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    • #7185
      Stephanie HughesStephanie Hughes
      Participant

      The governance structure described at the clinic is interesting. It is not strictly for profit, and it is not completely clear how decisions are made when there is a conflict of interest with Doctors and nurses having a seat on the board. Its probably how so many organizations have traditionally been run, but as they grew the governance structure did not change to reflect the growing needs of the organization.

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    • #7191
      Carol RipleyCarol Ripley
      Participant

      I do agree that decision making could run into conflicts with the composition of this Board of Directors. I believe there needs to be some strong leadership that encourages the Board to evolve to become more independent, and then to empower the Executive Director or CEO to implement decisions made by such an independent Board that is responsible for the overall health and security of the Clinic.

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    • #7274
      Jen BudneyJen Budney
      Participant

      Stephanie and Carol – you have identified one of the challenges of multi-stakeholder co-ops, like the Diefenbaker Clinic — keeping all board members focused on the same, shared goal – in this case, providing high quality health care. This is not always easy to achieve and requires a strong CEO and Board Chair.

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