On Ineffective Governance


Posted by Tony Kovner

I recently finished teaching my seven-week MPA course in non-profit governance and came up with three recommendations as to “the main thing” in improving health care organization governance:

- Get the board to admit “we have a governance problem.”

- Appoint a team to investigate this leadership challenge and make recommendations for improving the governance process.

- Get a commitment in advance from the full board to implement the team’s recommendations

Also, the board chair and the CEO should agree that one of the areas the CEO should be accountable for is “empowering the board.”

Suggested reading: Chait, Ryan and Taylor, “Governance as Leadership” Wiley, 2005.

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