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Healthcare Org 1, 3.09 (R) [INFO] Topic 4. Governance and Mission, Vision, and Bylaws

3.09 (R) [INFO] Topic 4. Governance and Mission, Vision, and Bylaws

Topic 4. What is the relationship between governance and a healthcare organization's mission, vision, and bylaws? Organizational governance structures/frameworks are related to the organization's mission, vision, and bylaws. The mission and vision provide a broad direction for the governance structure/framework. For-profit, non-profit, and government organizations usually state a mission and vision. The bylaws define the broad daily operational rules for governance. Only for-profit and non-profit organizations develop bylaws. The broad operations rules for government organizations can often be found in state or federal laws, statutes, and regulations. At the federal level, such rules can be found in the United States Code. An example of state-level rules can be found at the Massachusetts General Laws website, particularly Part I. The Administration of the Government. This section discusses: Mission Statement Vision Statement Bylaws Note [FUN]: Links within this section lead to external [FUN] readings not needed for the certificate work. You do not have to visit these external links. Do so only if you have the interest and the time. Note [CERT]: Pay attention to the text in bold. It just may be included on the [CERT] Lesson Three Quiz. Mission Statement There are many views of the content and utility of an organizational mission statement. Most views state that the mission statement should be a statement of the organization's purpose. For example, the Business Dictionary defines a mission statement as: "A written declaration of an organization's core purpose and focus that normally remains unchanged over time. Properly crafted mission statements (1) serve as filters to separate what is important from what is not, (2) clearly state which markets will be served and how, and (3) communicate a sense of intended direction to the entire organization. A mission is different from a vision in that the former is the cause and the latter is the effect; a mission is something to be accomplished whereas a vision is something to be pursued for that accomplishment. Also called company mission, corporate mission, or corporate purpose." The article entitled Strategic Planning Framework: The Importance of Mission states that: "Mission statements answer the question, "Why do we exist?" It gives the organization purpose and meaning and speaks to why people want to work for your company. If you're a for-profit organization, the fundamental mission of the business is to create shareholder wealth, but that won't attract anyone to come work for you, and it does not give rise to a bigger corporate purpose. Every organization needs to define its fundamental purpose, philosophy and values, as well as develop a strong foundation for its strategic planning framework. The mission statement answers the basic questions of why your company exists and describes the needs your company was created to fulfill. This is not about the products and services you provide; rather, it is about why you provide them." However, the article entitled Your Company's Purpose Is Not Its Vision, Mission, or Values states the organization's purpose is different from the organization's mission. The mission statement: "... describes what business the organization is in (and what it isn't) both now and projecting into the future. Its aim is to provide focus for management and staff. A consulting firm might define its mission by the type of work it does, the clients it caters to, and the level of service it provides. For example: “We're in the business of providing high-standard assistance on performance assessment to middle to senior managers in medium-to-large firms in the finance industry.” There are many available resources for those tasked with writing an organizational mission statement. Two of them are: Minnesota Department of Health Developing a Mission Statement website Cornell University Small Farms Program Create Your Mission Statement website (This website is geared toward those starting a small farm, but the process of writing a mission statement is the same regardless of business structure or industry.) The mission statement of some healthcare organizations is listed below: United States Department of Health and Human Services (HHS): "The mission of the U.S. Department of Health and Human Services (HHS) is to enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services." Commissioned Corps of the U.S. Public Health Service: "The mission of the U.S. Public Health Service Commissioned Corps is to protect, promote, and advance the health and safety of our Nation." New York City (NYC) Health and Hospitals: "NYC Health + Hospitals is committed to excellence in health care. Our providers work together to provide comprehensive, personalized care to all New Yorkers. Our mission is:To extend equally to all New Yorkers, regardless of their ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect.To promote and protect, as both innovator and advocate, the health, welfare, and safety of the people of the City of New York.To join with other health workers and with communities in a partnership which will enable each of our institutions to promote and protect health in its fullest sense – the total physical, mental and social well-being of the people." California Department of Public Health (CDPH): "To Optimize the Health and Wellbeing of the people in California" Mayo Clinic: "To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research." Massachusetts General Hospital (MGH): "Guided by the needs of our patients and their families, Massachusetts General Hospital aims to deliver the very best health care in a safe, compassionate environment; to advance that care through innovative research and education; and to improve the health and well-being of the diverse communities we serve." Vision Statement There are many views of the content and utility of an organizational vision statement. Most views state that the vision statement should be a statement of the organization's short and long term goals for the future. For example, the Business Dictionary defines a vision statement as: "An aspirational description of what an organization would like to achieve or accomplish in the mid-term or long-term future. It is intended to serves as a clear guide for choosing current and future courses of action." Although most organizations develop and publish mission statement, not all develop and publish a vision statement. In fact, of the six healthcare organizations whose mission statement is listed above, only one publishes a vision statement: California Department of Public Health (CDPH): "CDPH public health professionals, researchers, scientists, doctors, nurses, and other staff members have a shared vision to protect and improve the health of all Californians. We are dedicated to public service and passionate about our work and the people and communities we serve and protect." Some of the organizations which publish both a mission statement and a vision statement are listed below with both their mission and vision statements. National Multiple Sclerosis Society: Mission - "People affected by MS can live their best lives as we stop MS in its tracks, restore what has been lost and end MS forever. " Vision - "A World Free of MS." Massachusetts General Hospital (MGH) Center for Community Health Improvement (CCHI) (affiliated with MGH): Mission - "To improve the health and well-being of the diverse communities we serve. " Vision - "At CCHI, we envision healthy, safe and thriving communities where all people have equitable access to employment, food, education, housing and a high-quality health care system that addresses these and other social determinants of health." Merck: Mission - "To discover, develop and provide innovative products and services that save and improve lives around the world. " Vision - "To make a difference in the lives of people globally through our innovative medicines, vaccines, and animal health products. We are committed to being the premier, research-intensive biopharmaceutical company and are dedicated to providing leading innovations and solutions for today and the future." Toyota: Mission - "To attract and attain customers with high-valued products and services and the most satisfying ownership experience in America. " Vision - "To be the most successful and respected car company in America." Creative Commons: Mission - "Creative Commons develops, supports, and stewards legal and technical infrastructure that maximizes digital creativity, sharing, and innovation. " Vision - "Our vision is nothing less than realizing the full potential of the Internet — universal access to research and education, full participation in culture — to drive a new era of development, growth, and productivity." Smithsonian: Mission - "The Institution was founded in 1846 with funds from the Englishman James Smithson (1765-1829) according to his wishes under the name of the Smithsonian Institution, an establishment for the increase and diffusion of knowledge among men.” Vision - "Shaping the future by preserving our heritage, discovering new knowledge, and sharing our resources with the world." Bylaws Not every for-profit and non-profit business structure creates bylaws, although all corporations do. Government organizations do not have bylaws. The bylaws outline the basic operations of the organization - the basic "rules" by which the organization operates. Wikipedia defines a bylaw as: "A by-law (bylaw) is a rule or law established by an organization or community to regulate itself, as allowed or provided for by some higher authority. The higher authority, generally a legislature or some other government body, establishes the degree of control that the by-laws may exercise. By-laws may be established by entities such as a business corporation, a neighborhood association, or depending on the jurisdiction, a municipality." The bylaws must comply with the organization's articles of incorporation/association filed with the state in which the organization became a legal business entity. Bylaws do not usually have to be filed with the state government. The bylaws must also comply with all state and federal laws. Federal laws in the United States are made by the legislative branch of the federal government. The two legislative components are the United States Senate and the United States House of Representatives which are together called the United States Congress. Congress meets in the United States Capitol. The Architect of the Capitol (AOC) is responsible for preserving and maintaining "the historic buildings, monuments, art and inspirational gardens on the Capitol campus ... 18.4 million square feet of facilities, 570 acres of grounds and thousands of works of art." Note [FUN]: The video for Topic 4 - Olmsted's Plan for the U.S. Capitol - is a YouTube video produced by the Architect of the Capitol (AOC), U.S. Capitol. The video provides an overview of Frederick Law Olmsted's original design for the United States Capitol Grounds. The format and general content area of bylaws are relatively consistent across all organizations (for-profit and non-profit) although the specifics vary greatly by organization. In general, the sections of the bylaws are called Articles and the bylaws address issues such as location of organizational offices, meetings, formation of committees, as well as the composition and selection of a Board of Directors. The Free Management Libraryprovides links to a number of helpful resources for those writing bylaws at its Bylaws website. The New Hampshire Center for Non-Profits provides Sample Bylaws for use and reference by non-profit organizations in New Hampshire. Sometimes an organization publicly publishes the bylaws. Sometimes it does not. Only four of the for-profit and non-profit organizations listed in this section have publicly published bylaws:

Mayo Clinic Bylaws Merck Bylaws Creative Commons Bylaws


3.09 (R) [INFO] Topic 4. Governance and Mission, Vision, and Bylaws

Topic 4. What is the relationship between governance and a healthcare organization's mission, vision, and bylaws? Organizational governance structures/frameworks are related to the organization's mission, vision, and bylaws. The mission and vision provide a broad direction for the governance structure/framework. For-profit, non-profit, and government organizations usually state a mission and vision. The bylaws define the broad daily operational rules for governance. Only for-profit and non-profit organizations develop bylaws. The broad operations rules for government organizations can often be found in state or federal laws, statutes, and regulations. At the federal level, such rules can be found in the United States Code. An example of state-level rules can be found at the Massachusetts General Laws website, particularly Part I. The Administration of the Government. This section discusses: Mission Statement Vision Statement Bylaws Note [FUN]: Links within this section lead to external [FUN] readings not needed for the certificate work. You do not have to visit these external links. Do so only if you have the interest and the time. Note [CERT]: Pay attention to the text in bold. It just may be included on the [CERT] Lesson Three Quiz. Mission Statement There are many views of the content and utility of an organizational mission statement. Most views state that the mission statement should be a statement of the organization's purpose. For example, the Business Dictionary defines a mission statement as: "A written declaration of an organization's core purpose and focus that normally remains unchanged over time. Properly crafted mission statements (1) serve as filters to separate what is important from what is not, (2) clearly state which markets will be served and how, and (3) communicate a sense of intended direction to the entire organization. A mission is different from a vision in that the former is the cause and the latter is the effect; a mission is something to be accomplished whereas a vision is something to be pursued for that accomplishment. Also called company mission, corporate mission, or corporate purpose." The article entitled Strategic Planning Framework: The Importance of Mission states that: "Mission statements answer the question, "Why do we exist?" It gives the organization purpose and meaning and speaks to why people want to work for your company. If you're a for-profit organization, the fundamental mission of the business is to create shareholder wealth, but that won't attract anyone to come work for you, and it does not give rise to a bigger corporate purpose. Every organization needs to define its fundamental purpose, philosophy and values, as well as develop a strong foundation for its strategic planning framework. The mission statement answers the basic questions of why your company exists and describes the needs your company was created to fulfill. This is not about the products and services you provide; rather, it is about why you provide them." However, the article entitled Your Company's Purpose Is Not Its Vision, Mission, or Values states the organization's purpose is different from the organization's mission. The mission statement: "... describes what business the organization is in (and what it isn't) both now and projecting into the future. Its aim is to provide focus for management and staff. A consulting firm might define its mission by the type of work it does, the clients it caters to, and the level of service it provides. For example: “We're in the business of providing high-standard assistance on performance assessment to middle to senior managers in medium-to-large firms in the finance industry.” There are many available resources for those tasked with writing an organizational mission statement. Two of them are: Minnesota Department of Health Developing a Mission Statement website Cornell University Small Farms Program Create Your Mission Statement website (This website is geared toward those starting a small farm, but the process of writing a mission statement is the same regardless of business structure or industry.) The mission statement of some healthcare organizations is listed below: United States Department of Health and Human Services (HHS): "The mission of the U.S. Department of Health and Human Services (HHS) is to enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services." Commissioned Corps of the U.S. Public Health Service: "The mission of the U.S. Public Health Service Commissioned Corps is to protect, promote, and advance the health and safety of our Nation." New York City (NYC) Health and Hospitals: "NYC Health + Hospitals is committed to excellence in health care. Our providers work together to provide comprehensive, personalized care to all New Yorkers. Our mission is:To extend equally to all New Yorkers, regardless of their ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect.To promote and protect, as both innovator and advocate, the health, welfare, and safety of the people of the City of New York.To join with other health workers and with communities in a partnership which will enable each of our institutions to promote and protect health in its fullest sense – the total physical, mental and social well-being of the people." California Department of Public Health (CDPH): "To Optimize the Health and Wellbeing of the people in California" Mayo Clinic: "To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research." Massachusetts General Hospital (MGH): "Guided by the needs of our patients and their families, Massachusetts General Hospital aims to deliver the very best health care in a safe, compassionate environment; to advance that care through innovative research and education; and to improve the health and well-being of the diverse communities we serve." Vision Statement There are many views of the content and utility of an organizational vision statement. Most views state that the vision statement should be a statement of the organization's short and long term goals for the future. For example, the Business Dictionary defines a vision statement as: "An aspirational description of what an organization would like to achieve or accomplish in the mid-term or long-term future. It is intended to serves as a clear guide for choosing current and future courses of action." Although most organizations develop and publish mission statement, not all develop and publish a vision statement. In fact, of the six healthcare organizations whose mission statement is listed above, only one publishes a vision statement: California Department of Public Health (CDPH): "CDPH public health professionals, researchers, scientists, doctors, nurses, and other staff members have a shared vision to protect and improve the health of all Californians. We are dedicated to public service and passionate about our work and the people and communities we serve and protect." Some of the organizations which publish both a mission statement and a vision statement are listed below with both their mission and vision statements. National Multiple Sclerosis Society: Mission - "People affected by MS can live their best lives as we stop MS in its tracks, restore what has been lost and end MS forever. " Vision - "A World Free of MS." Massachusetts General Hospital (MGH) Center for Community Health Improvement (CCHI) (affiliated with MGH): Mission - "To improve the health and well-being of the diverse communities we serve. " Vision - "At CCHI, we envision healthy, safe and thriving communities where all people have equitable access to employment, food, education, housing and a high-quality health care system that addresses these and other social determinants of health." Merck: Mission - "To discover, develop and provide innovative products and services that save and improve lives around the world. " Vision - "To make a difference in the lives of people globally through our innovative medicines, vaccines, and animal health products. We are committed to being the premier, research-intensive biopharmaceutical company and are dedicated to providing leading innovations and solutions for today and the future." Toyota: Mission - "To attract and attain customers with high-valued products and services and the most satisfying ownership experience in America. " Vision - "To be the most successful and respected car company in America." Creative Commons: Mission - "Creative Commons develops, supports, and stewards legal and technical infrastructure that maximizes digital creativity, sharing, and innovation. " Vision - "Our vision is nothing less than realizing the full potential of the Internet — universal access to research and education, full participation in culture — to drive a new era of development, growth, and productivity." Smithsonian: Mission - "The Institution was founded in 1846 with funds from the Englishman James Smithson (1765-1829) according to his wishes under the name of the Smithsonian Institution, an establishment for the increase and diffusion of knowledge among men.” Vision - "Shaping the future by preserving our heritage, discovering new knowledge, and sharing our resources with the world." Bylaws Not every for-profit and non-profit business structure creates bylaws, although all corporations do. Government organizations do not have bylaws. The bylaws outline the basic operations of the organization - the basic "rules" by which the organization operates. Wikipedia defines a bylaw as: "A by-law (bylaw) is a rule or law established by an organization or community to regulate itself, as allowed or provided for by some higher authority. The higher authority, generally a legislature or some other government body, establishes the degree of control that the by-laws may exercise. By-laws may be established by entities such as a business corporation, a neighborhood association, or depending on the jurisdiction, a municipality." The bylaws must comply with the organization's articles of incorporation/association filed with the state in which the organization became a legal business entity. Bylaws do not usually have to be filed with the state government. The bylaws must also comply with all state and federal laws. Federal laws in the United States are made by the legislative branch of the federal government. The two legislative components are the United States Senate and the United States House of Representatives which are together called the United States Congress. Congress meets in the United States Capitol. The Architect of the Capitol (AOC) is responsible for preserving and maintaining "the historic buildings, monuments, art and inspirational gardens on the Capitol campus ... 18.4 million square feet of facilities, 570 acres of grounds and thousands of works of art." Note [FUN]: The video for Topic 4 - Olmsted's Plan for the U.S. Capitol - is a YouTube video produced by the Architect of the Capitol (AOC), U.S. Capitol. The video provides an overview of Frederick Law Olmsted's original design for the United States Capitol Grounds. The format and general content area of bylaws are relatively consistent across all organizations (for-profit and non-profit) although the specifics vary greatly by organization. In general, the sections of the bylaws are called Articles and the bylaws address issues such as location of organizational offices, meetings, formation of committees, as well as the composition and selection of a Board of Directors. The Free Management Libraryprovides links to a number of helpful resources for those writing bylaws at its Bylaws website. The New Hampshire Center for Non-Profits provides Sample Bylaws for use and reference by non-profit organizations in New Hampshire. Sometimes an organization publicly publishes the bylaws. Sometimes it does not. Only four of the for-profit and non-profit organizations listed in this section have publicly published bylaws:

Mayo Clinic Bylaws Merck Bylaws Creative Commons Bylaws