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Governance in Large Nonprofit Health Systems: Current Profile and Emerging Patterns

Trustee Articles
New research on board structures, practices and culture in large nonprofit systems provides insight into how boards and CEOs are addressing the challenges of change — and changing the way they govern in the process. This workbook explores several themes emerging from review of system documents and 71 on-site interviews with CEOs and senior board leaders in 14 of the country’s 15 largest nonprofit health care organizations.

Someone to Lean On

Trustee Articles
Health care CEOs may need a little help. How about hiring a chief of staff?

Developing a Strategic Board

Trustee Articles
With CEO support and opportunities for education, trustees can become better hospital leaders

Six Ways a Trustee Can Help Create an Ideal Culture

Trustee Articles
What is the board’s role in shaping culture? Several health care leaders offer advice that reflects the diversity of their experiences.

COVID-19 Pathways to Recovery

The compendium includes questions and checklists for hospitals and health systems to use in working toward a safe, orderly return to providing comprehensive health care services to their communities.

New Approaches to Board Chair Effectiveness

Trustee Articles
Over the past decade, we have learned much about board effectiveness. A growing body of research has systematically confirmed the intuitive link between board and organizational performance: higher-performing boards are associated with higher-performing organizations.

Board's Role in Managing a Crisis

Trustee Articles
The hospital's board chair picks up the phone in his office at TriState Bank headquarters. The CEO’s voice on the other end of the line is stark and serious. “The medical executive committee just gave me a unanimous no confidence vote,” he says. “They’re complaining about closed communications and aloofness. And the Gazette called and wants to talk about my compensation."

Helping Boards Achieve and Demonstrate Accountability

Trustee Articles
With health reform comes increased demand for transparency about organizational performance and accountability. While most hospital and health system senior leaders realize this, board members, surprisingly, may not. As such, boards must have a clear understanding of their accountability to the organization’s stakeholders in order to govern effectively.

Current High-Performance Governance Practices

Trustee Articles
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.

Protect the Heroes

Trustee Articles
A new national initiative allows donors to direct contributions to their local hospital during the COVID-19 pandemic.