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Seven Techniques to Strengthen Board Decision Making

Evaluations and Assessments
Effective decision making often requires different techniques or approaches for different types of decisions. The following techniques and practices can help support and strengthen your board’s decision-making processes.

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.

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...

Sample Statement of the Roles and Responsibilities of the Board

Board and Committee Charters
Purpose: To ensure that members of the board have a common understanding of the role of governance, the board has adopted this Statement of the Roles and Responsibilities of the Board.

2018 Sample Board Composition Policy

Board Policies
Board and Committee Composition and Succession Planning...

Sample Board Chair Role Description

Board and Committee Charters
The following is intended to be an example that boards should adapt to meet their individual needs.

Board Self Evaluation

Evaluations and Assessments
Regular board self-evaluation is integral to effective governance. Use the questions in the attachment to assess whether your board is getting maximum mileage from its self-evaluation process.

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.”

New Board Member Orientation Manual

Board Checklists
A Board Orientation Manual reinforces information provided during orientation seminars. Consider these items in custom-designing an orientation manual for your board.

Dashboards and Balanced Scorecards

Dashboards/Scorecards
The dashboard or “balanced scorecard” has become a staple of effective governance. Charts and numerical data provide a comprehensive picture of organizational performance. Here are some questions to assess whether your board’s dashboard is as good as it could be.