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Related Experiment Videos

Corporate restructuring prompts board self-evaluation. Interview by Jane Martinsons.

R Schlenker

    Trustee : the Journal for Hospital Governing Boards
    |January 1, 1991
    PubMed
    Summary

    Iowa Methodist Medical Center underwent significant corporate restructuring, leading to a streamlined health system and a downsized board of directors. The board initiated a self-assessment to evaluate its effectiveness following these changes.

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    Area of Science:

    • Healthcare Management
    • Organizational Restructuring
    • Hospital Administration

    Background:

    • The Iowa Methodist Medical Center experienced substantial corporate restructuring starting in the mid-1980s.
    • This involved forming a holding company, establishing various subsidiaries, and divesting an HMO.
    • The hospital's growth necessitated a review of its large and complex board of directors.

    Discussion:

    • The restructuring efforts extended to streamlining the hospital's board of directors.
    • A key focus was downsizing the board to improve efficiency.
    • This process occurred concurrently with the broader health system's service streamlining.

    Key Insights:

    • The board of trustees recognized the need to evaluate its own effectiveness.

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  • A self-assessment was undertaken to understand the board's performance post-restructuring.
  • Ralph Schlenker, vice chairman, discussed the motivations and methodology behind this self-assessment.

    • Outlook:

    • The self-assessment aimed to align board function with the restructured health system.
    • Evaluating board effectiveness is crucial for ongoing organizational health.
    • This case study highlights the importance of governance review during corporate change.