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American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

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Page 1: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

American College of Cardiology

Presented by Susan Decker BoardSource Senior Governance Consultant

January 30, 2009

Washington, DC

Page 2: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Welcome & Silent Start

• What is governance?

• What are the 2 most important governance issues facing your ACC board today?

Page 3: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Non-Profit Governance Index • 16 voting members average board size• Average length of term is 3.1 years• Serve an average of 2.3 terms• Boards meet average of 6.9 x/year• Meet an average of 16.5 hrs/year• 48% of boards have annual retreat• Have an average of 5.4 committees

Page 4: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Non-Profit Governance Index

• Most pressing organizational challenges– Financial Stability– Fundraising – Strategy– Staffing– Board Development

Page 5: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Demands for the Future

• Effectiveness

– outcomes, results

• Efficiency

– money, time, energy

• Accountability

– trustworthiness, accurate communication with constituency

Page 6: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Agenda

• Basic Board Responsibilities

• Board/Staff Partnerships

• Board Building/Succession Planning

• Strategy and Planning

• Financial Oversight

• Assessment/Evaluation

Page 7: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Basic Board Responsibilities

Page 8: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Basic Responsibilities of Nonprofit Boards

The board is the legal guardian of the organization and is responsible for the

organization’s current and future welfare

Page 9: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Individual Board Members Should

• Actively participate• Be informed• Promote the organization• Safeguard ethics and values

Page 10: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Governance: Legal Obligations• Duty of Care

– Using your best judgment– Actively participating– Asking pertinent questions

• Duty of Loyalty– Avoiding conflicts of interest– Putting aside personal and professional interests

• Duty of Obedience– Staying true to the organization’s mission– Obeying the law, both public and organizational

Page 11: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Ten Basic Roles and Responsibilities

1. Determine mission and purposes

2. Select the chief executive

3. Support and evaluate the chief executive

4. Ensure effective planning

5. Monitor and strengthen programs and services

6. Ensure adequate financial resources

7. Protect assets and provide financial oversight

8. Build a competent board9. Ensure legal and ethical

integrity10. Enhance the

organization’s public standing

Page 12: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Questions the Board Should Ask

1. What new or emerging changes in the environment or ACC should cause us to reconsider our mission statement’s adequacy?

2. What process do we have in place for supporting/retaining our chief executive?

Page 13: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Questions the Board Should Ask

3. Have we updated our policies and processes regarding performance assessment and compensation?

4. Do our regular board meetings include at least one strategic issue on agenda?

Page 14: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Questions the Board Should Ask

5. What strategic indicators or criteria will best help us monitor ACC’s effectiveness?

6. Do we need to develop more diverse sources of revenue?

Page 15: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Questions the Board Should Ask

7. Are our financial statements/reports reliable, timely and easy to understand?

8. Have we articulated and communicated a comprehensive list of responsibilities/expectations for board members?

Page 16: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Questions the Board Should Ask

9. Are we doing an adequate job of educating every board member about the board’s legal and fiduciary responsibilities?

10.What key talking points do we wish to consistently convey about ACC?

Page 17: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Board/Staff Partnership

Page 18: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

The Board/Staff Partnership

• The board governs the life of the organization – has ultimate responsibility– is accountable to the public trust

• The chapter executive coordinates and directs the affairs of the organization – has immediate responsibility– is accountable to the board

Page 19: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Board/Staff Partnership

Board is to organization

as

_____ is to _____

Page 20: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

The Board Chairand the Chief Executive/Chapter Executive• A key relationship: the intersection of

governance and management• Requires respect for differences in roles,

responsibilities, and personal styles• Requires clarity of mutual expectations• Requires regular communications (frequency

and form to be negotiated)• Benefits from mutual assessments

Page 21: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Role of the Board Chair

• To serve the board as a guide and facilitator of its work

• To represent the board and the organization in the community

Page 22: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Shared Responsibilities

• Planning the work of the board

• Developing effective board meeting agendas

• Identifying emerging board leaders

• Ensuring that other board offices have the information and support they need

Page 23: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Board Building/Succession Planning

Page 24: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

The Board Building Cycle

IdentifyIdentify

CultivateCultivate

RecruitRecruit

OrientOrient

InvolveInvolve

EducateEducate

RotateRotate

EvaluateEvaluate CelebrateCelebrate

Page 25: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Board Recruitment Exercise

In 3 minutes, what would you say to a person you want to encourage to stand for election to your board?

Page 26: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Assign Responsibility for Board Development

• Create a committee (Governance Committee or Board Development Committee) charged with– Ensuring the regular infusion of new blood– Proposing actions designed to strengthen the

board’s performance– Considering the board’s leadership needs and

nominating new leaders as needed

Page 27: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Team Building as Part of the Board’s Regular Work• Provide opportunities for getting to know each

other• Develop norms for board operations and hold

each other accountable• Develop climate that allows frank exchange of

opinions and questions• Take time to evaluate board meetings and

board projects• Express appreciation at every opportunity

Page 28: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Identify Board Needs

• What do we need to move forward– Skills– Knowledge– Perspective– Connections

• What do we have?

• What is missing?

Page 29: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Cultivate Potential Governors

• Identify sources of potential members with the needed characteristics

• Develop relationships • Identify potential members• Cultivate them / get them interested, keep

them informed • Ask them to take on specific short term tasks

on behalf of the organization

Page 30: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Recruit

• Describe why a prospective board member is wanted and needed

• Describe expectations and responsibilities• Invite questions• Don’t minimize requirements• Make sure the prospect understands and

supports the mission• Encourage person to put his or her “hat in the

ring” for election

Page 31: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Orient

• To the organization: program, history, bylaws, pressing issues, finances, facilities, organization chart

• To the Board: recent minutes, committees, board member responsibilities, list of board members and key staff members

Page 32: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Involve

• Discover interests and availability• Involve in committee or task force• Assign “buddy”/mentor • Solicit and act on feedback • Hold everyone accountable• Express appreciation for work well done• Conduct effective board meetings

Page 33: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Educate

• Provide information about issues facing the organization and the community

• Promote exploration of these issues

• Do not hide difficulties

• Assign responsibilities that promote learning about the issues

Page 34: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Transition in the Organization

• One of the most unsettling events in the life of an organization is a change within the chief volunteer or professional position.

• Even when it is planned in advance, it calls for a high tolerance of ambiguity.

• When unplanned, there is a chance that actions can be hasty or ill-considered.

Page 35: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Executive Sessions – Staff Transitions

• Conduct occasional executive sessions without the chief staff member

• Encourage a true discussion of “What if Nancy were run over by a truck tomorrow?”

• This is a blunt but highly constructive question that allows the board to review and update leadership transition plan

Page 36: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Emergency Staff Leadership Management Plan

• Board member who have experience conducting an executive search

• Senior staff member with skills and judgment to serve in a temporary role

• Key contact list to notify individuals of leadership change

• Procedures for conducting effective search• Key spokesperson identified

Page 37: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Strategy and Planning

Page 38: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

The great thing in this world is not so much where we stand, as in what

direction we are moving.

Oliver Wendell Holmes

Page 39: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

To Establish Strategic Direction

• A board must set aside time and resources for strategic planning which is– a process that seeks the strategic fit between

the mission of the organization and its internal strengths and external opportunities, and

– a process that develops a shared vision among its stakeholders and a blueprint for how to achieve that vision

John A. Yankey and Amy McClellan

Page 40: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Strategic Planning Questions

– What needs will we seek to meet?– Why?– What resources can we bring to this

mission?– What goals must we achieve and what

strategies should we choose in order to meet these needs?

– How will we know when we have been successful?

Page 41: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Analysis and Discussion

• Are our programs still needed as much as they once were?

• Can others meet these needs more effectively than we can?

• Are there unmet needs that we potentially could meet?

• How do our strengths and weaknesses intersect with the needs of the community?

Page 42: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Vision and Strategic Planning

• Once it is clear – where the organization wants to go (vision), and

– where it currently is (strengths, weaknesses, programs, finances, etc.)

• It will be possible to – formulate the major GOALS that need to be

reached in order to reach the destination

Page 43: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Establish Strategic GOALS

• Strategic goals are major achievements that must be accomplished in order for the vision to become reality

• An organization and its board should limit its strategic goals to no more than five or six in order to be able to bring the necessary resources and attention to bear on accomplishing the goals

Page 44: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Measures and Milestones

• The board’s role in strategic planning is not complete until it has – identified measures of success that will

indicate that the goals have been reached– established milestones that will enable the

board to track progress over time

Page 45: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Financial Oversight

Page 46: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Financial Oversight

The entire board of a nonprofit is legally responsible for the organization’s

financial success

Page 47: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Financial Issues Boards Should Address

• Planning and Budgeting• Revenues and Expenditures• Available Cash and Reserves• Ensuring Appropriate Actions• Avoiding Conflicts of Interest• Sarbanes-Oxley Act• Risk Management

Page 48: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Major Financial Roles

• Committees (Finance, Audit, Investment)

• Treasurer

• Chief Executive

• Bookkeeper, Controller, CFO

Page 49: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Systems that Protect Nonprofits

• Internal Controls

• Accounting Policies and Procedures

• External Audits

• Changing Auditors

Page 50: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Test Your Financial Literacy

Page 51: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

The purpose of private meetings between the audit committee and the auditors is to:

A. Facilitate performance evaluation of the treasurer

B. Allow the auditors to raise issues with the committee without pulling punches

C. Provide the audit committee with an opportunity to press for lower fees

D. Emphasize independence of committee from management

Page 52: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Improper financial management practices include:

A. Operating with a deficit budget

B. Failing to file IRS Form 990 on a timely basis

C. Not distributing financial information to the board until three months after the end of the period

D. Both A and B

E. Both B and C

Page 53: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

If the audit management letter contains material weaknesses, this means:

A. The organization needs to make office repairs and improvements

B. The organization’s programs are inappropriate

C. The organization has significant problems in internal controls

D. Top management is doing an excellent job

Page 54: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Questions for Boards to Ask

• Is our financial plan consistent with our strategic plan?

• Financially, what could go wrong with ACC? What’s in place to respond?

• Do we have the appropriate checks and balances to reduce errors or fraud?

• Do we annually review the Form 990? Does it accurately reflect ACC?

Page 55: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Assessment/Evaluation

Page 56: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Assessment and Evaluation

Why take the time for assessment?

“Even if you’re on the right track, you’ll get run over if you just sit there.”Will Rogers

Page 57: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Characteristics of Good Assessment Processes

• Collecting systematic feedback from a variety of sources

• Asking relevant and fair questions• Making use of the information collected for

developmental purposes, not as a “report card”

• Conducting at regular intervals - even when there are no “clouds on the horizon”

Page 58: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Assessment is a Process

• Identifying what information will be needed

• Gathering information

• Interpreting information collected

• Planning for how to strengthen performance

Page 59: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Organizational Assessment

• How are we doing– In terms of our mission and strategic goals– In terms of the needs of the neighborhood– In comparison with other organizations like ours

• Ways in which to find out– Determine what information is needed, from whom

and in what format• Determine whether to use an external agency

for all or parts of the evaluation

Page 60: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Chief Executive Assessment

Ensure that the Chief Executive Assessment:• is done on a regular basis• is done fairly• is viewed as having a fair and appropriate

process• allows for board input• serves a developmental purpose

Page 61: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Decisions re: Chief Executive Assessment

• What questions will be asked? Use of existing tool or develop own?

• Who will be asked for feedback?• Who will gather and analyze feedback?• How will the results be shared with the

Chief Executive?• How will results be shared with the board?

Page 62: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Why Board Assessment?

• The board is ultimately accountable for the organization’s behavior

• The board must model accountability for staff and volunteers by holding itself accountable for fulfilling its responsibilities

Page 63: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Why Self-Assessment?

“Change is always a threat when it is done to people, but it is an opportunity when it is done by people”Rosabeth Moss Kanter

“People don’t resist change. They resist being changed.” Peter Senge

Page 64: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Board Self-Assessment is a Tool for Change

• It creates tension between desirable and current board performance by– holding up a multi-faceted picture of

effective board functioning– projecting an ideal against which a board

can measure its present performance– giving voice to dissatisfaction with the

status quo

Page 65: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Self-Assessment is a Tool for Change (continued)

• It provides the opportunity to decide how to change from where we are now to where we want to be in the future

Page 66: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Self-assessment Need Not be Self Only• By inviting an outside facilitator to work with

the board on its self assessment, the board can gain– Fresh perspectives– Impartial challenges– Support in exploring different options

• An outside facilitator can support the inclusion of staff input and can raise questions emerging from a review of organizational documents.

Page 67: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Collecting, Compiling, Analyzing• A neutral person must be found to collect and

compile board member responses• The person who will write the assessment

report should be perceived as unbiased as well as knowledgeable about boards and organizational dynamics

• The report should point to areas of board responsibilities where the board is doing well and areas where the board needs to improve

Page 68: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Develop Retrospective Thinking

• What are your board’s successes or setbacks?

• How/why did they happen?• What does this mean for the future?• How do you “tell” ACC’s story?• What does it say about what to do next?• What’s your future perfect?

Page 69: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

Catalytic Questions

• What is the biggest gap between what we claim we are and what our actual actions say about what we are?

• What do you hope will be most strikingly different about this organization in 5 yrs?

• On what list would you like this organization to rank at the top?

Page 70: American College of Cardiology Presented by Susan Decker BoardSource Senior Governance Consultant January 30, 2009 Washington, DC

• Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is the only thing that ever has.”

Margaret Mead