Does an IV Hydration Therapy Practice Need a Medical Director?

The term “medical director” varies state by state. In fact, many states have specific definitions of a medical director, which have certain requirements based on the type of clinic. Many in the IV hydration therapy and Medical Spa industry use the term interchangeably with a physician supervisor for mid-level providers.

A medical director, as used in the IV hydration therapy industry, generally covers a physician that offers supervision, chart review, initial assessments, ordering of supplies, and ordering of treatments. However, state by state, these requirements vary. For example, in some states, RNs have a full, autonomous scope of practice, while in others, like Florida, RNs require physician supervision and oversight in order to provide services. In 2023, California will be joining 38 other states that grant some level of autonomy to nurse practitioners with AB 890.

Not knowing what laws your state follows and having the correct oversight needed, may be considered non-compliance. Non-compliance is no small issue either. Failure to provide proper oversight, direction, and supervision leads to licensure issues for the providers and the medical director—including suspension, fines, and revocations. Many times, a competitor or even former employee is the person making the complaint to the respective governing boards for enforcement.

For medical directors, its equally as important to ensure actual supervision and direction—failing to provide actual oversight as required could, and does, lead to serious licensure issues. While it’s not the number one issue governing boards focus on, its absolutely an active enforcement issue for boards.

The best way to ensure compliance and limit liability is to understand the laws in your state. Everyone involved in patient care carries liability and ignorance or lack of oversight is no defense. Clinics and medical directors should ensure they understand scope of practice and supervision laws, as well as laws applicable to the delivery of IV hydration therapy. Additionally, proper documentation (consents, records, waivers), can help mitigate liability, especially in conjunction with proper insurance coverage. For more guidance, it is suggested that you speak with a lawyer and insurance agent regarding ways to mitigate your risk.