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Practice paper

Why you should fire your board (maybe): How boards underperform and what executives can do

Keith Wysocki and Kori Stanosheck
Management in Healthcare: A Peer-Reviewed Journal, 3 (4), 388-394 (2019)
https://doi.org/10.69554/NZSK6340

Abstract

This paper outlines what healthcare executives can do when their governing boards are not fulfilling their fiduciary duties or providing adequate oversight to the organisation. Many healthcare boards are not recruiting the right people, spending enough time on strategy or following other recognised industry best practices. Making the board more effective may require ‘firing’ a person from the board or ‘firing’ a practice the board has been engaging in. The paper focuses on signs executives should look for in diagnosing subpar board performance and principles they can follow to make their boards more effective. If executives help hold boards to a high standard, the board can become a thought partner to executives and an asset to the organisation.

Keywords: board assessment; board competencies; board evaluation; governance; healthcare; healthcare governance; intentional governance

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Author's Biography

Keith Wysocki has spent nine years with The Governance Institute, a service of NRC Health that empowers board members, healthcare executives and physician leaders in their efforts to lead and govern their organisations. In his current role, he works with health systems across the United States to help them implement governance best practices and network with other boards. Previously, he worked specifically with hospitals in the Great Lakes region to help them create governance improvement plans. He serves as the president of the Board for Launch Leadership, Inc., a Nebraska-based non-profit organisation that provides leadership development programmes and workshops for middle school and high school students of all backgrounds. He is a recipient of the John Lux Award for outstanding long-term contributions to the promotion of youth leadership in Nebraska. He attended the University of Nebraska, where he received a Bachelor of Science in Education.

Kori Stanosheck leads board engagement efforts for the Nebraska Association of School Boards. Previously, she served as a strategic adviser for The Governance Institute, where she focused on board development at the largest healthcare systems in the United States. In this role, she met with executives and board leaders to understand their main strategic issues and deliver solutions that supported their efforts to lead and govern their organisations. Before joining The Governance Institute, she worked for a United States senator as the health specialist tasked with state and federal healthcare policy and reform. She has served as an officer on the board of directors for the Arc of Nebraska, an organisation that supports and advocates for children and adults with intellectual and other developmental disabilities. She has received awards from the State of Nebraska for her volunteer efforts related to the health of children in the state. She holds a Bachelor of Arts degree from the University of Nebraska at Lincoln and a master’s degree in public administration, with an emphasis in healthcare administration, from the University of Nebraska at Omaha.

Citation

Wysocki, Keith and Stanosheck, Kori (2019, March 1). Why you should fire your board (maybe): How boards underperform and what executives can do. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 3, Issue 4. https://doi.org/10.69554/NZSK6340.

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cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 3 / Issue 4
© Henry Stewart
Publications LLP

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