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Governance restructuring: Current proposals

Governance restructuring: Current proposals. Marilyn J. Heine, MD, FACP, FACEP Immediate Past President, PAMED OSMAP Meeting June 14, 2013. Overview. Impetus to consider change Examine situation, engage stakeholders, evolve proposal Timeline Key philosophy

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Governance restructuring: Current proposals

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  1. Governance restructuring: Current proposals Marilyn J. Heine, MD, FACP, FACEP Immediate Past President, PAMED OSMAP Meeting June 14, 2013

  2. Overview • Impetus to consider change • Examine situation, engage stakeholders, evolve proposal • Timeline • Key philosophy • Form – and name – follows function • Proposed framework governance • Proposed expanded member voice

  3. Timeline • HOD adopts resolution to: • Move policy-making to BOT • “Right-size” BOT • Nominate skills-based trustees, officers; general membership election • Enhance member voice • Further engage counties, specialties. HOD adopts resolution to study HOD/BOT governance process and structure. 2011 2012 2013 Task Force to Improve Governance Processes and Structure studies current situation, issues report “Options for Change,” presented to HOD 2012. Governance Workgroup develops proposal. Stakeholders are engaged who modify proposal, adopted by BOT. Bylaws being drafted for HOD 2013 to consider.

  4. Key: Members at center of PAMED • Dues-paying physician members are “owners.” • All governance bodies and leaders must be accountable to membership. • Members must feel heard and well-served by the organization. • Governance structure must provide real-time mechanisms for membership engagement.

  5. Form follows function

  6. Form follows function

  7. High level view of current framework Councils Commissions Ad hoc Policy recommendations Executive Committee 8 members Fiduciary/management Board of Trustees 36voting officers/trustees Implement policy Specialty Leadership Cabinet Policy recommendations House of Delegates 312+ voting delegates Establish policy, elections, bylaws, protect endowment

  8. High level view of proposed framework Issue specific workgroups 5-7 members Recommend policy Board of Directors 8 members Fiduciary/management Executive Policy Council 24 voting officers/trustees Establish policy Specialty Leadership Cabinet Recommend policy Member Representative Assembly 122 voting delegates Recommend policy, provide feedback; elections except vice president, bylaws, protect endowment Leadership Development Committee 7 members Identify & mentor potential leaders, define necessary skills for leaders; submit nominations General membership Full active, affiliate, associate, & dues paying residents Election of vice president; input at annual meeting and via new member voice mechanisms

  9. Authority crosswalk: slide 1 Manage & Implement Policy Board of Directors Executive Committee Advisory Budget & expenditures Finance Committee Board of Trustees Advisory Strategic Plan Finance Committee Executive Policy Council Advocacy policymaking House of Delegates Set Dues

  10. Authority crosswalk: slide 2 Bylaws amendments Approve recommendation to invade endowment principal Member Representative Assembly “Dues Paying” Members House of Delegates Elect positions except as noted Leadership Development Committee Elect vice president Nominations

  11. Member voice flow: current Specialty Leadership Cabinet Board of Trustees Executive Committee House of Delegates Councils & Commissions Member Sections Ad Hoc Committees

  12. Member voice flow: proposed County Leadership Forum1 Specialty Leadership Cabinet Large group practice panel1 Academic affairs panel 1 Executive Policy Council Regional Town Hall1 County, Specialty Executive Forums2 Member Representative Assembly Hot issue ballots2 “Member Matters”2 Member Sections Workgroups Member Networking Forum2 Board of Directors 1face-to-face, 2online

  13. Additional considerations • Plan to codify and promote the process for members to submit policy recommendations. • Plan to address needs of all members, including diverse stages, location, and models of practice. • The downsized governance entities should enable greater efficiency and nimble management. • Increased member input will require timely staff feedback to assure sense of responsiveness.

  14. Summary • Examine: HOD prompted study of whether current governance structure and process are optimal. • Engage: Stakeholders were engaged at each step to obtain input, modify proposal. • Evolve: HOD will consider the proposal and bylaws requisite to implement proposed changes… stay tuned. If adopted, will re-evaluate in future.

  15. Questions? mheine@pamedsoc.org dzimmerman@pamedsoc.org 1-800-228-7823 Thank You!

  16. Addendum: structure crosswalk detail

  17. Addendum: member voice cross walk detail

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