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Bringing Competencies into Governance: Systems Helping Systems

Trustee Articles
As health care organizations become more complex and diverse, their governance requires individuals with a range of knowledge, skills and behaviors that can address the needs and challenges of these evolving enterprises. As their organizations mature, effective boards update how their members are selected, often moving away from informal, relationship based board composition to a more intentional, competency-based process.

Sample Governance Dashboard for Monitoring Executive Compensation Programs

Dashboards/Scorecards
By tracking outcomes, the committee can ensure that the program operates consistently with the established philosophy and that areas requiring attention are readily identified. When combined with comprehensive tally sheets and affirmation that all executive compensation arrangements are fully disclosed to the committee, there is a comprehensive baseline underlying the committee’s deliberations.

Competency-Based Succession Planning

Trustee Articles
Even before the Enron scandal, which featured directors who didn’t understand the company’s complex financial transactions, and before the Sarbanes‐Oxley Act required publicly owned corporations to disclose whether their boards include directors with financial expertise, it should have been self‐evident that relevant knowledge and experience are prerequisites for effective governance.  

Committees: The Key to Generative Governance

Trustee Articles
High-performing boards across the country have made great strides in enhancing their effectiveness and efficiency.

Co-creating strategy

Let’s face it, designing a strategy is challenging in the best of times. Add to this the uncertainty of the health reform landscape, and strategy design seems almost impossible.

Bringing Competencies to Governance: Systems Helping Systems

Trustee Articles
As health care organizations become more complex and diverse, their governance requires individuals with a range of knowledge, skills and behaviors that can address the needs and challenges of these evolving enterprises.

Nurses in the Boardroom

Trustee Articles
A board member/trustee with a nursing background brings a unique voice to governance conversations focused on the Triple Aim. Nurses bring expertise in and valuable perspectives about community health, quality, safety, patient experience, workforce development, staff engagement and financial stewardship.

Leveraging Committees

Trustee Articles
As health care field changes become more complex, savvy board and executive leaders are intentionally increasing the time that their boards spend in robust discussions of strategic challenges and opportunities.

Women in Governance: A Savvy Strategy for Advancing Community Health

Trustee Articles
In many ways, women are on the front line in health care — as consumers, employees and family caretakers. They possess firsthand knowledge of community health issues and needs. They can bring an informed perspective to health care and other community organizations about where to focus resources to have the greatest impact.

Emerging Committee Effectiveness Practices

Trustee Articles
The best boards revisit their committee structures, responsibilities and information flow to ensure detailed oversight while devoting more time to strategic and policy issues.