An empirical taxonomy of hospital governing board roles.

OBJECTIVE To develop a taxonomy of governing board roles in U.S. hospitals. DATA SOURCES 2005 AHA Hospital Governance Survey, 2004 AHA Annual Survey of Hospitals, and Area Resource File. STUDY DESIGN A governing board taxonomy was developed using cluster analysis. Results were validated and reviewed by industry experts. Differences in hospital and environmental characteristics across clusters were examined. DATA EXTRACTION METHODS One-thousand three-hundred thirty-four hospitals with complete information on the study variables were included in the analysis. PRINCIPAL FINDINGS Five distinct clusters of hospital governing boards were identified. Statistical tests showed that the five clusters had high internal reliability and high internal validity. Statistically significant differences in hospital and environmental conditions were found among clusters. CONCLUSIONS The developed taxonomy provides policy makers, health care executives, and researchers a useful way to describe and understand hospital governing board roles. The taxonomy may also facilitate valid and systematic assessment of governance performance. Further, the taxonomy could be used as a framework for governing boards themselves to identify areas for improvement and direction for change.