The County Commission on Wednesday voted unanimously to ratify an expanded Hospital Authority board that operates Erlanger Medical Center.
A two-thirds vote of the commission was required.
The board, under new legislation, moves from nine to 10 members with the hospital chief of staff attaining board status.
Commissioner Jim Fields said there had been some concern about having an even number board. But he said the General Assembly is expected to make further improvements in the Hospital Authority Act.
Commissioner Fred Skillern said when there was an odd-numbered board "they made some terrible decisions." He said the county "would have been better served if there had been some ties on the board.
Commissioner Tim Boyd urged passage of the measure, saying he has spoken with Erlanger board members, staff and doctors and "all are in favor."
He said, "It's an effort to regain the doctors and bring a more balanced patient caseload. It is a strong statement to the doctors."
Commission Chairman Larry Henry said, "The doctors are starting to come back to Erlanger. It's important that they do have a voice."