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GOVERNANCE: How many members on governing board?

The average size of a health care governing board is 13 to 16 members, according to a 2015 survey conducted by The Governance Institute.  This article, written by a governance consultant, describes the traditional model for a hospital board – the community board model.  Reasons why health systems are exploring other models are discussed.  These other models include:

  • Mirror boards
  • Community board at the parent company level only
  • Board of experts
  • Committees only at the system board level
  • CEOs of subsidiary hospitals report directly to system CEO

Source: Stout, L.R. (2017, March-April). Breaking free from traditional models. Healthcare Executive, 32(2), 72-75.  Click here for publisher’s website: http://ache.org/HEOnline/digital/heonline_index.cfm  Posted by AHA Resource Center (312) 422-2050 rc@aha.org


National Health Care Governance Survey – Benchmark Results

The average hospital board size is 12, while the average system headquarters board is sized at 16. Three quarters of hospital boards include a physician, and one third include a nurse. Boards met an average nine times annually. Trustee compensation was offered by 12% of hospital/system boards. These are some of the findings from a new national health care governance survey recently released by the American Hospital Association’s Center for Healthcare Governance.

The report looks at hospital and health system governing board practices in these areas:

  • Board composition size and diversity
  • Board structure, including term limits, meeting frequency, board compensation, and committees
  • Board selection
  • Board orientation and education
  • Board evaluation
  • CEO performance and compensation
  • Quality and strategy oversight
  • Internal and external stakeholders, covering physician and clinical staff alignment, understanding community health needs, and the IRS Form 990
  • Board culture, such as executive sessions, meeting disccussion, and electronic board portals
  • Readiness for health care transformation

Source: 2014 National health care governance survey report. Center for Healthcare Governance, 2014. http://www.americangovernance.com/resources/reports/governance-reports/2014/

Posted by AHA Resource Center (312) 422-2050 rc@aha.org