Effective Governance in Systems

More than two decades of health system formation provides insight into how these organizations are developing and how they are being governed. A new Center publication, Effective Governance in Systems, discusses essential governance practices and obstacles to avoid in building and supporting good governance in multi-organizational systems with multiple, layered boards.

This publication discusses factors contributing to system formation, describes stages of system evolution and reviews governance models beginning to be adopted as systems mature. It also discusses factors boards should consider as they transform their governance practices to better meet the needs of their changing organizations and adhere to principles of governance effectiveness.

"Dos and Don’ts" for building a well-functioning web of governance among multiple boards are included in this publication, as well as suggestions for implementing governance tools and practices that can lead to higher-performing boards systemwide.

Effective Governance in Systems can be a useful resource for board education about system governance trends or to help assess how your board's governance structure and function are evolving to support system effectiveness.

Sets of questions are posed for boards, executives and physicians to consider at each stage of the relationship. A case example of how a board created a positive context to resolve issues regarding one health care organization’s physician compensation model illustrates the power of board engagement in these relationships.

For more information or to order, contact the Center at 888-540-6111, email  info@americangovernance.com, or visit the AHA Online Store.

CHG Members can download a PDF of this publication by clicking here »

Effective Governance in Systems