The role of a health care organization trustee gets more complicated and more sophisticated every day. Pressures are increasing simultaneously for higher quality, lower cost, more transparency and accountability, and use of evolving and evermore expensive technology. At the same time, hospitals face increasing competition from unexpected sources both for patients and for professionals in critical disciplines.
Buffeted by change on nearly every front, and in the face of unprecedented ambiguity and financial instability, trustees are faced with the need to make complex decisions that have long-term consequences. The challenges are often beyond those for which any amount of health care governance experience could have prepared them.