Governance for Health Care Providers-The Call to Leadership PDF
Preview Governance for Health Care Providers-The Call to Leadership
Governance for Health Care Providers The Call to Leadership More Praise for Governance for Health Care Providers: The Call to Leadership “Boards of Trustees will be critical actors in transforming our health care system. This book is an important resource in giving providers the knowledge they need to be successful board members.” Maulik S. Joshi, DrPH, Senior Vice President for Research, American Hospital Association; President, Health Research & Educational Trust “The arrival of this book on health care governance couldn’t be more timely. The Institute of Healthcare Improvement has declared Getting the Board on Board as a key element in its 5 Million Lives campaign, recognizing the importance of board leadership and effectiveness in furthering national goals of patient safety and quality health care. The authors/editors have assembled an impressive list of experts who cover well specific elements of effective health care governance. This book will be at the top of the list of‘required reading’ for current and new health care board members, and indeed all physician and senior administrative leaders.” Martin D. Merry, MD, CM, Adjunct Clinical Associate Professor of Health Management and Policy, University of New Hampshire “Staffing shortages, increased reporting requirements, and calls to improve patient safety are just a few of the challenges that boards face that require clinical leadership. Health care providers are by definition already leaders—but have a responsibility to become the best leaders they can be by serving in governance roles. Whether you are on a board now, have just been asked to serve, or want to pre pare yourself for serving in the future don’t wait to read this book. Governance for Health Care Providers: The Call to Leadership will help to prepare you in a very effective way.” Susan B. Hassmiller, PhD, RN, FAAN, Senior Advisor, Robert Wood Johnson Foundation for Nursing “As health care institutions strive to meet the significant challenges of today’s environment, outstanding board stewardship is essential. This book provides a timely and comprehensive primer for health care providers who are called upon to serve.” Steven A. Wartman, MD, PhD, MACP, President/CEO, Association for Academic Health Centers “The pressing demand for more accountable health care organiza tions is propelling greater numbers of physicians into governance positions. For most health professionals, however, the world of gov ernance is terra incognita. This much needed book illuminates the responsibilities being assumed when accepting a spot on the board and provides a roadmap for those aspiring to great performance in the role.” Todd Sagin, MD, JD, National Health Care Consultant “This is a valuable book to prepare health care professionals for ser vice on hospital and other health care related boards. Health profes sionals and particularly physicians often do not have the experience of serving on boards. As the responsibility of boards change from predominantly financial and capital responsibilities to include qual ity, safety, and questions of how care is best delivered, the need for health care professionals to serve on boards will grow. And the necessity to understand how a board operates, and the trust required between board members will grow as well. This book fills a need— for education—but also for practical knowledge of how to fulfill board duties and make a board function effectively. John Horty, Senior Partner, Horty, Springer & Mattern, Pittsburgh, Pennsylvania Governance for Health Care Providers The Call to Leadership Edited by David B. Nash ♦ William J. Oetgen ♦ Valerie P. Pracilio Foreword by Michael D. Connelly, MA, JD, FACHE Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business A PRODUCTIVITY PRESS BOOK CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2009 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works ISBN 13: 978-1-4200-7853-4 (hbk) This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors and publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www. copyright.com (http:/ /www.copyright.com/) or contact the Copyright Clearance Center, Inc. ( CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Library of Congress Cataloging-in-Publication Data Governance for health care providers : the call to leadership / editors, David B. Nash, William J. Oetgen, Valerie P. Pracilio. p.cm. Includes bibliographical references and index. ISBN 978-1-4200-7853-4 (alk. paper) 1. Health services administrators. 2. Leadership. 3. Health facilities administration. I. Nash, David B. II. Oetgen, William J. III. Pracilio, Valerie P. RA971.G628 2008 362.1068--dc22 2008046486 To my children, Leah, Rachel, and Jake. —DBN To my wife, Pam, and to Susan and Casey, Matt and Sarah, and Gracie and Lucy. —WJO To my parents, Robert and Antoinette, for their endless support and encouragement. —VPP To all providers answering the call to leadership. Contents Foreword...................................................................................................................xi Preface.....................................................................................................................xiii Contributors.............................................................................................................xv 1 Welcome to the Board...................................................................................1 VALERIE P. PRACILIO, DAVID B. NASH, AND WILLIAM J. OETGEN 2 Governance: Back to Basics........................................................................19 JONA RAASCH AND JAMES RICE 3 Defining a Great Board: Duties and Responsibilities.........................39 BARRY S. BADER 4 Bringing Quality to the Table...................................................................67 KANAKS. GAUTAM 5 The Board’s Role in Building Healthy Environments.........................91 BLAIR L. SADLER, JENNIFER DUBOSE, AND CRAIG ZIMRING 6 Professional Affairs...................................................................................115 WILLIAM L. THOMAS, BARBARA R. HELLER, AND MOLLY K. KING 7 The Bottom Line.........................................................................................131 CARYL E. CARPENTER AND JOHN K. DUGAN 8 Auditing and Compliance: The Conscience of an Enterprise........157 ALTON F. KNIGHT AND STEPHEN J. NEITZ 9 Gavel of Governance: Legal Considerations........................................183 CATHERINE C. OETGEN AND ELIZABETH A. SIMPSON 10 The Compensation Committee........................ 203 F. KENNETH ACKERMAN, JR. ix x ■ Contents 11 Dealing with Donors.................................................................................227 FREDERICK RUCCIUS 12 Successful Strategic Planning: The Board’s Role..............................245 GENE J. O’DELL AND JOHN R. COMBES 13 Community Benefit: The Nonprofit Community Health System Perspective...................................................................................................267 LAWRENCE D. PRYBIL AND JANET A. BENTON 14 Culture, Ethics, and the Board...............................................................285 P. MICHAEL PETERSON 15 The Future of Health Care Boards........................................................307 GARYL. FILERMAN Editors.....................................................................................................................323 Index.......................................................................................................................327
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