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Governing in the New Quality, Safety Landscape
Trustee Articles
For effective oversight, boards must engage at three levels: see, own and solve.
Ten Ways to Improve the Board's Use of Quality Measures
Trustee Articles
Hospital and health system boards are being overwhelmed by hundreds of quality indicators from numerous sources. Many are required or linked to payment incentives, but some are part of voluntary improvement programs. Amidst the deluge of numbers, leaders could miss valuable, potentially actionable information.
Governing for Quality in a "No-Outcome, No-Income" World
Trustee Articles
There’s hardly a health care board member, past or present, who hasn’t heard of the age-old governance mantra “no margin, no mission.” For years this simple phrase captured what most trustees came to believe was their primary obligation: to ensure the financial viability of their hospital or health system. Days cash on hand, debt coverage ratio and net operating margin were key measures that defined high or low performance.
Transforming Care Delivery to Focus on Patient Outcomes: Why Boards Matter
Trustee Articles
In the publication, authors Joshi and Horak state that hospital trustees support hospitals’ fundamental missions to improve the health of the community. In a climate of growing concerns about the quality of health care and the amount we pay for it, trustees are called upon to oversee the transformation of the culture of the organization.
Using a Scorecard for Strategic Results
Trustee Articles
Although scorecards that measure health system performance against established metrics have become an increasingly common and useful tool in the trustee’s governance toolbox, finding concrete, comprehensive ways to measure how well the organization is achieving its strategic goals — and, in turn, determining incentive compensation based on goal achievement — can be a daunting, ephemeral task. Here’s how one health care system has successfully connected all the dots.
Fiduciary Duties - Best Practices
Checklists
Boards that want to improve their approach to conflicts of interest and independence management do the following...
Understanding Quality Report Cards: A Board Discussion Guide
Discussion Questions & Templates
Scorecards aren’t going away: consumers want help distinguishing one hospital from another, and these reports offer the promise of synthesizing complex information for worried patients.
CEO Evaluation
Evaluations and Assessments
CEO goal-setting and evaluation is a fundamental responsibility of a governing board. These questions are designed to help boards assess their CEO evaluation process and determine if any improvements are necessary.
Strategy and Competency Self Assessment
Evaluations and Assessments
The American Hospital Association’s report, Hospitals and Care System of the Future, describes a series of “must do” strategies and future core competencies hospitals will need as they transform themselves from first curve to second curve delivery systems, driven by a shift from volume-driven to value-driven payment systems.
Aligning Executive Compensation with the New Health Care Paradigm
Trustee Articles
This monograph offers guidance on proactively considering best practices in executive pay, including the changing role of incentive compensation, good governance practices to mitigate risk and choosing appropriate peer comparison data to support the compensation decision-making process.