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Trustee Articles

Effective Board Culture: The Last Frontier

Over the last decade, and especially since the Enron failure, boards of all types have been working to enhance their performance. They ensure their composition is competency-based; they align their structures with their strategies; and they have robust, written governance procedures.
Trustee Articles

When Systems Change: Breaking Free from Traditional Governance Models - the New Optimal?

Health systems and hospitals are becoming increasingly complex, expanding beyond the traditional hospital/parent company model to include new structures and strategic partnerships to support a wide range of care for patients in their communities.
Trustee Articles

Most Commonly Asked Questions About Board Committees

Here are some of the questions that we as governance consultants hear most frequently about board committees.
Trustee Articles

Governance in Developing Systems: How Boards Add Value

Great Boards talked further with author Casey Nolan, managing director of Navigant’s Healthcare Provider Strategy Practice, Washington, D.C., about how boards typically function and the challenges they are likely to face at each stage of development. Nolan also discussed what board members need to know to govern effectively and add value as their systems evolve.
Trustee Articles

Agenda for the Executive Compensation Committee: A Guide for Minimizing Regulatory and Reputational Risk

This article outlines agenda items for the board’s Executive Compensation Committee. It is the first of several that will further explore many of the agenda items discussed below.
Trustee Articles

Nurses in the Boardroom

A board member/trustee with a nursing background brings a unique voice to governance conversations focused on the Triple Aim. Nurses bring expertise in and valuable perspectives about community health, quality, safety, patient experience, workforce development, staff engagement and financial stewardship.
Trustee Articles

Physician's Impact on Patient Satisfaction

Patient satisfaction scores are important metrics; they draw attention to the subjective experience of patients who received care from a hospital.
Trustee Articles

When Strategy Informs Structure: Successful Board Oversight of Physician Integration at Mercy Health

The road to integration of hospitals and physicians has been a rocky one for many health care organizations. Failed attempts to integrate in the 1990s resulted from the realization that operating physician practices was very different from operating hospitals, leaving many health care providers wary of heading down the same road again.
Trustee Articles

Reaching for the Stars

The highest-performing boards across the country share certain key characteristics that can be grouped into five categories - visionary, nimble, intentional, competency-based and objective.
Trustee Articles

Revisiting the Mission

Recently, I sat in a board meeting of a leading U.S. health system as trustees were discussing their strategic vision for the system, and how the rapidly changing health care field, marketplace and regulations were having a profound impact on its future.