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Principles and Best Practices for Effective Governance
Trustee Articles
The trustees of one health system were divided over how to structure the board. Some favored proportional representation from its acute care, nursing home and elder services divisions; others wanted all at-large members with no interests to promote.
The CEO of another health system had restructured so facility executives were directly accountable to corporate management for finances and operations. He wanted local boards to focus on strategic direction and oversight of quality, but local boards continued monthly monitoring of finances as they’d always done. Some trustees wondered what their role was.
Ready for the Unthinkable
Trustee Articles
An emergency succession plan may never be used, but it’s still a necessity for every hospital. A key function of every board is to ensure that effective leadership is in place so that the institution it governs can continue to achieve its mission, vision and strategic goals.
Top 10 Practices of Great Boards
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...
Enhancing Governance to Foster Innovation
Trustee Articles
By adopting practices that embrace innovation, boards are better prepared to plan for change.
Position Description for a Health System or Hospital Board Member
Position Descriptions
A duty of obedience to the charitable purpose of the organization, a duty that should be demonstrable in all the board’s decisions.
A duty of loyalty, to act based on best interests of the organization and the wider community it serves, not the narrow interests of an individual or stakeholder group. A duty of care, to be diligent in carrying out the work of the board by preparing for meetings, attending faithfully, participating in discussions, asking questions, making sound and independent business judgments, and seeking independent opinions when necessary.
Using the Baldrige Criteria to Improve Governance Assessment
Evaluations and Assessments
Organizations pursuing Baldrige recognition must demonstrate how they carry out their
governance in eight areas of responsibility.
Board Practices that Separate the Best from the Rest
Trustee Articles
The AHA’s 2011 Governance Survey shows that good governance practices continue to take hold among hospitals and health systems. Driven by powerful economic pressures and stringent legal requirements to be visionary, strategic, diligent and independent, boards are applying various “good governance” practices, including competency-based succession planning, board orientation and education, routine executive sessions, CEO retention planning, and board self-evaluation.
Filling your physician needs
A medical staff development plan identifies your community's needs for physicians. It establishes your hospital or health system's physician need and recruitment priorities.
Safer, smaller, smarter health tech
Iron lungs out. Surgical robots in. The heart-wrenching sight of rows of children trapped in iron lungs has given way to the ability to transplant lungs.
Preserving the Distinction Between Management and Governance
Trustee Articles
One of the most difficult aspects of effective governance is understanding the distinction between the roles of management and the board, and how that demarcation varies among different organizations. After three decades of working for boards and serving on many myself, I have learned that clarifying these roles is imperative to well-functioning organizations and their boards.