Center for Healthcare Governance

Transformational Governance

Transformational Governance: Best Practices for Public and Nonprofit Hospitals and Health Systems is a publication, authored by Larry Gage, a Senior Adviser with Alvarez & Marsal’s Healthcare Industry Group in Washington, D.C. The publication provides a detailed description of the legal and governance structures of safety net hospitals and health systems. It also describes the importance of trustees in preparing their organizations to realize transformational governance.

The publication outlines the issues public hospitals must take into account in deciding whether to redesign to lower costs, enhance quality and safety and gain access to capital. Larry Gage gives 3 dozen examples of restructured safety net hospitals and systems and describes viewpoints from directors and board members about the unique challenges these organizations have to deal with in continuing to provide care for the most unprotected residents and citizens of the USA.

Transformational Governance also reviews crucial trends that safety net and non-profit-making hospital boards and heads must know with to govern successfully in transformative times. The publication ends with a description of the foremost practices all boards should be aware of to achieve governance accountability and transparency.

Read the publication.