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Fiduciary Duties, Conflicts of Interest and Independence Refresher
Feb 7, 2019
These are exciting and challenging times for board members of not-for-profit health care organizations. The main driver of this state of affairs is a field-wide transformation that promises to result in better quality, higher value, and population health improvement. Most board members see this as a positive move for their organization and community, since their missions often speak to the need to improve the health of the communities they serve.
Fiduciary Duties - Best Practices
Jan 1, 2017
Boards that want to improve their approach to conflicts of interest and independence management do the following...
A boards duty: Ensure a healthy culture
Jan 8, 2018
High-profile companies like Wells Fargo, Uber, Equifax, The Weinstein Co., Fox News and many more have recently garnered media attention for their leadership and corporate cultures.
Doing your duty
Oct 9, 2017
Nonprofit health care entities are operating today in an environment of uncertainty and unpredictable change.
Adhering to Board Duties in an Affiliation Transaction
Jun 30, 2017
By Thomas M. Fahey, Partner, Nixon Peabody
Rating Your Board on Governance Best Practices
Jun 4, 2019
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.
Health Care Governance on the Eve of Disruption
Feb 14, 2019
Corporate boards, across industry sectors, are increasingly being called upon to support management as the company responds to how innovative competitors “disrupt” their existing business model. Blockbuster, Borders and ESPN are prime examples of established companies that have been pulled into the financial undertow created by nimble disruptors.
Systemization of Health Care Philanthropy 2.0
Mar 3, 2020
The next curve of systemization is leveraging additional opportunities to achieve greater synergy across health care organizations.
Good Governance Policies in the Post-Enron Environment
Jul 5, 2018
The governance challenges raised in the post-Enron environment are motivating many boards and their general counsels to draft new board policies and tighten up existing ones.
Shared Governance Imperative
Aug 16, 2018
Just as the health industry continues to shift care delivery from a volume- to a value-based model, so too must the health care board evolve beyond its traditional fiduciary and core governance responsibilities to encompass a more strategic and global view. The success of this evolving model depends on shared governance—a stronger alignment and engagement among the board, physician leadership and management.
Using Technology to Enhance Board Education
Mar 3, 2020
Ongoing board education that includes newer modalities and technologies will increase board engagement and improve governance.
Exploring a Variety of Ways to Transform System Governance
Jan 13, 2020
Governance restructuring efforts of eight health systems provide lessons on redefining what it means to be a community board.
Most Commonly Asked Questions About Board Committees
Mar 9, 2017
Here are some of the questions that we as governance consultants hear most frequently about board committees.
Radical Decision Making for Hospital and System Boards
Apr 26, 2019
The seismic forces currently roiling health care present boards with a new set of profoundly consequential strategic options. These often involve significant risk, major mission shifts, and challengingly short windows of opportunity.
Emerging Committee Effectiveness Practices
Jul 16, 2019
The best boards revisit their committee structures, responsibilities and information flow to ensure detailed oversight while devoting more time to strategic and policy issues.
The Socially Distant Board Room: Maximizing Virtual Governance
Aug 25, 2020
In a time when strong leadership is paramount, health care boards must be intentional and creative to stay informed and engaged, while adopting virtual meeting platforms and adapting practices to maintain effective governance.
Revisiting Strategy Due to COVID-19
Jun 16, 2020
Working together, hospital and health system boards and executive teams should examine the pandemic’s implications for their organizations, to set strategic direction and better serve patients and communities.
Well-being and value
Oct 9, 2017
Burnout takes its toll on physicians. It can also take its toll on health care, and it’s become a growing concern for hospitals and health systems across the country.
Becoming a First-Rate Board
Jun 4, 2019
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.
Committees: The Key to Generative Governance
Jul 19, 2018
High-performing boards across the country have made great strides in enhancing their effectiveness and efficiency.
Improved joint venture performance through enhanced governance
Nov 13, 2017
In today’s health care environment, the need for collaboration has perhaps never been stronger, with hospitals and health systems pursuing partnerships in a number of ways, including alliance
Rule clarifies that VA health care professionals can practice across state lines
Nov 10, 2020
The Department of Veterans Affairs released an interim final rule clarifying that VA nurses and other health care professionals can deliver health care services in a state other than their state of licensure, registration, certification or other requirement.
Impact on Employers of Recreational Marijuana Legalization
Feb 6, 2020
Impact on Employers of Recreational Marijuana Legalization
Advisory: Home Health PPS Final Rule: CY 2019 Update and CY 2020 Payment System Redesign
Nov 20, 2018
Download the full Regulatory Advisory (PDF) below
The payment update for CY 2019 is relatively strai
CDC director resigns
Jan 31, 2018
Centers for Disease Control and Prevention Director Brenda Fitzgerald, M.D., an obstetrician-gynecologist who previously served as Georgia’s public health commissioner and president-elect of the Association of State and Territorial Health Officials, resigned today.
MHC Governance Learning Collaborative
Jan 1, 2016
Are You Prepared to Meet Today’s Governance Challenges? Serving on a community hospital or health care system board in today’s challenging environment takes more than the desire to fulfill a fiduciary duty.
Getting to the New Normal in Health Care
Jun 16, 2020
Health care boards can play a pivotal role to ensure their patients, employees and communities receive needed resources to heal, restore and rebuild for a better and healthier future.
Just Six Things: What Leaders Can Do to Hardwire a Culture of Safety, Improve Teamwork and Reduce Harm
Jul 22, 2019
This webinar will explain how the Army leadership rolled out a world-wide standardized safety campaign operationalizing six key practices spanning each hospital’s C-suite to the front lines of care
5 ways to become a successful leader
May 22, 2019
Also in this weekly roundup of nursing news: a nurse helps save the life of a man at the theatre, and executive moves in the field.
Chairman’s File: Embracing innovation for better health
Dec 9, 2019
Ever since America’s first hospital opened in 1736, hospitals and health systems have led the way in implementing medical breakthroughs that increase patient safety and improve care.
Senate Finance Committee hosts third in series of hearings on drug prices
Apr 12, 2019
The Senate Finance Committee held on Tuesday the third in a series of hearings on drug pricing in America, which focused on the role of pharmacy benefit managers.
Beyond Bylaws: Four Health Care Governance Lessons from COVID-19
May 1, 2020
While continuing to respond to the COVID-19 crisis, hospital and health system boards can use this experience to strengthen leadership, engagement and trust.
Improved Joint Venture Performance Through Enhanced Governance
Jan 1, 2017
By Mary K. Totten and Pamela R. Knecht
Azar Names Senior Advisors on Drug Pricing, Opioid Crisis
Mar 30, 2018
Health and Human Services Secretary Alex Azar yesterday named former CVS Health executive Daniel Best as his senior advisor on drug pricing reform, and Assistant Secretary for Health Brett Giroir, M.D., as his senior advisor on mental health and opioid policy.
CDC updates guidance for COVID-19 testing, health care personnel
Mar 9, 2020
The Centers for Disease Control and Prevention updated its guidance for evaluating and testing patients for novel coronavirus (COVID-19), and for assessing and managing health care personnel with potential exposure to patients with the virus.
A new health system means new governance
Oct 10, 2016
Trustee talking points
Integrated hospitals and health systems hope to achieve all of the benefits of scale, in efficiency, quality and scope.
Legacy governing board syst
The Role of the Board Chair
Feb 14, 2019
This webinar outlines key questions for boards to ask and approaches to take to clarify an explicit role and job description for the board chair.
Position Description for a Health System or Hospital Board Member
Jan 1, 2016
A duty of obedience to the charitable purpose of the organization, a duty that should be demonstrable in all the board’s decisions.
A duty of loyalty, to act based on best interests of the organization and the wider community it serves, not the narrow interests of an individual or stakeholder group. A duty of care, to be diligent in carrying out the work of the board by preparing for meetings, attending faithfully, participating in discussions, asking questions, making sound and independent business judgments, and seeking independent opinions when necessary.
Position Description for a Health System or Hospital Board Member
Jan 1, 2016
The role of the board is to govern, not manage, the organization. To that end, the board carries out four roles...
New Jersey Hospital Association announces next president and CEO
Sep 27, 2017
The New Jersey Hospital Association yesterday named as its next president and CEO Cathleen Bennett, an attorney who currently serves as
Reimagining Multitiered Governance in Health Care
Aug 12, 2019
Health systems that take the time to assess the role and value of subsidiary boards, and invest in educating their members, can maintain a key community connection that might otherwise be diminished or lost.
30 Questions To Support Board Improvement
Jul 1, 2019
Most boards use an annual self-assessment tool delivered in a paper or online format to support this process. Such tools are readily available from a variety of professional associations, consulting firms and other resources.
How to prepare your hospital for risk
Oct 10, 2016
Trustees of nonprofit health care organizations appreciate that revenue from fee-for-service reimbursement has been the basis for keeping their institutions financially sustainable over many years.
Preserving the Distinction Between Management and Governance
Feb 14, 2019
One of the most difficult aspects of effective governance is understanding the distinction between the roles of management and the board, and how that demarcation varies among different organizations. After three decades of working for boards and serving on many myself, I have learned that clarifying these roles is imperative to well-functioning organizations and their boards.
Chair File: Exercising Our Right to Vote
Oct 26, 2020
The national election eight days from today will affect many aspects of our society. And once again, health care is front and center. Those elected will face a full plate of new and ongoing health care issues, including providing additional financial support for struggling hospitals and health systems during the COVID-19 pandemic.
Front-line ‘Special Forces’ Share Candid Stories in University of Utah Health Podcast Series
Aug 27, 2020
In a University of Utah Health podcast series, health care professionals talk candidly about their work — including moments of anguish and of joy — caring for patients during the pandemic.
Practical Tips for Regulatory Compliance
Jan 11, 2016
Sir Winston Churchill once said, “Success is the ability to go from failure to failure without losing your enthusiasm.” No insight more appropriately describes a highly functioning co
Care Coordination - New Model
Sep 16, 2016
The hospital identified an opportunity to improve its discharge planning process to allow more time to be spent with patients and reduce duplication of duties within the case management and social
Is It Time to Refresh Your Bylaws?
Sep 6, 2019
Up-to-date, clearly written and concisely constructed bylaws can support oversight of current performance and enable an organization to nimbly confront challenges to its viability.