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AGENDA

Tuesday, June 19, 2007
7:00 – 8:00am Registration and 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

Emerging Issues in Health Care System Governance

James E. Orlikoff,
President, Orlikoff & Associates, Inc., and Senior Consultant, Center for Healthcare Governance, Chicago, IL
  The governance of systems offers unique challenges -- multiple organizations, multiple boards, shared roles and responsibilities, and other unique potential pitfalls and opportunities. In this session, Mr. Orlikoff explores current issues and reviews trends in the effective governance of systems, and discusses topics including: streamlining governance structures that add value and take less time, the impact of governance reform on system/subsidiary boards, and board member burnout from serving on multiple boards.
9:30 – 9:45am Break
9:45 – 11:00am

Hospital Systems of the Future: Key Strategy Questions the Board Should Ask

Robert V. Reece,
President, Cambridge Research Institute, Cambridge, MA
 

Transformational forces are at work reshaping the health care industry.  It will become increasingly important for systems to clarify and differentiate long-term strategic goals from short-term operational priorities. This session is designed to provide trustees with the right questions, frameworks and processes to ensure their organization has the right strategy in place for the future. Mr. Reece also explores:

  • The five questions every system board should ask about strategy
  • The top five structural challenges systems must address to oversee strategy development and execution
  • Options for engaging physicians in the strategy process
  • Options for improving board/management relationships in strategy development and execution
11:00 – 11:15am Break
11:15am – 12:30pm The Clinical Transformation of Ascension Health

David B. Pryor, MD,
Senior Vice President, Clinical Excellence, Ascension Health, St. Louis, MO
  Ascension Health has made remarkable progress on their journey to eliminating all preventable injuries and deaths. The strategy, outcomes, and the role of governance will be presented and discussed, with a focus on the complexities of doing this work consistently and effectively in a multi-hospital organization.
12:30 – 1:30pm Lunch
1:30– 2:45pm Governance Made Simple in a Complex World: Tools and Processes for More Effective System Governance

Luanne Armstrong,
VP, Governance, Texas Health Resources, Arlington, TX
  Since boards have important roles and responsibilities, vital to achieving the mission, vision and strategic goals of the health care organizations they serve, it’s critical that there be a systematic and organized approach to the planning of board meetings, communications, education, and orientation. Board processes should be structured and implemented in accordance with statutory and regulatory guidelines and established governance standards. In this session, Ms. Armstrong introduces standards and processes that effectively facilitate board support and development, including those that prepare boards to carry out their fiduciary duties, how to maximize the value of board meetings and retreats, and provide the appropriate education and orientation.
2:45 – 3:00pm Break
3:00 – 4:30pm

Dialogue on the Unique Challenges of Health Care System Governance

  

Panelists: Ken Hanover, President and CEO, The Health Alliance of Greater Cincinnati, Cincinnati, OH; Stanley F. Hupfeld, President and CEO, INTEGRIS Health, Oklahoma City, OK; and Edwin E. Dahlberg, President and CEO, St. Luke’s Health System, Boise, ID. Moderated by James E. Orlikoff, President, Orlikoff & Associates, Inc.

Jamie Orlikoff moderates a panel of CEOs from three very different health care delivery systems. Learn from the diverse perspectives of these industry leaders through the analysis of decisions they’ve made around multi-organizational governance structure, processes and priorities. This session outlines the variety of models and strategies available for increasing system board effectiveness, engagement, and overall performance, with emphasis on the opportunities for enhancing the relationship between the system’s and the member hospital’s boards.
5:00 – 6:00pm Reception
Wednesday, June 20, 2007
7:00– 8:00am Continental Breakfast
8:00 – 8:15am Opening Remarks
8:15 – 9:30am An Urgent Governance Challenge: Engaging Physicians

Martin Merry, MD,
Adjunct Associate Clinical Professor Health Management and Policy, University of New Hampshire, Sanbornton, NH
There is now a general consensus that the US health care system, as we’ve known it, is unsustainable in terms of both quality and cost. Signs of its disintegration are widespread. However, amidst what often appears to be chaos from, in particular, the lay board members’ perspective, there is growing recognition of the need to engage physicians more intimately in creating new institutional mission and vision. Dr. Merry describes how forward thinking boards are proactively addressing their medical communities and forming new alliances, from the board room to the physician’s office practices.
9:30 – 9:45am Break
9:45 – 11:00am Bringing Diverse Cultures Together

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

Operating performance across institutions within the same health care system often varies dramatically, resulting in pressures throughout the system from governance, and between management across the entities. System performance is a function of strong operating performance at each level. And, while achieving an alignment of goals and operating policies is part of the solution, there is more to consider in ensuring integration, including: clarity on powers reserved for the parent; how boards at each level relate and communicate performance expectations; alignment of system and operating plans; and cascading values and relationships. Culture is often the term that legitimates differences, but one that also keeps systems “wobbling” and functioning ineffectively.  Dr. Nygren highlights how successful systems intentionally operate to strengthen performance, market image, and quality outcomes, and explores governance and management alignment within and across systems.
 

CENTER FOR HEALTHCARE GOVERNANCE
One North Franklin, Suite 2800, Chicago, IL 60606
Phone: (888) 540-6111 | Fax: (312) 422-4508
Website: www.americangovernance.com | Email: info@americangovernance.com