Agenda: Conference Plenary and Strategy Sessions

Sunday | Monday | Tuesday | Wednesday

Sunday, February 11, 2007
8:00 – 9:00am Pre-Symposium Workshop Registration and Continental Breakfast
9:00 – 4:00pm

Pre-Symposium Workshop (Optional)
Hospital Trustee Professionalism: Building Capacity for Excellence in Governance

David Nygren, PhD,
Partner, Mercer Delta Consulting, LLC, San Francisco, CA

In this day-long, pre-symposium workshop designed for first-term and newer trustees, participants will receive grounding in the fundamental issues, practices and processes of exemplary health care governance. You will discover the governance practices that help boards to run most effectively, and gain the skills, competencies, and basic knowledge required to meet the specific roles and duties of the board. Trustees will come to better understand their responsibilities to chart a vision and strategy for the organization, oversee quality and financial performance, and build collaborative relationships with clinicians. Other issues that will be addressed include CEO evaluation and succession planning, committee useage, and governance assessment and its importance for improving board performance. Led by skilled teacher and facilitator Dr. David Nygren, this fast-paced, comprehensive and interactive workshop is ideally suited for those new to board service. It will establish a common level of understanding of the issues boards face and instill confidence in your trustees.

*Note: A separate registration fee is required. Please refer to the registration form for more details. Lunch will be provided

4:00 – 6:00pm Symposium Registration Opens
Monday, February 12, 2007
7:00 am – 4:00pm Registration Opens

7:00 – 8:00am Continental Breakfast

8:00 – 8:15am Opening Remarks

John R. Combes, MD,
President and COO, Center for Healthcare Governance, Chicago, IL

8:15 – 9:30am

Trends in Health Care and Their Impact on Governance

James E. Orlikoff,
President, Orlikoff & Associates, Inc., and Senior Consultant, Center for Healthcare Governance, Chicago, IL

  On January 1, 2006 the first Baby Boomers turned 60 years old; the baton is being passed to the next generation of physicians; technological change accelerates; governance pressures increase. Health care is at the bull’s eye of the convergence of massive and unprecedented demographic, economic, technological, and social forces. As health care enters this brave new world, new mental models of governance will be required to effectively lead healthcare organizations into the future. This presentation will provide a big-picture scan of these trends and examine their impact and new demands on governance, and set the stage for this exciting conference.

9:30 – 10:30am AHA Perspective: Insights on the Fundamental Questions of Board Purpose and Function

Rich Umbdenstock,
President, American Hospital Association, Washington, DC
  In this session, Rich Umbdenstock will draw on his experiences as a past chair of the AHA board of trustees, president/CEO of the former Providence Services in Spokane and a career that includes 11 years as an independent consultant for voluntary hospital governing boards in the United States and Canada, as he shares his thoughts on how to ensure that America's health care system not only provides care for all who need it but also spreads the cost of that care more equitably. He will address the challenges in health care and the leadership imperatives for health care governance as board members navigate the constant changes in the health care field and at their hospitals, and build broad-based support for solutions.

10:30 – 10:45am Break

10:45 am – 12:00pm

Who Will Be There to Care? Workforce Issues and Opportunities

Connie Curran, RN, EdD, FAAN,
President, Curran Associates and Board Chairperson, Silver Cross Hospital, Chicago, IL

  As physicians, nurses, pharmacists, radiation technicians, billers and coders are all predicting significant reductions in their numbers, the demands for health care services are soaring. This session will discuss the projections for staff shortages, the implications of these projections and successful approaches for addressing them. It will explore the implications of “Magnet Hospital”, “Top 100”, “The Baldrige Award”, and other approaches to insuring your success in recruiting and retaining the top health care talent.

12:00 – 1:00pm Lunch

1:00 – 2:15pm STRATEGY SESSIONS
(Sessions repeated at 2:30 - 3:45pm)

 
#1 Board and CEO Evaluation: Best Practices from the Blue Ribbon Panel

Kevin Fickenscher, MD, Executive Vice President, Perot Systems, Plano, TX


#2

Do Better Boards Have Better Hospitals? Governance Best Practices That Will Improve Your Board and Your Health Care System

Kathryn J. McDonagh
, President and CEO, CHRISTUS Spohn Health System, Corpus Christi, TX

Kathy McDonagh has been fascinated with boards and how they function for many years. She will share practical insights from a variety of board experiences and present practices that strengthen board performance. Dr. McDonagh will also present findings from her research on the effectiveness of boards and how boards influence hospital performance. Findings from a national report from the Blue Ribbon Panel on Healthcare Governance will also be discussed.


#3

Building Bench Strength: Developing an Unbeatable Leadership Team That Drives Performance

Kerry A. Garrigan,
Vice President for Human Resources, North Carolina Baptist Hospital, Winston-Salem, NC and Loren Appelbaum, Senior Consultant, Development Dimensions International, Bridgeville, PA

This session will explore how to identify tomorrow’s health care leaders and prepare them to lead significant organizational change, citing North Carolina Baptist Hospital as a best practice. This case study presentation will demonstrate how North Carolina Baptist Hospital implemented a strategic talent strategy to mitigate risk and create a stable supply of leaders who will be ready for tomorrow’s business challenges—and how other health care organizations can do the same. Mr. Appelbaum will share the latest talent management research and trends occurring across the country, then provide an overview of the critical steps involved in any world-class talent strategy. Ms.Garrigan will provide the real-life context associated with each of these steps, citing best practices, lessons learned and results. You will learn how to identify the leadership competencies that are most critical to your long-term success, as well as how to select and grow leaders to achieve your organization’s goals.


#4

The Business Case for Building Better Hospitals: Why Boards Must Ask Question #6

Blair Sadler, President Emeritus, Children’s Hospital and Health Center and Senior Fellow, Institute for Healthcare Improvement, San Diego, CA

For trustees, deciding what to build and how to finance it is usually the biggest financial decision they will ever have to make. With so much at stake, the time is right for hospital leaders to invest a little more money, not just to build a new hospital, but to design and build a better hospital—one that will actually save the hospital significant dollars in the long run. In this session, you will hear about rigorous research that has linked a hospital’s physical environment to its clinical and satisfaction outcomes for patients and staff. You will gain insights on how incorporating evidence-based design into hospital construction plans can be an important tool in making hospitals safer, more healing, and better places to work, and understand the first steps that boards should take to build a better hospital.


2:15 – 2:30pm Break

2:30 – 3:45pm STRATEGY SESSIONS #1- #4 REPEATED

5:00 – 6:30pm

Networking Reception
Support for the reception is generously provided by

Tuesday, February 13, 2007
7:00 am – 1:00pm Registration Open

7:00 – 8:00am Continental Breakfast

8:00 – 8:15am Opening Remarks

8:15 – 9:15am Leadership for Quality and Safety

David B. Nash , MD, MBA,
Dr. Raymond C. and Doris N. Grandon Professor of Health Policy and Chairman, Department of Health Policy, Jefferson Medical College, Philadelphia, PA
  Dr. Nash will first review the relevant national story regarding measuring and improving the quality and safety of medical care. He will then highlight the key components for a successful hospital wide program with a special emphasis on the role of the board. He will discuss his own personal experience after nine years on the board of the nation's tenth largest not for profit system. Finally, he will discuss the future strategies that will help to assure ongoing success in public accountability for quality.

9:15 – 9:30am Break

9:30 – 10:45am Break From the Pack: How Hospital Boards and Executive Teams Can Partner to Compete in a Copycat Economy

Oren Harari , PhD,
Graduate School of Business, University of San Francisco, San Francisco, CA
  Oren Harari will describe today's Copycat Economy, where products and services get imitated and commoditized at an accelerating pace – and where new and different responses from leaders in all industries – including health care, are required. He will then describe the new imperatives for leaders to innovate on both the "front end" (patient care and delivery) and "back end" (cost efficiencies and supply chain management), and to creatively differentiate their organizations from competitor providers. He will propose that the kinds of value-adding transformations that are necessary will require a different model of governance: one of strategic alliance, collaboration, unconventional thinking, and new performance accountability that will complement the traditional board responsibilities of oversight.

10:45 – 11:00am Break

11:00 am – 12:15pm STRATEGY SESSIONS
 
#1

A Conversation on Innovation: Lessons for Boards and Executive Leadership in Thinking Strategically

Oren Harari, PhD, Graduate School of Business, University of San Francisco, San Francisco, CA and George Lynn, President and CEO, AtlantiCare, Atlantic City, NJ

This highly interactive session will focus on how to create strategies that move from incremental change to quantum shifts which have economic logic and that create competitive advantage. The session will build on Oren's keynote address and provide action steps that will help your hospital break from the pack.


#2

The Board and the Medical Staff: Ensuring Clinical Quality and Transparency

David Speltz, Managing Director, Huron Consulting Group, New York, NY and Jan Radke, MD, Managing Director, Huron Consulting Group, New York, NY

This presentation will focus on the roles the board must fill in evaluating, monitoring, and exercising its duty in assuring that clinicians are providing safe and proper care to patients. It will explore the debates, the sources of friction and examine the various solutions to achieving proper board monitoring with good care.


#3

Creating Quality Literacy: A New Educational Resource for Trustees

John R. Combes, MD, President and COO, Center for Healthcare Governance, Chicago, IL and Osama I. Mikhail, PhD, Professor, Management & Policy Sciences, University of Texas, School of Public Health, Houston, TX

Increasing pressure is being placed on boards to be accountable for organizational quality, patient safety and clinical outcomes. This increased expectation for accountability will require boards and trustees to achieve higher levels of quality literacy. This session will describe a new educational resource developed by the Center for Healthcare Governance and supported by the Massachusetts Hospital Association and Massachusetts Blue Cross Blue Shield. An overview of this modular curriculum will be described and a variety of educational/presentation models will be discussed.


#4

Building Better Board-CEO Relations

James E. Orlikoff, President, Orlikoff & Associates, Inc., and Senior Consultant, Center for Healthcare Governance, Chicago, IL

The relationship of the Board to the CEO is the most crucial relationship to effective governance and leadership. Unfortunately, this relationship is often framed by unspoken expectations and implicit assumptions and is not as productive or stable as it could be. This session will explore common sources of friction in the Board-CEO relationship, and will outline approaches for both Boards and CEOs to assess and improve it.


12:15pm Adjourn

12:30-5:00pm Golf Tournament
Wednesday, February 14, 2007
7:00 – 8:00am Continental Breakfast

8:00 – 8:15am Opening Remarks

8:15 – 9:15am

Trustee Leadership for Quality and Safety: The Joint Commission Perspective

Paul Schyve, MD,
Senior Vice President, Joint Commission on Accreditation of Healthcare Organizations, OakbrookTerrace, IL

 

Trustees have ultimate accountability for the quality and safety of patient care. The Joint Commission’s focus on hospital leadership – trustees, medical staff, and CEO – sets expectations for a hospital board’s role, working together with the medical staff and CEO, in fulfilling its fiduciary responsibility to patients.


9:15 – 9:30am Break

9:30 – 10:30am Governance Commitment to Transparency

Stephen A. Williams,
President and CEO, Norton Healthcare, Louisville, KY
  Norton Healthcare is a national leader in being openly accountable and transparent to its community for the quality and safety of its patient care, patient satisfaction, and financial stewardship. Hear how Norton achieved governance commitment from its board and medical staff leadership in publicly reporting over 400 clinical quality indicators, plus its patient satisfaction scores and financial performance. Learn how Norton has used this approach to manage the organization and continually improve its performance, furthering Norton’s leadership position (45% market share), continual growth, and momentum, becoming the areas preferred provider and employer.

10:30 – 10:45am Break

10:45 am – 12:00pm You’ve Heard Where You’re Going, Now How Do You Lead the Way There?

Tim Porter-O’Grady,
Senior Partner, Tim Porter-O’Grady Associates, Otto, NC
 

Twenty-first century health demands continued to redefine the role of every member in a health care system. The challenge is that past learned leader skills are no longer adequate to the current challenges confronting every level of health care leadership. This closing session builds upon new knowledge gained from the previous sessions and challenges governance leaders to create a new language and expectations for their organizations. Participants will leave this session with a deeper understanding of new leadership and new language to further incorporate into their leadership lines when they return home to confront a new era of providing truly great 21st century health care.


12:00pm Adjourn