Stroma Clinical Group


Physician Leadership and Clinical Oversight for Rural Hospitals

Physician-led governance, regulatory alignment, and clinical system design for critical access and rural hospitals.

Overview

Stroma Clinical Group provides physician-led leadership to support medical staff oversight, clinical operations, and regulatory compliance in rural and critical access hospitals.

Work is grounded in CMS Conditions of Participation, medical staff governance, and direct accountability for patient care systems. The focus is practical: clear structure, usable processes, and decisions that hold up under scrutiny.

Situations We Help With

  • Physician supervision models that are unclear or inconsistent

  • Medical staff structure that is informal or not functioning

  • Preparing for CMS or state survey

  • Gaps in QAPI, infection prevention, or regulatory alignment

  • Tension between administration and medical staff

  • Need for interim or remote physician leadership

Core Functions

Medical Staff Oversight

  • Credentialing and privileging structure

  • OPPE / FPPE and peer review systems

  • Bylaws, rules, and governance alignment

Quality and Regulatory (QAPI)

  • Design and oversight of QAPI programs

  • Alignment with CMS Conditions of Participation

  • Infection prevention and monitoring systems

Clinical Systems and Coverage

  • Physician supervision models in ED and inpatient settings

  • Telemedicine integration and escalation pathways

  • Clinical risk structure and decision support

About

Stroma Clinical Group is led by a practicing Family Medicine physician with experience in full spectrum rural care, hospital leadership, and public health.

The work focuses on bringing structure to environments where expectations are often unclear and resources are limited. The goal is not theoretical improvement, but systems that function reliably in real hospitals.

Contact

For inquiries or to discuss potential collaboration, please reach out directly:
brady@stromaclinical.com