The Governing Board and the CEO

Good governance is the foundation on which great organizations are built. Having committed leaders who understand their roles in establishing policies and direction to fulfill the organization’s mission and vision is essential. Because the board delegates the authority for day-to-day operations, having a strong, effective chief executive officer to lead and oversee the management team is critical.

Understanding the appropriate roles of the governing board and the CEO/management team is important. In general, governing boards set policy and direction, while the CEO and his/her management team oversee daily operations within the parameters established by the board. However, in some organizations, the CEO has dual responsibilities as either a member or ex officio member of the board and as leader of the management team. Governing and managing are separate but complementary functions. Governance looks forward, sets expectations and provides responsible oversight. Management works to meet expectations and achieve performance goals.  While governance and management have specific roles, the board and the CEO/management team must work together effectively to achieve the mission, vision and goals of the hospitals.

This module covers:

  • Delineation of responsibilities;
  • The Board and CEO relationship;
  • Recruiting and selecting a CEO;
  • Policy and compensation committees;
  • Transparency;
  • CEO performance evaluations; and
  • Much more!


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This module provides 1 hour of CHT credit.

 Here's a sneak preview of this module: