|
Bader & Associates Case Studies |
Initiating Major Governance Improvements
Through Board Self-Assessment Survey
Client Profile: A Mid-Atlantic community hospital
Project Type: Board self assessment and improvement process
Challenge: To help a new CEO and forward thinking Executive Committee to adopt contemporary governance practices, potentially including term limits. The board had been passive and had traditionally deferred to management. The governance changes needed to be accomplished without alienating long-serving trustees and physicians accustomed to guaranteed, ex-officio positions despite potential conflicts of interest.
Bader & Associates Solution and Results: Bader & Associates used The Governance Institute’s Board Self Assessment survey to identify board policies and practices that differed from national norms and merited discussion at an educational retreat. The board agreed on a comprehensive Board Development Plan, and engaged Bader to work over nearly a year to implement a change strategy. The board successfully adopted a new role description, a transition to term limits, a new approach to physician membership developed in consultation with medical staff leaders, a new committee structure, and a leaner and more strategic approach to board meetings, among other improvements.
Enhancing Performance of
Quality-Related Responsibilities
by a Community Hospital Board
Client Profile: Community hospital board in a Mid-Atlantic state
Project type: Board education as part of a board self assessment process
Challenge: To help a new CEO, CMO and committed Governance Committee get the board more engaged in overseeing and supporting the hospital’s strategic quality initiatives
Bader & Associates Solution and Results: Using The Governance Institute’s Board Self Assessment survey, Bader & Associates helped the board to evaluate itself. We designed a board retreat to discuss the results, including a strong emphasis on the board’s role in quality. We made a presentation on current improvement trends and identified eight specific practices boards use to set quality goals, monitor performance, incentivize management, and engage physicians fully engaged as partners. The board adopted a comprehensive Board Development Plan with a strong quality component.
|
