Changing Demographics: Creating Your Next-Generation Board "Move over boomer." I confess: I am a baby boomer, part of the enormous post-World War II generation that, for decades, has dominated corporate and not-for-profit board leadership. According to The Governance...

Minimizing Governance Disruptions Due to a New CEO When a new CEO takes charge, a new dynamic inevitably will replace the one that existed between the board and the previous CEO. A new leader from outside the organization likely will have had a different working...

Focused Growth: A Strategic Framework "Independent community hospitals in the United States are not an endangered species. But they are threatened, and their survival as independents depends on the deliberateness of the actions they take now." All hospital board...

A Strong Board-Executive Partnership Can Achieve Bolder Goals How aspirational are your organization's mission? Do they call for improving the health of the communities you serve, being the health system of choice for area residents, reimagining healthcare, and/or...

Balancing Long-Term Strategy and Short-Term Challenges Things are moving so quickly that it seems hard to plan further than six months out. We all are fatigued after three years of pandemic turmoil and financial struggles, compounded in 2022 by market-driven...

Demography Is Destiny: Planning Care for a Changing Population It’s Spring 2040, and the U.S. population has grown by 41 million people since 2020 to over 373 million, fueled primarily by migration and longevity. The nation is more ethnically and racially diverse than...

Enterprise Risk Management: Moving Beyond Compliance If 2020 has taught us anything, it is to never say “never.” One year ago, how many healthcare leaders or futurists would have guessed 2020 would be the year for the COVID-19 pandemic and its cascading effects on...

Addressing “Wicked Problems”: The Board’s Role Countless articles over the past two years have explored the impact of the COVID-19 pandemic on seemingly every facet of our healthcare system—declining hospital and physician office volumes concurrent with intense...

Time to Declutter and Refocus Many, many articles and white papers have been written over the past decade about health system– subsidiary board relationships (or their dysfunction), clarifying the roles of subsidiary hospital boards and the roles they can and should...

Revisiting Strategy: Lessons Learned from the Pandemic As COVID-19 initially swept across the country, many health system leaders rightfully operated in survival mode, putting long-term strategy on the back burner as they addressed unprecedented urgent daily...