Resource Library

Board CultureBringing the Voices of Kids into the BoardroomSchonay Barnett-Jones shares professional and personal experience in advocating for children’s healthBy Aisha SyedaInterviewChildren in the U.S. are experiencing a wide array of serious challenges, from mental health conditions, to poverty, to obesity and abuse.

Board Responsibilities Elevate Your Facilitation Skills Guidance for board and committee chairs By Kimberly McNally Have you ever asked yourself any of these questions before or during chairing a board or committee meeting?

Board Culture Get Active in Preventing Board Chair Burnout Start with a well-defined role, delegation and limits on expectations By Jamie Orlikoff First reported among frontline care givers in the emergency department and ICU, pandemic-related burnout spread to impact nearly everyone in t

Transforming Governance Demystifying and Optimizing the Executive Session Executive Sessions can Enhance and Strengthen Board Culture By Laura S.

Following key strategies for effective CEO performance appraisals are essential to the health care board’s role.

An effective board chair/CEO relationship is essential to support governance excellence and begins with a clear understanding of individual and shared accountabilities. Dallas-based Methodist Health System defines these accountabilities in a board chair/CEO compact (shown below) that is used as both an orientation resource for new board chairs and a touchstone for ongoing evaluation of this critical relationship.

Doing your duty is not just about success; it is also about actively engaging in practices that promote good governance. Take this quiz to review and reflect on how your board compares with governance best practices.

Fulfilling duties includes actively engaging in practices that promote good governance. A review of best practices enables the board to reflect on opportunities for improvement.

By Stephen Mansfield While a clear, bright line between the roles of governance and management does not exist for every issue that boards and organizational leaders must address, defining the relative roles of boards, leaders and managers can enhance governance effectiveness and working relationships.

Clarifying accountabilities between management and governance is essential for high performance. Discover best-practice governance principles in this article.

Webinar Making Effective Decisions in Times of Uncertainty and Change: What Boards Need to Know  

For boards to participate in shaping their new organization, they must be currently performing at an extremely high level. The following is a list of four practices that hospital and health system boards must be engaged in today, in order to be successful in the future.

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.

In industries where safety is critical and quality must come first, such as airlines and nuclear power, “red rules” refer to protocols that must be followed “to the letter” – all work stops until they are. A commercial airliner doesnʼt leave the gate if the pilot spies a possible leak or flat tire; a nuclear plant operator or even a Toyota assembly line worker can “stop the line” when he spots a critical flaw.

Great organizations have great leadership— at the top and throughout their ranks. 

Over the last decade, and especially since the Enron failure, boards of all types have been working to enhance their performance. They ensure their composition is competency-based; they align their structures with their strategies; and they have robust, written governance procedures.

Throughout my years of serving on boards, I typically have done so as an outside trustee, someone who brings knowledge about health care issues in general and about governance in particular, to the board table. Boards composed primarily of community members, as hospital boards traditionally have been, often incorporate outside trustees within their membership to bring a fresh, external perspective into board discussions.

When someone walks into your hospital, his first impression is created by the physical architecture. But his lasting impression — and what he is most likely to talk about when he returns home — will be determined by what we call the “invisible architecture” of core values, organizational culture and behavioral expectations.

For boards to participate in shaping their new organization, they must be currently performing at an extremely high level. The following is a list of four practices that hospital and health system boards must be engaged in today, in order to be successful in the future.

Don’t overlook the importance of CEO-board etiquette — it’s a pillar of good governance. The relationship between boards and chief executive officers can be fraught with challenges, and trustees often are unsure of how to handle certain delicate situations. But using a framework of etiquette can provide guidance.