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Changes in the monitoring and oversight practices of not-for-profit hospital governing boards 1989-2005: evidence from three national surveys.
Med Care Res Rev. 2009 Apr; 66(2):181-96.MC

Abstract

Despite the legal and practical importance of monitoring and oversight of management by hospital governing boards, there is little empirical evidence of how hospital boards fulfill these roles and the extent to which these practices have changed over time. We utilize data from three national surveys of hospital governance to examine how oversight and monitoring practices in public and private not-for-profit (NFP) hospital boards have changed over time. Findings suggest that board relations with CEOs in NFP hospitals display important but potentially contradictory patterns. On the one hand, NFP hospital boards appear to be exercising more stringent oversight of management and hospital performance. On the other hand, management is more actively involved with governance matters with less separation of board and management. This general pattern varies by the dimension of oversight and monitoring practice and by specific characteristics of NFP hospitals.

Authors+Show Affiliations

University of Michigan, Ann Arbor, MI, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19052168

Citation

Alexander, Jeffrey A., et al. "Changes in the Monitoring and Oversight Practices of Not-for-profit Hospital Governing Boards 1989-2005: Evidence From Three National Surveys." Medical Care Research and Review : MCRR, vol. 66, no. 2, 2009, pp. 181-96.
Alexander JA, Lee SY, Wang V, et al. Changes in the monitoring and oversight practices of not-for-profit hospital governing boards 1989-2005: evidence from three national surveys. Med Care Res Rev. 2009;66(2):181-96.
Alexander, J. A., Lee, S. Y., Wang, V., & Margolin, F. S. (2009). Changes in the monitoring and oversight practices of not-for-profit hospital governing boards 1989-2005: evidence from three national surveys. Medical Care Research and Review : MCRR, 66(2), 181-96. https://doi.org/10.1177/1077558708326527
Alexander JA, et al. Changes in the Monitoring and Oversight Practices of Not-for-profit Hospital Governing Boards 1989-2005: Evidence From Three National Surveys. Med Care Res Rev. 2009;66(2):181-96. PubMed PMID: 19052168.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changes in the monitoring and oversight practices of not-for-profit hospital governing boards 1989-2005: evidence from three national surveys. AU - Alexander,Jeffrey A, AU - Lee,Shoou-Yih D, AU - Wang,Virginia, AU - Margolin,Frances S, Y1 - 2008/12/03/ PY - 2008/12/5/pubmed PY - 2009/4/17/medline PY - 2008/12/5/entrez SP - 181 EP - 96 JF - Medical care research and review : MCRR JO - Med Care Res Rev VL - 66 IS - 2 N2 - Despite the legal and practical importance of monitoring and oversight of management by hospital governing boards, there is little empirical evidence of how hospital boards fulfill these roles and the extent to which these practices have changed over time. We utilize data from three national surveys of hospital governance to examine how oversight and monitoring practices in public and private not-for-profit (NFP) hospital boards have changed over time. Findings suggest that board relations with CEOs in NFP hospitals display important but potentially contradictory patterns. On the one hand, NFP hospital boards appear to be exercising more stringent oversight of management and hospital performance. On the other hand, management is more actively involved with governance matters with less separation of board and management. This general pattern varies by the dimension of oversight and monitoring practice and by specific characteristics of NFP hospitals. SN - 1077-5587 UR - https://www.unboundmedicine.com/medline/citation/19052168/Changes_in_the_monitoring_and_oversight_practices_of_not_for_profit_hospital_governing_boards_1989_2005:_evidence_from_three_national_surveys_ L2 - https://journals.sagepub.com/doi/10.1177/1077558708326527?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -