PMID: 16649648May 3, 2006Paper

Getting the board on board: Engaging hospital boards in quality and patient safety

Joint Commission Journal on Quality and Patient Safety
Maulik Joshi, Stephen C Hines

Abstract

Transformational change in health care calls on hospital boards of trustees to engage in quality ata level that has never been asked before. Yet little research has been conducted regarding the role of hospital governance in quality. Interviews were conducted with chief executive officers (CEOs) and board chairpersons from aconvenient sample of 30 hospitals, representing 14 states across the United States. The interviews were 30 to 45 minutes in length and included approximately 30 questions that were open-ended and ratings based. The level of knowledge of landmark Institute of Medicine (IOM) quality reports among CEOs and board chairs was remarkably low. Conversely, board chairs and CEOs were well attuned to public reporting of quality information. There were significant differences between the CEOs' perception of the level of knowledge of their board chairs and the board chairs' self-perception. There was a mild association between board engagement in quality and hospital performance asdefined by their rates in their composite measure of heart failure, heart attack, and pneumonia. The engagement of hospital boards inquality can be enhanced by (1) increasing education on quality to increase the board's quality literacy; (2) im...Continue Reading

References

Nov 8, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·UNKNOWN Academic Medical Center Working Group of the Institute for Healthcare Improvement

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Citations

May 9, 2007·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Jeff Clough, David B Nash
Dec 12, 2013·BMJ Quality & Safety·Marie M Bismark, David M Studdert
Nov 5, 2013·Australian Health Review : a Publication of the Australian Hospital Association·Marie M BismarkDavid M Studdert
Mar 5, 2015·Journal of Health Organization and Management·Kunle Akingbola, Herman A van den Berg
Aug 3, 2017·BMC Health Services Research·Khalid AlswatFadi El-Jardali
Jun 1, 2007·Nursing Management·Richard Hader
Jan 12, 2007·Journal of Occupational and Environmental Medicine·Patricia W StoneRobyn R M Gershon
Sep 7, 2007·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·John R ClarkeWilliam Marella
Sep 18, 2010·Journal of Interprofessional Care·James W BegunGordon Mosser
Sep 29, 2011·Journal of General Internal Medicine·Ashish K Jha, Arnold M Epstein
Nov 30, 2012·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Diana J MasonEllen Murray
Sep 4, 2018·Journal of Health Organization and Management·Rebecca AmatiAnnegret F Hannawa
Jan 1, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Lawrence D PrybilAmmon Fillmore
Dec 19, 2008·Journal of Nursing Care Quality·Lawrence D Prybil
Sep 23, 2010·The Journal of Nursing Administration·Karen S Hill
Feb 26, 2021·Health Care Management Review·Ganisher DavlyatovAndrew Brickman

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