Building healthy communities. Six steps for the board

Many trustees believe that health care reform must begin in the communities that their organizations serve. To become the visionary leaders that health care needs, trustees must reexamine many long-held beliefs and values, adopt 21st-century principles of governance, embrace the concept of a healthy community, and develop a systematic plan for change. Based on the collective knowledge of boards that have successfully led their organizations through change, the plan described here consists of a systematic six-step process. The process begins with techniques for creating awareness of the need to change and ends with techniques for measuring and sustaining gains (see figure 1 at right).