Board Of Directors Role In Managed Care

The existing literature on nonprofit governance suggests board roles are widespread and varied (Brown & Guo, 2010). For example, in BoardSource (2004b) as cited by Zimmermann

Risk management in the health care setting is multi-focused. In addition to mitigating risks inherent to clinical settings, it also serves to protect visitors and employees safety. Moreover, risk management is vital to protect the organization from losses, earning and retaining accreditation, and reducing the overall risk of doing business in the health care industry. At the heart of risk management is the manager who is responsible for maintaining a risk management plan and continually monitoring the outcome of the plan.

The Department of Health and Human Services Office of Inspector General (OIG) on April 20, 2015, working in partnership with the American Health Lawyers Association and the Association of Healthcare Internal Auditors, published Practical guidance for health care governing boards on compliance oversight. The guidance describes the OIG’s expectations of the compliance oversight and the roles governing boards should play in a healthcare organization.

The members of the board are tasked with designing the organization’s structure and determining how different aspects of the organization will interact. Since the only source of revenue for Making a Change, LLC, is monies it receives from businesses and our philanthropist community who may or may not be looking to invest in the organization’s cause and/or for tax purposes.

S., & Kavaler, F. (2014). Risk management in healthcare institutions: Limiting liability and enhancing care. Burlington, MA: Jones & Bartlett Learning.p. 138, 143

The Modesto Medical Center of Modesto board of directors is responsible to make sure that the workers practice quality services at all times. The board of directors support and guide the implementation of quality improvement activities. The board of directors is responsible to review, and approve the system to eliminate and approve the quality improvement plans. The board of directors is responsible in monitoring the staff’s quality improvement that improve patient care and reduce risks of liability claim. The executive leaders in the organization supporting the medical staff and to comply with the Joint Commission accreditation, and executive leaders guide staff within the organization, communicate, problem solver when organization face any issues, responsible in sharing visions and goal, and review quality improvement committee’s progress in the organization (Nemeth, 2003).

To ensure that the company thrives and overcomes the crisis that may come on the way, the company has various strategies and ways to overcome that and to keep the company on the track which includes constitution and board of directors which has various roles and responsibilities. The company has got a constitution and also corporations’ act. The companies’ values are the trust, integrity and honesty. The board carries out the duties in regard to the interest of the companies’

Nonprofits are made up of key team players that contribute to all of the work that goes into making the organization a success. Without members who don’t align with the core values, mission, and ethical practices of a nonprofit it cannot produce the outcomes it desires. A governing board is the group of people entrusted with and accountable for the leadership and governance of a nonprofit corporation (Renz, p. 127). This board holds the accountability and trust for the community and clients it serves. The importance of these members and their actions for the organizations they work for contribute to the success and good work it produces for the community they serve. Stated on p. 136 by David O. Renz “Nonprofits exist to meet community needs, and it is important for the board to be well connected to both sets of clients so it can make legitimate and useful judgments about whether the organization’s programs and activities are valued by those they are designed to serve,” exemplifies how nonprofits practice ethics through their

“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that

In conclusion, this paper explored the strengths and weaknesses of this organization. A weakness is identified and improvement is recommended to create a Patient Advisory Council in the Shared Governance to promote better patient-centered care. In doing so, patients will have sense of empowerment by having their input in the plan of care. To measure the success of the recommended change, the use of HCAHPS and patient metrics are utilized and compared nationally.

This obviously was not well-received and in the past those members who were allowed to participate in the governance were part of the governing body. As a result of this, the Joint Commission decided to make changes. According to the Joint Commission (2011), ‘Governance experts caution against representational governance.’ They now have decided that it is best that physician directors be chosen like any other board members. All board members should be based on qualifications from an objective

In large corporations the success or failure of the company is the responsibility of the board of directors. According to Richard DeGeorge, “The members of the board are responsible to the shareholders for the selection of honest, effective managers, and especially for the selection for the CEO and of the president of the corporation.” (p. 202). The board members have a moral responsibility to ensure the corporation is run honestly, in respect to its major policies, and to ensure the interests of the shareholders are satisfied. The next responsibility within a corporation is the responsibility management has to its board of directors. DeGeorge writes, “It must inform the board of its actions, the decisions it makes or the decisions to be made, the financial condition of the firm, its successes and failures, and the like.” (p. 202). The management of the corporation is morally obligated to

Usually in corporations there is a clear distinction between the people who take critical decision – Board of Directors – and the people who actually execute the decisions – management. In FBM, many managers were also part of the Board. This arises conflicts of interest. This should be avoided.

Within a health care organization there are many layers to include health boards in hospital governance. Corporate governance is a complex arranged of processes, policies, regulations, laws, organizational structures, people, and customs (Dowton, S.B. (2011). Each of these entity must establish a relationship in order to work toward a common goal that ensures the quality, accountability and

The board consisted of the leaders of their own fields. It included physicians, lawyers, politicians and some of the former CEOs of airline industry. The board was relatively new and the most severe member had been there for four years. The risk management was the major issue which attracted most attention of the board and they dedicated more time on attention n risk management since the financial collapse.