In the newer, more complex realities that face organizations, governing boards are called upon to provide both oversight and innovative strategy. Parallels between the innovative boards that use John Carver’s Policy Governance and Boeing’s innovative top-tier airplane designers are described. They both employ visionary prototypes (Ends policies for Policy Governance boards and design Ends for B...

This article argues that the current structure of the hospital governing board and medical staff relationship does not support and promote quality and patient-centered care. The fundamental flaw in the current structure is the interdependent, yet independent and discordant relationships between hospital governing boards and medical staffs. These relationships are described as cultures and fit i...

BACKGROUND As hospitals seek to drive rapid quality improvement, boards have an opportunity-and a significant responsibility--to make better quality of care the organization's top priority. INTERVENTION "Six things all boards should do to improve quality and reduce harm" are recommended: (1) setting aims--set a specific aim to reduce harm this year; make an explicit, public commitment to meas...

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 ...

Over the last decade governance of primary and secondary schools in Netherlands has by no means become simpler. This paper sketches recent policy developments their consequences for leadership Boards Multiple Schools (BMSs) school leaders. Thereof we describe challenges BMSs currently face to enhance educational quality. However, existence a wide variety board types lack research into prevent s...