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Governance and Organizational Structure
This area deals with the development and analysis of the organizational structure and with delineating responsibility, authority, and accountability at all levels of the organization. Functions include the development and implementation of policies and procedures for the governance process.
August 2008
Saturday August 30, 2008
Posted by: Jeffrey Hull at 12:38PM EST on August 30, 2008
What professions/expertise should be represented in the composition of a hospital board in order to assure it is well rounded and enabled to make competent decisions?
Thursday August 28, 2008
Posted by: Nizar Wehbi at 5:14PM EST on August 28, 2008
Are there any best practices or an objective way to select board members? Many times the selected board members might be prominent community leaders but it might not be savvy on healthcare operations. Any guidance?
Monday August 25, 2008
Posted by: Beverly Foust at 2:29PM EST on August 25, 2008
Has anyone experienced any type of Performance Appraisal performed by the Board for the CEO or do they just discuss the yearly raise?
Sunday August 24, 2008
Posted by: Joan Queen at 12:04PM EST on August 24, 2008
In Mr. Tyler's presentation he mentioned the Corporate Director's Guidebook from the Committee on Corporate Laws from the American Bar Association as a reference to use for information on Boards. Have any of you ever used this guidebook?
Saturday August 23, 2008
Posted by: Deborah Martin at 1:43PM EST on August 23, 2008
With the large number of lay members on a board, have any of you found a good methodology for Orientation and ongoing development for these members?
Posted by: Clayton Johnson at 12:44PM EST on August 23, 2008
What is the best procedure to follow when inviting a non-voting physician to express an opinion on an issue to the board? Physician input is sought but sometimes must be limited to a very specific area to allow the agenda to continue. Are the visiting physician comments to be reviewed by the CEO, Chair of Medicine and Board Chair prior to the meeting? If a deviation occurs that starts to get off the agenda, how is that handled? I have read where a CEO had to have security present to deter any potential disturbance.
Posted by: Robin Scott at 11:58AM EST on August 23, 2008
The PowerPoint presentation indicates that governing boards are ultimately responsible for ensuring the quality of medical care provided. Is there an ideal ratio of clinical representation that should participate on hospital parent boards (i.e. 30% of hospital boards should be physicians)? Have participants of this session found that it is difficult to align goals of governing boards with those of the medical staff? RScott
Thursday August 21, 2008
Posted by: Veronnica Smith at 11:11PM EST on August 21, 2008
Where does everyone weigh in regarding whether board members for non-profit organizations should be paid or volunteer?
Posted by: Veronnica Smith at 11:06PM EST on August 21, 2008
I thought it was interesting that the extra readings state that boards should not have to meet more than 6 times per year and that you if you need to meet more often that you have not effectively delegated work to committees. The Boards I have served on and recent knowledge of the Hospital Board meet monthly. Have any of you experienced less meetings effectively?
Posted by: Edmund Lafer at 5:39PM EST on August 21, 2008
The regulations and safe guards involved with Sarbanes-Oxley have been widely applied to the for-profit corporate world. It is also important in the not-for-profit world, although to my knowledge not a legal requirement as it is with the for-profits. Has anyone seen the requirements/safeguards used in their institution? Has the law of the general business world made headway into Healthcare?
Posted by: Edmund Lafer at 5:35PM EST on August 21, 2008
Is anyone in our group a Board member? It would be interesting to hear their experience and role on the board. If there are no board members, do we have anyone who has presented to or interacted with the board?
Wednesday August 20, 2008
Posted by: Anita at 10:32PM EST on August 20, 2008
Who is typically responsible for communication between the subsidiary boards and the parent board? Anita
Posted by: Daniel Barr at 9:53AM EST on August 20, 2008
If the Board is responsible for setting the mission, vision and values of the organization, how are these three items effected with the turnover of Board members? Is it safe to assume the a healthcare organization should constantly be re-evaluting its purpose based on the ever changing environment and thus redefine the mission, vision and values as needed?
Tuesday August 19, 2008
Posted by: Carolyn Hulse at 1:19PM EST on August 19, 2008
Who do the external auditors report to if they come to our hospital to perform an audit? Who do they provide their findings/reports to? Our CEO, Executive Committee, Quality Committee, or ?? Are they primarily concerned with our physicians, management, or our senior leadership?
Posted by: Robert Ray at 11:44AM EST on August 19, 2008
During the online presentation, Larry Tyler mentioned that it is a good idea to establish a recurring "executive session" for the board, where the CEO is not present. I am interested to hear from the online community if this is an activity that your board schedules in advance or if it is ad hoc in nature. Robert (Evan) Ray Monday August 18, 2008
Posted by: Michael O'Toole at 9:33PM EST on August 18, 2008
In the Governence presentation under the section discussing intermediate sanctions, what exactly is meant by the term "Revenue Based Compensation"?
Posted by: Syed Ahmed at 8:44PM EST on August 18, 2008
Is there a difference in mandate between governance boards for not-for-profit and for-profit healthcare organizations?
Posted by: Anthony Ficarra at 2:05PM EST on August 18, 2008
What is the role in governance of CEO, COO and Board?
Posted by: Lawrence Berg at 2:03PM EST on August 18, 2008
Is there a difference between 'board members', 'directors' and 'trustees'? Are there are situations in which there is some consequential difference between the terms board member and trustee?
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