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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Healthcare board governance
1Manchester Business School, University of Manchester, Manchester, UK. naomi.chambers@mbs.ac.uk
Journal of Health Organization and Management
|April 25, 2012
Summary
Effective healthcare boards require high trust, challenge, and engagement, moving beyond simplistic guidance. Future development necessitates a thorough review of board composition and dynamics to ensure patient safety and financial sustainability.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Public Health Policy
Background:
- Failures in healthcare boards, exemplified by the Mid Staffordshire NHS Foundation Trust inquiry, necessitate improvements in governance.
- Existing models for National Health Service (NHS) boards lack adequate evidence and consensus on their design.
- Understanding the role, purpose, and impact of organizational boards is crucial for effective healthcare delivery.
Purpose of the Study:
- To provide insights into how healthcare boards can better fulfill their responsibilities for quality and safety.
- To examine the broader role, purpose, and impact of boards within organizations.
- To inform future development strategies for healthcare boards.
Main Methods:
- A literature review drawing from social sciences.
- Application of contingency and realist approaches to assess board effectiveness.
- Analysis of evidence regarding effective board working principles and local contextual factors.
Main Results:
- No consensus exists on an "ideal" board structure; past models lack sufficient rationale.
- Effective board performance depends on key principles adapted to local circumstances.
- A "high trust - high challenge - high engagement" model is emerging for healthcare boards, balancing quality, safety, and financial sustainability.
Conclusions:
- A move away from faith-based guidance towards evidence-based development is recommended.
- A comprehensive inquiry into healthcare board composition, structure, processes, and dynamics is essential.
- Such an inquiry will help assure patient safety and improve organizational governance.
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