Knowledge of governance theory (e.g., mission and values,
relationships with board of directors, roles of governing board and
management)
Knowledge of governance structure (e.g., bylaws articles of
incorporation, fiduciary responsibilities)
Knowledge of medical staff structure and its relationship to governing
body and facility operation (e.g., credentialing, privileging and
disciplinary process)
Knowledge of public policy matters and legislative and advocacy processes
Human Resources Knowledge
11%
22
Knowledge of performance management systems (e.g., performance-based
evaluation, rewards systems, disciplinary policies and procedures)
Knowledge of recruitment techniques
Knowledge of selection techniques
Knowledge of labor relations strategies and tactics
Knowledge of staffing methodologies and productivity management (e.g.,
acuity-based staffing, flexible staffing, fixed staffing)
Knowledge of employee satisfaction measurement and improvement techniques
Knowledge of motivational techniques
Knowledge of compensation and benefits and practices
Knowledge of worker safety, security and employee health issues (e.g.,
OSHA; workplace violence)
Knowledge of conflict resolution and grievance procedure
Financial Knowledge
10%
20
Knowledge of basic accounting principles (e.g., accounts receivable, cash
flow, chart of accounts, GAAP)
Knowledge of financial management and financial analysis principles
(e.g., balance sheets, income and cash flow statements, ratio analysis)
Knowledge of operating budget principles (e.g., fixed vs. flexible, zero
based, variance analysis)
Knowledge of capital budgeting principles
Knowledge of reimbursement methodologies and ramifications
Knowledge of fundamental productivity measures (e.g., hours per patient
day, cost per patient day, units of service per man hour)
Knowledge of financial controls and auditing principles
Knowledge of capital funding sources
Knowledge of revenue generation
Knowledge of asset management, including facilities equipment, etc.
Healthcare Technology and Information Management Knowledge
5%
10
Knowledge of the role and function of information technology in
operations
Knowledge of technology trends and clinical applications
Knowledge of technology security requirements (re: HIPAA, local
governmental and organizational policies)
Knowledge of health information (e.g., data equipment, interoperability
standards, decision support)
Knowledge of information systems continuity (e.g., disaster planning,
recovery, backup sabotage, natural disasters)
Knowledge of information systems planning and implementation (e.g.,
service architecture, technology lifecycles, obsolescence
Quality and Performance Improvement Knowledge
10%
20
Knowledge of benchmarking techniques
Knowledge of medical staff peer review
Knowledge of risk management principles and programs (e.g., insurance,
education, safety, injury management, patient complaint, patient and staff
security)
Knowledge of performance and process improvement
Knowledge of customer satisfaction principles and tools
Knowledge of clinical methodologies (e.g., clinical pathways,
evidence-based medicine, population health, pay for performance)
Knowledge of utilization review
Knowledge of national quality initiatives including patient safety
Laws and Regulations
8%
16
Knowledge of human resources laws and regulations (e.g., labor law, wage
and hour, FMLA, FLSA, EEOC,) ERISA, workers compensation)
Knowledge of confidentiality principles and laws
Knowledge of corporate compliance laws and regulations (e.g., physician
contracts, billing and coding practices, antitrust, conflict of interest,
EMTALA, Stark, fraud and abuse, antikickback, tax status)
Knowledge of Medicare/Medicaid/third party payment regulations
Knowledge of inspection and accrediting standards, regulations and
organizations (e.g., The Joint Commission/NCQA, OSHA, FDA, NRC, CDC
Knowledge of patient rights laws and regulations (e.g., organ donation,
HIPPA, medical records, access to care, advance directives, durable power of
attorney, involuntary commitments)
Professionalism and Ethical Knowledge
8%
16
Knowledge of professional codes of ethical behavior (e.g., ACHE,
Hippocratic Oath, AMA)
Knowledge of patients’ rights and responsibilities
Knowledge of ethics committee’s roles, structure and functions
Knowledge of cultural and spiritual diversity for patients and staff as
they relate to healthcare needs
Knowledge of conflict of interest situations as defined by organizational
bylaws, policies and procedures
Knowledge of professional norms and behaviors
Knowledge of the consequences of unethical actions
Knowledge of ethical implications of human-subject research
Healthcare Knowledge
18%
36
Knowledge of healthcare and medical terminology
Knowledge of healthcare trends
Knowledge of managed care models, structures and environment (e.g.,
group, staff, IPA, PPO)
Knowledge of the ambulatory-care sector (acute-care, ambulatory care,
post-acute, public health, long-term)
Knowledge of the interdependency, integration and competition among
healthcare sectors
Knowledge of ancillary services (e.g., lab, radiology, therapies)
Knowledge of physicians’ roles
Knowledge of implications of community standards of care
Knowledge of evidence-based management practice
Knowledge of staff perspective in organizational settings (e.g., frame of
reference by discipline and role; orientation)
Knowledge of healthcare economics
Knowledge of the interrelationships among access, quality, cost,
resources allocation, accountability and community
Knowledge of nurse and allied health professionals scope of practice
Knowledge of support services (e.g., plant operations, materials
management, supply chain management, hospitality services)
Knowledge of patient perspective (e.g., cultural differences,
expectations)
Management Knowledge
15%
30
Knowledge of implementation planning (e.g., operational plan, management
plan)
Knowledge of contingency planning (e.g., emergency preparedness and
response)
Knowledge of organizational systems theory and structuring (e.g., span of
control, chain of command, interrelationships of organizational units)
Knowledge of management functions (e.g., planning, organizing, directing,
controlling)
Knowledge of leadership theory and situational applications
Knowledge of team-building techniques
Knowledge of mediation, negotiation and dispute resolving techniques
Knowledge of potential impacts and consequences of decision making in
situations both internal and external
Knowledge of how an organization’s culture impacts its effectiveness
Ability to analyze and evaluate information to support a decision or
recommendation
Ability to distinguish relevant from irrelevant information
Ability to integrate information from various sources to make decisions
or recommendations
Business Knowledge
10%
20
Knowledge of strategic planning principles (e.g., scenario planning,
forecasting, etc)
Knowledge of basic business contracts (e.g., legal and financial
implications)
Knowledge of marketing principles and tools (e.g., market analysis,
market research, sales, advertising)
Knowledge of techniques for business plan development, implementation and
assessment
Knowledge of principles of public affairs and community relations
Knowledge of the functions of organizational policies and procedures
Knowledge of socioeconomic environment in which the organizations
function
