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Board engagement in quality: findings of a survey of hospital and system leaders.
J Healthc Manag. 2008 Mar-Apr; 53(2):121-34; discussion 135.JH

Abstract

Hospital governing boards assume an important role in improving delivery of quality care in the hospital. More knowledge about the prevalence and impact of particular board activities can help them perform this role more effectively. This study draws from a survey of hospital and system leaders (presidents/chief executive officers [CEOs]) that was conducted in the first six months of 2006 with a total of 562 respondents. The survey contained 27 questions on various aspects of board engagement in quality. More than 80 percent of the responding CEOs indicated that their governing boards establish strategic goals for quality improvement, use quality dashboards to track performance, and follow up on corrective actions related to adverse events. The adoption of other practices was reported less frequently. Only 61 percent of the respondents indicated that their governing boards have a quality committee. The existence of a board quality committee was associated with higher likelihoods of adopting various oversight practices and lower mortality rates for six common medical conditions measured by the Agency for Healthcare Research and Quality's Inpatient Quality Indicators and the State Inpatient Databases. Hospital governing boards appear to be actively engaged in quality oversight, particularly through use of internal data and national benchmarks to monitor the quality performance of their organizations. Having a board quality committee can significantly enhance the board's oversight function. Other potentially useful activities-such as board involvement in setting the agenda for the discussion on quality, inclusion of the quality measures in the CEO's performance evaluation, and improvement of quality literacy of board members-are currently performed infrequently.

Authors+Show Affiliations

Center for Delivery, Organization and Markets, Agency for Healthcare Research and Quality, Rockville, Maryland, USA. joanna.jiang@ahrq.hhs.govNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18421996

Citation

Jiang, H Joanna, et al. "Board Engagement in Quality: Findings of a Survey of Hospital and System Leaders." Journal of Healthcare Management / American College of Healthcare Executives, vol. 53, no. 2, 2008, pp. 121-34; discussion 135.
Jiang HJ, Lockee C, Bass K, et al. Board engagement in quality: findings of a survey of hospital and system leaders. J Healthc Manag. 2008;53(2):121-34; discussion 135.
Jiang, H. J., Lockee, C., Bass, K., & Fraser, I. (2008). Board engagement in quality: findings of a survey of hospital and system leaders. Journal of Healthcare Management / American College of Healthcare Executives, 53(2), 121-34; discussion 135.
Jiang HJ, et al. Board Engagement in Quality: Findings of a Survey of Hospital and System Leaders. J Healthc Manag. 2008 Mar-Apr;53(2):121-34; discussion 135. PubMed PMID: 18421996.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Board engagement in quality: findings of a survey of hospital and system leaders. AU - Jiang,H Joanna, AU - Lockee,Carlin, AU - Bass,Karma, AU - Fraser,Irene, PY - 2008/4/22/pubmed PY - 2008/7/30/medline PY - 2008/4/22/entrez SP - 121-34; discussion 135 JF - Journal of healthcare management / American College of Healthcare Executives JO - J Healthc Manag VL - 53 IS - 2 N2 - Hospital governing boards assume an important role in improving delivery of quality care in the hospital. More knowledge about the prevalence and impact of particular board activities can help them perform this role more effectively. This study draws from a survey of hospital and system leaders (presidents/chief executive officers [CEOs]) that was conducted in the first six months of 2006 with a total of 562 respondents. The survey contained 27 questions on various aspects of board engagement in quality. More than 80 percent of the responding CEOs indicated that their governing boards establish strategic goals for quality improvement, use quality dashboards to track performance, and follow up on corrective actions related to adverse events. The adoption of other practices was reported less frequently. Only 61 percent of the respondents indicated that their governing boards have a quality committee. The existence of a board quality committee was associated with higher likelihoods of adopting various oversight practices and lower mortality rates for six common medical conditions measured by the Agency for Healthcare Research and Quality's Inpatient Quality Indicators and the State Inpatient Databases. Hospital governing boards appear to be actively engaged in quality oversight, particularly through use of internal data and national benchmarks to monitor the quality performance of their organizations. Having a board quality committee can significantly enhance the board's oversight function. Other potentially useful activities-such as board involvement in setting the agenda for the discussion on quality, inclusion of the quality measures in the CEO's performance evaluation, and improvement of quality literacy of board members-are currently performed infrequently. SN - 1096-9012 UR - https://www.unboundmedicine.com/medline/citation/18421996/Board_engagement_in_quality:_findings_of_a_survey_of_hospital_and_system_leaders_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=18421996.ui DB - PRIME DP - Unbound Medicine ER -