Clarifying Expectations: A First Step in Developing Truly Effective Relationships Between CEOs and Trustees

© 2007 Center for Healthcare Governance

By David A. Bjork


Boards of non-profit hospitals and health systems expect to be more engaged now than they were in the past. Because boards in all sectors are being held to higher standards of performance and accountability, they want to be more actively involved in setting organizational strategy and goals, resource allocation, capital financing, investments, and executive compensation and have significant influence on executive succession planning, clinical quality, and external relations.

Recent efforts to strengthen governance and corporate accountability all have led boards to believe they need to be more engaged.They have come to believe that the board’s role is to help shape, not just approve, major decisions about mission, vision, goals and priorities, as well as the best ways to meet community needs.

To