Dr. Lee Fagre recertified as Certified Medical Director posted 3/21/2016 in News The Board of Directors of the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) is proud to announce that Lee Fagre, MD of Waverly has recertified as a Certified Medical Director (CMD) in Post-Acute and Long-Term Care.Dr. Fagre, who is one of only eleven CMDs in the state of Iowa, is associated with several long-term care facilities in northeast Iowa, and also practices family medicine at Covenant Clinic in Waverly.The CMD credential was established to enhance the profession of medical direction throughout post-acute and long-term care settings such as nursing facilities, hospice, assisted living, and home care. The certification program recognizes the dual clinical and management roles of the medical director and requires indicators of competence in both areas. The dual nature of the skills needed makes the position of medical director unique in medicine.A 2009 study found having a Certified Medical Director contributes positively to the quality of care in a nursing home setting. Analysis of data showed that quality scores represented a 15% improvement in quality for facilities with CMDs.Dr. Fagre is one of more than 3,500 physicians nationwide who have received the CMD designation since the program’s inception in 1991. He first became a Certified Medical Director in 1993.