Trends in governance structure and activities among not-for-profit U.S. hospitals: 2009-2015

Health Care Management Review
Olena MazurenkoNir Menachemi

Abstract

In U.S. hospitals, boards of directors (BODs) have numerous governance responsibilities including overseeing hospital activities and guiding strategic decisions. BODs can help hospitals adapt to changes in their markets including those stemming from a shift from fee-for-service to value-based purchasing. The recent increase in market turbulence for hospitals has brought renewed attention to the work of BODs. The aim of the study was to examine trends in hospital BOD structure and activities and determine whether these changes are commensurate with approaches designed to respond to market pressures. We examined hospital level data from The Governance Institute Survey (2009, 2011, 2013, and 2015) and corresponding years of the American Hospital Association Annual Survey in a pooled, cross-sectional design. We conducted individual multivariate models with adjustments for hospital and market characteristics, comparing the changes in BOD structures, demographics, and activities over time. The sample included 1,811 hospital-year observations, including 682 unique facilities. We found that BODs in 2015 had less internal management (β = -2.25, p < .001) and fewer employed and nonemployed physicians (β = -8.28, p < .001) involved on the...Continue Reading

References

Mar 1, 1988·Psychiatry Research·J J LocascioH Y Meltzer
Mar 3, 2004·Health Care Management Review·James W Begun, Amer A Kaissi
Sep 22, 2006·Health Affairs·Cathy SchoenStephen C Schoenbaum
Dec 7, 2006·Health Affairs·Robert A BerensonJessica H May
Dec 14, 2007·Clinical and Experimental Dermatology·C MayF C G Shaffrali
Mar 8, 2008·Journal of Health Politics, Policy and Law·Jeffrey A AlexanderLarry R Hearld
May 14, 2008·Health Affairs·Donald M BerwickJohn Whittington
May 15, 2009·International Journal of Environmental Research and Public Health·Dan Culica, Elizabeth Prezio
Nov 10, 2009·Health Affairs·Ashish Jha, Arnold Epstein
Oct 21, 2010·JAMA : the Journal of the American Medical Association·Elliott S Fisher, Stephen M Shortell
Feb 15, 2011·Health Care Management Review·Karen Ford-EickhoffReuben R McDaniel
Jul 27, 2012·The New England Journal of Medicine·Jordan M VanLare, Patrick H Conway
Jan 5, 2014·Public Health Reports·Janice M Phillips, Beverly Malone
May 16, 2015·Health Care Management Review·Ludwig KuntzMichael Wittland
Jan 3, 2013·The Journal of Physical Chemistry Letters·Michael J WilhelmHai-Lung Dai

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Healthcare Management / American College of Healthcare Executives
Taleah CollumRobert Weech-Maldonado
Health Care Strategic Management
J P Smyth, J C Cosovich
Trustee : the Journal for Hospital Governing Boards
B J Gentile, M Mannisto
© 2022 Meta ULC. All rights reserved