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The article focuses on the adoption of the policy governance model for effective regional health administration in the U.S. The research describes the policy governance model as an effective alternative in evaluating the functional performance of medical boards and personnel in providing healthcare services or customer service. The implementation of the policy governance model in large academic medical center help enhance not only the knowledge of the healthcare administrator and personnel but also improve the services of the business. The study proves that policy governance is one of the most effective model for the administration of Regional Hospital.

The article reflects on issues concerning the pay-for-performance payment scheme utilized by healthcare world in the United States. The author has noted the results on the findings of survey conducted by the Agency for Healthcare Research & Quality. The author questions on the role of the pay-for-performance system utilized by the healthcare world, whether the purpose is served or not. Patients were found to be unsatisfied with the service that the pay-for-performance has offered.