Board development in two hospitals: lessons from a demonstration.
A recently concluded demonstration project examined efforts to improve the effectiveness of nonprofit boards. This article focuses on the interventions at two participating healthcare organizations and examines the outcomes of these efforts. Changes made at the Alpha Health Care system included: reduction in the number of boards, term limits established for board members, election of new board chairs for two of the fewer boards, reduction in the size of those boards, implementation of a consent agenda, and reorganization of the boards' committee structure. Fewer changes were implemented at the Beta Hospital, where several initiatives were started but only some of which were retained by the projects' conclusion. Key factors limiting the extent of changes there were the modest interest in an active board by a new CEO and the limited investment of trustees in change. The article concludes with a discussion of lessons learned about board assessment, the use of retreats to initiate board development, and the importance of time management and CEO support to strengthen board effectiveness.
Kovner
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Robert F. Wagner Graduate School of Public Service, New York University, New York City 10012, USA.
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Holland
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D016542:Chief Executive Officers, Hospital; D006075:Governing Board / Q000592:standards*; D006788:Hospitals, Voluntary / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D007858:Learning; D008330:Management Audit; D017146:Models, Organizational; D010865:Pilot Projects; D010934:Planning Techniques; D011057:Politics; D017748:Time Management; D014481:United States