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When the Future Finally Arrives: Governing Health Care in 2050
Boards are planning for 2026, but what about 2050?
The decades ahead promise profound change. Widening social and economic divides, demographic shifts, technological advances and rising consumer expectations will reshape nearly every aspect of our lives. Health care will be among the systems most deeply affected.
No one knows exactly what health care will look like 25 years from now. What is becoming clear, however, is that the current system is not designed to meet the demands ahead. The U.S. now spends roughly $5 trillion a year on health care, outpacing every other nation in per-person spending. But by even the most basic measures, the U.S. performs poorly compared to other wealthy nations, ranking near the bottom on life expectancy, infant mortality and preventable deaths.
Coaching for Results
Health care teams can boost their performance and impact with structured, focused guidance from an executive coach.
Board Self Evaluation
Regular board self-evaluation is integral to effective governance. Use the questions in the attachment to assess whether your board is getting maximum mileage from its self-evaluation process.
Strengthening Governance Through Self-Assessments
Using an effective, well-developed board self-assessment process can enhance governance performance.
Board Practices that Separate the Best from the Rest
The AHA’s 2011 Governance Survey shows that good governance practices continue to take hold among hospitals and health systems. Driven by powerful economic pressures and stringent legal requirements to be visionary, strategic, diligent and independent, boards are applying various “good governance” practices, including competency-based succession planning, board orientation and education, routine executive sessions, CEO retention planning, and board self-evaluation.
Board Portals: Are They Improving Governance Effectiveness?
While most health care governing boards may still rely on paper packets and board agenda books for board and committee meetings, adoption of board portals— Web-based, online workspaces that support health care governance—appears to be catching up with use in other sectors.
Board Oversight of Culture for High-Performing Hospitals
An external review of workplace operations produces a Leadership Letter with observations and recommendations for continuous improvement, followed by open discussion among the board, CEO and top management.
Board Orientation 101
New board members need more than a briefing on their organization — and the role they play in it
Board Meeting Evaluation
Board self-assessment is widely recognized as a fundamental building block of continuous governance improvement. For the past 20 years, many healthcare organization governing boards have engaged in full board performance evaluations, often on an annual basis. These evaluations are designed to assess the board’s knowledge of its roles and responsibilities and how well the board as a whole is discharging them.
AHA’s Hood shares how governance, trust can shape health care organizations
An article in the current edition of AHA Trustee Insights features AHA Executive Vice President and COO Michelle Hood, who shares lessons from four decades of leadership on how effective governance, trust and board engagement can shape resilient health care organizations in a rapidly changing environment.