Form 23 Guideline on Creating a Board Self-Assessment Survey

<strong>Form</strong> <strong>23</strong>
<strong>Guideline</strong> on Creating a Board Self-Assessment Survey
Sample Questions on Board Role and Responsibility
Question
1. The board understands its role in the
following areas:
• Strategic planning
• Financial oversight
• Quality
• [Etc.]
2. The board effectively performs in each of
the following areas:
• Strategic planning
• Financial oversight
• Quality
• [Etc.]
3. The board develops an annual work plan
with reference to the hospital’s strategic
directions and the board’s role.
4. The board follows its annual workplan.
5. The workplan helps the board understand
and perform its role.
6. The board understands and performs the
board’s governance role and does not
become overly involved in management
issues.
7. The board understands and considers the
hospital’s accountabilities.
8. The board makes decisions that are
consistent with the hospital’s mission,
vision and values.
9. The board ensures the strategic plan is
being implemented and makes decisions
that are consistent with the strategic plan.
10. The board is well informed and kept up to
date about:
• The hospital
• Current trends and issues in health care
• The board’s governance role
No
Comment
(0)
Strongly
Disagree
(1)
Disagree
(2)
Somewhat
Agree
(3)
Agree
(4)
Strongly
Agree
(5)
2