Archive for the ‘ Organizing Your PRC for Success ’ Category

Eliminate 90% of Board Dysfunction: 5 Simple Steps

Have you ever experienced difficulties interacting with your Board of Directors? If the answer is no then you should read this post to keep it that way. If the answer is yes then this post will help put your relationship with the board back on a healthy path.
Tension between the board and the executive occurs for lots of reasons.  But that tension reflects a dysfunction and thankfully paves the way for a solution. Dysfunction between the board and executive reveals the need for your board to establish a process for how to interact with you the Executive in a healthy way. It is extremely important for the board to establish a process of how to interact with the Executive in a healthy way because the future health of the organization depends on it. Too many organizations have been badly damaged because boards and executives simply did not follow a healthy process or misunderstood their role. A healthy executive/board relationship should be moderated by what is called an ‘Executive Review Committee’ or ERC. The ERC is usually populated by the Executive Director, the board chair, and at least one other person of the Executive’s choosing. The primary function of the ERC is to review the Executive’s performance annually as well as determine a compensation package to recommend to the board. The performance evaluation along with the compensation package serves as an annual contract with objectives to be measured for the coming year. Compensation should include 1) pay, 2) outline of health and other benefits, and 3) determination of vacation and time off which includes a list of paid holidays. I always recommend to the organizations with which we work for their ERCs to meet at least monthly so that the ERC can develop a strong rapport with the executive, know the executive’s mind so that the ERC can not only hold the Executive accountable better but also so that the ERC can advocate on behalf of the executive to the board at large.
If you do not have an ERC or if you do not have an annual performance review that outlines benefits now is the perfect time to do that. It will serve to keep the relationship an executive has with the board healthy as well as fulfill one of the primary fiduciary responsibilities of the board; to hold the executive accountable. If you develop the ERC it has been my experience that 90% of your unhealthy board/executive dynamics dissolve.

What to do next? Follow these 5 simple steps and it will safeguard your organization’s future:

1.  Make sure the board understands their role. Click the following document that defines the primary duties of a Pregnancy Center Board:  Governing Board Requirements and Agenda Template

2.  Make sure you understand the Executive role:  Executive Job Functions Self-Evaluation

3.  Have the Board commission an Executive Review Committee:  Board Resolution to Start Executive Review Committee

4.  Set ERC meeting schedule (I suggest 1 time per month but if your board meets monthly then have the ERC meet 1 time per quarter.

5.  Begin the annual review process by scheduling the review date and agreeing on the document that will be used to evaluate the Executive’s performance.  The following document is my recommended template:  Annual Executive Review Template

For more information on how CompassCare Training has positively impacted the executive leadership of other Pregnancy Centers go to www.compasscaretraining.org.

Women’s Choice; an Ethical Perspective

Recently I posted the following response on the topic ‘Blog for Choice Day’ on an interesting blog called Women’s Health News.  See the blog roll to the right. I think it is important as responsible leaders and citizens to engage each other on the issue with relevant and straight talk. It is the only way that we will forge a new, better path to solving the abortion issue on a per woman basis rather than a legislative or otherwise agenda driven basis.

Some practical observations about women’s choice as a person who has run a medical office specializing in helping women seriously considering abortion explore all her options: We understand that choice is a fundamental part of being human. Respecting a woman’s autonomy is the only way true trust can be established. Believing in a woman’s ability to make the best choice for her is critical to our ability to provide ‘objective’ information and service about the nuances related to the two basic options available to a pregnant woman (pregnancy termination or birth). Pregnancy termination has options depending on gestational age (how far along in the pregnancy she is). Birth has options too such as choosing to parent or choosing to place the child for adoption.

It has been our experience in the 10 different sites operating our system in 8 different States including 2 in CA and 2 in NY that women seriously considering abortion don’t really ‘want’ one but feel like they ‘need’ one. They are so overwhelmed with the multiple extenuating circumstances associated with the pregnancy that they feel an extreme sense of urgency to solve the dilemma (flight or fight). Supporting a woman’s autonomy through meaningful and customized solutions that address the issues driving her sense of entrapment reflects true empathy and responsible community service.

Without tangible information and support good will and high ideals degenerate into a tool for propagating a political agenda and the further exploitation of vulnerable women. It is my contention that the only way to insulate a woman from overexposure to the polarizing politics associated with abortion is if women’s health service organizations (e.g. abortion providers as well as pro-life Pregnancy Centers) hold themselves and their staff accountable to follow protocols of service designed to deliver those services and information ethically, objectively, the same way every time. This would serve to mitigate personal agendas from manipulating women to either have an abortion or not placing the decision squarely on her shoulders where it has always been.

However, there are two primary barriers to seeing true choice supported each one unique to the political bent of the organization: 1) abortion providers have a vested financial interest in a particular choice unless they offer abortion services for free and do not bill insurance companies for the ‘community service’ and 2) pro-life pregnancy centers while usually free are often emotionally blinded by their religiously driven ethic responsible for their existence ironically blinding them to an ethical application of the services they provide such as ultrasound technology. Only after we begin to believe in the validity of a woman’s decision-making ability after all the options have been put on the table, including long term support structures should she choose to parent (something both sides have trouble doing by the way) will the infiltration of the political debate become obsolete where organizations touch lives.

I’d love to hear your thoughts . . . .

PRC Vulnerabilities: Lack of Accountability and Mission Focus

Have you ever felt out of control not knowing what your counselors are saying in the counseling room or on the helpline?  Do your nurses feel insecure regarding what is being said or not said by the counselors?  What you may be experiencing is a lack of organizational accountability.  And often a lack of accountability can be traced back to a lack of mission focus.  Listen to Jim Harden as he trains other PRC executives regarding these two common pitfalls.

Moral Entrapment: A Major PRC Flaw

Not many people or training organizations have addressed the issue of moral entrapement in the medical pregnancy resource center.  Yet it seems to happen on a regular basis in the prc movement both in the counseling room and with medical services.  If you don’t know what it is the chances are high that this dangerous and organizationally compromising tactic is happening in your organization.  Listen to Jim Harden define moral entrapment and passionately provide real examples calling the movement back to integrity and excellence.  Every PRC Executive needs to hear this as it is not being adequately addressed.

2 Key Vulnerabilities: Misinformation and Misrepresentation

Listen to Jim Harden give a straight shooting talk to medical pregnancy resource center executives regarding two common areas of internal vulnerability; misinformation and misrepresentation.  Executives can learn what the terms mean whether or not your organization is vulnerable in these areas.

Results in Casper, Wyoming

I just compared the number of abortion-minded patients we have seen at our clinic January through June of 2008 with the number of abortion-minded patients for the same period last year and discovered that we have experienced an increase of more than 300%!  We more than doubled our advertising budget this year to include radio ads using scripts we received as part of the Optimization Tool.  I have also tracked hits on our website and find that the majority of the hits come when the radio ads are running.  Now, those are some great results!!  Best of all, 82%-85% of our patients choose to carry to term after seeing their unborn on the ultrasound.

How Mature Is Your PRC and Is Leadership Related?

Listen to Jim Harden coach medical PRC executives regarding understanding overall organizational maturity, leadership and calling.  This is the fourth podcast in a series being released the second week of August.  Some of what Jim says could be considered controversial so feel free to post your comments.

Strengths of the PRC Movement

Investigations of pregnancy resource centers (PRC’s) have been attempted in New York and Oregon recently!  We know that the PRC movement has several strengths such as resources, passion, and positioning for rapid growth.  But for all that, could our vulnerabilities hinder us from accomplishing our mission to erase the need for abortion if an investigation at a state or federal level were to occur?  What are those vulnerabilities and how can we fix them in order to safeguard the future of our organizations?  Click on the link below to listen in on the first of several in a series of talks as Jim describes the strengths and vulnerabilities of the PRC movement.

CEO in Omaha Talks About 3X Inrease in A/M Patient Load

Michelle Sullivan, CEO of a medical PRC in Omaha, NE talks about how introducing a linear service model for patients has helped to make them much more effective and focused at reaching 3X more pregnant women seriously considering abortion.

Executive Becky Wood Talks About How the Linear Service Process Helps

Executive Becky Wood of ABC Women’s Clinic in Dublin, GA talks about how CompassCare’s linear servcie process call the Optimization Tool has helped their organization to serve more women seriously considering abortion more effectively.