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Applying Lean Principles to Board Work

Trustee Articles
Health care is ripe for change. The evidence is all around us. A majority of health care leaders recently surveyed said hospitals and health systems are most in need of disruptive innovation (New England Journal of Medicine Catalyst, February 16, 2017). Consumers are taking charge of their own health and seeking providers that deliver high-quality, affordable and accessible care in ways they have come to expect from their favorite retailers. And disrupters from within and outside of health care are joining forces and competing with traditional health care organizations to give consumers what they are looking for.

Boards can be safety champions

Trustee talking points Patient safety is essential for hospitals and health systems, and it should be a strategic priority. Boards need to be informed about and engaged i

Governing in the Digital Age

Trustee Articles
Most boards I know were built by recruiting business leaders, physicians and clergy, and it’s important to have broad community representation among trustees. Increasingly, however, boards are recruiting new members by using a skills-based approach aligned with the organization’s strategic needs, including the need for information technology expertise. This is where “digital directors” come in.

Governing to Achieve the Triple Aim: Broadening the Board's Perspective

Trustee Articles
The Triple Aim of improving the experience of care, improving the health of populationsand reducing per capita costs of health care is a nationally recognized goal that provides context for much of the work now underway to redesign existing systems for care, payment and collaboration to achieve better health outcomes for all Americans.

Preparing for an At-Risk Era

Snapshot Preparing for a value-based health care environment is daunting at a time when fee-for-service payments still predo

The One Trait that Consistently High-performing Health Systems and Hospitals Share

Consistently high-performing health systems and hospitals share a common trait. Their leadership teams are exceptionally humble.

Transformation and the Governance Agenda: Keeping Your Board on Track

Trustee Articles
Now that the Affordable Care Act has been upheld, it appears that the American health care delivery system is about to embark on unprecedented change. This transition encompasses a staggering number of issues: integration and physician alignment; significant reduction in Medicare reimbursement; heightened emphasis on quality and safety; the need to evaluate and pursue partnership options, such as mergers and affiliations with health care providers along the continuum of care; defining and delivering accountable care; and ultimately the complete transformation of an acute care based system to systems of care that promote and encourage population health.

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.