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Board’s Role in Hospital Quality

Board’s Role in Hospital Quality. New England Rural Hospital Performance Improvement Summit April 21, 2009. Board’s Role in Hospital Quality. Get Engaged Where’s the CEO? Physician Participation Board Leadership Champion Self assessment. BOARD QUALITY EDUCATION PROGRAM:

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Board’s Role in Hospital Quality

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  1. Board’s Rolein Hospital Quality New England Rural Hospital Performance Improvement Summit April 21, 2009

  2. Board’s Role in Hospital Quality Get Engaged • Where’s the CEO? • Physician Participation • Board Leadership • Champion • Self assessment BOARD QUALITY EDUCATION PROGRAM: A Self-Assessment Tool http://www.americangovernance.com/americangovernance/education/SAT.pdf

  3. Six Governance Levers Mission

  4. Strategic Performance = + Mission Performance Strategic Performance Corporate Performance “Doing Good” “Doing Well”

  5. Governance vs. Management OPERATIONS Domain of Management BUDGETS BUSINESSPLANS (TACTICS) Shared Responsibility STRATEGY Performance Targets Domain of Governance MISSION VALUES

  6. Boards, Quality & Dashboards Higher Quality Performance: • Shorter Focused Dashboards, Frequently Reviewed • Active Use of Dashboards by the Board for QI Projects, Operational Oversight and Public Reporting • Board Quality Committees Strongly Influence Dashboard Content and Implementation • “Big Dot” Focus

  7. What We’ve Learned • Board quality literacy is low to moderate • Mixed definitions of what is considered quality expertise on the Board • Public reporting is strong driver of awareness • Perceptions between CEO and Board Chair need to be aligned • Agenda time for quality increasing • Need better integration of measurement, planning and incentives

  8. Quality Outcomes • Board Spends More than 25% of their Time on Quality Issues • Receives a Formal Quality Performance Measurement Report • Ties Part of Senior Executive Compensation to Quality Performance • Created a Board Quality Committee • Received BCBS-MA Grant to Accelerate Quality Agenda

  9. Board Quality Committee • Membership • Physicians and CNO • Chaired by Lay Board Member • Responsibilities • Develop Goals (BHAG) • Holds Management Accountable • Meeting management • The humble agenda - patient stories • The right topics • Managing information flow • Quantity vs quality • Denominator issue

  10. Board Education Quality Retreat • One 6-hour or two, 3-hour sessions • Include all, but only, the management you need • Use outside facilitator QUALITY CURRICULUM FOR TRUSTEES http://www.americangovernance.com/americangovernance/education/QC.pdf

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