Wise Governance: Enhancing Long Term Care

Transcription

1 Wise Governance: Enhancing Long Term Care Effective Practices for the Boards of Non-profit Organizations Engaged In Senior Living and Long Term Care Services Steven Chies Lead Consultant, Care Paradigms President, North Cities Health Care, Inc. 1

2 Objectives of this Presentation Challenges Facing Chronic Care Boards: Smart Board Work Matters: Extracting Value from Your Trustees Developing the role of Boards and Trustees Recruitment and Retention of Trustees Creating Value for Trustees in Board participation Developing Effective Practices for Boards and Trustees Governance Enhancement Case Studies 2

3 Challenges Facing Chronic Care Boards Revenue Uncertainty--Rising Operating Costs Shortage of Care Giver Staff Partnering with Acute Care Providers Demographic Diversity of Old Old Ensuring Service Quality Increasing Regulatory Oversight Investing in Technologies Governing within Senior Communities Governing Along the Continuum Aging Physical Plants 3

4 Board Work Along The Continuum Calls for New Board Competencies and Decision Making Processes 4

5 Track the Strategic Plans of Respected Systems for Health Aging 5

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7 Challenges 7

8 Smart Board Work Matters Extracting Value from Your Trustees Developing the role of Boards and Trustees Recruitment and Retention of Trustees Creating Value for Trustees in Board participation Developing Effective Practices for Boards and Trustees 8

9 Major Functions of the NP Board Hiring and evaluating the CEO Creating the Mission, Vision, Values Developing the Strategic Plan Monitoring progress on the Strategic Plan Succession Planning Validating the non-profit s status 9

10 What is a Model Board Composition? It Depends! What are the organizational needs? What are the organizational challenges? What are the organization s strategic plan? What are the needs of potential board members? 10

11 Recruitment is Strategic! Finding effective volunteers is a skill to be developed by the CEO. What are the characteristics of highly effective volunteers? Passionate Committed Responsible Supportive Participatory 11

12 Tactics for Recruitment Determining the need Identifying the potentials Making the pitch Closing the sale Making them effective members 12

13 Creating Effective Board Members Orientation Training Communications Meaningful Work Growth Leadership Recognition 13

14 Retention of Board members Stipend vs. Board Pay? Progressive Leadership Development Succession Planning Meaningful Activities and Work Committee Functions Recognition Term Limits? 14

15 Other Duties of the Trustee and Board Validation and protecting the non-profit status Implications of your 501 ( c ) 3 designation Oversight agencies: Internal Revenue Service State Attorney Generals Watch dog groups Media Review your 990 s submissions Evaluate effectiveness of the Board 15

16 Board Highly Effective Practices: Committed and passionate of the mission Willing to devote the time and effort Understands fiduciary responsibilities Exercise independent oversight of the CEO and organizations Routine evaluation of Board effectiveness Formal agendas developed with Board input Open and transparent communications Board training sessions Recognition of service 16

17 Governance Case Studies: Benedictine Health System Good Samaritan Society Oregon Veterans Board 17

18 Additional Resources: Resources for Boards and Trustees: ASAE Books: Effective Leadership for NP Organizations. Thomas Wolf Managing the Not-for-Profit Organization Peter Drucker Doing Good Better: How to Be an Effective Non-profit Board Member Edgar Stoesz 18

19 Closing Remarks & Questions Jim Rice Gallagher Integrated Steven Chies Care Paradigm Management, Inc