Building Board Engagement: Generative Governance

Transcription

1 Building Board Engagement: Generative Governance American Hospital Association Rural Healthcare Leadership Conference Phoenix, AZ, February 7, :30-2:45 PM 1

2 Today s Agenda Review 3 modes of governance Practice reframing issues related to healthcare governance Provide practical suggestions to share with your board 2

3 Dottie Schindlinger BoardEffect s Governance Technology Evangelist Background in governance, leadership development Author on intersection of technology and governance One of BoardEffect s founding team members Find me at linkedin.com/in/dschindlinger 3

4 Introductions Your name, role & hospital/institution # Years of board experience 1 shared goal for this session 4

5 Shared Goals for This Session Explore Best Practices Contextualize Chart a Path Forward 5

6 Some Lessons Learned Not everything you hear today will be new but most of it bears repeating. The hard work starts after you leave here. Good governance isn t one size fits all. Simply knowing one s board responsibilities doesn t make one a great board member. Great boards can t be created ONLY by getting the right people on the bus. 6

7 The world is becoming more turbulent faster than most organizations are becoming more resilient. GARY HAMEL What Matters Now 7

8 What s Happening Now? Governance complexity increasing Healthcare laws/regulatory pressures evolving Resources shrinking or stagnating Demand & costs rising Stakeholder expectations are high (and climbing) 8

9 In addition to oversight, boards need to provide insight, and, if possible, foresight. NANCY AXELROD, Governing for Growth 9

10 Exercise 1: Analogies The Board is to the Organization as is to. From the Governance as Leadership: Reframing the Work of the Nonprofit Board seminar taught by William Ryan for the Pew Charitable Trusts, May

11 LEVEL OF STAFF INVOLVEMENT 4 Profiles of Governance EXECUTIVE GOVERNANCE SHARED GOVERNANCE GOVERNANCE BY DEFAULT GOVERNANCE BY FIAT LEVEL OF BOARD ENGAGEMENT From the Governance as Leadership: Reframing the Work of the Nonprofit Board seminar taught by William Ryan for the Pew Charitable Trusts, May

12 3 MODES OF EXCEPTIONAL GOVERNANCE FIDUCIARY STRATEGIC GENERATIVE ROLE Sentinels Strategic Partners to Management Sense Makers ORG-SPECIFIC KNOWLEDGE REQUIRED Low Medium High From the Governance as Leadership: Reframing the Work of the Nonprofit Board seminar taught by William Ryan for the Pew 2017, Charitable BoardEffect Trusts, LLC May

13 Board Behaviors in Each Governance Mode FIDUCIARY STRATEGIC GENERATIVE Key Question What s Wrong? What s the Plan? What s the Question? Board Focus Define Problems Review Performance Solve Problems Shape Strategy Frame Problems Engage in Sense-making Board Process Parliamentary Procedure Logistical and Empirical Discussion More Informal and Creative Problems Are To Be Spotted Solved Framed Decision Making Resolution Reaching Consensus Framing the Question Board Sees Their Role As Oversight & Authority Strategist Fresh Perspective Performance Metrics Facts, Figures, Finances, Reports Strategic Indicators Competitive Analysis Signs of Learning and Discerning Excerpted from CentrePointe summary of "Governance As Leadership," July

14 Problem Framing 14

15 Exercise 2: (Re)Framing Problems Read through the case scenario How would you frame this problem using each of the three lenses: Fiduciary perspective Strategic perspective Generative perspective Report to the larger group 15

16 Take-Home Exercise: Minutes Review Fiduciary Mode Strategic Mode Generative Mode Generative Landmarks: Where could a generative discussion have taken place? What questions could have been posed to promote discussion? 16

17 Generative Tactics Board planning calendar Collaborate on board discussion topics Silent meeting start & One-minute essays GBOMM s Mini executive session Look for generative landmarks 17

18 How Will You Use What You ve Learned? Identification Knowledge Execution Generative Landmarks Shared Learning Governance Committee Engagement Opp. s Group Exercise Implement Tools Potential Obstacles Ongoing Board Ed. Generative Agendas 18

19 Contact Me!