Resources for Rethinking OHT Governance

In our search for new thinking about governance that will create better outcomes for healthcare at this pivotal point, we have collected the following articles for your review in preparation for convening a community of practice conversation around the issue.

When planning for governance structures that support your unique regional needs and solutions we must engage with full awareness of the complexity of the current environment. In complexity it is important to resist looking for templated approaches, as appealing as they may feel. What got us results in one unique domain will not necessarily translate to similar results in a different unique domain.

However, that does not mean we need to shoot in the dark. The following articles point to important emergent awareness about the patterns of human organizing in complex domains which we believe should inform your thinking about your unique governance needs. We encourage you to read these articles and engage thoughtfully with the ideas as you design OHT governance.

To facilitate that engagement we are convening a community of practice call to more deeply explore the concepts as they relate to your needs at the OHT formation stage.


How Self-Organization Happens by Bonnitta Roy

Principles of self-organization to consider as part of the design of your OHT. Read this to understand how values, power relationships and identity will impact trust and effectiveness of your governance model.

A Source Code for Team Flow by Bonnitta Roy

This article discusses the role of governance in managing power differentials, trust issues, and moving to action. Consider how a responsive governance structure helps you adapt in complexity.

Models & Elements of Collaborative Governance by Rebecca Byers

Examples of models of collaborative governance.

The Innovation Equation by Safi Bahcall

Though this article relates more to for-profit organizations, it is useful to consider, particularly when it comes to physician leadership:
Are we creating disincentives to participation and collaboration?
How can we design differently?


Questions to Consider

  • 2 years into your OHT journey, what would be happening to tell you that your governance model was successful? What wouldn’t be happening?
  • How do we stop doing what doesn’t create value?
  • What would be the minimum specifications for your governance structure that would balance  collaboration, trust, and action?

Watch our full discussion on Rethinking Governance inside of OHTs below!