Commissioners’ Responsibility… Everything

1. Commissioners’ Responsibility… Everything Administrator’s Responsibility… Everything that goes wrong

3. Administrator’s Responsibilities for Governance • Frequently “Errors of Omission” • Current Commissioners • Orientation • Annual Evaluation • Development/Education Plan • Budget

4. Administrator’s Responsibilities for Governance • Future Commissioners • Structure for Engagement (Identification) • Process for Recruitment

5. Administrator’s Responsibilities for Governance • Ongoing Commissioner “Management” • Information In (Balance of Extremes) • Information Out (Accuracy and Consistency)

6. Administrator’s Responsibilities for Governance • Does the Board of Commissioners Provide Value to the Organization?

7. Administrator’s Responsibilities for Governance

9. Commissioners’ Responsibility for Management • Frequently “Errors of Commission” • Arbitrary Boundaries Between Governance and Management • Potential for Conflict is Tremendous

10. Commissioners’ Responsibility for Management • Hold Administration Accountable for Meaningful, Global Information • Financial • Customer (satisfaction and value) • Internal Processes (clinical and service quality) • Learning and Growth (workforce measures, strategic alignment)

11. Commissioners’ Responsibility for Management • Often Good Intentions, eg. Soliciting Public or Staff Input • But Taking to an Extreme • Violating “Chain of Command”

12. Commissioners’ Responsibility for Management • Performance Improvement Zeal • Infuse Themselves into the Process • Creating Implied Commitment

13. Administrator’s Responsibilities for Governance Rules of Thumb for Administrators: • Never take the Board for granted • Take responsibility for helping the Board provide value • Assist the Board to hold themselves accountable for their performance

14. Commissioners’ Responsibility for Management Rules of Thumb for Boards: • Hire the best Administrator • Hold him/her accountable for providing balanced, meaningful data • Keep him/her engaged