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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.

Publication ,  Journal Article
Alexander, JA; Lee, S-YD; Wang, V; Margolin, FS
Published in: Med Care Res Rev
April 2009

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.

Duke Scholars

Published In

Med Care Res Rev

DOI

ISSN

1077-5587

Publication Date

April 2009

Volume

66

Issue

2

Start / End Page

181 / 196

Location

United States

Related Subject Headings

  • United States
  • Professional Competence
  • Organizational Innovation
  • Organizational Affiliation
  • Hospitals, Voluntary
  • Hospitals, Public
  • Health Policy & Services
  • Health Care Surveys
  • Governing Board
  • 4203 Health services and systems
 

Citation

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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. Med Care Res Rev, 66(2), 181–196. https://doi.org/10.1177/1077558708326527
Alexander, Jeffrey A., Shoou-Yih D. Lee, Virginia Wang, and Frances S. Margolin. “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 66, no. 2 (April 2009): 181–96. https://doi.org/10.1177/1077558708326527.
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.Med Care Res Rev, vol. 66, no. 2, Apr. 2009, pp. 181–96. Pubmed, doi:10.1177/1077558708326527.
Journal cover image

Published In

Med Care Res Rev

DOI

ISSN

1077-5587

Publication Date

April 2009

Volume

66

Issue

2

Start / End Page

181 / 196

Location

United States

Related Subject Headings

  • United States
  • Professional Competence
  • Organizational Innovation
  • Organizational Affiliation
  • Hospitals, Voluntary
  • Hospitals, Public
  • Health Policy & Services
  • Health Care Surveys
  • Governing Board
  • 4203 Health services and systems