In scoping
Hospital & Health Boards
Boards of trustees of hospitals, public hospital systems, health authorities, and patient-safety committees. These bodies sign off on staffing, mergers, closures, quality programs, and executive compensation — decisions that play out in emergency rooms and on discharge summaries.
Where rules get set and outright ignored here
- Quality and safety committees meet quarterly, receive packets they don't read, and approve minutes they didn't verify.
- Conflict-of-interest disclosures treat trustees' physician practices, real-estate interests, and vendor relationships as out-of-scope.
- Hospital closures and service-line shutdowns approved without community-impact analysis — the rule was on the books, the analysis never made it into the meeting materials.
- Compensation committees benchmark executive pay against peers with the same captured benchmarks, pushing one another upward.
- Patient-safety incidents are reported to regulators with internal redactions the regulator has no authority to unwind.
What TASFGA will track
- Trustee disclosure audits — related-party interests, vendor ties, medical-practice conflicts
- Quality-committee activity — meetings held, minutes published, metrics reviewed
- Service-change decisions — closures, consolidations, and the public record behind them
- Executive compensation vs. outcome — pay trajectory against patient-outcome metrics
- Regulatory settlement ledger — citations, corrective action plans, repeat findings
Why this matters
Hospital boards hold a public trust in everything but name. Their decisions allocate care, control billions in capital, and affect whether neighborhoods have emergency rooms. When they fail, people die slightly earlier than they had to. Accountability here is not abstract.