I am employed by our local Chamber of Commerce which is governed by a 12 person board. To sit on the board you must be a member of the Chamber the exception is one seat which is available for a representative of the town. Outside of the board the staff consists of the Executive Director (ED), two department managers, a membership coordinator and a bookkeeper. The ED reports directly to the board. The board is not involved in day to day operations. The two department managers do participate in the strategic planning session.
I feel that the “model for good governance” does reflect governance in most organizations.
The governance structure for the Diefenbaker clinic appears to follow the model for good governance. However there are imbalances within the accountability and empowerment. The main challenge it faces is not being able to fulfill its mission of providing health care to its members (lack of accountability by directors). Directors not requiring accountability from the manager for this inability to serve the members. I think a strategic review by the board is required.