Governance Effectiveness

Trustee Spotlight Name: Edward HatcherOrganization: Grinnell (Iowa) Regional Medical CenterYears on the board: 17Board roles: President (1997, 1998), (2011, 2012); executive board member (1994–1999), (2009–current)Profession: Grain and livestock agricultural operator
SNAPSHOT Hospital and system leaders say that they are acclimating to the transformed health care environment, but risk-based contracts, pressure to grow and regulatory scrutiny continue to buffet their organizations. Over breakfast, a small group of hospital and health system…
The first step on the high-reliability journey is a commitment to transparency within the organization and with patients and family members.
SNAPSHOT Physicians are frustrated and overwhelmed by the changes in care delivery. To support them and build engagement, boards and executives need to provide guidance and support at all levels of a physician’s career.
Health care transformation calls for engaging hospitals, trustees and communities to ensure that all patients receive high-quality care. Hospital leaders need to consider a variety of issues as they meet future challenges, and several key issues link to equity of care. Providing…
Mergers and acquisitions are complex and daunting to accomplish, full of intricate legal and financial questions, business-benefit projections and formulas for extracting efficiencies of scale. All that due diligence generally is done by the time the organizations start to interact. And then…
As hospitals and health systems continue to navigate the implementation of the Affordable Care Act, one important tool often goes overlooked. Human resources can play a vital role in developing organizational strategy and building an engaged workforce of the future.
As hospitals and health systems evolve to meet changing reimbursement and delivery system demands, so too must the organization’s leadership. The shift toward value-based care and population health management places new demands on the organization, requiring new competencies and skill sets in…
Snapshot A positive relationship between the board and CEO is a prerequisite for hospital and health system success. Frequent, candid communication, alignment in goals, productive meetings and continuous learning strengthen this important partnership.
The board is responsible for setting the hospital or health system’s mission and vision, and for engaging leaders and staff in working toward that vision. After the board, no individual has more influence over the organization than the CEO; however, the board defines the leadership…