Mary K. Totten

Articles

Governance Effectiveness

Trustee reappointment

When hospital or health system boards think about key practices that support effective governance, considerations such as board recruitment and selection, orientation and continuing education, and board evaluation often come to mind. Rarely, it seems, does board member reappointment make the list.

Delivery System Transformation, Strategic Planning

Partnering in the new health care environment

Health care is transforming to a value-based model, with the goals of improved care quality, access and outcomes for consumers, at lower costs. The means of achieving these goals is the effective management of health and health care services over the continuum of a population’s care and service needs.

New competencies are required of hospitals and health systems to thrive in the new environment — clinical integration; consumer, clinical and business intelligence; operational efficiency; purchaser relationships; and optimized network development.

Governance Effectiveness, Strategic Planning, Workforce

Board support: Is it time for dedicated governance leadership?

Trustee talking points

  • As hospitals and health systems grow increasingly complex, they are increasingly creating dedicated support staff for their boards.
  • Full-time governance leaders can devote themselves to serving and advancing board work and a governance program.
  • There is no one-size-fits-all approach to the numbers, responsibilities and titles of governance support staff and leaders. 
  • A governance leader's qualifications should include interpersonal skills, the appropriate education and a desire to stay on top of the he

Delivery System Transformation, Governance Effectiveness, Operational Excellence, Strategic Planning

Writing an innovation playbook for health system success

Innovation can fuel the organizational agility necessary to achieve breakthrough levels of value and performance in health care. This Workbook describes a four-step process that health system boards and leaders can use to develop a sustainable innovation capability. Drawing techniques and perspectives from health care and other fields, the approach facilitates organization-specific solutions.

Additionally, it enables board members and executive teams to:

Governance Effectiveness, Operational Excellence

Hospital, Health System Boards Need to Find Partners for Community Health

As health care organizations and clinicians join together to address a broader spectrum of health needs, more attention is being focused on how to improve both individual and community health. For many reasons, the American Hospital Association, the Institute of Medicine, the Robert Wood Johnson Foundation and others strongly support use of collaborative models involving multiple partners for improving community health: