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MY HOSPITAL

A Governing Board manual provides direction as the Board carries out its responsibilities. If your hospital does not already have a Board Manual, use this outline to create one or to add to one that already exists. The following is an outline for what should be contained in the manual:

GENERAL INFORMATION

  • Hospital history
  • Vision statement
  • Mission statement
  • Summary of strategic plan
  • Annual budget summary
  • Hospital annual report
  • Articles of incorporation
  • Enabling legislation
  • Bylaws
  • Service area
  • Organizational chart
  • Physical layout (include tour)

GOVERNING BOARD

  • Position descriptions - governing board, chairperson and board members
  • List of members
  • Committees
  • Annual board goals
  • Board policies
  • Board calendar
  • Liability indemnification policy
  • Conflict of interest statement

CHIEF EXECUTIVE OFFICER

  • Job description
  • Contract
  • CEO evaluation

MEDICAL STAFF

  • Medical staff bylaws
  • Committee structure
  • Types of appointments and priviledges

QUALITY MANAGEMENT PLAN

CORPORATE COMPLIANCE PLAN

AFFILIATIONS AND AGREEMENTS

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