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Healthy Boards: An Introduction to Governance for Health Care Organizations

Learn about the complexities of rural healthcare governance and how strengthening governance skills can improve the performance of rural hospitals. This program covers topics such as organization and behavior, parliamentary procedures, meeting management, conflict resolution, team/leadership development, and strategic planning.

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Healthy Boards: An Introduction to Governance for Health Care Organizations

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  1. Healthy Boards: An Introduction to Governance for Health Care Organizations James N. Barnes, Ph.D. Assistant Professor & Director Program Leader for Community Rural Development Delta Rural Development Center (DRDC) LSU Agricultural Center Phone: 318.428.4029 E-Mail: jbarnes@agcenter.lsu.edu

  2. Message Number One… Rural health care business is complex and therefore rural health governance is complex » Why is rural health business complex from a rural hospital perspective?

  3. ▪ Payment system is complex ▪ Patient mix ▪ Physician recruitment is costly ▪ Health care regulations change frequently Business Complexity Factors

  4. ▪ Small base of people in local area willing to serve on hospital board ▪ Limited knowledge of health care business ▪ Usually volunteer labor/recruitment difficulties ▪ “Closeness” creates conflict resolution problems Added “Rural” Factors

  5. Message Number Two… Strengthening the “Governance Skills” of board members is one approach that can strengthen the governance and performance of rural hospitals… and can create a culture that supports the development of trust among members »

  6. Programs to Strengthen “Governance Skills” Basics of organization and behavior for high performance – Healthy Boards Other modules: Parliamentary Procedures Meeting Management Conflict Resolution Team/Leadership Development Strategic Planning - BSC » »

  7. Teaching Methodology Present research based principles for good governance Case study approach (Yin, 1994) Interaction with group members and analysis of an existing board situation Develop strategies to resolve board situation USING principles for good governance » » » »

  8. Some Elements of the Healthy BoardsWorkshop

  9. Healthy Boards Model Accountability & Trust Organizational Principles Social Principles Healthy Governance

  10. An Assessment Exercise Questionnaire Discuss scores

  11. Scoring *Combine your scores for the preceding statements as indicated below. Absence of Fear of Lack of Avoidance of Inattention to Trust Conflict Commitment Accountability Results Statement 4: ____ Statement:1 ____ Statement 3: ____ Statement 2: ____ Statement 5: ____ Statement 6: ____ Statement 7:____ Statement 8: ____ Statement 11: ___ Statement 9: ____ Statement 12: ___ Statement 10: ___ Statement 13: ___ Statement 14: ___ Statement 15: ___ Total: ______ Total: _____ Total:______ Total:______ Total:______ A score of 8 or 9 is indication that you serve on a healthy board. A score of less than 8 indicates that your board could benefit from additional governance training. *Based on the book The Five Dysfunctions of Teams by Patrick M. Lencioni

  12. Top Ten Commandments for a Healthy Board Member Thou shalt honor thy community Thou shalt be honest and fair to those who serve you Thou shalt evaluate fairly those who serve you Thou shalt not forsake thy job for political gain Thou shalt be an informed, active member Thou shalt be prepared for all meetings Thou shalt not micro-manage Thou shalt keep thy mouth shut about closed sessions Thou art not infallible. Thou can learn new tricks Thou art only one board member, not the big cheese Source: Oklahoma State School Board Association, 2004.

  13. Remember your role…

  14. Research References for the Healthy Boards Program • Barnes, J., Woods, M., Frye, J., & Ralstin, S. (2004). What is a healthy board? Oklahoma Cooperative Extension Service, F-929. • Holland, T. (2002). Board accountability: Lessons from the field. Nonprofit Management and Leadership. 12, (4) 409-428. • Sonnenfeld, J. (2002). What makes great boards great. Harvard Business Review, 9, 1-8.

  15. Visit the Journal of Extension (JOE): The Determinants of a Healthy Board http://www.joe.org/joe/2006october/tt1.shtml Building Trust in Local Community Organizations http://www.joe.org/joe/2006august/tt6.shtml Some Additional Board Governance Resources

  16. Impacts of HB Program • Short term – learning of principles and increase in trust/accountability among board members • Medium term – adoption of other modules to resolve conflict, set a strategy, etc. • Long term – how has governance of operations changed since program (turnover, financial)

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