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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.
Strengthening Governance Through Self-Assessments
Using an effective, well-developed board self-assessment process can enhance governance performance.
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.
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.
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.
Board Orientation 101
New board members need more than a briefing on their organization — and the role they play in it
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.
Board Education: Raising the Bar
In some boardrooms, the topic of education for trustees elicits yawns, groans or even downright resistance. This may explain why findings from the AHA’s Center for Healthcare Governance 2014 National Health Care Governance Survey indicate a decline in every type of board education since the last survey...
Board Development: A Marathon Not a Sprint
Whether a board’s starting point is average performance or mediocrity, the journey to the top echelon of governance effectiveness cannot be achieved with a few quick steps. Board development is more like a marathon than a sprint.
Coaching: A Critical Tool for Board Chair Development
Making coaching available to an incoming board chair can build the chair's capacity to lead the board effectively.