Board Member Self Assessment - St. Anthony Regional Hospital

Please complete this confidential questionnaire below and click the Submit button at the bottom to send. Anonymous results of the summary will be shared at a later board meeting. Thank you.

Which Board are you a member?

Hospital
Foundation
Both Hospital & Foundation

1. I understand my role and duties as a Board member, including appropriate planning for the programs and financial needs of the organization, maintaining medical staff credentialing, and having an appropriate patient care quality control process.

YES
NO
NEEDS WORK

2. I prepare for, regularly attend and actively participate in Board meetings.

YES
NO
NEEDS WORK

3. I am responsible for identifying and referring significant issues to the hospital CEO and the chairperson of the Board to assure that the organization is properly managed.

YES
NO
NEEDS WORK

4. I am willing to volunteer for Board tasks and assignments.

YES
NO
NEEDS WORK

5. I support the institution and CEO in the work of civic, business and community relationships.

YES
NO
NEEDS WORK

6. I understand and am willing to declare a conflict of interest when appropriate.

YES
NO
NEEDS WORK

7. I keep current regarding healthcare trends and legislation affecting the delivery of healthcare.

YES
NO
NEEDS WORK