Primary Listings

Boards of Directors Responsibility for Health Care Quality – OIG

Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors is an 11-page resource. Published by the Office of Inspector General (OIG) and the American Health Lawyers Association. It addresses healthcare Board members’ quality oversight process in the context of legal responsibilities. Outlines Duty of Care, Duty of Obedience to the Mission, general questions board members should ask about hospital quality, and more. Language in the 2007 pdf can be lawyerly.

CEO Concerns: Top Hospital Issues, 2023

ACHE annual survey asked hospital CEOs to identify their top three issues of concern in 2023. The number one choice was “Workforce Challenges”, the same top concern from 2022. This category includes “Personnel shortages”. Within Workforce Challenges, 87% cited shortages of technician and 86% cited RN shortages. Concern over burnout of non-physician staff was also high on the list. Again in 2023, Financial Challenges came in second. The biggest financial challenge, cited by 94%, was increasing costs for staff, supplies, etc. The third-ranked concern continued to be Behavioral health and addiction issues, where top concerns included lack of appropriate facilities in the community and lack of funding. Concern over Patient safety and quality slipped to sixth, behind Access to care and Governmental mandates. Response rate 19%, by the American College of Healthcare Executives. Updated February 2024.

Ethical Policy Statements for Healthcare Executives (ACHE)

The American College of Healthcare Executives (ACHE) provides a series of nine Ethical Policy Statements. They present ACHE’s position on various ethical issues in healthcare and suggest a standard of behavior for healthcare executives facing these challenges.

Good Governance – 33 Principles & Ethical Practices

Independent Sector (formerly the Panel on the Nonprofit Sector, a group of nonprofit and philanthropic leaders) identifies 33 Principles for Good Governance and Ethical Practice, grouped in four categories: Legal Compliance and Public Disclosure (7, including conflict of interest, transparency & public reporting); Effective Governance (13, incl. structure, composition, independence, board evaluation, compensation); Strong Financial Oversight (6) and Responsible Fundraising (7). Second Edition, Nov. 2016

Good Governance Practices – IRS (pdf)

Good Governance Practices, from the IRS, is an 8-page paper on good governance in 501(c)(3) charitable organizations. It briefly addresses mission, organizational documents, board role and size, ethics, transparency in financial reporting, executive compensation, and other topics. Released by the Internal Revenue Service Feb. 2008

Governance in Large Nonprofit Health Systems

Research (2010-2011) on governance performance in 14 large nonprofit health systems (eight were Roman Catholic-controlled). From Larry Prybil et al. Readable and relevant to boards of directors seeking best practices. Published through Commonwealth Center for Governance Studies with support from Grant Thornton and others, 126 pages, 2012

Impaired Healthcare Executives: Ethical Policy Statement

Ethical Policy Statement on Impaired Healthcare Executives. The American College of Healthcare Executives (ACHE) recognizes that impairment, defined broadly to include alcoholism, substance abuse, chemical dependency, mental/emotional instability, or cognitive impairment is a significant problem that crosses all societal boundaries. One of ACHE’s ethics policy statements revised Nov. 2017

Pharmaceutical Companies – Code of Ethics (pdf)

Code of Ethics effective January 2022, for pharmaceutical and biotech companies. The Pharmaceutical Research and Manufacturers of America (PhRMA) updated its voluntary Code on Interactions with Health Professionals, in August 2021. When significantly revised in 2009, the Code eliminated free mugs and pens from drug companies and drug reps, and limited meals to some degree. The 2022 Code does not address drug pricing. 30 pp.

Spencer Stuart US Board Index 2021

Spencer Stuart’s US Board Index for 2021 provides a description of boards of directors at S&P 500 corporations. Examines composition, compensation and corporate governance. Women directors were at 30% (up slowly from 28% in 2020). Just 43% of new independent directors were women, down 4 points from last year. Nearly half (47%) of new S&P 500 directors were minorities (defined as Black/African American, Asian, Hispanic/Latina/o, Native American/Alaska Native, or multiracial). Detailed information about Board director compensation (average $312,279) by company, including health insurance, pharma and other healthcare companies. Published 2021.

Toolkit for Boards – Free and Online

Free online toolkit for board of directors. An extensive set of links to online resources on Board topics such as Board orientation, Board evaluation, Board Roles, Ethics, Term Limits, Relationship with the CEO, Recruiting New Board Members, Fundraising and more. There are about 150 topics in the Library. Unfortunately, the resources on Board Diversity and Women on Boards are particularly dated. That’s in part due to the library being based on a book that was published in 2008.  Administration of the Library is done by personnel of Authenticity Consulting, a private consulting business based in Minneapolis, MN. Content is user-contributed

Other Helpful Listings

40 Maxims for Board Members – Navigating the Boardroom

Navigating the Boardroom is a monograph from Dennis (Denny) Pointer that outlines 40 maxims for Board members to follow in order to increase governance effectiveness.  A couple of favorites:  “#3. Don’t be a “letterhead” director. #4 Become a professional director.” 2008; 55-page slideshare.net. Read the 2-page overview for a quick look.

Behavioral Health Resources from AHA

Numerous behavioral health resources from the American Hospital Association (AHA). Some resources are geared to board members, and others are for health care system management. Many are available to the general public. Updated 2023.

Boards on Board – Getting Started Kit from IHI.org

Link to the Get Boards on Board getting started kit (How-To Guide) from IHI.org. Goal is to get trustees to spend more than 25% of their meeting time on quality and safety issues and to undertake 6 activities – including a Deep Dive case study of a significant patient injury. Other 5 Million Lives intervention materials also at this link. Must register (free) at Institute for Healthcare Improvement.

Common Acronyms in Health Care

List of common acronyms in health care. If you have wondered what DRG, ASC, EMR, QIO, ADE, CARF, TJC or a host of other acronyms are in your healthcare management or board work, this list will help. The list is prepared by HANYS, the Healthcare Association of New York State. A pdf guide is available in the publications section of the site (116 pages). It includes detailed descriptions of the terms. Updated September 2021.

IRS Reminds Charities of Political Activity Ban

The IRS reminds charities about the ban on political activity. Federal law prohibits section 501(c)(3) organizations, including charities and churches, from becoming directly or indirectly involved in campaigns of political candidates. Violation of the law can threaten loss of tax exempt status. Updated June 2022.

Kaiser State Health Facts: Individual State Profiles

Kaiser State Health Facts provides individual state profiles and for the US as a whole on a variety of healthcare subjects. Compare states on health status, health insurance coverage, costs, racial disparities, and more. Covid-19 cases, deaths testing, and vaccinations were added to the Health Status category in 2020 and 2021. In the Demographics and the Economy category, find information on population, poverty, income, employment, state budgets, taxes, voting and voter registration. From the highly respected and trusted Kaiser Family Foundation; Dates vary from 2019 to 2022.

Standards for Charity Accountability – 20 Standards

20 Standards for Charity Accountability from the Better Business Bureau (BBB). The BBB’s Wise Giving Alliance (give.org) outlines 20 standards for accreditation, in order to help donors make sound giving decisions, and foster public confidence in charitable organizations. Boards and leaders of foundations that solicit funds from the public may find these standards helpful relative to governing, spending and disclosure of information to the public. Check your favorite charity to see if it is accredited and how well it meets these standards. National Charity Reviews are in an alphabetical list.

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