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What Should We Look Like? Network Board Development Director of Educational Programs, NCHN November 2015 Mary Kay Chess, PhD Section B of the Self-Assessment Tool

What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

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Page 1: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

What Should We Look Like?

Network Board Development

Director of Educational Programs, NCHN

November 2015

Mary Kay Chess, PhD

Section B of the Self-Assessment Tool

Page 2: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

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• Overview & Context for the Session

• Leveraging the Self-Assessment Tool Section B:

Have it near-by!

• Who are key stakeholders? (B1)

• Structure drives Behavior: Networks sharing best,

promising & wise practices (B1 a/b)

• Board Clarity & Value (B2 - 5)

• Announcements and Next Call - Communication

Learning Community Working Agenda:

Board Development

Page 3: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Network/Board & Learning Community

Agreement: Recommended Tool

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• Arrive on Time & End on Time

• Engage in Deep Listening: Avoid Technology

Temptations

• Pose Questions: Someone else probably has the

same inquiry

• Pose Promising Practices: Every network is unique

• Take on one learning opportunity between

sessions

• Leave politics at the door & bring respect into the

room

Page 4: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Network Self-Assessment Tool

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Page 5: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

The Case for Change Leadership: Rural

Health Networks

From a national conversational perspective, the first

informal meetings of NCHN (National Cooperative of

Health Networks) began in the late 1980's. Early

network pioneers would choose a regional location,

and meet for a few days to discuss activities of their

networks. The five to seven members represented

newly organized networks, each unique and a

visionary in forging a new approach to forming

relationships among largely competitive institutions

and providers to achieve quality, affordable, and

sustainable health care, particularly in rural areas

(Adapted from the NCHN Website)

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Page 6: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Network Self-Assessment Tool

Section B

What Should We Look Like?

Network Board Development

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Page 7: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

B1. The Network’s membership structure is:

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CAHs Small Hospitals Medium Hospitals Large Hospitals Rural Health Clinics Behavioral Health

Providers Schools/School

Districts Public Health

Departments

Free Clinics Physician-Owned

Clinics Community Health

Centers Community-Based

Organizations Other:

Page 8: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

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Page 9: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Network Membership Structure

B1a. Why does this structure make sense for your Network?

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Page 10: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Network Membership Structure

B1b. Is there any reason to consider different organizations or members?

B1c. Who specifically would you add?

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Page 11: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Tools for Effective Boards:

What is the focus of your Board?

B2. Has the Board Agreement to Serve/Job Description been created and published?

B3. Have all potential Board Members been contacted about the opportunity to serve and received a copy of the Board Agreement to Serve/Job Description?

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Page 12: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Possible Elements in the Board Job

Description

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• Number of meetings

• Duration of meetings

• Working Board or Fundraising Board

• Number of communication sessions

• Attendance at annual strategic

sessions

• Participation in Kickstarter Campaigns

• Willingness to attend Network training

sessions

• Participate in shared services/

community-based services discussions

with a competitor

• Bring a great sense of humor

Page 13: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Board Engagement: Bylaws (B4)

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Page 14: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Board Bylaws and Roles & Responsibilities

B4. There are Board by-laws and the roles and

responsibilities of the Network Board

members are clearly identified:

Completely

Mostly

Generally

Roughly

Barely

What remains unclear in terms of Network

Board member responsibilities/roles?

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Page 15: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Board Progress Checking

Balanced Scorecard Examples available online from

SmartDraw

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Page 16: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

B5. Value Proposition

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Network Member

Entity/Name

Value & Benefit the

Network Provides

this Member

Role this Member

Contributes in the

Network

1.

2.

3.

4.

How will the Network provide value to the Board members/member

organizations, and what roles will the members play in and

contribute to the Network?

Page 17: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Neutral

Zone

Ending

Beginning

A Transition Process –

Why is this important to consider?

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Page 18: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

Sometimes up is down and…

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Page 19: What Should We Look Like? Network Board Development...What Should We Look Like? Network Board Development 6. B1. The Network’s membership structure is: 7 CAHs Small Hospitals

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“Leaders need two things—

character and strategy. If you can

do only one, drop strategy.”

― E. LeBron Fairbanks, Best Practices for Effective Boards

Next Meeting: “Communication”