Resource Library

Webinar Tax-Exempt Hospital Requirements: "Community Health Needs Assessments"  

Boards need to assess troubled areas in their organizations, set goals for improving the culture, and hold leaders accountable for change.

While your organization may strive to improve safety, patient experience, workforce engagement and clinical quality as discrete performance domains, your leadership — and your resources — may be convened around multiple strategies and action plans. Without a single strategy that aligns improvement efforts and acts on the interdependencies of vertical domains, siloed planning can undermine workforce coordination and sustainable change.

Boards can foster patient-centered care by encouraging meaningful conversations during patient encounters and by incentivizing clinicians.

The template is designed to help a hospital or health system develop profiles of disruptive competitors that are already in its service area (or are anticipated to enter its service area). An interactive MS Word document of this template with fields is available.

Utah-based Intermountain Healthcare continues to transform itself to best adapt to the demands of the changing health care environment. As part of the current transformation, the health system has organized its leadership to optimize the interdependencies of safety, quality, patient experience and workforce engagement. Under this construct, the system streamlines decision making, minimizes waste and redundancy, and positions the organization to deliver exceptional patient-centered care.

Hospitals and systems must understand the threats posed by market disruptors and craft specific strategies to protect their missions.

This webinar from governance expert Jamie Orlikoff, explores the hospital board’s crucial responsibility for medical staff credentialing – one of the most difficult governance functions to perform effectively, and one of the most important board responsibilities for patient quality and safety. Become comfortable with the basics of credentialing and how to effectively oversee it to both protect patients and to assure fair, thorough and consistent treatment of physicians. Trustees will acquire a better understanding of the different but related processes involved in appointment and reappointment or physicians to the medical staff, and the delineation of clinical privileges.

Corporate boards, across industry sectors, are increasingly being called upon to support management as the company responds to how innovative competitors “disrupt” their existing business model. Blockbuster, Borders and ESPN are prime examples of established companies that have been pulled into the financial undertow created by nimble disruptors.

A diagnostic tool and organization assessment can help boards address barriers to effective quality oversight.

Health care providers must draw lessons from the core capabilities of successful companies in the internet economy.

Health care is ripe for change. The evidence is all around us. A majority of health care leaders recently surveyed said hospitals and health systems are most in need of disruptive innovation (New England Journal of Medicine Catalyst, February 16, 2017). Consumers are taking charge of their own health and seeking providers that deliver high-quality, affordable and accessible care in ways they have come to expect from their favorite retailers. And disrupters from within and outside of health care are joining forces and competing with traditional health care organizations to give consumers what they are looking for.

Affordability is one of the most important challenges influencing Americans’ ability to access health care. However, no single, agreed-upon definition of health care affordability exists because it is influenced by many complex factors.

Standard Work for Governance Example Source: St. Charles Health System. Used with Permission. Lean principles and practices drive performance improvement by clarifying the steps involved in work processes to avoid wasting time reinventing how work should be done. The board of St. Charles Health System in Bend, Ore., developed “standard work” for several board processes to improve governance performance. An example of standard work for biannual distribution of director stipends appears here.

These are exciting and challenging times for board members of not-for-profit health care organizations. The main driver of this state of affairs is a field-wide transformation that promises to result in better quality, higher value, and population health improvement. Most board members see this as a positive move for their organization and community, since their missions often speak to the need to improve the health of the communities they serve.

The following is intended to be an example that boards should adapt to meet their individual needs.

The following is intended to be an example that boards should adapt to meet their individual needs. Effective governance depends on the right mixture of skills, experience, personal qualities and diversity among the members of the hospital board.

This report shares findings from a study of governing physician organizations in developing systems of care. The study is among the first to explore this work from the perspective of physicians, who talk candidly about issues and challenges and provide insights about the evolution of physician involvement in governance and leadership at a historic moment of change in health care.

“No battle plan survives the first contact with the enemy,” goes a military saying, expressed in recent years by Colin Powell. The expression is worth remembering as hospitals and health systems embrace bold strategies to participate in the industry-wide economic shift from rewarding volume to holding providers accountable for the value they deliver.

New research on board structures, practices and culture in large nonprofit systems provides insight into how boards and CEOs are addressing the challenges of change — and changing the way they govern in the process. This workbook explores several themes emerging from review of system documents and 71 on-site interviews with CEOs and senior board leaders in 14 of the country’s 15 largest nonprofit health care organizations.