Including professionals in governing boards of health care organizations
HCA 817 Module 4 DQ 2
Should professionals such as doctors, nurses, and administrators be included on the governing boards of health care organizations? Why or why not?
ADDITIONAL DETAILS
Including professionals in governing boards of health care organizations
Introduction
Health care is changing. As the population ages and health care costs rise, the role of governing boards will become more important. In addition, providers need to be involved in governing board decision-making because they bring a different perspective and different skills set than traditional hospital administrators do. However, how does one include professionals in these important governance roles?
Health care is changing.
You may be wondering how to include professionals in governing boards of health care organizations. In a nutshell, it’s an issue that affects all areas of the industry—and it’s one that you should start thinking about now so you can prepare for it when the time comes.
Health care is changing
The health care industry is changing rapidly and there are many ways for organizations and individuals to adapt their practices as a result. This includes changes in governance procedures, benefits offered by employers (e.g., retiree health coverage), employee management practices (e.g., hiring practices), pay structures based on experience levels or qualifications etcetera.[1] The more nimble your organization becomes at adapting quickly enough to these changes, then perhaps having some input from outside parties will help ensure continuity between different parts/positions within an organization’s leadership structure?
The past
When you’re talking about the past, it’s important to keep in mind that there are two things going on:
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You’re learning from your mistakes.
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You’re moving forward from those mistakes.
Models of governance
Governance is the system by which decisions are made in organizations. This can be done by a single individual, or it can be done by a group of people with different responsibilities and expertise. In either case, governance must ensure that decisions are made in an ethical manner and that all stakeholders are involved in those decisions.
A board of directors is one model for governing boards; another option is an executive committee composed of executives from within the organization’s hierarchy who oversee day-to-day operations.
A modest proposal
In the spirit of inclusion and transparency, I propose that governing boards include representatives from providers. Providers are part of the health care system and have a vested interest in its success. By adding them to governing boards, we can ensure that their needs are being met as well.
A role for providers on governing boards?
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A role for providers on governing boards?
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Providers can bring a different perspective to governing boards. For example, they might have experience in the health care field or have a strong interest in improving quality of care within their communities. They may also know about trends in the industry that could help guide an organization towards its mission and vision, or provide insight into how its services will impact patients’ lives. Finally, providers may be able to ensure that the organization is meeting the needs of its community by identifying gaps between what’s being done now and what should be happening—and working with staff members who are experts in those areas so that they can provide support when needed (or suggest new ideas).
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Providers’ expertise also makes them valuable assets as stewards of financial sustainability: By advocating for lower costs while maintaining high quality standards, they can help ensure that organizations remain financially viable without sacrificing patient safety or access to care
How to include professionals in the governing process?
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Provide opportunities for professionals to engage in governance. In order to make sure that the governing board is functioning well, it’s important to provide opportunities for professionals to engage in governance. For example, if you have a CEO who is also a physician or nurse practitioner and spends most of his time running the day-to-day operations of your organization, this can be an ideal position for him or her. The same goes for other professionals who are interested in contributing their expertise and knowledge back into the organization (e.,g., nurses).
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Provide professional input into governance decisions by involving them throughout decision making processes such as strategic planning sessions and budgeting activities. This will allow these individuals access not only into how decisions were made but also why they were made – which helps them understand both sides of an issue before making any final decisions themselves later on down the road when they become involved with another project within your organization! It’s also important not just rely solely upon one person’s opinion when forming new policies because different perspectives may yield different results depending upon what type(s)
When do we need rules?
When do we need rules?
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To ensure that everyone is treated fairly. When there are risks of harm, or when there are opportunities for people to take advantage of others or when situations are complex and difficult to understand. For example:
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Organizations involved in health care have many rules about how they treat their employees and patients. These rules include things like minimum wage standards for workers at hospitals, requiring an annual physical exam for insurance coverage purposes (if you’re covered by insurance), prohibiting smoking on company property and so on—all of which help make sure that everyone has access to the same quality service as other members of society who live within similar economic circumstances (e.g., if someone lives near a large corporation but makes less than $15/hour).
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The government also has lots of laws regarding consumer protection: finance regulations intended to protect consumers from unfair practices by financial institutions such as banks; food safety regulations designed specifically around protecting consumers from harmful products like pesticides which may cause cancer; environmental protection legislation designed specifically around protecting nature from pollution caused by humans activities like industrial agriculture farming livestock raising poultry raising pigs slaughtering them processing them transporting them selling their hides leathers
When do we need professional review?
There are several reasons why we may need professional review.
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When there is a dispute between the governing board and a professional, it is often helpful to have an independent perspective on the matter. This can help avoid disputes and disagreements that could lead to errors in judgment or poor decisions.
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In some cases, the patient’s best interests are not clear—for example, if he or she has multiple health conditions that require different treatments than those recommended by his or her physician. It’s important for this person’s care team (including physicians) to be able to discuss his needs with one another so they know what information they need from others before making decisions about treatment plans or referrals.
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If a doctor you trust has been accused of wrongdoing but isn’t disciplined by their employer despite evidence against them being well documented in multiple sources including news articles online; then perhaps it would be wise for them not just stop working but also consider leaving voluntarily until such time as there aren’t any more issues surrounding them performing duties professionally within organizations being overseen by board members who may not fully understand how much pressure doctors feel when faced with situations like these!
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A conflict-of-interest situation arises when someone whose job requires customer service skills becomes involved directly with patients’ personal lives — such as through social media posts — without disclosing their financial interest(s).
Takeaways and recommendations
There are a number of ways that boards can include providers in their governance. Providers should be included on the governing board, they should have a seat at the table when decisions are made, and they should be involved in all stages of policy development and implementation.
For example:
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Have members serve on each committee or task force. This is important because it gives providers access to information about what’s being discussed (and how) as well as an opportunity to provide feedback on various issues at stake in healthcare reform efforts around the country;
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Bring expert knowledge into your discussions through professional associations or networks such as those belonging to nurses who work within hospitals;
Takeaway:
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The governing boards of health care organizations should include professionals.
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Professional review is important for governing boards.
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Rules are necessary for some situations, but they should be inclusive and flexible enough to accommodate a wide range of situations.
Conclusion
We believe that it is time to consider the inclusion of health professionals as part of governing boards, but also that we must be careful not to allow this idea to become an excuse for unnecessary regulation or an excuse for lowering standards. We encourage you to consider how you can encourage your organization and others in your community toward a higher level of professionalism and excellence as we move into uncharted territory with the introduction of new technologies.
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