Hospital Governing Boards

Hospital Board and Trustee Certification Program

Certified TrusteeIn a rapidly changing health care environment, the Iowa Hospital Association is committed to supporting good hospital governance and quality of care. Our Hospital Board Certification Program provides trustee-centered training and resources based on best practices to demonstrate to stakeholders that Iowa hospitals:

  • Coordinate care and resources in their communities.
  • Formally certify their adherence to governance best practices.
  • Govern according to a standard of excellence.
  • Identify and address areas of need, especially with the uninsured and underinsured.
  • Integrate local health efforts with state and federal programs.
  • Structure their community benefit and outreach programs to meet identified community needs.
  • Support community accountability and transparency.
  • Understand and embrace the need for hospital governance accountability.
  • Use performance data to identify opportunities for improvement and monitor progress that improves quality and safety.

Click HERE for more information about the Hospital Board Certification Program.

Hospital board assessment

Click HERE to learn more about the Iowa Hospital Association's online board assessment and view a sample assessment.

Trustee minutes

Governance resources

These resources can help hospital trustees in almost every aspect of governance:


New: Critical Questions Every Hospital Board Needs to be Able to Answer

“Critical Questions Every Hospital Needs to be Able to Answer” is a comprehensive document that may be shared electronically or printed as a booklet for new trustees. Iowa Hospital Association member hospitals have used this as a primer for new board members and a refresher for existing board members by using the questions for discussion and building understanding and awareness at board meetings.

Updated in 2021, the 135-page document provides new trustees with answers to the most-important questions they must know, including:

  • How can the board be visionary in an era of uncertainty and transformation?
  • How does the board build lasting community partnerships?
  • How does the board create a culture of safety?
  • How does the board ensure a healthy, equitable community?
  • How does the board ensure continuous growth in its critical leadership knowledge?
  • How does the board ensure strong and effective executive leadership?
  • How does the board ensure strong collaboration with the medical staff?
  • How does the board ensure successful leadership?
  • How does the board hold itself accountable for continuous leadership improvement?
  • How does the board keep conflict out of the boardroom?
  • How does the board move forward after COVID-19?
  • How should the board gauge the hospitals’ financial performance?
  • What are the most prominent health needs in the community?
  • What does it mean to be an effective hospital advocate?
  • What is are differences among the hospital’s mission, vision and values?
  • What is population health, and why is it important?
  • What is the board’s accountability for ensuring the right organizational structure?
  • What is the board’s fiduciary responsibility?
  • What is the board’s responsibility for ensuring a positive workplace culture?
  • What is the board’s responsibility for planning?
  • What is the board’s role in medical staff credentialing?
  • What is the board’s role in quality and patient safety?
  • What’s is the board’s role in disaster planning?
  • Why should the hospital develop a community benefits report?

Click HERE to download a PDF of the document.

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