board succession and development

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Board Succession and Development Rural Hospital Leadership Conference Washington State Hospital Association June 25, 2019

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Page 1: Board Succession and Development

Board Succession and Development

Rural Hospital Leadership ConferenceWashington State Hospital AssociationJune 25, 2019

Page 2: Board Succession and Development

Please note that the views expressed are those of the conference speaker and do not necessarily reflect the views of the Washington State Hospital Association

Board Succession and Development

Steve Gordon, MDPoint B Consulting

Chair, Governance CommitteeSt. Charles Health SystemBend, OR

Symptoms: boards in need

Elements of a development plan

Case study: St. Charles

Risks, challenges, and rewards

Page 3: Board Succession and Development

Symptoms: boards in need

Page 4: Board Succession and Development

Time to elect a new board chair. Who will do it?

I think I’m doing a good job, but I

really don’t know.Our board meetings are like a show.

I just can’t read and digest everything.

I’ve had six board chairs, and each one does things

differently. I don’t know what the board wants

to hear.

We hash things out in committees, then

go through it all again with the full board.

He really wants her to be on the board. How can I say no?

I don’t feel I’m contributing

much.

Never would have appointed

him had I known…

They said I could call in

for most meetings.

What people say …

Page 5: Board Succession and Development

Sample Board Development Plan

Page 6: Board Succession and Development

StrategyManagement Governance

The Board’s Job

Not the Board’s Job

The Work of Governance

Page 7: Board Succession and Development

Sample Board Development Plan (Five-year Goals)

Barry S. Bader, Board Development: A Marathon Not a Sprint, http://trustees.aha.org/GB/board-development.pdf

Defining expectations

Succession planning

Orientation and continuing education

Strategically driven board work

External relationships

Efficiency of time and resources

Self-assessment and ongoing improvement

Page 8: Board Succession and Development

Case Study:St. Charles Health System

Page 9: Board Succession and Development

Case Study: St. Charles Health System

Used with permission

Page 10: Board Succession and Development

Succession

Crucial conversations

An essential function for self-perpetuating boards. A reality for all boards.

Fresh energy & perspective

Risk of disruption

Page 11: Board Succession and Development

Key Element No. 1: The Questionnaire

Written responses to thirteen questions to gauge:

Level of interest

Organizational familiarity

Governance experience & understanding

Willingness to commit

Potential conflicts

A thoughtful approach sends a clear message

Page 12: Board Succession and Development

Key Element No. 2: Board-led Group Interview

Aligned with executive recruitment — we use the same questions — and emphasizes personal attributes and behavior

Page 13: Board Succession and Development

Key Element No. 3: Role of the CEO

Involve the CEO, without delegating, to model: Distinction between governance and management

Collaboration

Accountability

Page 14: Board Succession and Development

Key Element No. 4: Standard Process

Avoid wheel re-invention. Decide what’s important. Write it down.

Page 15: Board Succession and Development

New Trustee Onboarding Plan

Designed by the newest trustees

Clarifies expectations

Targets one year for “getting up to speed”

Satisfies board education requirements

Leverages board mentors

Page 16: Board Succession and Development

Work in Progress

New board evaluation tool

Peer-to-peer “360”

Trustee personal development plans and coaching

Role descriptions for officers and committee chairs

“Tier 5” governance huddle

Site visits and sharing with other boards

Page 17: Board Succession and Development

Risks, challenges, and rewards

Page 18: Board Succession and Development

Does good governance matter?

Good organization, good board.

Bad organization, bad board.

Nancy J. Steiger, Nancy-ismspersonal communication

“”

Page 19: Board Succession and Development

Maximizing board work

Our board meetings are like a show.

We hash things out in committees, then go through it all again with the full board.

I don’t feel I’m contributing

much.

Developed boards spend more time on what lies ahead and less looking in the rearview mirror.

A board’s scarcest resource is time together

What board work is value-add? What is waste?

Page 20: Board Succession and Development

Variability is the hallmark of an under-developed board.

Undermines trust between governance and management

Distracts from execution on strategy

Contributes to executive burnout and turnover

For organizations committed to high reliability, variability shows the board isn’t walking the talk.

Variability

Page 21: Board Succession and Development

Less developed boards can nevertheless function perfectly well when the organization has sound financials, intact leadership, stable workforce, and a favorable market climate.

How much governance do you need?

Where is your organization?

StrategyManagement Governance

Page 22: Board Succession and Development

Sustaining Board Development

Sustaining board development is more about process and culture, and less about individuals. The operative question is how well will the board function with completely differently players.

Page 23: Board Succession and Development

Ultimately, board development is about respect — for the value of each individual’s time and potential contribution, and for the trust endowed in the board by the public.

That’s why we’re called trustees.

Thank you!

Steve Gordon, [email protected] B, Inc.