Fiduciary, Strategic, And Interpretive Roles Of The Board
1. How You Make a Difference
How You Make a Difference
Northwestern Health Sciences University Board of Trustees
November 7, 2009
Ellen‐Earle Chaffee, Ph.D.
Association of Governing Boards of Universities and Colleges
5. Fiduciary and Strategic
Fiduciary and Strategic
Ensure
E
• FIDUCIARY: Are we doing
organization
pp
what we are supposed to
fulfills its
fulfills its
mission
do?
Ensure
organization’s • STRATEGIC: Will we exist
organization s STRATEGIC: Will we exist
long‐term and succeed “forever?”
viability
6. Fiduciary Duty
Fiduciary Duty
Duty of CARE Duty of LOYALTY Duty of OBEDIENCE
• Decide and act in good • Decide and act in the • Faithful to founding
faith best interest of the documents
• Prudent person level of organization, protect • Obey the law
care and support
and support
Where does it say, “Focus on finances???”
7. …and once in awhile, maybe…
…and once in awhile, maybe…
8. Strategic is Not
Strategic is Not
Where are THEY looking, much of the time??
Where are THEY looking, much of the time??
9. Strategic Topics
Strategic Topics
• Vision • Results
• Strategy • Long term
• Concepts
p • Business plan
p
• Resources • Customer wants/needs
• Future • Evidence
• Expertise • Competition
• Support • Quality
• Readiness
R di • Efficiency
Effi i
• Productivity • Brand, positioning
10. Strategic Questions
Strategic Questions
• What are we missing?
What are we missing?
• What would be the 5‐10 year impact?
• How does this advance our strategy?
d hi d ?
• What are the key national trends?
• Have you had a [comprehensive physical,
,g g pp y, ] y
vacation, great learning opportunity, …] lately?
• Is there anything on your mind that we can
help you think through?
help you think through?
11. Strategic Engagement at NW
Strategic Engagement at NW
• Academic Affairs Committee topics
– Integrative curriculum, faculty development, research,
metrics and progress
• Finance Committee topics
Finance Committee topics
– Recruitment, retention, IT, capital/equipment needs,
financing the strategy, metrics and progress
• Development Committee topics
Development Committee topics
– Financing the strategy, alumni goals, partnerships, metrics
and progress
• C
Committee on Trustees topics
i T i
– Balanced Scorecard development, becoming a strategy‐
focused university and board, metrics and progress
14. Integrated Systems Theory
INTERPRETIVE
Cultural, Social Systems
C lt l S i l S t
STRATEGIC
Biological Systems
Bi l i l S
FIDUCIARY
Mechanical Systems
h i l
Governance as Leadership: Reframing the Work of Non‐Profit Boards by Richard P. Chait, William P. Ryan, and Barbara E. Taylor, NY:: Wiley, 2004.
15. Integrative Health Care
INTERPRETIVE
Encourage, expect, explain, provide….
g , p , p ,p
STRATEGIC
Are we increasing VALUE for students/patients?
Are we increasing VALUE for the university/clinic?
FIDUCIARY
Root Cause Analyses
Electronic Patient Record
El t i P ti t R d