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Governance Assessment
A 21st Century Leadership Tool
A Tool to Value
Consensus on Issues
Discussion of Priorities
Present & Future Operations
Progress toward Achieving Goals
Highlight Key Areas of Strength
Identify Areas of Vulnerability
Groups for Assessment
Board of Trustees
Management Team
Executive Staff
Assessment Modules
Governance Quality & Safety
Financial Oversight
Staff Relations
Management Responsibilities
Strategic Planning
Board Assessment Modules
Governance
Financial Oversight
Strategic Planning
Quality & Safety
Management Team Modules
Management Responsibilities
Quality & Safety
Financial Oversight
Staff Relations
Executive Staff Modules
Quality, Safety & Satisfaction
Staff Relations
Recurring Thematic Questions
Accountability & ReportingComposition & Diversity
Conflicting Interests
Conflict Resolution
ConfidentialityLeadership
ResponsibilitiesWork Processes
Tools for Assessment
Self-directed Assessment
Facilitator Interview
Analysis & Reporting
Educational & Ancillary Services
Orientation Deliverables & Checklists
Focus Group Kickoff Questionnaires
CND Agreement
Orientation Deliverables
Deliverables• Bylaws
• Financial Statements • Meeting Minutes• Quality & Safety Survey
• Quality Indicators
• Strategic Plan
Issues Checklist Issues 0 1 2 3 Consensus-driven decision making Lack of accountability Communication problems Difficulty terminating poor performers Lack of coordinated effort Unresolved conflicts Difficulty keeping staff motivated Unacceptable financial results Disconnect between company & customer Reactive thinking Micro-management by Board Can’t-do attitude Don’t match up with recognized performance criteria Unproductive committees Duplication of effort High staff turnover Failure to achieve quality standards Fear of making decisions
Issues Checklist – Meetings
Percentage Time in Meetings 20% 40% 60% 80% • Senior Manager • V.P. • Directors • Executive Staff • Supervisor • Staff
Issues Checklist – Metrics
Apollo ReportPerformance Metrics Your Data 25th % 75th %Days Operating Cash Avail Adjusted 45 140Debt to Capitalization 68 31Debt Service Coverage 1.5 3.7Operating Margin -3.05 2.99Return on Total Assets -1.57 4.21Expenses per Adj Admission 9,579 7,001
CND Agreement
Confidentiality
Non-Disclosure
Project Scope
Defines Rights and Obligations
Kickoff Questions
Q: How will the Questionnaire be distributed?
Q: Will the respondents remain anonymous
or
have ownership?
Kickoff Questions
Q: What method will you use to introduce this survey to the respondents i.e. meeting, letter, presentation, global email message, other ?
Q: What are the talking points that you will use
to describe this survey to the management
team ?
Kickoff Questions
Look at each theme and ask yourselves the following questions:
Is this theme important to you?Are we doing this well?
Does this area require improvement?Are you meeting your objectives in this area?If this area has shown improvement, how can
improvements be sustained?
Define Themes & ContextThemes Definition Context
Accountability Commissioned to deliver performance
objectives
Account for change & sustainability
Conflict Resolution Reconcile differences Identification, monitor & resolution process
Confidentiality Privileged to Mgt. Team Clear understanding
Leadership Directing Teamwork, Style & Effectiveness
Responsibility Supervision Guidelines & Communication
Work Process Procedures to evaluate & execute
Relevance & Structure to fulfilling goals
Focus Group
President & CEO
VP & CFO
VP & COO
Trainers
Facilitator
Directors
Corporate Compliance Chair
Self-directed Assessment
Divided into two parts with repetitive questions:
• Part 1 - Yes & No By assigning +1 or –1 to each response, an overall numeric score is compiled for Part 1.
• Part 2 – Five Multiple Choices
By applying a range of +4 to –1 for the choices, a measure of degree is calculated for Part 2.
Facilitator Interview
Encourages Response
Maintains Anonymity & Confidentiality
Raises Issues & Concerns
Further refines responses to Part 1 & 2
Reports
Aggregate score by group for 8 themes
Weighted by a + or - value of Yes/No questionsvs.
Mathematical degree from Multiple Choice
Additional data points added from Interviews
Analysis – Part 1Four Modules
Board Governance Quality & Safety Financial Oversight Strategic Plan
Part 1 Part 1 Part 1 Part 1 Part 1 Part 1 Part 1 Part 1Themes Y N Y N Y N Y N
Accountability 3 -3 7 -7 6 -6 7 -7Composition 8 -8 1 -1 3 -3 2 -2
Conflict of Interest 1 -1 -1 1 -1 1 1 -1Conflict Resolution 1 -1 -1 1 -1 1 1 -1
Confidentiality 1 -1 -1 1 1 -1 -1 1Leadership 5 -5 6 -6 9 -9 11 -11
Responsibility 1 -1 5 -5 8 -8 1 -1Work Process 14 -14 9 -9 7 -7 7 -7
Total Section 34 -34 25 -25 32 -32 29 -29
Tabulation – BenchmarksAbsolute Low Actual High
Themes Score % % %
Accountability 16 50% 78% 75%
Conflict Resolution
4 60% 41% 80%
Confidentiality 4 50% 70% 75%
Leadership 13 75% 57% 90%
Responsibility 18 50% 66% 75%
Work Process 20 75% 62% 90%
Recommend
• Rapid Deployment Options
• Task Force Development• Establish Process Improvement Metrics
• Realignment of Processes & Systems• Assess Strategic Initiatives
• Workforce Educational Programs• Evaluate Training Opportunities
Ancillary Services
• Mentoring
• Periodic Review
• Task Force Development
• • Deployment Coaching
Conclusion
• Selection of Tools
• Development Processes
• Analytical Tabulation & Reporting
• • Action Map & Remediation Strategies