Board of Governors Exam Outline

 
200 Questions Effective August 1, 2018
KNOWLEDGE AREA PERCENTAGE NO. OF QUESTIONS
Healthcare 14% 28
  1. Knowledge of healthcare and medical terminology
  2. Knowledge of healthcare trends
  3. Knowledge of the levels of healthcare along the continuum of care (e.g., extended care, acute hospital care, ambulatory care, home care)
  4. Knowledge of levels of service from a business perspective (e.g., home health, inpatient, outpatient)
  5. Knowledge of the types of healthcare providers (e.g., non-profit, for-profit, federal, public health)
  6. Knowledge of ancillary services (e.g., lab, radiology, therapies)
  7. Knowledge of support services (e.g., environment of care, plant operations, materials management, supply chain management, hospitality services)
  8. Knowledge of the interdependency of integration within and competition among healthcare sectors
  9. Knowledge of clinician roles and qualifying criteria (e.g., administrative versus clinical)
  10. Knowledge of evidence-based management practice
  11. Knowledge of different staff and functional perspectives in healthcare organizations (e.g., frame of reference, expectations, and responsibilities by discipline and role)
  12. Knowledge of the patient perspective (e.g., expectations, concerns) and how it differs from the provider perspective
  13. Knowledge of the interrelationships among healthcare access, quality, cost, resource allocation, accountability, and the community
Management and Leadership 13% 26
  1. Knowledge of implementation planning (e.g., operational plan, management plan)
  2. Knowledge of contingency planning (e.g., for emergency response as defined in National Incident Management System)
  3. Knowledge of organizational systems theory and structuring (e.g., span of control, chain of command, interrelationships of organizational units)
  4. Knowledge of management functions (e.g., planning, organizing, directing, controlling, and evaluating)
  5. Knowledge of leadership styles and how and in what situations they apply
  6. Knowledge of team-building techniques (e.g., communication, use of practical assessment or training tools)
  7. Knowledge of change management principles
  8. Knowledge of organizational development resources
  9. Knowledge of collaborative techniques for engaging and working with physicians
  10. Knowledge of diversity and inclusion principles and their influence on team and organizational effectiveness
  11. Knowledge of resource allocation methods (e.g., for addressing conflicts among departments or staff over scarce resources)
Finance 12% 24
  1. Knowledge of financial accounting principles needed to analyze and interpret financial reports (e.g., which ratios to look at given your current concerns)
  2. Knowledge of operating budget principles (e.g., fixed vs. flexible, zero based, variance analysis)
  3. Knowledge of capital budgeting principles (e.g., funding sources, long-term implications of capital planning, such as depreciation)
  4. Knowledge of reimbursement methodologies and their ramifications (e.g., managed care models, national/state programs, value-based, fee-for-service)
  5. Knowledge of fundamental productivity measures (e.g., hours per patient day, cost per patient day, units of service per labor hour)
  6. Knowledge of financial controls (e.g., internal systems for accounts payable, checks and balances, auditing principles).
  7. Knowledge of revenue generation (e.g., billing, coding, new ways to foster revenue, pricing strategies)
  8. Knowledge of how to justify a business model (e.g., make a business case for a new project to gain shareholder support)
  9. Knowledge of potential impacts and consequences of financial decision making on operations, healthcare, human resources, and quality of care
  10. Knowledge of asset management (e.g., depreciation schedule)
  11. Knowledge of financing, including funding sources, the process of obtaining credit and bond ratings, and issuing bonds
  12. Knowledge of philanthropy and foundation work (e.g., as source of funding for non-profit organizations or to target for-profit organizations’ activities)
  13. Knowledge of supply chain systems, structures, and processes
Human Resources 11% 22
  1. Knowledge of human resources laws and regulations (e.g., labor law, wage and hour, FMLA, FLSA, EEOC, ERISA, workers compensation)
  2. Knowledge of recruitment and retention approaches and techniques
  3. Knowledge of staffing methodologies and productivity management (e.g., acuity-based staffing, flexible staffing, fixed staffing)
  4. Knowledge of performance management systems (e.g., performance-based evaluation, rewards systems, disciplinary policies and procedures)
  5. Knowledge of employee motivation and development principles and techniques
  6. Knowledge of employee satisfaction and engagement measurement and improvement techniques
  7. Knowledge of compensation and benefits practices
  8. Knowledge of employee safety, security, and health issues (e.g., OSHA, workplace violence)
  9. Knowledge of conflict resolution and grievance procedures
  10. Knowledge of potential impacts and consequences of human resources decision-making on operations, finances, healthcare, and quality of care
  11. Knowledge of selection techniques (e.g., commonly available assessments and relative benefits)
  12. Knowledge of labor relations practices and strategies
  13. Knowledge of job design processes
  14. Knowledge of succession planning models
Quality and Performance Management 10% 20
  1. Knowledge of benchmarking principles and sources of best practices information (e.g., internal, state, and national standards)
  2. Knowledge of the principles and methods of medical staff peer review
  3. Knowledge of risk management principles and programs (e.g., insurance, education, safety, injury management, patient complaints, patient and staff security)
  4. Knowledge of managerial performance and process improvement tools and techniques (e.g., plan-do-study-act, lean processing, Six Sigma)
  5. Knowledge of clinical performance and process improvement tools and techniques (e.g., clinical pathways, evidence-based medicine, population health, pay-for-performance)
  6. Knowledge of quality and performance measurement tools (e.g., patient satisfaction measurements such as HCAHPS, net promoter scores)
  7. Knowledge of utilization review/case management system
  8. Knowledge of tools for improving patient safety (e.g., reducing avoidable errors, disclosure of errors)
  9. Recognition of quality as a strategic initiative, distinct from operations, and how it impacts operations, staffing, and financing decisions
Business 9% 18
  1. Knowledge of the strategic planning process (e.g., scenario planning, forecasting, community needs assessment)
  2. Knowledge of business planning processes, including development, implementation, and assessment (e.g., adding new services)
  3. Knowledge of basic business contracts, such as what constitutes a contractual commitment, and legal and financial implications (e.g., intentional damage to a person or business that causes economic harm)
  4. Knowledge of the impact the socioeconomic environment has on the organization functions
  5. Knowledge of marketing principles and tools and how to interpret marketing data (e.g., market analysis, market research, sales, advertising)
  6. Knowledge of principles of media relations, advertising, social media, and community relations
  7. Knowledge of the techniques involved in negotiating contracts or services (e.g., compromise, persuasion) and relevant factors (e.g., utilization review, models)
  8. Knowledge of potential impacts and consequences of business decision-making on operations, healthcare, human resources and quality of care
Healthcare Technology and Information Management 9% 18
  1. Knowledge of the role and function of information technology in business operations
  2. Knowledge of technology trends and clinical applications in a healthcare organization
  3. Knowledge of technology policies and regulations (e.g., complying with HIPAA security requirements, complying with HITECH Act meaningful use requirements for electronic healthcare records)
  4. Knowledge of health informatics needed for operational decisions (e.g., data and equipment interoperability standards support)
  5. Knowledge of potential impacts and consequences of healthcare IT decision-making on staff and processes in finance, operations, healthcare, and quality of care
  6. Knowledge of information systems continuity (e.g., disaster planning, recovery, backup, security, sabotage, natural disasters)
  7. Knowledge of factors that influence selection, acquisition, and maintenance of IT systems (e.g., upgrades and conversions, technology lifecycles)
  8. Knowledge of healthcare analytics
Laws and Regulations 8% 16
  1. Knowledge of laws relating to confidentiality (e.g., privacy act, FOIA, release of information)
  2. Knowledge of healthcare compliance laws and regulations (e.g., antitrust, conflict of interest, EMTALA, Stark, CMS)
  3. Knowledge of Medicare, Medicaid, and other third-party payment regulations
  4. Knowledge of inspection and accrediting standards, regulations, and organizations (e.g., OSHA, FDA, NRC, CDC, state and federal accreditation/licensure)
  5. Knowledge of patients’ rights laws and regulations (e.g., informed consent, HIPAA, advance directives, involuntary commitments)
  6. Knowledge of the different requirements for non-profit and for-profit healthcare organizations
  7. Knowledge of potential impact of laws and regulations on operational, financial, quality of care, and human resources decisions
Professionalism and Ethics 8% 16
  1. Knowledge of professional standards of conduct set forth by ACHE in theCodes of Ethics
  2. Knowledge of patients' rights and responsibilities (e.g., informed consent, withdrawal of care, advance directives)
  3. Knowledge of ethics committee’s roles, structure, and functions
  4. Knowledge of cultural and spiritual diversity of patients and staff as they relate to healthcare needs
  5. Knowledge of conflict of interest issues and solutions as defined by organizational bylaws, policies and procedures
  6. Knowledge of the consequences of unethical actions
  7. Knowledge of ethical implications of human-subject research
  8. Knowledge of other professional norms and standards of behaviors as defined by professions (e.g., AHA, Physicians’ Oaths, and other professional pledges)
  9. Knowledge of creating an ethical culture in an organization
Governance and Organizational Structure 6% 12
  1. Knowledge of governance theory (e.g., mission and values, relationships with board of directors, roles of governing board and management)
  2. Knowledge of governance structure (e.g., bylaws, articles of incorporation) and operations (e.g., board member selection, education, orientation, and assessment)
  3. Knowledge of medical staff structure and its relationship to governing bodies and facility operation (e.g., credentialing, privileging, and disciplinary process)
  4. Knowledge of the governing board’s role (e.g., ultimate accountability, conflict of interest issues, fiduciary responsibility)
  5. Knowledge of public policy matters and legislative and advocacy processes