The Floyd Healthcare Management Inc. board chose Monday to table a resolution that, if enacted, adds three in-house physicians and the CEO to its board of directors.

The move to add four new members comes on the heels of anticipated changes, including the implementation of the Patient Protection and Affordable Care Act. No physicians at Floyd Medical Center serve on the management panel, which oversees the hospital.

“There’s a need for hospitals to change their business relationship with other hospitals, to work more closely, more collaboratively with other groups,” said Dan Sweitzer, Floyd’s vice president of market development. “If we’re going to have that type of collaboration, we need to have more people at the board table.”

According to Sweitzer, one task of the board’s strategic planning committee is to examine changes in the health care market. The Affordable Care Act and changing relationships with insurance companies led some three weeks ago to the proposed changes.

Mark Manis, chairman of the planning committee, told the full board Monday the issue of adding FMC president and CEO Kurt Stuenkel and three in-house doctors was discussed at length. Wade Monk, Floyd’s general counsel, then developed the proposed changes.

“To me, the key here is there are good reasons to adding representation on the board of our employed physicians,” Monk said. “They make up a very important component of our organization.”

Sweitzer also said the change would assist in the recruitment of doctors. Physicians want to know when searching for jobs if they’ll have a voice at the board table.

Both Sweitzer and Monk said adding the physicians necessitated the CEO’s addition to the board. The doctors are answerable to Stuenkel, yet would in a way would be his boss when making decisions about him on the board.

The board could have voted Monday on implementing the change, but board member Larry Kuglar asked for more time to examine the issue. The proposal was then tabled until the March meeting.

If enacted, 18 members would serve on the Floyd Healthcare Management Inc. board instead of 14.