Governance Structure Optimization

  • Alex Kirkland

    Alex Kirkland

    Vice President

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  • Justin Chamblee, CPA

    Justin Chamblee, CPA

    Executive Vice President

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Optimizing Governance for Physician Enterprises


Navigating the Evolution of Health System Governance

In the ever-evolving landscape of healthcare, many health systems are grappling with the challenge of integrating physicians effectively. Years spent building a critical mass of providers may lead to a reactive stance towards physicians’ needs, resulting in a lack of cohesion and a unified voice within the organization.

The Role of Robust Governance Structures

To address this, implementing a robust governance structure becomes imperative. Such structures act as guardrails for the decision-making process, ensuring that physicians are not just participants but integral components of the organization.

Beyond Health Systems: A Panoramic View

While health systems focus on internal integration, other physician enterprises, including medical groups and private practices, may benefit from an external perspective on governance. This ensures effectiveness and considers diverse vantage points.

Understanding Governance Tenets

Governance tenets act as guideposts for decision-making within physician enterprises. This strategic course of action is pivotal for both setting policies and enhancing physician engagement.

Distinguishing Governance from Management

It’s essential to differentiate between governance and management, as they cater to distinct needs. Governance provides the overarching view, wielding reserve powers to govern physician activities and hold authority over strategic initiatives. On the other hand, management deals with day-to-day operational issues, offering advisory input into governance bodies.

Aligning Priorities: The Cornerstone of Success

While both governance and management are indispensable, governance sets the policy, providing a vision for the management team to enact. A shared vision becomes the cornerstone of aligned priorities, paving the way for strategic planning, operational tactics, and incentives that foster unity and success.

Navigating Legal Complexities: Tailoring Governance Structures

Considering state regulations, tax structures, and local nuances is crucial when designing governance structures. The Medical Group/Physician Enterprise Board often constitutes the governance structure, reporting to the Health System Board. However, the entity’s size and legal characteristics influence the guardrails for different scenarios.

Optimization through Expert Guidance

Our seasoned team of advisors specializes in evaluating current governance structures, assessing their effectiveness, and implementing necessary changes for optimization. Whether it’s a span-of-control analysis, subcommittee formation, or enhancing physician engagement, our experts, with years of experience in compliance, physician enterprise, and hospital leadership, are ready to lead your organization towards success.

Embark on the journey towards a high-performing medical group with our guidance, turning challenges into triumphs.

Questions? Ask an expert!


    Contact us today for more information about our healthcare consulting services and learn how we can help your organization.

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