In-depth publications on topics essential to boards and healthcare leaders.
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This white paper provides a background on the ACO model and discusses the experience of Medicare, Medicaid, and commercial payers in implementing the model, lessons learned, expectations for the future of the ACO model, and implications for governing bodies. Case studies of three organizations were conducted as research for this white paper which are available in a separate PDF.
Authors: Joseph F. Damore, FACHE, Seth Edwards, M.H.A., Guy M. Masters, M.P.A.
Date: Spring 2018
In a healthcare organization, good leadership is more than just important—it is absolutely critical to the organization’s success. This white paper focuses on Joint Commission accreditation standards on leadership and serves as a guide to the leadership standards.
Author: Paul M. Schyve, M.D., & Maureen P. Carr
Date: 2017
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This white paper explains why the importance of physician leaders has grown, provides a roadmap
to the expanding number of leadership roles being undertaken by doctors in healthcare organizations, assesses the adequacy of
the historic organized medical staff as a leadership platform, provides understanding of leadership development initiatives
that hospitals sponsor, and suggests ways to improve the efficiency and effectiveness of emerging physician leadership roles.
Author: Todd Sagin, M.D., J.D.
Date: Summer 2017
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This white paper is intended to help not-for-profit hospitals and health systems become a major catalyst for health
improvement in the local community, particularly with underserved, at-risk populations. It includes information to assist in
abiding by ACA requirements and maintaining tax-exempt status. Case studies of three organizations were conducted as research
for this white paper which are available in a separate PDF.
Author: Larry Stepnick
Date: Fall 2016
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This white paper describes the many factors at work that require greater emphasis on strengthening compliance programs
within the hospital setting, including best practices for developing and maintaining a robust compliance program and the
related role and relationship of the legal counsel, compliance officer, and board.
Author: Fletcher Brown & Colin Luke
Date: Spring 2016
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The board has day-to-day responsibility under federal and state law for reviewing and acting on medical staff activities
related to quality, safety, and peer review. Based on a review of the literature and interviews with experts and hospital
leaders (board members, administrators, and clinical leaders), this white paper identifies strategies and practices that
differentiate the typical (often ineffective) board quality committee from those that truly make a difference.
Author: Larry Stepnick
Date: Fall 2015
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It has now become abundantly clear that healthcare is in need of significant change. In response to soaring healthcare
costs and rapidly increasing premiums, payers are actively exploring ways to "bend the cost curve” across the system. This
includes shifting payments to provider organizations as well as limiting market access and reimbursement for drugs,
treatments, and therapies where compelling economic and clinical value are not adequately demonstrated.
Authors: Kimberly E. White, M.B.A. & Rita E. Numerof, Ph.D.
Date: Summer 2015
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This white paper looks at
what healthcare organizations are doing to realign incentives as payers shift risk to providers; as reimbursement shifts from
fee-for-service to bundled payments, shared savings, and capitation; and as payers and providers embrace population health
management.
Authors: Don Seymour, William F. Jessee, M.D., FACMPE, Susan O’Hare, Chad Stutelberg, & David A. Bjork, Ph.D.
Date: Winter 2015
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Facing intense pressure to curb costs and improve quality, hospital and health system leaders continue to search for ways
to promote evidence-based, efficient care, with a focus on managing the health of populations over time. This white paper reports on new findings from The Governance Institute’s ongoing research
into board practices that improve performance on quality measures included in the Centers for Medicare and Medicaid Services
Value-Based purchasing program.
Author: Larry Stepnick
Date: Fall 2014
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This white paper is intended to help hospital boards meet their increasingly important responsibilities related to strategic
cost management. It offers recommendations and more than 45 specific action items to guide board members and senior leaders
in these efforts.
Authors: Jason H. Sussman, Mark E. Grube, Brian S. Channon, Kristopher M. Goetz, Kimberly Neese, & Wayne Ziemann
Date: Summer 2014
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This white paper serves as a guide to board members, physicians, and leaders from hospital and health system management and
the medical staff, who wish to learn from the experience of others as they build their medical staff for the decades
ahead.
Author: Todd Sagin, M.D., J.D.
Date: Spring 2014
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This white paper acknowledges the relationship between industry change and governance, identifies the specific governance
challenges prompted by this change, underscores the fundamental nexus between the law and governance, suggests ways in which
boards may successfully deal with these challenges, and confirms the extraordinary value of the role of the governing
board.
Author: Michael W. Peregrine
Date: Winter 2014
Executive Summary & Discussion Questions →
To assist long-established and newly formed health systems in responding to industry pressures and in achieving the best
possible governance at both the system and subsidiary level, this white paper builds on previous work by reviewing
leading practices and various considerations related to board structures, policies, and processes, both at the system and
subsidiary levels.
Authors: Don Seymour & Larry Stepnick
Date: Fall 2013
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This white paper explores what the customer is telling us about healthcare and what providers of healthcare must do to ensure
their own survival and inclusion in what could be a very bright future. It presents collective findings from a customer-centric healthcare study conducted by National Research Corporation from January 2012–July 2013, involving a series of
qualitative interviews with 176 healthcare customers and quantitative surveys of 111,448 healthcare customers.
Author: Ryan Donohue
Date: Summer 2013
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This white paper examines the burgeoning challenge of
recruiting and retaining hospital and health system directors. It also presents new research via an online survey of Governance Institute members and interviews of
CEOs, board chairs, an attorney, and executives from search firms to learn more about how today’s hospital and health system
boards recruit and retain directors, and to find practical, innovative ways to deal with the challenges related to seating
the right people at the board table, not only now, but for the future.
Authors: Sean Patrick Murphy, J.D., M.H.A.
Date: Spring 2013
Executive Summary & Discussion Questions →
Hospital and health system leaders need to consider if they want to get in the population health business and how they are
going to contract their traditional business with payers in a population health marketplace. This white paper provides
insights and facts to help organizations make these decisions, and addresses how to balance the contradicting strategies of
building the bridge to value while at the same time maximizing contract and partnering opportunities in FFS service lines.
Author: Brian J. Silverstein, M.D.
Date: Winter 2013
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