Table Of ContentGovernance
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
