A regularly linked-to (by this blog) health care CEO provides sage advice from previous non-profit work:
If a member of our Board proposed that we should do something, it became that person’s responsibility to get it done.
The rule may hinder idea formulation at the get-go. (Which may be a good thing; health care has plenty of ideas, the implementation part is where many hit the skids.) However, it will improve accountability (by proxy, execution) down the road. And because our culture is based upon participation, those keeping quiet on the necessary changes need no longer be a part of the team.
Harsh? Hopefully not. It has the ability to empower the change makers in the organization, to free them from the everyday barriers preventing progress in health care organizations.
Principle #44: Your suggestion, your responsibility.