding of a common goal, " he says.
"In the past if it was production, we focused on patient flow and efficiencies in the practice. But in the new environment it is delivering value and clinical quality. There is going to have to be a movement within the organization to ensure there are harmonized activities and that the practice can deliver the greatest quality possible. "
Compensation and time allotted for medical director duties appears to vary depending upon the ownership of the physician group. Respondents in this survey tended to represent medical directors working in physician-owned practices, where Evenson says " the preponderance of their activities will still be in that clinically based care because they are delivering face-to-face contact with patients. "
"The preponderance of what they are earning is going to be in the space of their traditional compensation model of production. With that being said, on the side of the medical directorship there is a very different modes for how they are being compensated, " he says.