1. State a Title for Your Presentation that Reflects Your Problem or Intervention [CLINIC NAME HERE] [SHORT DESCRIPTION OF CLINIC: MODEL TYPE, AGE, CITY…e.g.: Grace Medical Home, a single-site, charitably-funded Christian clinic serving the working uninsured of Orlando, FL since 2008.

2. Requirements for [Organization Name] Board:  Required number of board members  Diversity targets (if any)  Describe how candidates are nominated  Required Officers include…  Required Committees include…  Term limits  Etc.

3. [Organization Name] Goal for Board Members and Board Function  [Describe the Ideal Board Member]  Attribute  [Describe your goal for Ideal Function of the Board]  Attribute  Function

4. [Organization Name]’s Challenge:  [Use this space to Briefly summarize a specific challenge that you have encountered with your Board: e.g.:]  Board Makeup included mostly inactive members that had lost touch with our growing organization’s issues.  Board attendance was below 70%  <60% of Board members contributed financially  Concerns expressed by Board members demonstrated lack of understanding of health clinic administrative realities  Etc.

5. [Organization’s Name]’s Strategy  [Use this space to describe what steps your organization has taken/is taking to address the stated Problem. e.g.:]  Steps taken to address inactivity and unhelpful Board input included:  Action/intervention  Etc.

6. Outcomes:  [Use this space to outline specific outcomes resulting from your intervention. E.g.:]  This happened  And this happened  Etc.

7. Lessons Learned:  [Use this space to highlight some of the things that were successful and some of things that you have learned to avoid]  PROs (things we would do again)  Point  CONs (things we would do differently)  Point