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Trustee Articles

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.
Trustee Articles

Choosing Wisely: Succession Planning for a Down-Sized Board

Several events can lead to a decision to down-size a board. In some cases, the trigger is a merger or an acquisition in which seating all legacy directors would result in a large, unwieldy board or produce an imbalance favoring one of the combining parties. In other cases, a large board simply decides its present size is an impediment to efficient and effective governance.
Trustee Articles

Improved Joint Venture Performance Through Enhanced Governance

By Mary K. Totten and Pamela R. Knecht
Trustee Articles

Recruiting the Right Mix

Given the sweeping changes in health care, forward-thinking hospitals, systems and medical centers are carefully evaluating board member succession and recruitment. The challenging environment in which these organizations operate requires strong, knowledgeable boards whose members have deep insights into the field and a fundamental understanding of business, management practices and how to compete in a highly competitive market.
Trustee Articles

Transformation and the Governance Agenda: Keeping Your Board on Track

Now that the Affordable Care Act has been upheld, it appears that the American health care delivery system is about to embark on unprecedented change. This transition encompasses a staggering number of issues: integration and physician alignment; significant reduction in Medicare reimbursement; heightened emphasis on quality and safety; the need to evaluate and pursue partnership options, such as mergers and affiliations with health care providers along the continuum of care; defining and delivering accountable care; and ultimately the complete transformation of an acute care based system to systems of care that promote and encourage population health.
Trustee Articles

Effective Governance of Health Systems

Governing a health system is different than governing a stand-alone hospital. All health system boards oversee and attempt to integrate different businesses regardless of the type of system they govern.
Trustee Articles

Governing to Achieve the Triple Aim: Broadening the Board's Perspective

The Triple Aim of improving the experience of care, improving the health of populationsand reducing per capita costs of health care is a nationally recognized goal that provides context for much of the work now underway to redesign existing systems for care, payment and collaboration to achieve better health outcomes for all Americans.
Trustee Articles

Exploring a Variety of Ways to Transform System Governance

Governance restructuring efforts of eight health systems provide lessons on redefining what it means to be a community board.
Trustee Articles

Deliberate Decision-making and the Effective Board

High performing boards learn how to make decisions at the right time using the right processes.