Overview of Charles Harbor General Hospital (CHGH) and Its Governance
I.M. Incharge, CEO
Description
Charles Harbor General Hospital (CHGH) is a general
hospital with an emergency room. It offers a full range of
clinical specialties (e.g., internal medicine, general surgery,
oncology, cardiology, infectious disease) with a focus on
adults although there is a pediatrics unit. Its purpose is to
provide the very best health care and improve the health of
all those in the local CHGH community.
Mission and Vision
Mission: To provide the best patient-centered care to every
patient through excellent, compassionate clinical practice
combined with effective, compassionate administrative
processes. Vision: A local community population with
optimal health and wellness who views Charles Harbor
General Hospital as integral to that achievement.
Strategic Goal
Create a patient-centered model of care which recognizes the
patient as a customer/consumer who has many care choices.
Location
CHGH is located in Massachusetts in Suffolk County.
County Health Ranking
Suffolk County ranks 11 in Health Outcomes out of the 14
ranked counties in Massachusetts According to the County
Health Rankings and Roadmap website
(http://www.countyhealthrankings.org/app/massachusetts/2018
/rankings/suffolk/county/outcomes/overall/snapshot)
• Length of Life = 7
• Quality of Life = 13
• Health Factors = 12
• Health Behaviors = 9
• Clinical Care = 6
• Social and Economic Factors = 13
• Physical Environment = 7
Occupations Employed
CHGH employs Physicians and Surgeons as defined by the
Bureau of Labor Statistics
(https://www.bls.gov/ooh/healthcare/physicians-and-
surgeons.htm#tab-1).
NAICS Code
CHGH has a North American Classification System (NAICS)
code of 622110 - General Medical and Surgical Hospitals
(https://www.census.gov/cgi-
bin/sssd/naics/naicsrch?code=622110&search=2017%20NAIC
S%20Search).
Business Structure
CHGH is a corporation. In Massachusetts, the corporation
business filing agency is the Secretary of the Commonwealth
of Massachusetts, Corporations Division
(http://www.sec.state.ma.us/cor/coridx.htm).
Tax Status
CHGH is a non-profit. In Massachusetts, the non-profit tax
status filing agency is the Secretary of the Commonwealth of
Massachusetts, Corporations Division
(http://www.sec.state.ma.us/cor/coridx.htm), specifically the
section Non-Profit Corporation Forms
(https://www.sec.state.ma.us/cor/corpweb/cornp/npinf.htm).
State Licensing
CHGH is licensed by the Massachusetts Department of
Public Health (DPH) (https://www.mass.gov/orgs/department-
of-public-health) as an acute hospital to do business in
Massachusetts. DPH regulations are found at
https://www.mass.gov/regulations/105-CMR-13000-hospital-
licensure. Note: A list of all DPH licensed healthcare facilities
can be found at https://www.mass.gov/doc/list-of-health-care-
facilities-licensed-or-certified-by-the-division/download.
Accreditation
CHGH is accredited by The Joint Commission
(https://www.jointcommission.org/) as a general hospital
(https://www.jointcommission.org/accreditation/hospitals.aspx).
The Joint Commission has Centers for Medicare and
Medicaid Services (CMS)-deeming authority for a general
hospital such as CHGH.
Board Structure
CHGH has a Board of Trustees. Each Board member is
dedicated to the organization's mission and vision. Overall
the Board membership reflects expertise in healthcare
organization clinical issues, financial issues, management
issues, regulatory requirements, and operational efficiency.
Governance Structure
CHGH has a shared governance structure where the
administrative part of the organization and the professional
clinical part of the organization have their own organizational
hierarchy. There is a Chief Operating Officer (COO) in charge
of the administrative part of the organization. There is a Chief
Clinical Officer (CCO) in charge of the professional clinical
part of the organization. Both report to the Chief Executive
Officer (CEO) who is responsible for the overall operation of
the organization.
My Management View
I believe that the most important competencies a healthcare
administrator should have are (in rank order from highest to
lowest):
1. Administration, Management, and Leadership
2. Organizational Structure and Governance
3. Quality and Performance Improvement
4. Health Care and the Healthcare Environment
5. Communication and Relationship Management
6. Laws and Regulations
7. Healthcare Technology and Information Management
8. Professionalism and Ethics
9. Business
10. Finance
11. Human Resources
My Management Frameworks
As CEO, I use the Lean Management framework combined
with the Team-of-Teams framework.
My Favorite Management Journals
To find the evidence needed for evidence-based
management, I read:
1. Journal of Healthcare Management -
https://www.ache.org/pubs/journals.cfm
2. Becker's Hospital Review -
https://www.beckershospitalreview.com/
My Professional Association
I am a member of the American College of Healthcare
Executives (ACHE) - http://www.ache.org/