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The Governance Institute provides a range of videos covering governance topics of concern, most of which are short and appropriate to view during a board meeting or education session.




Case Studies: Leading healthcare organizations share their unique stories and successes


The Carilion Clinic Model

This program chronicles the transformation of Carilion Health System to Carilion Clinic as it is known today, a $1.5 billion physician organization that includes hospitals, clinics, and a college of health sciences, along with a cutting-edge medical school and research institute in partnership with Virginia Tech. The program covers the catalysts for change, local market issues affecting the decisions, designing the clinic model, creating an attractive work environment, and fulfilling the clinic’s mission to create healthier communities.

Presenters: Carilion Clinic
Date: August 2016

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Designing Governance for the Future: The New St. Luke’s Health System

Over the past several years, St. Luke’s Health System in Boise, Idaho, took on the challenge of restructuring its governance to better enable the health system to lead, innovate, and provide value-based population healthcare. This video program presents a case study of the governance restructuring, including the rationale for governance redesign, the process taken in order to successfully implement and sustain a new structure, and results, lessons learned, and next steps for the system.

Presenters: St. Luke’s Health System
Date: February 2016

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Building a Culture of Accountability: The Transformation of Scripps Health

In 1999, when Chris Van Gorder first arrived as COO, Scripps Health was facing a number of challenges. Just six short months later, the medical staffs of each of the six hospital campuses voted no confidence in the CEO and the board asked Van Gorder to step in as interim CEO. Within a month he became the clear choice as Scripps Health’s permanent leader. Since then, Scripps Health has seen drastic improvements in financial performance, turnover rates, and employee morale. This 18-minute program focuses on key decisions made by Van Gorder and his team that enabled this dramatic turnaround.

Presenters: Scripps Health
Date: July 2014

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DVD Available for Purchase

PopCity Series: A look into an organization’s journey towards population health management



Episode 6: Managing Your Care Delivery Network for Population Health

This program is the sixth in a series focusing on the real-life challenges of hospitals and health systems in moving from a fee-for-service business model to a population health model. In this 14-minute video, the fictitious Northeast Health System’s CEO and a consultant discuss the board’s role in building a care delivery network, including financial implications and characteristics of a high-performance care network.

Presenters: David B. Nash, M.D., M.B.A., M. Michelle Hood, FACHE, and Mark Grube
Date:  June 2015

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Episode 5: The Value of Non-Equity Partnerships in Population Health

This program is the fifth in a series focusing on the real-life challenges of hospitals and health systems in moving from a fee-for-service business model to a population health model. In this 12-minute video, the fictitious Northeast Health System’s CEO and a consultant discuss the strategic value of non-equity partnerships in population health, the logistics and financial implications, and examples of successful non-equity partnerships.

Presenters: David B. Nash, M.D., M.B.A., M. Michelle Hood, FACHE, and Todd Sagin, M.D., J.D.
Date:  April 2015

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Episode 4: Analytics in Population Health

This program is the fourth in a series focusing on the real-life challenges of hospitals and health systems in moving from a fee-for-service business model to a population health model. In this 15-minute video, the fictitious Northeast Health System’s CEO and a consultant discuss the organization’s IT and analytic capabilities for population health, including: 1) the role and importance of analytics, 2) how to assess the organization’s readiness from an analytics standpoint, and 3) the board’s role in population health analytics.

Presenters: David B. Nash, M.D., M.B.A., M. Michelle Hood, FACHE, Stephen K. Klasko, M.D., M.B.A.
Date: September 2014

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Episode 3: Physician Alignment in Population Health

This program is the third in a series focusing on the real-life challenges of hospitals and health systems in moving from a fee-for-service business model to a population health model. In this 18-minute video, the fictitious Northeast Health System’s CEO and a consultant discuss the organization’s position and options, as well as board strategic considerations, for aligning physicians around population health, including: 1) assessing the physician market, 2) partnering models with physicians, and 3) population health infrastructure.

Presenters: David B. Nash, M.D., M.B.A., M. Michelle Hood, FACHE, and Brian J. Silverstein, M.D.
Date: June 2014

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Episode 2: The Financial Implications of Transitioning to
Population Health

This program is the second in a series focusing on the real-life challenges of hospitals and health systems in moving from a fee-for-service business model to a population health model. In this 18-minute video, the fictitious Northeast Health System’s CEO, board chair, and chief financial officer discuss the organization’s financial implications of strategic decisions to make the transition to a population health model, including planning for: 1) new sources of revenue, 2) new investments in IT, 3) new investments in physicians, 4) new investments in the delivery network, and 5) adjusting costs in the current organization.

Presenters: David B. Nash, M.D., M.B.A., M. Michelle Hood, FACHE, and Gordon Edwards
Date: July 2013

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Episode 1: Dilemma & Decision

This program is the first in a series that shows members a realistic case study of a fictitious health system transitioning from a fee-for-service business model to a population health model. In this 17-minute video, the fictitious Northeast Health System’s CEO and board chair discuss the following with a financial consultant: their competitive position, financial strength, and key issues and strategies to help the organization move to a population health model.

Presenters: David B. Nash, M.D., M.B.A., M. Michelle Hood, FACHE, and Kenneth Kaufman
Date: March 2013

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Working Knowledge: A compilation of short interviews with our conference presenters


Quality & Patient Safety: The Need for Clinical Integration and a Systems Approach

Quality and patient safety remains a critical challenge for hospitals and health systems across the country. Provider organizations struggle with unexplained and often costly variations in care, and now providers are being asked to take on risk with value-based payment models tied to patient outcomes. In this 10-minute video, governance experts offer their perspectives on why variations in care exist, taking a systems approach to quality and safety, and strategic recommendations for improving hospital sustainability through clinical integration.

Presenters: Robert Wachter, M.D., David Nash, M.D., M.B.A., and Charles Kelly, D.O.
Date: December 2012

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