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It is difficult to speculate and even more troublesome to try to predict the future; whether the PPACA will remain intact and whether ACOs truly are the vehicle that will transition and ultimately lead to payment reform. Notwithstanding, hospital and health system governing boards still need to govern and make the very best decisions they can, despite the uncertainty. This article examines the challenges to ACOs and the ongoing likelihood of accountable care, and provides some practical insight and guidance for hospital and health system governing boards. More Info
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For many reasons, “kicking the tires” of the board’s conflict-of-interest policies and procedures makes good fiduciary sense. This is particularly the case given a noticeable trend toward a more conservative approach to conflict-of-interest oversight. The courts, regulators, donors, and the media are all increasingly intolerant of ethical lapses and duty of loyalty breaches by non-profit executives and board members. In our special section, Michael W. Peregrine, Esq., explores the need for hospitals and health systems to improve the board’s conflict-of-interest policies and procedures. More Info
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Effective communication is a prerequisite to success in any business endeavor. Hospitals and health systems are no exception to this principle. Yet these enterprises have devoted little effort toward the improvement of communication between and among the most important component of their workforce—namely the physicians and other clinicians who provide care to patients. Hospital and medical staff leaders must look beyond the communication systems of the past and design contemporary systems that will serve the hospital, staff, and individual physicians.
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In recent years, the difference between governance and management has been the subject of numerous Governance Institute articles and videos. Yet, it is still a continuous top of mind issue raised by members. Today, non-profit hospital and health system boards are being continually challenged by external forces to make extremely difficult decisions and defend their actions to the public. As a result, it is becoming very hard for boards to stay out of operations.
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Healthcare leaders today are being bombarded with a multitude of stressors. Within this constantly changing and ever-challenging landscape, the human spirit that attracted professionals to this industry is waning. Physicians, nurses, businesspeople, and other ancillary support personnel display increasing dissatisfaction with their day-to-day work requirements. Focusing on the corporate culture first, rather than the business first, can help create a work environment where physicians and staff are motivated by meaning—not money. In this article, Thomas A. Atchison, Ed.D., provides insight into how healthcare leaders can create a corporate culture that meets today’s business realities, as well as provides meaning to all involved in the organization. More Info
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The success of a hospital or health system weighs heavily on its customers’ satisfaction, yet many boards do not have a consistent practice for listening to their customers. Customer-driven mission governance is not a common practice of health system boards. It requires the board to first evaluate the organization’s mission statement (is the organization’s mission customer-centric?), and then govern the organization through this customer-centric mission. In this article, John Brozovich, M.A. in Healthcare Mission, M.B.A., defines customer-driven governance and presents a discussion on its importance and why it is not a more common practice with today’s hospital and health system boards. More Info
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“Going paperless” can mean many things, especially in the healthcare setting—electronic medical records, computerized physician order entry, etc. For many board members, it means improved ease and efficiency. In our modern society, when everything moves at such a fast pace, board members need timely, convenient access to board meeting materials. Recently, three organizations decided to implement an online board portal, where all the materials board members need are stored in an enclosed Web site with high security and restricted access. This article explores each of their journeys transitioning to the BoardEffect board portal. More Info
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In an era of calls for improving the performance of hospitals and healthcare systems, stable and effective leadership matters more than ever. This white paper covers the board’s role in ensuring continuity in leadership, wisely managing leadership transitions, and ensuring effective leadership in governance. It also provides information on leadership models and roles and criteria for identifying and choosing good leaders.
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E-governance—using technology to enhance board governance—is a trend sweeping across the healthcare sector. Whether it’s meeting packets delivered to board members’ iPads, managing committee work online, or meeting virtually, more than half of boards now use board portal solutions to streamline their work. This Webinar will prepare you to navigate the challenges inherent in bringing technology into the boardroom. More Info
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In 2006, Massachusetts passed legislation that was intended to provide universal health insurance coverage. This became, in many respects, the template for national healthcare reform. This Webinar presents an overview of the legislation’s impact on coverage, access, providers, and insurance companies after five years of implementation. Some of the unintended consequences are guaranteed to surprise you. More Info
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