| My first impression of the Carver's Policy Governance® model was the 
			assemblage of directives to assist our elitist bureaucrats to serve 
			themselves at the expense of everybody else(1). I suggest that Dr. 
			Carver would rethink some of his ideas on governance and have a more 
			natural understanding of human nature(2)(3) before he writes again 
			and spreads his Policy Governance® gospel to his congregation of 
			followers, including Brian Rourke(4), the fixed chair of the 
			Saskatchewan Association of Health Organizations (SAHO).
 Let us see what this Policy Governance® model is about. Dr. 
			Carver states that his  
				"Policy Governance® model is the world's only complete, 
				universal theory of governance--a conceptually coherent paradigm 
				of principles and concepts (not of structure). The model enables 
				boards--as "servant-leaders" of shareholders, public, members 
				(or other "ownership" equivalent)--to ensure that organizations 
				achieve board-stated goals and conduct themselves with 
				probity.... Because it is carefully crafted, it enables an 
				efficient summing of board wisdom capable of adequate control 
				without micromanagement(5)."  Dr. Carver is absolutely right when he says that his governance 
			model is the world's only complete and universal theory of 
			governance. In fact, in a changing world characterized by continuous 
			learning(6) and infinite choices(7) we find in Dr. Carver's Policy 
			Governance® the only and best source of crafted wisdom to maintain a 
			regressive and authoritarian environment. And you know what this 
			crafted wisdom is, it is the governance by setting policies; so we 
			have a governance by telling, we have a governance by issuing 
			edicts! Where is the due diligence and good faith to serve the 
			members of the organization and have a continuous dialogue with 
			them?  I find Dr. Carver's use of the wording 'servant-leader' 
			sacrilegious when I refer to Robert Greenleaf's works on 'servant 
			leadership(8).' Anyhow, in accordance to the Carver's model, the 
			Board is conceived to have only one employee in the Chief Executive 
			Officer, and its main job is to set policies to identify the goals 
			of the organization. These goals set by the Board are called 'ENDS'. 
			The Chief Executive Officer has the power to establish the 
			procedures and methods to satisfy the ENDS set by the Board, and 
			these procedures and methods are called 'MEANS.' Therefore, the role 
			of the Board and the role of the Chief Executive Officer are clearly 
			identified and they are not overlapping, one role is called 
			governance and the other is called management (or administration). 
			The Board takes care of the ENDS and the Chief Executive Officer 
			takes care of the MEANS. In particular, the Chief Executive Officer 
			has the power to choose any procedures or methods unless told 
			otherwise by the Board.  The exclusive exercise of governance by the Board, and the 
			exclusive exercise of management by the Chief Executive Officer are 
			artificial and dysfunctional activities. In fact, you cannot have a 
			sense of community, or a sense of bonding, or a sense of partnership 
			unless a dialogue is entertained among the Board, the Chief 
			Executive Officer, the staff, the members and all the other 
			stakeholders. Therefore, the compartmentalization of the functions 
			of the Board and of the Chief Executive Officer create nightmares 
			for all the stakeholders of the organization. As consequence, the 
			Board's essential monitoring function to ensure that the MEANS 
			satisfy the ENDS provide an overall environment of distrust and a 
			further escalation of new ENDS, more Machiavellian MEANS and more 
			nightmares. Lorna Cosper, former Board Chair of the Prairie West 
			District Health, has properly highlighted the tyrannical philosophy 
			of the Carver's Policy Governance® model when in addressing her 
			Board she said: "we have the right to monitor any policy by any 
			method and at any time the Board chooses over and above regular 
			monitoring(9)." And it becomes apparent, that under the 
			authoritarian Policy Governance® model, people cannot grow, people 
			cannot feel freer, people cannot become healthier, people cannot 
			become more autonomous.  Let us hope we can wake up from the nightmares caused by this 
			Machiavellian plot of our incompetent leaders, throw away this 
			Policy Governance® model and embrace new administrative 
			philosophies(10) where learning(11) and knowledge(12) are the common 
			denominators for the Board, for the Chief Executive Officer, for the 
			staff , for the members, and for all the stakeholders, that is all 
			of us people.  Endnotes  1. A first impression of the Carver's Policy Governance® Model, 
			by Mario deSantis, September 18, 2000 http://www.ftlcomm.com/ensign/desantisArticles/2000_200/desantis229/Carver.html
			 2. What it is to be human, by Humberto Maturana http://www.pnc.com.au/~lfell/notes.html
			 3. The contributions of Humberto Maturana to the sciences of 
			complexity and psychology, Alfredo B. Ruiz, Instituto de Terapia 
			Cognitiva, Santiago, Chile http://www.inteco.cl/contrib/contrib.txt
			 4. Brian Rourke wants more healthcare money: 40% of public 
			expenditures are not enough, by Mario deSantis, November 14, 1999 
			http://www.ftlcomm.com/ensign/desantisArticles/desantis83/Rourke_Nov14-99.html
			 5. Policy Governance® Defined, by Dr. John Carver, http://www.carvergovernance.com/model.htm
			 6. Learning Organizations, http://www-bus.colorado.edu/faculty/larsen/learnorg.html
			 7. The Simplicity Manifesto, by Bill Jensen http://www.simplerwork.com/manifesto.htm
			 8. The Robert K. Greenleaf Center for Servant-Leadership http://greenleaf.org/index.html
			 9. Chairperson's Report: Prairie West District Health, by Lorna 
			Cosper, March 6, 1996, Kindersley, Saskatchewan. The Prairie West 
			District Health uses the Policy Governance® model.  10. MANAGEMENT GENERAL, site managed by Tom Brown, http://www.mgeneral.com/index.html
			 11. THE PETER F. DRUCKER FOUNDATION FOR NONPROFIT MANAGEMENT 
			http://www.pfdf.org/  12. @brint.com: The BizTech Networktm, site founded by Dr. Yogesh 
			Malhotra http://www.brint.com/  |