Articles

When Boards Must Intervene: Escalation, Assurance Failure, and Decisive Action
Boards are expected to stay out of operations, yet regulators expect intervention when assurance fails. This article explains when and how boards in U.S. community-based care must escalate, intervene, and reset control without destabilizing services. Read more...
How Boards Govern Quality and Safeguarding Without Micromanaging Services
Boards are accountable for quality and safeguarding outcomes but cannot deliver care directly. This article explains how boards govern quality effectively in U.S. community-based care without drifting into operational micromanagement or passive oversight. Read more...
Fiduciary Duties of Care, Loyalty, and Obedience in Health and Human Services Boards
Fiduciary duties are often treated as abstract legal concepts. This article explains how duties of care, loyalty, and obedience operate in real board decisions across U.S. community-based care systemsβ€”and where boards most commonly fail them. Read more...
What Board Accountability Actually Means in U.S. Community-Based Care
Board accountability in U.S. community-based care goes far beyond fiduciary formality. This article explains what boards are truly accountable for in HCBS, LTSS, IDD, and behavioral health systemsβ€”and where governance failure most often occurs in practice. Read more...