GOVERNANCE BEST PRACTICES Talking With Boards About Quality of Care and Patient Safety

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GOVERNANCE BEST PRACTICESTalking With Boards
About Quality of Care and Patient Safety

• John Brozovich, MBA
• Principal
• JOHN BROZOVICH ASSOCIATES, INC.
• May 4, 2006

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SCOPE

• Define Governance Oversight Best Practices
• Conduct Field Practice Interviews
• Complete Literature Review
• Produce Findings Eight Best Practices
• Verify with small group of CEOs
• Validate with large group of CEOs May 4
• Recommend Action to Board members June 28

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What is a Quality Patient Safety Governance
Best Practice ?

• A QPS Governance Best Practice is
• Intentional work of the Board or a committee
• That occurs with a predetermined frequency
• Which brings focus and accountability to an
  important QPS matter
• To insure quality and/or patient safety

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GOVERNANCE QPS BEST PRACTICES

• 1. The Hospital Governing Board reviews a
  performance dashboard or balanced scorecard of
  critical quality indicators to identify areas for
  improvement
• 2.The Hospital Governing Board requires major new
  hospital clinical programs or services to meet
  quality-related performance criteria

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GOVERNANCE QPS BEST PRACTICES

• 3.The Hospital Governing Board includes
• quality-related goals when evaluating senior
  executives annually
• 4.The Hospital Governing Board requires
  management to have an up-to-date medical staff
  development plan every two years

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GOVERNANCE QPS BEST PRACTICES

• 5. The Hospital Governing Board reviews a report
  of the organizations employee satisfaction
  scores against comparative data at least every
  two years
• 6.The Hospital Governing Board reviews a report
  of the organizations patient satisfaction
  against comparative data at least quarterly

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GOVERNANCE QPS BEST PRACTICES

• 7. The Hospital Governing Board reviews a report
  of the organizations physician satisfaction
  against comparative data at least every two years
• 8. The Hospital Governing Board reviews a report
  on the organizations patient safety in
  comparison to national goals at least annually

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CEO INTERVIEWS

• Interview Table

8 7 6 5 4 3 2 1
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1st Question for Discussion

• Do we do we have a consensus to support the
  Governance Institutes model of QPS Best
  Practices? In light of the findings, should we
  include physician satisfaction as a core measure?

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2nd Question for Discussion

• Do we add a QPS Best Practice that
• states The Governing Board conducts an
• annual self assessment for quality and
• patient safety?

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ANOTHER IMPORTANT FINDING

• Many of those interviewed identified a gap in
  available and affordable continuing governance
  education to support new board member orientation
  and existing board member skill development

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3rd Question for Discussion

• Should AWPHD raise core dues by 500 per
  hospital to support development of governance
  education for
• New committee chair
• New Board chair
• CEO and chair
• CEO goal setting
• Conflict of interest
• AWPHD or WSHA?

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Questions ?
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THANK YOU!

• Contact Information
• John Brozovich, Principal
• John Brozovich Associates, Inc.
• 9014 SE 53rd Place, Suite 110
• Mercer Island, WA 98040
• Email johnbrozovich_at_yahoo.com
• Telephone [phone]