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Trustee Articles

When the Future Finally Arrives: Governing Health Care in 2050

Boards are planning for 2026, but what about 2050? The decades ahead promise profound change. Widening social and economic divides, demographic shifts, technological advances and rising consumer expectations will reshape nearly every aspect of our lives. Health care will be among the systems most deeply affected. No one knows exactly what health care will look like 25 years from now. What is becoming clear, however, is that the current system is not designed to meet the demands ahead. The U.S. now spends roughly $5 trillion a year on health care, outpacing every other nation in per-person spending. But by even the most basic measures, the U.S. performs poorly compared to other wealthy nations, ranking near the bottom on life expectancy, infant mortality and preventable deaths.
Trustee Articles

Strengthening Governance Through Self-Assessments

Using an effective, well-developed board self-assessment process can enhance governance performance.
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Boards and Philanthropy: Developing the Next-Curve Revenue Source for Health Care

Health care governing board members confront a complex and changing financial landscape in their role as stewards of health care organizations. Hospitals and health systems have faced slim bottom lines for an extended period that have reduced available dollars to invest in organizational advancement and forced many to change strategy, forego acquisition of new technology, delay physical plant improvements, reduce services and streamline staff.
Trustee Articles

Board Practices that Separate the Best from the Rest

The AHA’s 2011 Governance Survey shows that good governance practices continue to take hold among hospitals and health systems. Driven by powerful economic pressures and stringent legal requirements to be visionary, strategic, diligent and independent, boards are applying various “good governance” practices, including competency-based succession planning, board orientation and education, routine executive sessions, CEO retention planning, and board self-evaluation.
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Board Portals: Are They Improving Governance Effectiveness?

While most health care governing boards may still rely on paper packets and board agenda books for board and committee meetings, adoption of board portals— Web-based, online workspaces that support health care governance—appears to be catching up with use in other sectors.
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Board Oversight of Culture for High-Performing Hospitals

An external review of workplace operations produces a Leadership Letter with observations and recommendations for continuous improvement, followed by open discussion among the board, CEO and top management.
Trustee Articles
Board Orientation
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Board Orientation 101

New board members need more than a briefing on their organization — and the role they play in it
Trustee Articles

Board Meeting Evaluation

Board self-assessment is widely recognized as a fundamental building block of continuous governance improvement. For the past 20 years, many healthcare organization governing boards have engaged in full board performance evaluations, often on an annual basis. These evaluations are designed to assess the board’s knowledge of its roles and responsibilities and how well the board as a whole is discharging them.
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Key Action Steps for the Compensation Committee

Discover the benefits of shared performance goals at the system level and how to implement them in your executive compensation program with AHA's tips.
Trustee Articles

Board Evaluation as a Lever to High Performance

Most boards advance this process on an annual basis to explore issues at both the collective board level and the individual board member level to uncover specific growth opportunities. This provides insights into competencies, accomplishments and shortcomings to identify and prioritize opportunities for growth.