Discussion

Question 1 Responsibilities of board members can include hiring, evaluating, and if necessary, firing the health commissioner; overseeing fiscal and performance accountability; and establishing health policies. Even though some of these responsibilities relate to health departments, discuss how they relate to EMS agencies. Describe how EMS could be affected by the decisions of a board based on these responsibilities.

Question 2 According to the text, there appears to be substantial evidence that more effective boards are differentiated from less effective ones in six areas of competence. Choose three of the six areas of competence and analyze how each one applies to organizational effectiveness in governance.

Question 3 Collaborative leaders are sustained by their deeply democratic belief that people have the capacity to create their own visions and solve their own problems. Discuss how this same belief may apply to EMS.

Question 4

Governance and leadership are key components in effective and efficient enterprises according to our authors. Discuss effective governance and its importance within EMS systems.