1. 2007 Annual Conference The Roles and Responsibilities of a Board Member Jan Robinson Registrar & CEO College of Physiotherapists of Ontario

2. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation In our time together  key elements of good governance  responsibilities  high performing organization  public information

3. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation setting the stage

4. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation public organization

5. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation protect public Interest

6. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation governance is governance is governance

7. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation adding value ➾ strategic direction ➾ organization well being ➾ financial health ➾ quality (perception) ➾ high performing CEO

8. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation key behavior ══ ask probing questions

9. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation responsibilities or duties ➾ duty of care ➾ duty of loyalty ➾ duty of obedience

10. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation duty of care = unity of accountability ➾ mandate ➾ finance

11. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation duty of loyalty = unity of direction ➾ conflicts of interest ➾ one voice ➾ vision

12. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation duty of obedience = unity of command ➾ bylaws ➾ rules of order ➾ code of conduct

13. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Who is a Board Member responsible to ?

14. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation public

15. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Licensee (potential)

16. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Board and staff

17. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation code of conduct ➾ What is it? ➾ Why have it?

18. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation be knowledgeable respect confidentiality declare conflict of interest ask questions (respectfully) listen be objective

19. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation attend speak with one voice stay out of operations accept nothing less

20. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation High performing organization has ➾ one Board ➾ one CEO ➾ one vision ➾ one voice

21. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation one staff person

22. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation conflict of interest ➽ examples ?

23. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation know the policy

24. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Achilles heel = decision in bad faith

25. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation public information ➾ laws ➾ decisions taken under statute ➾ governance (by choice) ➾ “in camera”

26. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation ⇧ pressure toward public disclosure

27. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation benefits of an informed public

28. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation benefits of an informed profession

29. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation building and maintaining strong relationships

30. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation communication tools ➪ audience dependent

31. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation evaluate Board performance

32. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Summary responsible to many governance not operations partners in leadership build public trust

33. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Scenario 1 Jenny is a nurse and pleased that her colleagues have elected her to sit on her local nursing board. She is enthusiastic about her profession and wants to contribute. She reads all of her Board materials before a meeting and contributes fully to the debate and decision making. The last meeting, however, was very challenging.

34. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation A particularly difficult matter was raised for decision. Jenny had reviewed the background material before the meeting and felt this matter was particularly important to profession. Jenny believed the proposed recommendation should not be supported. Jenny called three of her board colleagues before the meeting to discuss her position.

35. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation During the meeting, Jenny spoke vigorously against the motion but in the end the recommendation was passed. Jenny cannot believe the Board couldn’t see the problems with their decision, and is concerned her reputation is at stake with her nursing colleagues.

36. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation She has decided to send out a flyer to help them understand the challenges with this issue, her opinions, and the debate at the Board. She is planning to encourage nurses to write to the Board and suggest they overturn their previous decision.

37. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Scenario 2 Paul is an experienced board member. He has set on several not for profit boards and is pleased to have been elected to the health board as a public member. He is an accountant and has much experience to offer. At his first meeting, he listens to the finance report with interest. He asks many questions relevant to the numbers

38. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation presented. He is surprised that few of his fellow board members have any comments. Paul wonders if they really know how to read financial statements. After the meeting, Paul speaks to the Chair and expresses his concern. The Chair recognizes Paul is eager and assures him that the Board is well

39. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation informed and knowledgeable. They trust the CEO on this matter. Paul is unhappy with this response and calls the CEO the next day. He asks for new, easier formatting of the reports for the next meeting and an education session for board members on how to read financial statements.

40. Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Speaker Contact Information Jan Robinson Registrar & CEO College of Physiotherapists of Ontario e-mail : jrobinson @collegept.org www.collegept.org