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Put Equity at the Heart of Care

Health care is a fundamental right — a civil right and a human right. Statistically, however, underserved patient populations, often minority groups, receive the worst care nationwide.

Advent of "Care Systems" Means Governance Must Also Transform

Trustee Articles
Society and industries are always evolving; revolutionary change occurs sporadically when powerful forces align to disrupt the old order. The health care delivery system today is in the midst of an historic transformation to redesign how care is delivered. The quite immodest aim is to take 20 to 30 percent of costs out of the system while maintaining or improving clinical outcomes and patients’ health.

Credentialing, Privileging and the Engaged Board

Trustee Articles
Education, preparation and collegiality can empower physician and lay member trustees to make fair and thoroughly vetted decisions.

Red Rules for Boards

Trustee Articles
In industries where safety is critical and quality must come first, such as airlines and nuclear power, “red rules” refer to protocols that must be followed “to the letter” – all work stops until they are. A commercial airliner doesnʼt leave the gate if the pilot spies a possible leak or flat tire; a nuclear plant operator or even a Toyota assembly line worker can “stop the line” when he spots a critical flaw.

Competency-Based Governance Toolkit

Trustee Articles
The role of a health care organization trustee gets more complicated and more sophisticated every day. Pressures are increasing simultaneously for higher quality, lower cost, more transparency and accountability, and use of evolving and evermore expensive technology.

CMS Announces Savings in First Year of Home Care Demonstration

Participants in the Centers for Medicare & Medicaid’s Independence at Home demonstration saved more than $25 million in the payment model’s first performance year while delivering h

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.

Strengthening Culture through Good Governance Practices

Trustee Articles
For effective cultural stewardship, boards need to promote behavioral expectations for patient care and make sure that espoused values and norms are respected throughout the organization.

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