Abstract
Maryland has become the first state to include proscriptive physician requirements within state nursing home regulations. 1 Maryland Register, COMAR 10.07.02.10-11. 2001;28:7. Google Scholar Heretofore, physicians in Maryland were governed under the authority of the Maryland Board of Physician Quality Assurance (BPQA), the body within the Maryland Department of Health and Mental Hygiene (DHMH) with the responsibility and authority to license and discipline physicians. 2 Annotated Code of Maryland, COMAR, Title 14: 101–508, Health Occupations: Physicians, 2001. Google Scholar The new regulations give another branch of DHMH, the Office of Health Care Quality (OHCQ, formerly called Licensing and Certification), which surveys nursing homes, the authority to give nursing facilities deficiency citations for physician failure to comply with the 54 items outlined in the new regulations. The purpose of this article is to provide background as to why the OHCQ states these new regulations are necessary and to discuss the implications of these new regulations on the governance of medicine in Maryland.
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