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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.
The Role of the Board in Creating Value Chart
Dashboards/Scorecards
Value creation occurs at many levels in organizations. This chart, used by St. Charles Health System based in Bend, Ore., describes the unique role of governance as well the roles of leadership, management and front-line workers in applying Lean principles to support sustained organizational improvement.
The Leadership Audit
Evaluations and Assessments
To understand how the organization really functions on a day-to-day basis, boards need to gauge the hospital’s work life and its efficacy. Board responsibilities include: (a) understanding the hospital’s operating model and whether it actually performs in that mode, how critical decisions are made, and the hospital’s ability to recognize its own problems and “self-correct”; and (b) ensuring that it happens.
Standard Work for Governance Example
Board Policies
Standard Work for Governance Example
Source: St. Charles Health System. Used with Permission.
Top 10 Practices of Great Boards
Board Checklists
Be sure every member fully understands his or her accountability, responsibilities and the expectations of the office, and document it all in a written position description...
Governance Implications of Changing from Hospital to Care System Governance
Discussion Questions & Templates
The American Hospital Association’s report, Hospitals and Care System of the Future, describes the transformation of health care delivery from first curve to second curve, driven by a shift from volume driven to value-driven payment systems. While there is no single “end state” model that suitable for all organizations or communities, the report offers a compelling vision of “care systems” that are accountable, integrated and coordinated around patient and community needs.”