The higher the position within an organization, the less likely you are to have quality feedback. Since the board is ultimately responsible for high levels of executive management performance, this presentation focuses on using best practices to appraise the only employee who reports directly to this group – the CEO. Assessing CEOs clarifies roles, responsibilities and job expectations. The process also offers insight into his/her strengths and opportunities for improvement and performance. Assessments may be tied to pay and/or required by Joint Commission. Performance reviews are critical for the development and accountability of healthcare organizations’ CEOs and their boards.