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Governing Board Responsibilities Essay

1233 words - 5 pages

Effective governance is one of the core problems of all organizations. Governance is the toughest link to maintain between the patient's caregiver and the community. Relationships with stakeholders have to be implemented in a very specific way. Certain jobs must get done, and only a group representing stakeholders can do them. Somebody must hire a CEO; reach consensus on the mission, vision, and values; establish short-term goals; resolve the inevitable strategic debates and conflicts; and mind the store.The governing board represents the stakeholders and makes a series of decisions on their behalf. In the process, it resolves conflicting views. The critical decisions are:1.Selecting and working with the CEO.2.Establishing the mission, vision, and values.3.Approving strategies and an annual budget to implement the mission.4.Maintaining the quality of care5.Monitoring results for compliance to goals, laws, and regulation.The governing body is responsible for ensuring that there is a strong governance system in place. It permeates the organization and everyone has role in good governance. Good governance typically requires:•Strong, visionary leadership•Sound strategy•Effective policy•Sensible and clear delegations of authority•Effective monitoring of organizational performance•Clear systems of accountability•Strong risk management systems.In large private sector companies with multiple shareholders, the power to control the strategy and direction of the entity usually is vested by the company's owners in the Board of Directors. Community-owned organizations are usually structured as companies limited by guarantee. The owners are members of the organization, and there are various mechanisms for appointing a board to lead the company in the interests of the members as a whole. Clinical governance is commonly discussed in the health care sector as if it were a new and distinct governance responsibility. There has been inadequate attention paid to clinical governance in health care - there has been a culture of delegation of authority to professionals, without effective risk management or proper accountability structures (Ingram, 1998). Some stake holders thought that clinical groups or the professional colleges were responsible for clinical governance. Clinical governance role is more complex. Most organizations are still developing structures, skills, and tools. In a Health Center governing board, to meet the requirements of their Federal funding and/or designation, their board responsibilities are a little bit different. They are as follows:•Meet once a month•Select the services to be provided by the health center•Schedule the hours during which such services will be provided•Approve the health center's annual budget•Approve the selection of a director (Program Director or CEO)for the health center•Establish general policies for the health center, except in the case of a governing...

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