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While boards shape organizational priorities in many ways, they do so primarily through the CEO. In the Center's newly published monograph, David A. Bjork, Ph.D., Senior Vice President and Senior Advisor of the Executive Total Compensation practice at Integrated Healthcare Strategies, shows boards how to make quality a higher priority for health care organizations.
In Putting Quality First: How Boards Can Make Quality Improvement a Higher Priority, Bjork discusses a variety of formal and informal processes that boards can use to elevate quality on the organization's agenda, focusing on various aspects of the performance management process, beginning with the job description. Several sample statements of accountability for quality are included, illustrating how the focus of accountability differs among key organizational leaders and staff. He describes how boards can set clear performance expectations and includes examples that are concise and measureable.
A Top 10 List is included to show boards how to use the performance appraisal process to place a higher priority on quality improvement. Bjork also provides a portion of a sample performance appraisal questionnaire to help boards assess CEO performance on a number of key accountabilities and goals for improving quality. He discusses common weaknesses in setting performance goals and lists examples of clear and vague goals for boards to consider. He also shows boards how to use the incentive compensation process to place greater emphasis on clinical quality improvement.
The monograph also includes several scenarios followed by questions for discussion to help boards apply the information they have learned to improving quality in their own organizations.
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