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Governance practices and performance in US academic medical centers
Marilyn Szekendi1, Lawrence Prybil2, Daniel L Cohen3
1University HealthSystem Consortium, Chicago, IL szekendi@uhc.edu.
Summary
Effective hospital governance, including board member education and performance measurement, significantly impacts healthcare quality. However, gaps persist in CEO and board assessments across all institutions, highlighting areas for improvement.
Area of Science:
- Healthcare Management
- Organizational Governance
- Quality Improvement
Background:
- Modern healthcare delivery is complex, necessitating an understanding of how governance influences quality.
- Academic medical centers face unique challenges in balancing clinical care, research, and education.
Purpose of the Study:
- To assess the perceptions of chief executive officers (CEOs) regarding governance best practices in US academic medical centers.
- To examine the relationship between the adoption of governance best practices and organizational performance.
Main Methods:
- Survey of CEOs at US academic medical centers on 6 governance best practices.
- Correlation analysis between governance practices and University HealthSystem Consortium's Quality & Accountability rankings.
Main Results:
- Higher performing hospitals demonstrated greater adoption of all 6 governance practices.
- Strongest evidence linked board member education, performance measure utilization, and board self-assessment to superior quality.
- Significant gaps were identified in CEO and board self-assessment practices across all hospitals.
Conclusions:
- Implementing robust governance best practices, particularly in board education and performance measurement, is crucial for enhancing healthcare quality.
- Targeted improvement plans are needed to address deficiencies in CEO and board assessment processes.
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