CENTER FOR HEALTHCARE GOVERNANCE
Nurses on Healthcare Boards
A smart and logical move to make.
As the spotlight on healthcare reform continues, it is becoming clear that hospitals need to focus on improving value by optimizing the balance among healthcare cost, quality and accessibility for patients and other stakeholders. In moving toward a more value-driven basis for healthcare delivery, hospital boards and leaders will benefit from tapping resources with clinical care expertise and an understanding of patient and com- munity needs. Add to that skills in communications, decision making, management and leadership, and you have the basic job description of many of todays nurse executives.
Research on nonprofit hospital gov- erning boards indicates that only about 2 percent of their members are nurses. In this column we examine why hospital boards should take a closer look At nurses—a governance resource that remains largely untapped by most boards.
The value nurses can bring to the board table has been acknowledged and supported by many healthcare leaders. Donald M. Berwick, MD, president and CEO ofthe Institute for Healthcare Improvement, noted in the April 2005 issue oîBoardRoom Press, ‘̂It is key that nurses be as involved as physicians, and I think
boards should understand that the performance ofthe organization depends as much on the well-being, engagement, and capabilities of nurs- ing and nursing leaders as it does on physicians. I would encourage much closer relationship between nursing and the board.”
Because nurses have the most
contact with patients, families
and physicians, nurses have
in-depth knowledge of
healthcare delivery that could
prove valuable to a board of
trustees on relevant issues.
In 2007, the Center for Healthcare Govertiatice’s Blue Ribbon Panel on Health Care Governance recom- mended that boards “include physi- cians, nurses and other clinicians on the board. Their clinical competence and viewpoints are valuable to other board members and will help the board better understand the needs and concerns of several ofthe orga- nization’s stakeholders.”
And a 2009 Grant Thornton LLP study of governance in community health systems urged that “All boards
should consider enriching their mem- bership with greater racial and gender diversity; they also should consider the appointment of highly respected and experienced nursing leaders as voting members ofthe board to com- plement physician members and strengthen clinical input in board deliberations.” The study also said, “Engaging leaders in the nursing profession on hospital and health sys- tem boards has not yet become the norm, nor has it been accepted as a benchmark of good governance. However, given the importance of nursing in the provision of̂ patient care, it seems likely that the idea of engaging nurses on boards and board committees will receive growing con- sideration in the future.”
Exploring Nurse Executive Skills Nurses are the largest group of healthcare professionals and the fastest growing group of primary care professionals in the United States, according to the National Nursing Centers Consortium. As boards consider governance effec- tiveness under healthcare reform, the skills and attributes that nurses can bring to the board table are worth closer examination.
Because nurses have the most con- tact with patients, families and
84 Hcahhcare Executive MAY/JUNE 2010
physicians, nurses have in-depth knowledge of healthcare delivery that could prove valuable to a board of trustees on relevant issues. Nurse leaders also possess addi- tional attributes that make them a key asset for healthcare organiza- tion governing boards. These include having:
‘ Credibility with policy-makers, employees, health plan administra- tors, physicians and executives.
• The ability to identify and triage
• An understanding of issues concerning hospital staff and
Increase your confidence in preparing for the Board of Governors Exam The compiimentary Board of Governors Online Community connects you to interactive tools and discussion areas to supplement other study resources provided by ACHE.
FACHE The Distinclion of Board Certification
Special offer Until June 30, we will waive the $200 Board of Governors Exam fee pending the approval of your Fellow application.
Visit ache.org/FACHE or call our Customer Service Center at (312) 424-9400 for details.
effective approaches to employee retention.
• Av ‘̂areness of comtnunity health needs.
Despite these positive qualities, nurses are not solidly among the ranks of todays healthcare governing board members, and this practice needs to be re-examined in light of current realities in healthcare, according to Lawrence D. Prybil, PhD, FACHE, governance researcher and professor at the Department of Health Management and Policy at the University of Iowa. Potential conflicts of interest issues may arise during the selection process of a nurse to the board, btit questions can easily be resolved, he says. For example, as they sometimes do with physician board candidates, hospital boards can consider nurses who hold leadership positions at organizations outside of the hospital’s service area. Or, if a nurse trustee is a member of the board of a hospital where he or she is also employed, the board should ensure that any conflicts are disclosed and handled in accordance with the board’s conflict of interest policy and process.
Removing obstacles to nurse partici- pation on boards and embracing what nurses can bring to governance are good first steps. The number of nurses on boards also is likely to increase when nurses themselves focus on the advantages of serving on boards and better understand what it takes to be an effective trustee.
“Board service brings with it both valuable benefits and awesome responsibility,” says Connie Curran, RN, EdD, CEO of Best On Board, an organization that provides
86 Ht-althcarc hxciurlve MAY/JUNE 2010
integrated governance education, testing and certification services for current and potential healthcare organization board members and leaders. “As healthcare boards seek to expand the diversity of their member- ship, they will view nurses as a ready resource to draw on as they become more aware of what nurses can bring (o the board table and as nurses take the initiative and prepare themselves to become trustees.”
CAjrran suggests a number of actions healthcare boards and CEOs can take to increase nurse participation on boards. These include;
• Seeking nurse leaders from within and outside of their orga- nizations CO serve on the board.
Schools of nursing and other community organizations, such as the American Cancer Society, American Heart Association or Visiting Nurses Association, are good resources to tap.
Supporting and encouraging nurse leaders within their organizations to prepare for board service by educating themselves on healthcare gover- nance issues and board roles and responsibilities.
Working with organizations, such as the Robert Wood Johnson Foundation, that have developed initiatives to help nurses become hospital board members.
As healthcare organizations and their boards grapple with how to ‘ address issues of cost, quality and access under healthcare reform, they should embrace the stakeholder per- spective, clinical expertise and other contributions nurse trustees can bring to governance. •
Mary K. Totten is director of content development for the Center for Healthcare Governance, a community of board members, executitm and thought leaders dedicated to advancing excellence, innovation and accountabil- ity in healthcare governance.
Center for Healthcare Governance 155 N. Wacker Dr., Ste. 400 Chicago, IL 60606 (888) 540-6111
AMERICAN ACADEMY OF FAMILY PHYSICIANS STRONG MEDICINE FOR AMERfCA
Simplify your life. Accessible 24/7, CareerLink connects you with qualified physicians from around the nation. Search potential employees by geographic and professional criteria in minutes.
• Track applicants with ease. • Display your company’s profile. • Pre-Screen potential applicants,
HIMIIIU.IIV l’,CLll(ivC 87 MAY/JUNE 2010
Copyright of Healthcare Executive is the property of American College of Healthcare Executives and its
content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder’s
express written permission. However, users may print, download, or email articles for individual use.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Ace Writing Center has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.
At Ace Writing Center, Nowadays, students normally have extremely busy schedules. You will note that some of them have to take on some evening or weekend jobs in order to get some income that can help them to sustain in college or in the university. This can deny them a chance to write all the essays given. Others usually get bombarded with a lot of work by their lecturers. This can still delay such students from working on all their essays. However, some of them usually try to work on all these essays but end up delivering their work late. This can prevent them from graduating since most lecturers are strict on deadlines. If you want to write a business essay, the wise way is to hire an outstanding essay writing service like us, so that you can get the best results. If you are keen, you will note that many companies usually overcharge their customers. Some of them are there only to make money. And in reality, they really don’t care to build a long term commitment with students. You should not choose such companies. You should take your time and choose a reliable company to work with. Ace Writing Center is the ultimate solution for you. We have been offering our writing service for more than 7 years. This is a clear indication that you will get quality essay writing service. We have a wide range of writers who can work on any business essay that you might have. We believe in doing extensive research so that we can provide quality work to all our clients. .
Admission and Business Papers
Have you ever had to write an admission essay for college? The majority of students face the same issues when applying to a university or college and many in such situations decide they need professional help to cope with this matter. They get in a situation when the deadline keeps coming closer but lack motivation to start because they are just not sure if their writing skills are strong enough. We have a solution for you! Ace Writing Center is the best admission essay writing service with a large professional team and years of experience in providing high-quality papers to students of all levels and faculties. The mission of our team is to help students make their dreams of entering a good college come true and that’s what we offer!.
Editing and Proofreading
Sometimes all the words for your paper just flow out of your mind and into your fingers. You type quickly at your keyboard and there they are, your beautiful words right there on the screen. But you have no idea how to polish it up. You may be wishing there was a paper writing service that offered this type of writing service. Look no more! Here at Ace Writing Center, we offer you an editing and proofreading option that you can't find anywhere else..
College Essay Writing
In case you are familiar Ace Writing Center, you know the way to distinguish a better company from a cheap one exactly. First of all, poor service website does not have a sufficient support. We think support team is an essential part of success; it has to answer all clients’ questions and be a connecting link between clients and their writers. On our web-service you will get answers about anything you need and your writer will receive all your instructions, assignments and requirements exactly and swiftly. A writing service that we run has got a flexible pricing system that will save you from senseless wastes and many bonus systems that let you sparing money for something important for you.