Primary Listings

Boards of Directors & Responsibility for Health Care Quality

This 11-page resource by the American Health Lawyers Association and the Office of Inspector General (OIG) 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, 2019

ACHE annual survey asked CEOs to identify their top three issues. The overwhelming number one choice continues to be financial challenges with top concern about increasing costs of staff and supplies, and adequacy of Medicaid reimbursement. Two items tied for Second choice: Government mandates such as CMS regulations and legislative uncertainty; and Patient Safety and Quality. Personnel shortages and Behavioral Health issues came in 4th and 5th respectively. Population health management dropped to #10. Response rate 25%, by the American College of Healthcare Executives. Released January 2019

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). Updated 2015

Good Governance Practices – IRS (pdf)

Eight page paper on good governance in 501(c)(3) charitable organizations – 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) from Larry Prybil et al, on governance performance in 14 large nonprofit health systems (eight were Roman Catholic-controlled). 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

Governance Institute Biennial Survey 2017 (for purchase)

Governance Institute’s 2017 Biennial Survey of Hospitals and Health Systems, reports board composition and structure, meeting frequency, and content of agendas, and other board practices. Price $395 (5/2018)

Impaired Healthcare Executives: Ethical Policy Statement

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)

The Pharmaceutical Research and Manufacturers of America (PhRMA) updated its voluntary Code on Interactions with Health Professionals, effective in January 2009. It has not been updated in the last 10 years. The revised code eliminates free mugs and pens from drug companies and drug reps, and limits meals to some degree; 36 pp.

Spencer Stuart US Board Index 2018

Description of boards of directors at S&P 500 corporations. Examines composition, compensation and corporate governance. Women directors at 24% (up from 22% in 2017); just 40% of new independent directors were women, rather than half of new recruits. Detailed information about Board director compensation (average $299,000) by company, including health insurance, pharma and other healthcare companies. Published 2018

Toolkit for Boards – Free and Online

Nearly 10,000 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 approximately 650 topics in the Library. 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

Monograph from Dennis (Denny) Pointer 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.

Anti-Fraud Resource Center for Consumers (NHCAA)

Healthcare fraud is estimated at tens of billions in annual payment costs, according to the National Health Care Anti-fraud Association (NHCAA). Here’s what consumers can do to help avoid health care scams and illegal medical charges; and where to report suspected criminal health insurance activity

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)

IRS Reminds Charities of Political Activity Ban

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 Nov. 2018

Standards for Charity Accountability – 20 Standards

The Better Business Bureau (BBB) Wise Giving Alliance (give.org) outlines 20 standards for accreditation, and to assist donors in making sound giving decisions, fostering 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. National Charity Reports Index also at this site

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