Governance and Management
important for board members to understand the difference between management and
governance. The role of the governing body includes setting the mission and
vision for the organization and ensuring the cost-effective use of resources.
The six key areas of responsibility for the board of trustees include:
- Hiring and retaining a CEO
- Mission development and long-range planning
- Ensuring high quality care
- Oversight of medical staff credentialing
- Financial oversight
- Board education and development, including self
on the other hand, is responsible for the day-to-day operations of running the
hospital. The following resources will help you better understand the roles and
responsibilities of a hospital trustee.
following board briefs have been developed by Larry Walker, president of the
Walker Company, a health care management consulting firm. These board briefs
offer insight into effective health care governing.
“Using Your Board of Trustees Self-Assessment to Improve Leadership Effectiveness”
“Governance Accountabilities and Opportunities in the Quest for Quality”
“Becoming a Community-Centered Board”
“Building Constructive Hospital/Medical Staff Relationships and Alignment”
“The Board's Fiduciary Responsibility, Putting the Community's Trust into Action”
“Building the Foundation for Success: Developing Powerful and Purposeful Mission, Values and Vision”
“Driving Change: Integrating Mission, Values and Vision into Board Leadership”
“The Board's Role in Strategic Planning”
“Building Bonds: Pathways to BetterBoard/CEO Relationships”
“The Board's Role in CEO Compensation and Performance Evaluation”
Other Governance and Management
"Race to Value, Health Care Reform Payments Simplified," helps hospital board members better understand new reform-related reimbursement methods.
"10 Board Don'ts” lists 10 common board and CEO frustrations, dos and don'ts of a good system
of partnership appraisal, and top 10 hints for making the performance planning
and appraisal process better.
“The Role of the Board Chair” outlines the expectations and challenges of the important role of board chair.
“Planning Today for Tomorrow's Trustee” — recruiting
new trustees to serve on your board is every bit as important as CEO
recruitment. How well boards plan and execute this vital process defines the
hospital's leadership success for years to come.
“Maximize the Value of Your Board Retreat” — board
retreats are a great way for trustees to brainstorm ideas about the
organization's future, strengthen their understanding of the organization's
challenges, and develop a sense of teamwork and camaraderie. How can boards
ensure that their retreats are a valuable use of leadership time and resources
with meaningful outcomes?
“The Board's Role in Disaster Readiness” provides information on the trustee’s role in emergency management
planning and includes sources and a checklist of hospital and community
readiness items to review.
“View from the Governance Front Lines” — Larry
Walker looks at challenges, issues and solutions in governance information and
“Governance and Management of Effective Organizations” outlines approaches
that hospital boards should adopt to foster each person's fulfillment of
his/her duties and the board's effective execution of its functions.
“From Them to Us: Going Where Others Have Gone Before” describes
proven leadership strategies for uniting groups and building trust over time.
Published in Michigan Health and Hospitals, the article is based upon
research by Edward O'Connor on physician-hospital collaboration strategies.
“How to Conduct a Board of Trustees Self-Assessment" includes a
10-step plan on how to conduct a board self-assessment.
“Overview of Board Roles and Responsibilities” covers the
key function of a highly successful board; practices to improve a board's
visionary thinking and the importance of determining eligibility requirements
and developing board member job descriptions.
“Medical Staff Credentialing” defines the
board's role and the roles and responsibilities of key individuals in the
process of credentialing and privileging medical staff.