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Below are the forms referenced throughout the Ontario Hospital Association's Guide to Good Governance, Fourth Edition. Hospitals are encouraged to use and adapt these forms as templates to support their own governance processes and practices where appropriate. Individual forms can we downloaded through the links below or all forms can be downloaded as a folder.
Form 2.1: Sample Statement of the Roles and Responsibilities of the Board
Form 3.1: Balanced Scorecards and Dashboards
Form 3.2: Balanced Scorecard and Dashboard Approach
Form 3.3: Quality Measures Dashboard
Form 3.4: Risk Assessment Framework Agenda Planner
Form 3.5: The Board’s Response to Emergency Situations
Form 3.6: Draft Whistleblower Policy
Form 3.7: Sample Chief Executive Officer Performance Evaluation and Compensation Policy
Form 3.8: Chief Executive Officer Annual Priorities Review
Form 3.9: Chief Executive Officer Confidential Board Panel Appraisal Form
Form 3.10: Chief Executive Officer Succession Planning
Form 3.11: Sample Chief of Staff Performance Evaluation Policy and Form
Form 3.12: Guidelines for a Management Resources and Compensation Committee
Form 3.13: Assessing Board Performance
Form 3.14: Governance Quality Indicators
Form 4.1: Sample Accountability Statement
Form 4.2: Examples of Mandated and Voluntary/Optional Processes for Accountability, Transparency and Engagement
Form 4.3: Community Engagement – Key Considerations in Forming Advisory Bodies
Form 4.4: Members' Legal Requirements and Governance Principles
Form 4.5: Entering into Accountability Agreements under the Connecting Care Act
Form 6.1: Sample Board Policy on Confidentiality
Form 6.2: General Principles Regarding Conflict of Interest
Form 6.3: Sample Board Policy on Conflict of Interest
Form 6.4: Sample Board Code of Conduct
Form 6.5: Sample Position Description – Board of Directors
Form 6.6: Tips for Directors
Form 6.7: Annual Director Declaration and Consent
Form 7.1: Sample Board of Directors' Knowledge and Experience Matrix and Inventory
Form 7.2: Sample Guidelines for Director Selection
Form 7.3: Sample Application for Board Membership – Long Form
Form 7.4: Sample Application for Board Membership – Short Form
Form 7.5: Sample Director Recruitment and Selection Process
Form 7.6: Sample Board of Directors Nominations and Election Policy
Form 7.7: Overview of Director Election Processes
Form 7.8: Sample Board On-boarding Topics and Materials
Form 7.9: Sample Board Peer Assessment Questionnaire
Form 7.10: Board Evaluation Process Overview
Form 7.11: Guideline on Creating a Board Self‑Assessment Survey
Form 7.12: Sample Committee Self-Assessment Survey
Form 8.1: Sample Board Chair Role Description
Form 8.2: Sample Board Chair Selection Process Guidelines
Form 8.3: Tips for the New Chair
Form 8.4: Overview of Committees Referred to in Legislation
Form 8.5: Sample Quality Committee Terms of Reference
Form 8.6: Sample Committee Responsibilities: Governance and Nominating Committee
Form 8.7: Committee Principles and Rules and Regulations
Form 8.8: Sample Format for Committee Terms of Reference
Form 8.9: Comparison of Meeting Requirements
Form 8.10: Sample Format for Board Briefing Report
Form 8.11: Sample Board Annual Work Plan
Form 8.12: Sample Board Agenda Development Policy
Form 8.13: Sample Board Agenda
Form 8.14: Consent Agenda Policy
Form 8.15: Meeting Minutes Best Practices
Form 8.16: Sample Board and Committee Meeting Attendance Policy
Form 8.17: Sample Policy for Open Board Meetings
Form 8.18: Checklist for Developing a Policy for Open Board Meetings
Form 8.19: Procedure for Members of the Public Addressing the Board
Form 8.20: Annual Meetings of Members – Frequently Asked Questions
Form 8.21: Sample Policy for Meeting Without Management
Form 8.22: Sample Meeting Effectiveness Survey
Form 8.23: Sample Meeting Evaluation
Form 9.1: Sources Documenting a Board's Governance
Form 9.2: Sample Governance Audit Questionnaire
Form 9.3: List of Matters that Require a Special Resolution under the Not-for-Profit Corporations Act
Form 9.4: Sample Finance and Audit Committee Terms of Reference
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