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Board Brief: It Starts at the Top: How Boards Can Prioritize Health Equity

Trustees are in a unique leadership position for overseeing a health equity strategy for their hospitals and health systems.

Sample Board Demographic/Attribute Profile Matrix

Adapted from “Recruiting for a Diverse Health Care Board,” by Karma H. Bass (Trustee Insights, Dec. 2020).

Board chair coaching process

Discussion Questions & Templates
A good coach focuses on what the board chair wants to accomplish and designs a coaching process based on how the board chair experiences the role; on assessment of individual strengths and weaknesses; and on identifying and addressing blind spots. Each coaching process should be customized to meet the board chair’s individual needs and goals.

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.

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.

Board Policy Manuals

Board Policies
Board policies do various things. Some describe how important processes, such as board self evaluation and CEO evaluation, are carried out. Other policies address standards of conduct such as a conflict of interest policy. Still others clarify delegations of authority such as the levels of authority granted to subsidiary boards, board committees and the CEO.

2018 Sample Board Composition Policy

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

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...

Sample Committee Assessment Board Audit and Compliance Committee

Board and Committee Charters
The following is intended to be an example that boards should adapt to meet their individual needs. This self-assessment tool will provide you an opportunity to evaluate our committee’s performance and contributions.

Governance Committee Charter

Board and Committee Charters
Overall Roles and Responsibilities -The Governance Committee provides for the board’s effectiveness and continuing development.