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Executive Involvement in Governing Boards and Hospital and Health System Performance.

Geoffrey A Silvera1, Jeff Canar2, Noor Shakeel2

  • 1Health Services Administration, University of Alabama at Birmingham, Birmingham, AL.

Hospital Topics
|August 16, 2022
PubMed
Summary
This summary is machine-generated.

Executive involvement in hospital governing boards did not directly impact overall health system performance. Future research should explore specific performance outcomes instead of composite measures for deeper insights.

Keywords:
CEO-boardHospital governancegoverning boardshospital CEOshospital performance

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Area of Science:

  • Health Services Management
  • Organizational Governance
  • Healthcare Performance Metrics

Background:

  • Governing boards and executive leaders are crucial for organizational mission, vision, compliance, and performance.
  • The extent of executive involvement in hospital governing boards varies, with limited evidence on its impact on performance.

Purpose of the Study:

  • To determine the influence of executive involvement in governance on health system performance.
  • To analyze the association between executive leadership team engagement in governing boards and health system performance metrics.

Main Methods:

  • Analysis of data from The Governance Institute's (TGI) 2017 Biennial Survey of Hospital and Health Systems.
  • Bivariate and multivariate analyses to examine the relationship between self-reported executive involvement and a composite health system performance metric.

Main Results:

  • Executive involvement was associated with organizational characteristics such as institution type (hospital vs. health system), board appointment, and board accountability.
  • No significant direct relationship was found between executive team involvement in governance and overall composite health system performance.

Conclusions:

  • While direct links to overall performance were not found, executive involvement correlates with specific organizational structures.
  • Further investigation into specific organizational performance outcomes, rather than composite measures, is recommended for future studies.