Catatan

It is becoming clearer that the primary fiduciary role of boards is to ensure
that their organization delivers safe, effective care that meets the patients’
need for a quality of life that is free from suffering and debility. Because
board members have a legal duty to act on behalf of the organization’s
stakeholders and principal among these stakeholders are patients and
communities, it is evident that their concerns, intimately related to their
health and lives, should be primary. With this deeper understanding that
patients and communities have entrusted their health and lives to the

healthcare organization comes a change in perspective. The board’s prin-
cipal duty is not to the organization’s well-being alone but rather to the

well-being of the patients and communities that they serve. To accomplish
this reorientation, it will take nothing less than transformative change,

moving organizational and practitioners’ needs from the center of atten-
tion and placing instead the needs and concerns of patients and commu-
nities at the center. Boards must lead this reorientation process.