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Distinguishing Governance and Management
Trustee Articles
“What is the difference between governance and management?” is by far the question that not-for-profit executives and directors ask most often. Effective boards understand the difference between governing and managing; dysfunctional boards do not.
Demystifying and Optimizing the Executive Session
The executive session provides an important venue for maintaining board independence and protecting confidentiality as the governing body carries out its fiduciary duties.
Current High-Performance Governance Practices
Board Checklists
For boards to participate in shaping their new organization, they must be currently performing at an extremely high level. The following is a list of four practices that hospital and health system boards must be engaged in today, in order to be successful in the future.
Effective CEO Performance Evaluation
Following key strategies for effective CEO performance appraisals are essential to the health care board’s role.
Memorandum of Understanding MHS Board Chair/CEO Compact
Board and Committee Charters
An effective board chair/CEO relationship is essential to support governance excellence and begins with a clear understanding of individual and shared accountabilities. Dallas-based Methodist Health System defines these accountabilities in a board chair/CEO compact (shown below) that is used as both an orientation resource for new board chairs and a touchstone for ongoing evaluation of this critical relationship.
Preserving the Distinction Between Management and Governance
Trustee Articles
Clarifying accountabilities between management and governance is essential for high performance. Discover best-practice governance principles in this article.
Building an Effective CEO-Board Partnership
The past few years have only made things harder for new CEOs, with the impact of COVID-19 creating a volatile, politicized environment on top of existential organizational challenges. Even with all that, a big surprise for a new CEO is how much time and energy are required to establish and nurture an effective strategic partnership with your board so as to add value to the organization.
Principles and Best Practices for Effective Governance
Trustee Articles
The trustees of one health system were divided over how to structure the board. Some favored proportional representation from its acute care, nursing home and elder services divisions; others wanted all at-large members with no interests to promote.
The CEO of another health system had restructured so facility executives were directly accountable to corporate management for finances and operations. He wanted local boards to focus on strategic direction and oversight of quality, but local boards continued monthly monitoring of finances as they’d always done. Some trustees wondered what their role was.