Hospital governance has traditionally followed a tripartite structure. The three major sources of authority in hospital governance are the CEO, the board of trustees, and the hospital’s medical staff. Over time, power dominance has shifted from the trustees to the physicians, and, more recently, to the administrators. The CEO or president of a hospital is responsible for the day-to-day operations and for accomplishing the mission and objectives of the organization. The board of trustees is responsible for defining the mission and long-term direction of the hospital.
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