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In-depth publications on topics essential to boards and healthcare leaders.

Patient Experience Is Quality: The Role of Healthcare Leaders in Improving Outcomes and Building Loyalty

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Boards and CEOs have critical roles to play in creating the right culture and environment, providing the right resources and infrastructure, and implementing the right systems and processes necessary for their organizations to consistently provide a top-notch patient experience. This white paper describes five key strategies boards and CEOs can use to play those roles more effectively. 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 2019

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Accountable Care Organizations: Past, Present, and Future

Case study download
Available for Purchase

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


Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards, Second Edition

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


Physician Leadership in Hospitals and Health Systems: Advancing a 21st-Century Framework

Executive Summary
Available for Purchase

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


Improving Community Health: Leading Governance Practices to Catalyze Change

Executive Summary & Discussion Questions
Case study download

Available for Purchase

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


The Increasing Importance of Legal Counsel, Compliance, and Their Interaction with Healthcare Boards

Executive Summary

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


Maximizing the Effectiveness of the Board’s Quality Committee: Leading Practices and Lessons Learned

Executive Summary

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


Getting to Value in Healthcare

Executive Summary & Discussion Questions

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


Aligning Physician and Executive Compensation with Population Health Management

Executive Summary

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


Making a Difference in the Boardroom: Updated Research Findings on Best Practices to Promote Quality at Top Hospitals and Health Systems

Executive Summary

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


Strategic Cost Transformation for Post-Reform Success

Executive Summary

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


Employing Physicians: The Imperative of Doing It Right

Executive Summary & Discussion Questions

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


Healthcare Governance Amidst Systemic Industry Change: What the Law Expects

Executive Summary & Discussion Questions

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


Governing the 21st Century Health System: Creating the Right Structures, Policies, and Processes to Meet Current and Future Challenges and Opportunities

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


Considering the Customer: Understanding & Influencing Healthcare’s Newest Change Agent

Executive Summary & Discussion Questions

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


Board Recruitment and Retention: Building Better Boards, Now…and for Our Future

Executive Summary & Discussion Questions

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


Moving Forward: Building Authentic Population Management through Innovative Payer Relationships

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