Changing expectations for board oversight of healthcare quality: the emerging paradigm.
نویسندگان
چکیده
Within healthcare institutions, leadership is an essential driver of expectations, performance, and culture. Yet boards of directors traditionally played a limited role in overseeing healthcare quality, providing final approval of credentialing decisions but deferring to the medical staff to set standards for the institution. Case law and standards provide little guidance for board performance in overseeing quality of care. Recent developments--the availability of comparative quality data, public reporting, and financial incentives for higher quality--have transformed expectations for board oversight. Enforcement of fraud and abuse laws based on poor quality of care, as well as federal standards for board oversight of healthcare quality and compliance, have set higher standards for board conduct. This article examines the emerging paradigm for board oversight of healthcare quality, and recommends how boards should proceed to meet their responsibilities in an era of comparative quality measures and transparency.
منابع مشابه
Board oversight of quality: any differences in process of care and mortality?
In response to legal and accreditation mandates as well as pressures from purchasers and consumers for quality improvement, hospital governing boards seek to improve their oversight of quality of care by adopting various practices. Based on a previous survey of hospital presidents/chief executive officers, this study examines differences in hospital quality performance associated with the adopt...
متن کاملBoard engagement in quality: findings of a survey of hospital and system leaders.
Hospital governing boards assume an important role in improving delivery of quality care in the hospital. More knowledge about the prevalence and impact of particular board activities can help them perform this role more effectively. This study draws from a survey of hospital and system leaders (presidents/chief executive officers [CEOs]) that was conducted in the first six months of 2006 with ...
متن کاملCEO power and earnings announcement tone with emphasis on the role of board oversight
The value of earnings reporting depends on the information it provides to the capital market. In the meantime, managers with the power and control of the situation interfere not only in quantity but also in the quality of reporting, so they declare profit in a more positive tone. However, supervisory management leads to protecting shareholder interests and reducing agency problems, limiting the...
متن کاملCustomers' perceptions and expectations of primary healthcare services quality in health centers of Bandar Abbas
Introduction: Quality health services section is very important because its mission and role in health maintenance and care of community. The aim of this study was to determine women's perceptions of current situation in health centers of Bandar Abbas and their expectations of optimum status. Methods: In this cross-sectional study, a total of 400, fill out a questionnaire which had been design...
متن کاملFrom boardroom to bedside: how to define and measure hospital quality.
Following the release of its strategic plan, in which patient safety and quality were highlighted as key directions, St. Joseph's Healthcare Hamilton recognized the importance of engaging its board of trustees to achieve these goals. Following a collaborative retreat with senior management, medical staff leadership and professional practice leaders, the board enhanced its governance oversight o...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of health & life sciences law
دوره 2 4 شماره
صفحات -
تاریخ انتشار 2009