Good governance of hospitals and health systems forms the foundation of an organization’s overall performance. In a period marked by rapid change and heightened scrutiny at both state and federal levels, the role of the trustee has become increasingly significant. As the health care system continues to evolve and respond to regulatory demands, the responsibilities of trustees also change, making ongoing education an essential component of effective board leadership.
The Importance of Trustee Education
Good governance does not occur automatically; rather, it is an ongoing process that begins with orientation for new trustees and continues through consistent education opportunities for the entire board. Trustee education equips board members with the knowledge and skills necessary to make informed decisions, think proactively, and foster an environment where strategic planning aligns with the hospital’s mission.
It is essential for trustees to understand core business concepts, stay current with health care trends, and be aware of the potential financial impacts these developments may have on their organizations. As the health care industry changes, the roles and responsibilities of the board may also shift, requiring trustees to remain adaptable and informed.
Elements of Effective Governance
For a governing board to be effective, members should:
- Emphasize mission and values and focus on the big picture;
- Ensure performance improvement;
- Discuss overall policy, direction and strategy;
- Act as advocates at the local, state and federal levels and foster relationships with key constituencies; and
- Participate in board education.
Informed, strategic dialogue promotes a robust decision-making process. In addition, an ongoing commitment to continuous learning and self-evaluation keeps the board adaptable to changing health care needs.
Building an Educated and Committed Board
New trustees often face a steep learning curve, which is why comprehensive orientation is important. This orientation should include an overview of the hospital’s history, services, and strategic objectives, as well as an introduction to health care-specific terminology and governance responsibilities. It is important to remember that experience can vary widely with trustees, both in terms of governance and industry experience.
Continuing education goes beyond initial orientation. Trustees should regularly update their knowledge on health care regulatory changes, financial management, and governance practices. Participation in board retreats, reading relevant articles, and attending trustee conferences are valuable practices. Furthermore, certification programs, while not mandatory in all states, provide formal acknowledgment of a trustee’s commitment to governance excellence.
Investing in trustee education builds a more resilient, knowledgeable, and effective governing board. As trustees become more adept at navigating the complex health care landscape, they enhance their ability to serve the community and uphold the hospital’s mission. In an ever-changing environment, ongoing education is not just beneficial—it is essential.
Key Take-Away
Perhaps the greatest service an individual can contribute to the hospital and the community is to work tirelessly to be an outstanding governing board member. Time and dedication are essential to effective performance. The organization will have an outstanding, highly effective board if each governing board member is committed to the continued pursuit of knowledge and learning.