HLA 20Competency 20Directory 20V2 20Oct 202010

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HLA 20Competency 20Directory 20V2 20Oct 202010 Powered By Docstoc
					HLA Competency Directory

          Domain                        Cluster         Association Keyword             Competency
Domain 1: Communication     Relationship Management
and Relationship Management
                                                          ACHE     Healthcare System    Organizational structure and relationships
Domain 1: Communication     Relationship Management
and Relationship Management
                                                          ACHE     Collaborate          Build collaborative relationships
Domain 1: Communication     Relationship Management
and Relationship Management
                                                          ACHE                           Demonstrate effective interpersonal relations
                                                                   Interpersonal Relations
Domain 1: Communication     Relationship Management
and Relationship Management
                                                          ACHE     Physicians           Develop and maintain medical staff relationships
Domain 1: Communication     Relationship Management
and Relationship Management
                                                          ACHE     External Relations   Develop and maintain relationships with suppliers
Domain 1: Communication     Relationship Management
and Relationship Management
                                                          ACHE     External Relations   Identify stakeholder needs/expectations
Domain 1: Communication     Relationship Management
and Relationship Management
                                                          ACHE     Healthcare System    Provide internal customer service
Domain 1: Communication     Relationship Management
and Relationship Management
                                                          ACHE     Collaborate          Practice and value shared decision making
Domain 1: Communication       Relationship Management                                   Seek out and incorporate the views of stakeholders for decisions that affect the
and Relationship Management                                                             quality of care, work environment and business stability of the organization.
                                                          ACMPE    External Relations
Domain 1: Communication     Relationship Management                                     Develop effective interpersonal skills.
and Relationship Management
                                                          ACMPE    Interpersonal Relations
Domain 1: Communication     Relationship Management                                      Provide effective communication linkages within the organization and to its
and Relationship Management                                                              external environment.
                                                          ACMPE    External Relations
Domain 1: Communication     Relationship Management                                     Build trusting, collaborative relationships with: Staff, peers, other disciplines,
and Relationship Management                                                             physicians, vendors, community leaders, legislators, nursing and other
                                                          AONE     Collaborate          educational programs




       11/11/2011                                                          1                                                                                 Version 2.8
Domain 1: Communication     Relationship Management
and Relationship Management
                                                        AONE                          Deliver “bad news” in such a way as to maintain credibility
                                                                Interpersonal Relations
Domain 1: Communication     Relationship Management
and Relationship Management
                                                        AONE    Accountability       Follow through on promises and concerns
Domain 1: Communication     Relationship Management
and Relationship Management
                                                        AONE    External Relations   Provide service recovery to dissatisfied customers
Domain 1: Communication     Relationship Management
and Relationship Management                                                           Care about people as individuals and demonstrate empathy and concern while
                                                        AONE                          ensuring that organizational goals and objectives are met
                                                                Interpersonal Relations
Domain 1: Communication     Relationship Management
and Relationship Management                                                          Accomplish objectives through persuasion, celebrate successes and
                                                        AONE    Leadership           accomplishments, and communicate a shared vision
Domain 1: Communication       Relationship Management
and Relationship Management                             AONE    Leadership            Assert views in non-threatening, non-judgmental ways
Domain 1: Communication       Relationship Management                                 Building trusting, collaborative realtionships with: Board members, staff, peers,
and Relationship Management                             HFMA    Collaborate           other disciplines, clinicians, vendors, community leaders, government
Domain 1: Communication       Relationship Management                                 representatives
                                                                                      Deliver "bad news" in such a way as to maintain credibility and trust
and Relationship Management                             HFMA    Interpersonal Relations
Domain 1: Communication       Relationship Management                                 Follow through on promises and concerns
and Relationship Management                             HFMA    Accountability
Domain 1: Communication       Relationship Management                                 Identify stakeholder needs/expectations
and Relationship Management                             HFMA    External Relations
Domain 1: Communication       Relationship Management                                 Provide service recovery to dissatisfied customers
and Relationship Management                             HFMA    External Relations
Domain 1: Communication       Relationship Management                                 Demonstrate empathy for individuals while ensuring organizational goals are met
and Relationship Management                             HFMA    Interpersonal Relations
Domain 1: Communication       Relationship Management                                 Communicate a shared vision and accomplish objectives through persuasion
and Relationship Management                             HFMA    Leadership
Domain 1: Communication       Relationship Management                                 Share views in a non-judgmental, non-threatening way
and Relationship Management                             HFMA    Interpersonal Relations
Domain 1: Communication       Relationship Management                                 Hold individuals accountable for their actions
and Relationship Management                             HFMA    Accountability
Domain 1: Communication       Relationship Management                                 Function as an in-house consultant
and Relationship Management
                                                        HIMSS   Collaborate
Domain 1: Communication     Relationship Management                                  Develop and maintain relationships with vendors
and Relationship Management
                                                        HIMSS   External Relations




       11/11/2011                                                       2                                                                             Version 2.8
Domain 1: Communication     Communication Skills                                  Public Relations
and Relationship Management
                                                     ACHE    Communication
Domain 1: Communication     Communication Skills
and Relationship Management
                                                     ACHE    Communication        Principles of communication and their specific applications
Domain 1: Communication     Communication Skills
and Relationship Management                                                        Sensitivity to what is correct behavior when communicating with diverse cultures,
                                                     ACHE                          internal and external
                                                             Interpersonal Relations
Domain 1: Communication     Communication Skills
and Relationship Management
                                                     ACHE    Leadership           Communicate organizational mission, vision, objectives and priorities
Domain 1: Communication     Communication Skills
and Relationship Management
                                                     ACHE    Communication        Demonstrate effective written, oral communication, and presentation skills
Domain 1: Communication     Communication Skills
and Relationship Management                                                       Identify and utilize human and technical resources to develop and deliver
                                                     ACHE    Collaborate          communications
Domain 1: Communication     Communication Skills
and Relationship Management                                                       Prepare and deliver business communications including meeting agendas,
                                                     ACHE    Communication        presentations, business reports, and project communications plans
Domain 1: Communication     Communication Skills
and Relationship Management
                                                     ACHE    Lifelong learning    Present results of data analysis to decision makers
Domain 1: Communication     Communication Skills
and Relationship Management
                                                     ACHE    Lifelong learning    Provide and receive constructive feedback
Domain 1: Communication     Communication Skills
and Relationship Management
                                                     ACHE    Communication        Use factual data to produce and deliver credible and understandable reports
Domain 1: Communication     Communication Skills                                  Write clearly and effectively.
and Relationship Management
                                                     ACMPE   Communication
Domain 1: Communication       Communication Skills                                Speak clearly and effectively before individuals and groups in formal and informal
and Relationship Management                                                       settings.
                                                     ACMPE   Communication
Domain 1: Communication     Communication Skills                                  Listen and respond effectively to the idea and thoughts of others.
and Relationship Management
                                                     ACMPE   Communication
Domain 1: Communication     Communication Skills                                  Recognize and use non-verbal forms of communication.
and Relationship Management
                                                     ACMPE   Communication


       11/11/2011                                                    3                                                                             Version 2.8
Domain 1: Communication     Communication Skills
and Relationship Management                                                            Make oral presentations to diverse audiences on nursing, healthcare, and
                                                           AONE    Communication       organizational issues
Domain 1: Communication     Communication Skills
and Relationship Management                                                            Produce cogent and persuasive written materials to address nursing, healthcare,
                                                           AONE    Communication       and organizational issues appropriate to the audience
Domain 1: Communication     Communication Skills                                       Make financial presentations to diverse audiences
and Relationship Management
                                                           HFMA    Communication
Domain 1: Communication     Communication Skills                                       Provide relevant, persuasive written materials, appropriate to audience, on
and Relationship Management                                                            financial and organizational issues
                                                           HFMA    Communication
Domain 1: Communication     Communication Skills                                       Identify and utilize technical resources to develop and deliver communications
and Relationship Management
                                                           HFMA    Technology
Domain 1: Communication     Communication Skills                                       Present data analysis results to decision makers
and Relationship Management
                                                           HFMA    Communication
Domain 1: Communication     Communication Skills                                       Use factual data to produce credible reports
and Relationship Management
                                                           HFMA    Communication
Domain 1: Communication     Communication Skills                                       Provide and receive constructive feedback
and Relationship Management
                                                           HFMA    Lifelong learning
Domain 1: Communication     Communication Skills                                       Create an environment that recognizes and values differences in staff, patients
and Relationship Management                                                            and communities
                                                           HFMA    Collaborate
Domain 1: Communication     Communication Skills                                       Assess current environment regarding valuing diversity
and Relationship Management
                                                           HFMA    Diversity
Domain 1: Communication     Communication Skills                                       Prepare and deliver business communications, including: meeting agendas,
and Relationship Management                                                            presentations, business reports, project communication plans (e.g., status
                                                           HIMSS   Communication       reports, minutes, kick-offs)
Domain 1: Communication       Communication Skills                                     Facilitate group discussions and meetings
and Relationship Management
                                                           HIMSS   Teamwork
Domain 1: Communication     Communication Skills                                       Present results of data analyses to decision-makers
and Relationship Management                                HIMSS   Communication

Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                           ACHE    Negotiation         Mediation, negotiation, and dispute resolution techniques


        11/11/2011                                                         4                                                                            Version 2.8
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             ACHE    Teamwork             Engage in conflict resolution
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             ACHE    External Relations   Labor relations strategies
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             ACHE    Physicians           Build effective physician and administrator leadership teams
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             ACHE    Teamwork             Create, participate in, and lead teams
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             ACHE    Negotiation          Facilitate conflict and alternative dispute resolution
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             ACHE    Teamwork             Facilitate group dynamics, process, meetings and discussions
Domain 1: Communication     Facilitation and Negotiation                                  Demonstrate effective negotiation and facilitation skills.
and Relationship Management
                                                             ACMPE   Negotiation
Domain 1: Communication     Facilitation and Negotiation                                  Support and promote effective conflict resolution.
and Relationship Management
                                                             ACMPE   Negotiation
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             AONE    Teamwork             Provide an environment conducive to opinion-sharing
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             AONE    Negotiation          Resolve and manage conflict
Domain 1: Communication     Facilitation and Negotiation
and Relationship Management
                                                             AONE    Teamwork             Provide an environment conducive to opinion-sharing
Domain 1: Communication       Facilitation and Negotiation                                Facilitate processes, meetings and discussions and understand group dynamics
and Relationship Management
                                                             HFMA    Teamwork
Domain 1: Communication     Facilitation and Negotiation                                  Create, participate in and lead teams
and Relationship Management
                                                             HFMA    Teamwork
Domain 1: Communication     Facilitation and Negotiation                                  Practice shared decision making
and Relationship Management
                                                             HFMA    Collaborate


        11/11/2011                                                          5                                                                            Version 2.8
Domain 1: Communication     Facilitation and Negotiation       HFMA    Collaborate          Create an environment open to sharing opinions
and Relationship Management Facilitation and Negotiation
Domain 1: Communication                                                                     Use effective negotiation skills
and Relationship Management
                                                               HFMA    Negotiation
Domain 1: Communication     Facilitation and Negotiation               External Relations   Provide customer service (e.g., service level management, request tracking,
and Relationship Management                                                                 problem resolution)
                                                               HIMSS
Domain 1: Communication     Facilitation and Negotiation               Negotiation          Engage in conflict resolution
and Relationship Management
                                                               HIMSS
Domain 1: Communication     Facilitation and Negotiation               Teamwork             Participate on teams
and Relationship Management
                                                               HIMSS

Domain 2: Leadership          Leadership Skills and Behavior
                                                               ACHE    Theory               Leadership theory and situational applications
Domain 2: Leadership          Leadership Skills and Behavior                                Potential impacts and consequences of decision making in situations both internal
                                                               ACHE    Decision-Making      and external
Domain 2: Leadership          Leadership Skills and Behavior
                                                               ACHE    Theory               Leadership styles/techniques
Domain 2: Leadership          Leadership Skills and Behavior
                                                               ACHE    Regulations          Adhere to legal and regulatory standards
Domain 2: Leadership          Leadership Skills and Behavior
                                                               ACHE    Decision-Making      Champion solutions and encourage decision making
Domain 2: Leadership          Leadership Skills and Behavior
                                                               ACHE    External Relations   Develop external relationships
Domain 2: Leadership          Leadership Skills and Behavior                                Incorporate and apply management techniques and theories into leadership
                                                               ACHE    Theory               activities
Domain 2: Leadership          Leadership Skills and Behavior
                                                               ACHE    Culture              Foster an environment of mutual trust
Domain 2: Leadership          Leadership Skills and Behavior
                                                               ACHE    Mentoring            Support and mentor high-potential talent within the organization
Domain 2: Leadership          Leadership Skills and Behavior
                                                               ACHE    External Relations   Advocate and participate in healthcare policy initiatives
Domain 2: Leadership          Leadership Skills and Behavior                                Uphold and advocate ethical standards and decision-making.
                                                               ACMPE   Ethics
Domain 2: Leadership          Leadership Skills and Behavior                                Understand effective techniques for working with boards and governance
                                                               ACMPE   Governance           structures.
Domain 2: Leadership          Leadership Skills and Behavior                             Understand and manage expectations.
                                                               ACMPE   Change Management
Domain 2: Leadership          Leadership Skills and Behavior                             Learn from mistakes.
                                                               ACMPE   Lifelong Learning

        11/11/2011                                                               6                                                                             Version 2.8
Domain 2: Leadership   Leadership Skills and Behavior                               Encourage and lead participation in advoacy endeavors at the local, state and
                                                        ACMPE   Advocate            national levels.
Domain 2: Leadership   Leadership Skills and Behavior
                                                        AONE    Decision-Making     Engage staff and others in decision-making
Domain 2: Leadership   Leadership Skills and Behavior
                                                        AONE    Systems Thinking    Address ideas, beliefs or viewpoints that should be given serious consideration
Domain 2: Leadership   Leadership Skills and Behavior                               Recognize one’s own method of decision making and the role of beliefs, values
                                                        AONE    Self Awareness      and inferences
Domain 2: Leadership   Leadership Skills and Behavior
                                                        AONE    Systems Thinking    Critically analyze organizational issues after a review of the evidence
Domain 2: Leadership   Leadership Skills and Behavior
                                                        AONE    Lifelong Learning   Maintain curiosity and an eagerness to explore new knowledge and ideas
Domain 2: Leadership   Leadership Skills and Behavior
                                                        AONE    Theory              Promote nursing leadership as both a science and an art
Domain 2: Leadership   Leadership Skills and Behavior                               Demonstrate reflective leadership and an understanding that all leadership begins
                                                        AONE    Self Awareness      from within
Domain 2: Leadership   Leadership Skills and Behavior
                                                        AONE    Leadership          Provide visionary thinking on issues that impact the healthcare organization
Domain 2: Leadership   Leadership Skills and Behavior
                                                        AONE    Systems Thinking    Synthesize and integrate divergent viewpoints for the good of the organization
Domain 2: Leadership   Leadership Skills and Behavior                               Identify and address ideas, beliefs, and viewpoints that should be given serious
                                                        HFMA    Systems Thinking    consideration
Domain 2: Leadership   Leadership Skills and Behavior                               Identify one's own method of decision making and problem solving
                                                        HFMA    Self Awareness
Domain 2: Leadership   Leadership Skills and Behavior                               Utilize relevant data to critically analyze financial and organizational issues
                                                        HFMA    Systems Thinking
Domain 2: Leadership   Leadership Skills and Behavior                               Provide visionary leadership identifying future possibilities for the organization
                                                        HFMA    Leadership
Domain 2: Leadership   Leadership Skills and Behavior                               Values and act on feedback about own strengths and weaknesses
                                                        HFMA    Self Awareness
Domain 2: Leadership   Leadership Skills and Behavior                               Apply lessons learned from successes, setbacks, and failures to improve
                                                        HFMA    Lifelong Learning   subsequent outcomes
Domain 2: Leadership   Leadership Skills and Behavior                            Serve as a change agent, assisting others in understanding needed changes,
                                                        HFMA    Change Managementreasons for change and the change process
Domain 2: Leadership   Leadership Skills and Behavior                            Incorporte leadership and management theories as the foundation for leadership
                                                        HFMA    Theory           behaviors
Domain 2: Leadership   Leadership Skills and Behavior   HFMA    Mentoring           Serve as a professional role model and mentor to future leaders
Domain 2: Leadership   Leadership Skills and Behavior   HIMSS   Assessment          Assess organizational perception of departmental effectiveness
Domain 2: Leadership   Leadership Skills and Behavior   HIMSS   Accountability      Maintain department documentation
Domain 2: Leadership   Leadership Skills and Behavior   HIMSS   Decision-Making     Engage in critical thinking and decision-making

Domain 2: Leadership   Organizational Climate and
                       Culture                          ACHE    Teamwork            Create an organizational climate that encourages teamwork

       11/11/2011                                                        7                                                                              Version 2.8
Domain 2: Leadership   Organizational Climate and
                       Culture                      ACHE    Diversity            Establish an organizational culture that values and supports diversity
Domain 2: Leadership   Organizational Climate and                                 Assess the organization including corporate values and culture; business
                       Culture                      ACHE    Systems Thinking     processes and impact of systems on operations
Domain 2: Leadership   Organizational Climate and                                Foster teamwork between clinical and administrative staff.
                       Culture                      ACMPE   Teamwork
Domain 2: Leadership   Organizational Climate and                            Support innovation and creativity.
                       Culture                      ACMPE   Change Management
Domain 2: Leadership   Organizational Climate and                            Create an environment which recognizes and values differences in staff,
                       Culture                      AONE    Diversity        physicians, patients, and communities
Domain 2: Leadership   Organizational Climate and                            Assess current environment and establish indicators of progress toward cultural
                       Culture                      AONE    Diversity        competency
Domain 2: Leadership   Organizational Climate and                            Define diversity in terms of gender, race, religion, ethnicity, sexual orientation,
                       Culture                      AONE    Diversity        age, etc.
Domain 2: Leadership   Organizational Climate and
                       Culture                      AONE    Diversity            Analyze population data to identify cultural clusters
Domain 2: Leadership   Organizational Climate and
                       Culture                      AONE    Diversity            Define cultural competency and permeate principles throughout the organization
Domain 2: Leadership   Organizational Climate and
                                                    AONE    Diversity            Confront inappropriate behaviors and attitudes toward diverse groups
                       Culture
Domain 2: Leadership   Organizational Climate and
                       Culture                      AONE    Culture              Develop processes to incorporate cultural beliefs into care
Domain 2: Leadership   Organizational Climate and
                       Culture                      AONE    Leadership           Create and communicate a shared vision
Domain 2: Leadership   Organizational Climate and   AONE    Patients & Families Promote decisions that are patient-centered
Domain 2: Leadership   Culture
                       Organizational Climate and
                       Culture                      AONE    Collaborate          Provide an environment conducive to opinion sharing
Domain 2: Leadership   Organizational Climate and                                Create an environment that facilitates the team to initiate actions that produce
                       Culture                      AONE    Teamwork             results
Domain 2: Leadership   Organizational Climate and                                Create an environment in which others are setting expectations and holding each
                       Culture                      AONE    Accountability       other accountable
Domain 2: Leadership   Organizational Climate and
                       Culture                      AONE    Decision-Making      Engage staff and others in decision-making
Domain 2: Leadership   Organizational Climate and                                Create an environment in which professional and personal growth is an
                       Culture                      AONE    Lifelong Learning    expectation
Domain 2: Leadership   Organizational Climate and
                       Culture                      AONE    Ethics               Create an environment that has a reputation for high ethical standards
Domain 2: Leadership   Organizational Climate and                                Creates a climate that encourages teamwork and trust
                       Culture                      HFMA    Teamwork
Domain 2: Leadership   Organizational Climate and                                Foster a culture that engenders commitment to organizational purpose and values
                       Culture                      HFMA    Culture
Domain 2: Leadership   Organizational Climate and                                Assess the organizations approaches, methods, and values
                       Culture                      HIMSS   Systems Thinking
Domain 2: Leadership   Organizational Climate and                                Assess the organizational corporate culture
                       Culture                      HIMSS   Culture

       11/11/2011                                                     8                                                                          Version 2.8
Domain 2: Leadership   Communicating Vision   ACHE    Accountability         Create an organizational climate that facilitates individual motivation
Domain 2: Leadership   Communicating Vision                                 Encourage a high level of commitment to the purpose and values of the
                                               ACHE   Ethics                organization
Domain 2: Leadership   Communicating Vision    ACHE   Leadership            Establish a compelling organizational vision and goals
Domain 2: Leadership   Communicating Vision    ACHE   Accountability        Hold self and others accountable for organizational goal attainment
Domain 2: Leadership   Communicating Vision    ACHE   Physicians            Gain physician buy-in to accept risk and support new business ventures
Domain 2: Leadership   Communicating Vision   ACMPE   Implementation        Focus on implementation of organizational strategy.
Domain 2: Leadership   Communicating Vision   ACMPE   Leadership            Inspire others toward a shared vision.
Domain 2: Leadership   Communicating Vision
                                              AONE    Systems Thinking      Assure that the clinical perspective is included in organizational decisions
Domain 2: Leadership   Communicating Vision   AONE    Leadership            Create and communicate a shared vision
Domain 2: Leadership   Communicating Vision                                 Establish and communicate a compelling organizational vision and goals
                                              HFMA    Leadership
Domain 2: Leadership   Communicating Vision                            Identify opportunities for the growth and development of the organization
                                              HFMA    Change Management
Domain 2: Leadership   Communicating Vision                            Promotes systems thinking in operations
                                              HFMA    Systems Thinking
Domain 2: Leadership   Communicating Vision   HFMA    Accountability        Exemplfies and encourages a high degree of commitment to the organization
Domain 2: Leadership   Communicating Vision                                 Holds self and others accountable for organizational goal attainment
                                              HFMA    Accountability
Domain 2: Leadership   Communicating Vision                                 Promote continual organizational learning and improvement
                                              HFMA    Quality Improvement
Domain 2: Leadership   Communicating Vision                                 Promote an understanding of the importance of fiscal discipline to meet the vision
                                              HFMA    Systems Thinking      and mission of the organization
Domain 2: Leadership   Communicating Vision                                 Develop departmental objectives that align with organizational strategies and
                                              HIMSS   Strategy              goals


Domain 2: Leadership   Managing Change        ACHE    Change ManagementPromote and manage change
Domain 2: Leadership   Managing Change                                    Explore opportunities for the growth and development of the organization on a
                                              ACHE    Quality Improvement continuous basis
Domain 2: Leadership   Managing Change        ACHE    Quality Improvement Promote continuous organizational learning/improvement
Domain 2: Leadership   Managing Change        ACHE    Strategy            Anticipate and plan strategies for overcoming obstacles
Domain 2: Leadership   Managing Change        ACHE    Planning            Anticipate the need for resources to carry out initiatives
Domain 2: Leadership   Managing Change                                    Develop effective medical staff relationships in support of the organization's
                                               ACHE   Physicians          mission, vision and strategic plan
Domain 2: Leadership   Managing Change        ACMPE   Change ManagementDemonstrate change management skills.
Domain 2: Leadership   Managing Change
                                              AONE    Implementation   Utilize change theory to plan for the implementation of organizational changes
Domain 2: Leadership   Managing Change                                 Serve as a change agent, assisting others in understanding the importance,
                                              AONE    Change Managementnecessity, impact and process of change
Domain 2: Leadership   Managing Change        AONE    Staff            Support staff during times of difficult transitions
Domain 2: Leadership   Managing Change                                 Recognize one’s own reaction to change and strive to remain open to new ideas
                                              AONE    Self Awareness   and approaches

       11/11/2011                                             9                                                                                Version 2.8
Domain 2: Leadership        Managing Change             AONE    Change ManagementAdapt leadership style to situational needs
Domain 2: Leadership        Managing Change             AONE    Change ManagementServe as a change agent when new patient care/workflow is redesigned
Domain 2: Leadership        Managing Change                                      Specify key performance indicators for monitoring the strategic plan achievements
                                                        HFMA    Strategy
Domain 2: Leadership        Managing Change                                      Manage the integration of the strategic plan with operational planning and
                                                        HFMA    Systems Thinking activities
Domain 2: Leadership        Managing Change                                      Identify tasks that need to be implemented to achieve strategic and operational
                                                        HFMA    Strategy         goals
Domain 2: Leadership        Managing Change             HIMSS   Theory           Promote and apply organizational change management techniques
Domain 2: Leadership        Managing Change                                      Utilize organizational change management techniques in support of solution
                                                        HIMSS   Implementation   implementation

Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Ethics               Professional codes of ethical behavior (e.g., ACHE, Hippocratic Oath, AMA)
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Patients & Families Patients rights and responsibilities
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Ethics               Ethics committees roles, structure, and functions
Domain 3: Professionalism   Personal and Professional                                Cultural and spiritual diversity for patients and staff as they relate to healthcare
                            Accountability              ACHE    Diversity            needs
Domain 3: Professionalism   Personal and Professional                                Conflict of interest situations as defined by organizational bylaws, policies, and
                            Accountability              ACHE    Negotiation          procedures
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Ethics               Consequences of unethical actions
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Ethics               Organizational business and personal ethics
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Accountability       Professional roles, responsibility and accountability
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Ethics               Professional standards and codes of ethics
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Ethics               Adhere to ethical business principles
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Self Awareness       Balance professional and personal pursuits
Domain 3: Professionalism   Personal and Professional
                            Accountability              ACHE    Ethics               Uphold and act upon ethical and professional standards
Domain 3: Professionalism   Personal and Professional                                Commit to competence, integrity, altruism and the promotion of the public good.
                            Accountability              ACMPE   Ethics
Domain 3: Professionalism   Personal and Professional                                Demonstrate and promote cultural sensitivity.
                            Accountability              ACMPE   Diversity
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Diversity            Address ideas, beliefs or viewpoints that should be given serious consideration


       11/11/2011                                                        10                                                                               Version 2.8
Domain 3: Professionalism   Personal and Professional                                 Recognize one’s own method of decision making and the role of beliefs, values
                            Accountability              AONE    Self Awareness        and inferences
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Analysis              Critically analyze organizational issues after a review of the evidence
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Lifelong Learning     Maintain curiosity and an eagerness to explore new knowledge and ideas
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Leadership            Promote nursing leadership as both a science and an art
Domain 3: Professionalism   Personal and Professional                                 Demonstrate reflective leadership and an understanding that all leadership begins
                            Accountability              AONE    Self Awareness        from within
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Leadership            Provide visionary thinking on issues that impact the healthcare organization
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Ethics                Articulate the application of ethical principles to operations
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Ethics                Integrate high ethical standards and core values into everyday work activities
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Culture               Create an environment that has a reputation for high ethical standards
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Accountability        Answer for the results of one’s own behaviors and actions
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Accountability        Hold self and others accountable for actions and outcomes
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Lifelong Learning     Participate in at least one professional organization
Domain 3: Professionalism   Personal and Professional
                            Accountability              AONE    Mentoring             Support and encourage others to participate in a professional organization
Domain 3: Professionalism   Personal and Professional                                 Holds self and others accountable for actions and outcomes
                            Accountability              HFMA    Accountability
Domain 3: Professionalism   Personal and Professional                                 Establish an environment of responsibility and accountability
                            Accountability              HFMA    Accountability
Domain 3: Professionalism   Personal and Professional                                 Adheres to ethical business and professional standards
                            Accountability              HFMA    Ethics
Domain 3: Professionalism   Personal and Professional                                 Champions high ethical values in everyday work activities and fosters a culture of
                            Accountability              HFMA    Culture               high ethics
Domain 3: Professionalism   Personal and Professional                                 Insures transparent, complete and accurate financial reporting
                            Accountability              HFMA    Accountability
Domain 3: Professionalism   Personal and Professional                                 Practices due diligence in carrying out organizational fiduciary responsibilities
                            Accountability              HFMA    Accountability
Domain 3: Professionalism   Personal and Professional                                 Champions patients' rights and responsibilities
                            Accountability              HFMA    Patients & Families
Domain 3: Professionalism   Personal and Professional                                 Adhere to legal and regulatory standards
                            Accountability              HIMSS   Regulations


       11/11/2011                                                         11                                                                             Version 2.8
Domain 3: Professionalism   Personal and Professional                                  Adhere to ethical business principles
                            Accountability                 HIMSS   Ethics
Domain 3: Professionalism   Personal and Professional                                  Ensure compliance with applicable industry, regulatory, and organizational
                            Accountability                 HIMSS   Regulations         standards
Domain 3: Professionalism   Personal and Professional                                  Ensure a process exists to incorporate industry, technology, infrastructure, legal
                            Accountability                 HIMSS   Management          and regulatory environment trends


Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              ACHE    Accountability      Professional norms and behaviors
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              ACHE    Self Awareness      Professional societies and memberships
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              ACHE    Lifelong Learning   Contribute to professional knowledge and evidence
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              ACHE    Self Awareness      Time and stress mangement techniques
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              ACHE    Self Awareness      Conduct self assessments
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              ACHE    Collaborate         Network with colleagues
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              ACHE    Self Awareness      Participate in continuing education and career planning
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              ACHE    Lifelong Learning   Acquire and stay current with the professional body of knowledge
Domain 3: Professionalism   Professional Development and                               Commit to self-assessment and continuous learning.
                            Lifelong Learning              ACMPE   Self Awareness
Domain 3: Professionalism   Professional Development and                               Provide personal commitment to enhance knowledge, skills and abilities in
                            Lifelong Learning              ACMPE   Leadership          healthcare administration.
Domain 3: Professionalism   Professional Development and                               Value and act on feedback that is provided about one’s own strengths and
                            Lifelong Learning              AONE    Self Awareness      weaknesses
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              AONE    Lifelong Learning   Demonstrate the value of lifelong learning through one’s own example
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              AONE    Lifelong Learning   Learn from setbacks and failures as well as successes
Domain 3: Professionalism   Professional Development and                               Assess one’s personal, professional and career goals and undertake career
                            Lifelong Learning              AONE    Self Awareness      planning
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              AONE    Mentoring           Seek mentorship from respected colleagues
Domain 3: Professionalism   Professional Development and
                            Lifelong Learning              AONE    Lifelong Learning   Develop own career plan and measure progress according to that plan
Domain 3: Professionalism   Professional Development and                               Develop a career plan and measure personal progress in achieving the plan
                            Lifelong Learning              HFMA    Lifelong Learning



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Domain 3: Professionalism   Professional Development and                               Create an environment wherein professional and personal growth is an
                            Lifelong Learning              HFMA    Culture             expectation
Domain 3: Professionalism   Professional Development and                               Acquire and stay current with the professional body of knowledge
                            Lifelong Learning              HFMA    Lifelong Learning
Domain 3: Professionalism   Professional Development and                               Develop educational strategies
                            Lifelong Learning              HIMSS   Lifelong Learning
Domain 3: Professionalism   Professional Development and                               Acquire information and skills from a variety of sources (e.g., articles, colleagues,
                            Lifelong Learning              HIMSS   Lifelong Learning   conferences, web) to stay current with market and industry trends


Domain 3: Professionalism   Contributions to the
                            Community and Profession       ACHE    Ethics              Ethical implications of human-subject research
Domain 3: Professionalism   Contributions to the
                            Community and Profession       ACHE    Ethics              Serve as the ethical guide for the organization
Domain 3: Professionalism   Contributions to the
                            Community and Profession       ACHE    Accountability      Practice due diligence to carry out fiduciary responsibilities
Domain 3: Professionalism   Contributions to the
                            Community and Profession       ACHE    Mentoring           Mentor, advice, and coach
Domain 3: Professionalism   Contributions to the
                            Community and Profession       ACHE    Advocate            Advocate for patients, families and communities
Domain 3: Professionalism   Contributions to the
                            Community and Profession                                   Advocate with physicians for the importance of hiring professionally trained and
                                                           ACHE    Advocate            certified administrators and supporting their professional development
Domain 3: Professionalism   Contributions to the
                            Community and Profession       ACHE    Community           Participate in community service
Domain 3: Professionalism   Contributions to the                                       Support collegial relationships with peers through networking, information-sharing
                            Community and Profession       ACMPE   Mentoring           and mentoring.
Domain 3: Professionalism   Contributions to the                                       Participate in and encourage service and volunteer activities to support the
                            Community and Profession       ACMPE   Advocate            development of colleagues, staff and the community.
Domain 3: Professionalism   Contributions to the                                       Represent the organization to non-healthcare to non health care constituents
                            Community and Profession       AONE    Advocate            within the community
Domain 3: Professionalism   Contributions to the                                       Provide consultation to community and business leaders regarding nursing and
                            Community and Profession       AONE    Community           health care
Domain 3: Professionalism   Contributions to the
                            Community and Profession       AONE    Community           Be an effective board member for community and/or professional organizations
Domain 3: Professionalism   Contributions to the
                            Community and Profession       AONE    Planning            Determine current and future supply and demand for nursing care
Domain 3: Professionalism   Contributions to the
                            Community and Profession       AONE    Nursing             Identify educational needs of existing and potential nursing staff
Domain 3: Professionalism   Contributions to the
                            Community and Profession       AONE    Collaborate         Collaborate with nursing programs to provide required resources
Domain 3: Professionalism   Contributions to the                                       Collaborate with nursing programs in evaluating quality of graduating clinicians
                            Community and Profession       AONE    Collaborate         and develop mechanisms to enhance this quality


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Domain 3: Professionalism    Contributions to the
                             Community and Profession   AONE   Community           Serve on academic advisory councils
Domain 3: Professionalism    Contributions to the                                  Collaborate with nursing faculty in nursing research and incorporate nursing
                             Community and Profession   AONE   Collaborate         research into practice constituents within the community
Domain 3: Professionalism    Contributions to the                                  Provide consultation to community and business leaders regarding nursing and
                             Community and Profession   AONE   Community           health care
Domain 3: Professionalism    Contributions to the
                             Community and Profession                              Role model lifelong learning, including clinical subjects such as disease
                                                        AONE   Lifelong Learning   processes, pharmaceuticals, and clinical technology Delivery Models/Work Design
Domain 3: Professionalism    Contributions to the
                             Community and Profession   AONE   Advocate            Promote nursing management as a desirable specialty
Domain 3: Professionalism    Contributions to the                                  Conduct periodic organizational assessments to identify succession planning
                             Community and Profession   AONE   Assessment          issues and establish action plans
Domain 3: Professionalism    Contributions to the
                             Community and Profession   AONE   Mentoring           Serve as a professional role model and mentor to future nursing leaders
Domain 3: Professionalism    Contributions to the                                  Establish mechanisms that provide for early identification and mentoring of staff
                             Community and Profession   AONE   Mentoring           with leadership potential
Domain 3: Professionalism    Contributions to the
                             Community and Profession   AONE   Planning            Develop a succession plan for one’s own position
Domain 3: Professionalism    Contributions to the                                  Provide mentorship and career counseling to aspiring clinicians and leaders so
                             Community and Profession   AONE   Physicians          they may develop required skill
Domain 3: Professionalism    Contributions to the
                             Community and Profession   AONE   Mentoring           Coach others in developing their own career plans
Domain 3: Professionalism    Contributions to the                                  Consider the impact of nursing decisions on the health care organization as a
                             Community and Profession   AONE   Nursing             whole
Domain 3: Professionalism    Contributions to the
                             Community and Profession   AONE   Leadership          Provide leadership in building loyalty and commitment throughout the organization
Domain 3: Professionalism    Contributions to the
                             Community and Profession   AONE   Diversity           Synthesize and integrate divergent viewpoints for the good of the organization
Domain 3: Professionalism    Contributions to the                                  Articulate federal and state laws and regulations that affect the provision of
                             Community and Profession   AONE   Regulations         patient care, e.g., tort reform, malpractice/negligence, reimbursement
Domain 3: Professionalism    Contributions to the
                             Community and Profession                               Participate in the legislative process concerning health care through membership
                                                        AONE   Advocate            in professional organization and personal contact with public officials
Domain 3: Professionalism    Contributions to the                                   Educate patient care team members on the legislative and regulatory processes
                             Community and Profession   AONE   Advocate            and methods for influencing both
Domain 3: Professionalism    Contributions to the                                  Interpret impact of state and federal legislation on nursing and health care
                             Community and Profession   AONE   Systems Thinking    organizations
Domain 3: Professionalism    Contributions to the                                  Participation in professional associations and networks
                             Community and Profession   HFMA   Community

Domain 4: Knowledge of the   Healthcare Systems and
Healthcare Environment       Organizations              ACHE   Communication       Healthcare and medical terminology

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Domain 4: Knowledge of the   Healthcare Systems and
Healthcare Environment       Organizations            ACHE    Theory               Managed care models, structures, and environment (e.g., group, staff, IPA, PPO)
Domain 4: Knowledge of the   Healthcare Systems and
Healthcare Environment       Organizations            ACHE    Systems Thinking     The interdependency, integration, and competition among healthcare sectors
Domain 4: Knowledge of the   Healthcare Systems and
Healthcare Environment       Organizations            ACHE                        Evidence-based management practice
                                                              Evidence-based practice
Domain 4: Knowledge of the   Healthcare Systems and
Healthcare Environment       Organizations            ACHE    Theory               Healthcare economics
Domain 4: Knowledge of the   Healthcare Systems and                                The interrelationships among access, quality, cost, resource allocation,
Healthcare Environment       Organizations            ACHE    Systems Thinking     accountability, and community
Domain 4: Knowledge of the   Healthcare Systems and
Healthcare Environment       Organizations            ACHE    Regulations          Funding and payment mechanisms of the healthcare system
Domain 4: Knowledge of the   Healthcare Systems and
Healthcare Environment       Organizations            ACHE    Collaborate          The interaction and integration among healthcare sectors
Domain 4: Knowledge of the   Healthcare Systems and                                Demonstrate knowledge of the healthcare system and the environment in which it
Healthcare Environment       Organizations            ACMPE   Healthcare system    operates.
Domain 4: Knowledge of the   Healthcare Systems and                                Understand the healthcare industry's structure and underlying demographics
Healthcare Environment       Organizations            HFMA    Healthcare system
Domain 4: Knowledge of the   Healthcare Systems and                                Understand federal and state funding and payment systems, as well as private
Healthcare Environment       Organizations            HFMA    Regulations          insurance
Domain 4: Knowledge of the   Healthcare Systems and                                Maintain knowledge of various patient care delivery models and innovations
Healthcare Environment       Organizations            HFMA    Healthcare system
Domain 4: Knowledge of the   Healthcare Systems and                                Characteristics and services of different types of healthcare organizations (e.g.,
Healthcare Environment       Organizations                                         hospitals, clinics, ambulatory centers, community health organizations, healthcare
                                                      HIMSS   Healthcare system    payers, regulators)
Domain 4: Knowledge of the   Healthcare Systems and                                Characteristics of applications commonly used in healthcare (e.g., clinical,
Healthcare Environment       Organizations            HIMSS   Healthcare system    administrative, financial)


Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                ACHE    Healthcare system    Ancillary services (e.g., lab, radiology, therapies)
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                ACHE    Physicians           Physicians' roles
Domain 4: Knowledge of the   Health Care Personnel                                 The health care sectors (e.g., acute care, ambulatory care, post-acute, public
Healthcare Environment                                ACHE    Healthcare system    health, long-term)
Domain 4: Knowledge of the   Health Care Personnel                                 Staff perspective in organizational settings (e.g., frame of reference by discipline
Healthcare Environment                                ACHE    Staff                and role; orientation)
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                ACHE                        Nurse
                                                              Healthcare Professionals and allied health professionals scope of practice
Domain 4: Knowledge of the   Health Care Personnel                                Support services (e.g., plant operations, materials management, supply chain
Healthcare Environment                                ACHE    Healthcare system management, hospitality services)
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                ACHE                        Role
                                                              Healthcare Professionals of non-clinical professionals in the healthcare system


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Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                   ACHE                        Educational funding for healthcare personnel
                                                                 Healthcare Professionals
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                   ACHE    Staff                Workforce issues
Domain 4: Knowledge of the   Health Care Personnel                                    Coordinate the recruitment and orientation process of clinical and nonclinical staff.
Healthcare Environment                                   ACMPE   Staff
Domain 4: Knowledge of the   Health Care Personnel                                   Manage the recruitment, orientation and retention of clinical and
Healthcare Environment                                   ACMPE   Staff               nonclinical staff in a medical practice to meet effective staffing levels.
Domain 4: Knowledge of the   Health Care Personnel                                   Support organization leadership in the growth and management of
Healthcare Environment                                                               clinical staff as knowledgeable, participative stakeholders, including
                                                                                     leadership development, performance management, and professional
                                                         ACMPE   Physicians          standards of conduct.
Domain 4: Knowledge of the   Health Care Personnel                                   Define roles and expectations for clinical and non-clinical personnel in a
Healthcare Environment                                   ACMPE                       medical group practice.
                                                                 Healthcare Professionals
Domain 4: Knowledge of the   Health Care Personnel                                    Develop and monitor a program for provider licensure.
Healthcare Environment                                   ACMPE   Healthcare Professionals
Domain 4: Knowledge of the   Health Care Personnel                                   Build credibility with physicians as a champion for patient care, quality and
Healthcare Environment                                   AONE    Physicians          nursing professionalism
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                   AONE                        Confront and address inappropriate behavior towards patients and staff
                                                                 Healthcare Professionals
Domain 4: Knowledge of the   Health Care Personnel                                   Represent nursing at medical executive committee and other medical staff
Healthcare Environment                                   AONE    Nursing             committees
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                   AONE    Collaborate          Collaborate with medical staff leaders in determining needed patient care services
Domain 4: Knowledge of the   Health Care Personnel                                    Collaborate with physicians to develop patient care protocols, policies and
Healthcare Environment                                   AONE    Collaborate          procedures
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                   AONE    Collaborate          Collaborate with physicians to determine patient care equipment and facility needs
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                   AONE    Physicians           Utilize medical staff mechanisms to address physician clinical performance issues
Domain 4: Knowledge of the   Health Care Personnel
Healthcare Environment                                   AONE    Negotiation          Facilitate disputes involving physicians and nurses or other disciplines
Domain 4: Knowledge of the   Health Care Personnel                                   Maintain knowledge of current nursing practice and the roles and functions of
Healthcare Environment                                   AONE    Teamwork            patient care team members
Domain 4: Knowledge of the   Health Care Personnel       HFMA    Healthcare system   Understand the roles of various stakeholders in the healthcare industry
Domain 4: Environment
HealthcareKnowledge of the   Health Care Personnel                                   Roles of healthcare professionals and the organizational structures in which they
Healthcare Environment                                   HIMSS                       work
                                                                 Healthcare Professionals

Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   ACHE    Patients & Families The patient perspective (e.g., cultural differences, expectations)
Domain 4: Knowledge of the   The Patient's Perspective                               Design and implement a quality management system that leads to the
Healthcare Environment                                   ACMPE   Quality Improvement improvement of health care delivery and ensures patient safety.


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Domain 4: Knowledge of the   The Patient's Perspective                               Provide relevant and accurate resources to enhance patients' knowledge,
Healthcare Environment                                   ACMPE   Patients & Families understanding and participation in their medical care.
Domain 4: Knowledge of the   The Patient's Perspective                               Develop and oversee patient satisfaction and customer service programs.
Healthcare Environment                                   ACMPE   Patients & Families
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Healthcare system    Maintain current knowledge of patient care delivery systems and innovations
Domain 4: Knowledge of the   The Patient's Perspective                               Articulate various delivery systems and patient care models and the
Healthcare Environment                                   AONE                        advantages/disadvantages of each
                                                                 Evidence-based practice
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Change ManagementServe as change agent when patient care work/work flow is redesigned
Domain 4: Knowledge of the   The Patient's Perspective                               Determine when new delivery models are appropriate, and then envision and
Healthcare Environment                                   AONE                        develop them
                                                                 Evidence-based practice
Domain 4: Knowledge of the   The Patient's Perspective                                Support the development and implementation of an organization-wide patient
Healthcare Environment                                   AONE    Implementation       safety program
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Patient Safety       Design safe clinical systems, processes, policies and procedures
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Patient Safety       Monitor clinical activities to identify both expected and unexpected risks
Domain 4: Knowledge of the   The Patient's Perspective                                Support a non-punitive reporting environment and a reward system for reporting
Healthcare Environment                                   AONE    Patient Safety       unsafe practices
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Patient Safety       Support safety surveys, responding and acting on safety recommendations
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Patient Safety       Ensure staff is clinically competent and trained on their role in patient safety
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Patients & Families Role model the perspective that patient care is the core of the organization’s work
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Advocate             Assure that the clinical perspective is included in organizational decisions
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Advocate             Ensure that nurses are actively involved in decisions that affect their practice
Domain 4: Knowledge of the   The Patient's Perspective
Healthcare Environment                                   AONE    Patient Safety      Articulate and take action to support the JCAHO National Patient Safety Goals
Domain 4: Knowledge of the   The Patient's Perspective                               Exhibit an understanding of the interrelationships of access, quality, cost,
Healthcare Environment                                   HFMA    Quality Improvement resource allocation, accountability and community
Domain 4: Knowledge of the   The Patient's Perspective                               Display an appreciation of the patient's perspective
Healthcare Environment                                   HFMA    Patients & Families

Domain 4: Knowledge of the   The Community and the
Healthcare Environment       Environment                 ACHE    Community            Socioeconomic environment in which the organization functions
Domain 4: Knowledge of the   The Community and the                                    Healthcare trends
Healthcare Environment       Environment                 ACHE    Community



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Domain 4: Knowledge of the   The Community and the                               Implications of community standards of care
Healthcare Environment       Environment             ACHE    Community
Domain 4: Knowledge of the   The Community and the
Healthcare Environment       Environment             ACHE    Technology          Healthcare technological research and advancements
Domain 4: Knowledge of the   The Community and the                               Organization and delivery of healthcare
Healthcare Environment       Environment             ACHE    Healthcare system
Domain 4: Knowledge of the   The Community and the                               Community standard of care
Healthcare Environment       Environment             ACHE    Community
Domain 4: Knowledge of the   The Community and the                               Corporate compliance laws and regulations
Healthcare Environment       Environment             ACHE    Regulations
Domain 4: Knowledge of the   The Community and the                               Regulatory and administrative environment in which the organization functions
Healthcare Environment       Environment             ACHE    Regulations
Domain 4: Knowledge of the   The Community and the
Healthcare Environment       Environment             ACHE    Regulations         Governmental, regulatory, professional, and accreditation agencies
Domain 4: Knowledge of the   The Community and the
Healthcare Environment       Environment             ACHE    Advocate            Legislative issues and advocacy
Domain 4: Knowledge of the   The Community and the                                Encourage and participate in community, civic and volunteer service
Healthcare Environment       Environment             ACMPE   Community            activities.
Domain 4: Knowledge of the   The Community and the                                Participate in community outreach.
Healthcare Environment       Environment             ACMPE   Community
Domain 4: Knowledge of the   The Community and the                               Articulate patient care standards as published by JCAHO, CMS, and professional
Healthcare Environment       Environment             AONE    Patients & Families nursing literature
Domain 4: Knowledge of the   The Community and the                               Understand, articulate, and ensure compliance with the State Nurse Practice Act,
Healthcare Environment       Environment                                         State Board of Nursing regulations, regulatory agency standards, and policies of
                                                     AONE    Regulations         the organization
Domain 4: Knowledge of the   The Community and the                               Articulate federal and state laws and regulations that affect the provision of
Healthcare Environment       Environment             AONE    Regulations         patient care, e.g., tort reform, malpractice/negligence, reimbursement
Domain 4: Knowledge of the   The Community and the
Healthcare Environment       Environment                                         Participate in the legislative process concerning health care through membership
                                                     AONE    Advocate            in professional organization and personal contact with public officials
Domain 4: Knowledge of the   The Community and the                               Educate patient care team members on the legislative and regulatory processes
Healthcare Environment       Environment             AONE    Regulations         and methods for influencing both
Domain 4: Knowledge of the   The Community and the                               Interpret impact of state and federal legislation on nursing and health care
Healthcare Environment       Environment             AONE    Systems Thinking    organizations
Domain 4: Knowledge of the   The Community and the                               Explain healthcare IT advancements and implications on current IT system
Healthcare Environment       Environment             HFMA    Technology
Domain 4: Knowledge of the   The Community and the                               Demonstrate knowledge of the interaction and integration among healthcare
Healthcare Environment       Environment             HFMA    Systems Thinking    sectors
Domain 4: Knowledge of the   The Community and the                               Characteristics of interrelationships within and across healthcare organizations
Healthcare Environment       Environment             HIMSS   Systems Thinking
Domain 4: Knowledge of the   The Community and the                               Roles of governmental, regulatory, professional, and accreditation agencies
Healthcare Environment       Environment                                         related to healthcare and their effect on clinical and financial information
                                                     HIMSS   Regulations

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Domain 5: Business     General Management                             Ability to analyze and evaluate information to support a decision or
Knowledge and Skills                        ACHE   Decision-Making    recommendation
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Decision-Making    Ability to distinguish relevant from irrelevant information
Domain 5: Business     General Management                             Ability to integrate information from various sources to make decisions or
Knowledge and Skills                        ACHE   Decision-Making    recommendations
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Budgets            Basic business contracts (e.g., legal and financial implications)
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Implementation     Techniques for business plan development, implementation and assessment
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Community          Principles of public affairs and community relations
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Standards          The functions of organizational policies and procedures
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Analysis           Basic statistical analysis
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Analysis           Analyze the current way of doing business and clinical processes
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Analysis           Anticipate cause and effect relationships
Domain 5: Business     General Management                             Collect and analyze data from internal and external sources relevant to each
Knowledge and Skills                        ACHE   Analysis           situation
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Analysis           Conduct needs analysis, identify and prioritize requirements
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Decision-Making    Define the problem or opportunities
Domain 5: Business     General Management                             Discriminate between important and unimportant aspects of business and clinical
Knowledge and Skills                        ACHE   Decision-Making    situations as a basis for sound decision making
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Analysis           Identify alternate processes and potential solutions
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Decision-Making    Promote and apply problem solving philosophies
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Analysis           Utilize comparative analysis strategies
Domain 5: Business     General Management
Knowledge and Skills                        ACHE   Analysis           Demonstrate critical thinking and analysis
Domain 5: Business     General Management                             Prioritize or triage as necessary to ensure critical functions are repaired,
Knowledge and Skills                        ACHE   Analysis           maintained, or enhanced
Domain 5: Business     General Management                             Broad systems connections-potential impacts and consequences of decisions in a
Knowledge and Skills                        ACHE   Systems thinking   wide variety of situations both internal and external



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Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Systems thinking    Systems theory
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Systems thinking    Champion systems thinking
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Systems thinking    Identify how a system design accommodates business processes
Domain 5: Business     General Management                               Seek information from a variety of sources (e.g., Benchmarking; articles;
Knowledge and Skills                        ACHE    Lifelong learning   colleagues; list-serves; Web) to stay current with market and industry
Domain 5: Business     General Management
Knowledge and Skills                        ACHE                        Evidence-based practice
                                                    Evidence-based practice
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Planning            Facilities planning
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Standards           Inventory control systems
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Management          Project management
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Healthcare system   Purchasing procurement
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Planning            Develop work plans
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Accountability      Perform audits of systems and operations
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Management          Asset management, including investments, equipment, etc
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Budgets             Basic business contracts and contract negotiation
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Management          Management functions
Domain 5: Business     General Management                               Assess organizational perception of system effectiveness and departmental
Knowledge and Skills                        ACHE    Analysis            effectiveness
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Planning            Develop requests-for-information and requests-for-proposals
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Accountability      Manage vendor contracts
Domain 5: Business     General Management
Knowledge and Skills                        ACHE    Assessment          Measure quantitative dimensions of systems and departmental effectiveness
Domain 5: Business     General Management                                 Organize and manage the human and physical resources of the practice to
Knowledge and Skills                        ACHE                          achieve input, buy-in and optimal performance
                                                    Interpersonal Relations
Domain 5: Business     General Management                               Develop, implement and monitor business operation plans in line with the
Knowledge and Skills                        ACMPE   Planning            organization's strategic plan.
Domain 5: Business     General Management                               Develop, implement and oversee systems for the purchase of materials and
Knowledge and Skills                        ACMPE   Management          equipment.


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Domain 5: Business     General Management                                Manage facilities planning and maintenance activities to meet the organization's
Knowledge and Skills                        ACMPE   Planning             current and future needs.
Domain 5: Business     General Management                                Manage discernment process for identification and utilization of outsourced
Knowledge and Skills                        ACMPE   Healthcare system    expertise and business partners.
Domain 5: Business     General Management                                Estalish and monitor business processes to ensure effective and efficient clinical
Knowledge and Skills                        ACMPE   Assessment           operations.
Domain 5: Business     General Management                                Develop and implement a referral management process.
Knowledge and Skills                        ACMPE   Management
Domain 5: Business     General Management                                Design efficient patient flow patterns to maximize physician schedules.
Knowledge and Skills                        ACMPE   Analysis
Domain 5: Business     General Management                               Manage front office operations to maximize patient satisfaction, collection of
Knowledge and Skills                        ACMPE   Patients & Families payments and customer service efforts.
Domain 5: Business     General Management
Knowledge and Skills                        AONE    Systems thinking     Promote systems thinking as a value in the nursing organization
Domain 5: Business     General Management                                Consider the impact of nursing decisions on the health care organization as a
Knowledge and Skills                        AONE    Systems thinking     whole
Domain 5: Business     General Management
Knowledge and Skills                        AONE    Leadership           Provide leadership in building loyalty and commitment throughout the organization
Domain 5: Business     General Management
Knowledge and Skills                        AONE    Systems thinking      Synthesize and integrate divergent viewpoints for the good of the organization
Domain 5: Business     General Management                                 Identify and target business outcomes that are evidence based
Knowledge and Skills                        HFMA    Evidence-based practice
Domain 5: Business     General Management                                 Apply relevant management theory to business decisions
Knowledge and Skills                        HFMA    Theory
Domain 5: Business     General Management                                 Motivate employees to achieve desired end results
Knowledge and Skills                        HFMA    Interpersonal Relations
Domain 5: Business     General Management                                 Managing employees to effectively deal with change
Knowledge and Skills                        HFMA    Change Management
Domain 5: Business     General Management                                 Managing employees of different generations
Knowledge and Skills                        HFMA    Diversity
Domain 5: Business     General Management                                 Develop and deliver an effective performance review
Knowledge and Skills                        HFMA    Staff
Domain 5: Business     General Management                                 Effectively negotiate business transactions
Knowledge and Skills                        HFMA    Negotiation
Domain 5: Business     General Management                                 Define problems and/or opportunities
Knowledge and Skills                        HIMSS   Decision-Making
Domain 5: Business     General Management                                 Conduct a needs analysis
Knowledge and Skills                        HIMSS   Assessment
Domain 5: Business     General Management                                 Define and prioritize requirements
Knowledge and Skills                        HIMSS   Planning
Domain 5: Business     General Management                                 Develop work plans
Knowledge and Skills                        HIMSS   Planning


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Domain 5: Business     General Management                                 Document and analyze current business and clinical processes (e.g., process
Knowledge and Skills                          HIMSS   Analysis            mapping, flow diagramming)
Domain 5: Business     General Management                                 Determine deficiencies in current business and clinical processes
Knowledge and Skills                          HIMSS   Analysis
Domain 5: Business     General Management                                 Identify alternate processes and potential solutions
Knowledge and Skills                          HIMSS   Analysis
Domain 5: Business     General Management                                 Conduct a comparative analysis of alternatives
Knowledge and Skills                          HIMSS   Analysis
Domain 5: Business     General Management                                 Utilize project management skills and tools
Knowledge and Skills                          HIMSS   Management
Domain 5: Business     General Management                                 Assess business value
Knowledge and Skills                          HIMSS   Analysis
Domain 5: Business     General Management                                 Maintain project materials and documentation
Knowledge and Skills                          HIMSS   Healthcare system
Domain 5: Business     General Management                                 Develop requests for information and/or requests for proposals
Knowledge and Skills                          HIMSS   Planning
Domain 5: Business     General Management                                 Participate in determination of solution selection criteria
Knowledge and Skills                          HIMSS   Decision-Making
Domain 5: Business     General Management                                 Conduct solution selection activities (e.g., demonstrations, site visits, reference
Knowledge and Skills                          HIMSS   Assessment          checks)
Domain 5: Business     General Management                                 Implement solutions
Knowledge and Skills                          HIMSS   Decision-Making

Domain 5: Business     Financial Management                               Basic accounting principles (e.g., accounts receivable, cash flow, chart of
Knowledge and Skills                          ACHE    Accountability      accounts, GAAP)
Domain 5: Business     Financial Management                               Financial management and financial analysis principles (e.g., balance sheets,
Knowledge and Skills                          ACHE    Analysis            income & cash flow statements, ratio analysis)
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Budgets             Operating budget principles (e.g., fixed vs. flexible, zero-based, variance analysis)
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Budgets             Capital budgeting principles
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Reimbursement       Reimbursement methodologies and ramifications
Domain 5: Business     Financial Management                               Fundamental productivity measures (e.g., hours per patient day, cost per patient
Knowledge and Skills                          ACHE    Assessment          day, units of service per man hour)
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Assessment          Financial controls and auditing principles
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Budgets             Capital funding sources
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Budgets             Revenue generation



       11/11/2011                                            22                                                                              Version 2.8
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Accountability       Asset management, including facilities, equipment, etc
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Accountability       Cost accounting
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Planning             Financial planning methodologies
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Budgets              Financial statements
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Analysis             Outcomes measures and management
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Reimbursement        Reimbursement principles and techniques including rate setting and contracts
Domain 5: Business     Financial Management                                Prepare and manage budgets, including annual operating budgets, project
Knowledge and Skills                          ACHE    Budgets              budgets and capital budgets
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Assessment           Fundamental productivity measures
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Analysis             Analyze financial reward versus risk
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Planning             Apply financial planning methodologies to organizational objectives
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Accountability       Develop accounting and financial control systems
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Assessment           Develop and use performance monitoring metrics
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Reimbursement        Develop coding and reimbursement policies and procedures
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    External Relations   Establish business relationships with financial advisors
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Regulations          Maintain compliance with tax laws and filing procedures
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Negotiation          Negotiate third-party contracts
Domain 5: Business     Financial Management
Knowledge and Skills                          ACHE    Accountability       Provide stewardship of financial resources
Domain 5: Business     Financial Management                                Develop and implement the organization's budget to achieve organizational
Knowledge and Skills                          ACMPE   Budgets              objectives.
Domain 5: Business     Financial Management                                Establish internal controls for cash management.
Knowledge and Skills                          ACMPE   Accountability
Domain 5: Business     Financial Management                                Implement and maintain a process for external financial audits.
Knowledge and Skills                          ACMPE   Management
Domain 5: Business     Financial Management                                Develop and implement revenue cycle management and accounts receivable
Knowledge and Skills                          ACMPE   Accountability       management.


       11/11/2011                                            23                                                                              Version 2.8
Domain 5: Business     Financial Management                                Analyze and monitor financial performance and report financial results to
Knowledge and Skills                          ACMPE   Analysis             stakeholders.
Domain 5: Business     Financial Management                                Direct the payroll process.
Knowledge and Skills                          ACMPE   Management
Domain 5: Business     Financial Management                                Establish and maintain the organization's banking, investment and other financial
Knowledge and Skills                          ACMPE   External Relations   relationships.
Domain 5: Business     Financial Management                                Develop relationships with individual insurance carriers to optimize contract
Knowledge and Skills                          ACMPE   External Relations   negotiations and maintenance of existing contracts.
Domain 5: Business     Financial Management                                Implement, execute and monitor the production and compensation
Knowledge and Skills                          ACMPE   Physicians           strategy for providers.
Domain 5: Business     Financial Management                                Articulate business models for healthcare organizations and fundamental
Knowledge and Skills                          AONE    Theory               concepts of economics
Domain 5: Business     Financial Management
Knowledge and Skills                          AONE    Accountability       Describe general accounting principles and define basic accounting terms
Domain 5: Business     Financial Management
Knowledge and Skills                          AONE    Analysis             Analyze financial statements
Domain 5: Business     Financial Management
Knowledge and Skills                          AONE    Planning             Manage financial resources by developing business plans
Domain 5: Business     Financial Management
Knowledge and Skills                          AONE    Reimbursement        Establish procedures to assure accurate charging mechanisms
Domain 5: Business     Financial Management                                Educate patient care team members on financial implications of patient care
Knowledge and Skills                          AONE    Reimbursement        decisions
Domain 5: Business     Financial Management                                Articulate federal and state payment systems and regulations, as well as private
Knowledge and Skills                          AONE    Reimbursement        insurance issues, which affect organization’s finances
Domain 5: Business     Financial Management                                Understand and articulate individual organization’s payer mix, CMI and
Knowledge and Skills                          AONE    Reimbursement        benchmark database
Domain 5: Business     Financial Management
Knowledge and Skills                          AONE    Assessment           Read and interpret benchmarking, financial and occupancy data
Domain 5: Business     Financial Management                                Understand and apply cost analysis and cost management
Knowledge and Skills                          HFMA    Budgets
Domain 5: Business     Financial Management                                Apply financial analysis techniques
Knowledge and Skills                          HFMA    Analysis
Domain 5: Business     Financial Management                                Demonstrate knowledge of accounting concepts and principles
Knowledge and Skills                          HFMA    Theory
Domain 5: Business     Financial Management                                Develop and direct auditing and internal controls
Knowledge and Skills                          HFMA    Accountability
Domain 5: Business     Financial Management                                Understand and direct capital planning and financing
Knowledge and Skills                          HFMA    Planning
Domain 5: Business     Financial Management                                Complete budgeting process and evaluate budget performance
Knowledge and Skills                          HFMA    Budgets
Domain 5: Business     Financial Management                                Understand investment and cash management including establishing
Knowledge and Skills                          HFMA    Assessment           performance criteria and monitoring performance


       11/11/2011                                              24                                                                            Version 2.8
Domain 5: Business     Financial Management                                    Understand pricing and transparency issues
Knowledge and Skills                               HFMA    Reimbursement
Domain 5: Business     Financial Management                                    Assure adequate cash flow
Knowledge and Skills                               HFMA    Accountability
Domain 5: Business     Financial Management                                    Understand key components and functions under the supply chain process in the
Knowledge and Skills                               HFMA    Healthcare system   organization
Domain 5: Business     Financial Management                                    Understand reimbursement under federal and state programs including reporting
Knowledge and Skills                               HFMA    Reimbursement       requirements (i.e., cost reports)
Domain 5: Business     Financial Management                                    Understanding the key components and functions within the organization's
Knowledge and Skills                               HFMA    Budgets             revenue cycle operations
Domain 5: Business     Financial Management                                    Exhibit knowledge of laws and regulations applicable to fraud and abuse in the
Knowledge and Skills                               HFMA    Regulations         healthcare industry
Domain 5: Business     Financial Management                                    Understand reimbursement under managed care arrangements
Knowledge and Skills                               HFMA    Reimbursement
Domain 5: Business     Financial Management                                    Demonstrate knowledge of regulatory operational requirements and/or prohibitions
Knowledge and Skills                               HFMA    Regulations
Domain 5: Business     Financial Management                                    Understand Medicare physician payment; knowledge of physician practice models
Knowledge and Skills                               HFMA    Regulations         and determining physician compensation methods
Domain 5: Business     Financial Management                                    Read and interpret financial and benchmarking data
Knowledge and Skills                               HFMA    Analysis
Domain 5: Business     Financial Management                                    Manage projects and/or resources
Knowledge and Skills                               HIMSS   Accountability
Domain 5: Business     Financial Management                                    Assess resource requirements (e.g., space, personnel, environmental,
Knowledge and Skills                               HIMSS   Assessment          communication, productivity)
Domain 5: Business     Financial Management                                    Participate in selection of team members
Knowledge and Skills                               HIMSS   Teamwork
Domain 5: Business     Financial Management                                    Provide effective knowledge transfer through user and operational manuals and
Knowledge and Skills                               HIMSS   Management          training
Domain 5: Business     Financial Management                                    Monitor and assess ongoing performance (e.g., goal/performance indicators)
Knowledge and Skills                               HIMSS   Assessment
Domain 5: Business     Financial Management                                    Manage departmental personnel resources (e.g., performance management, staff
Knowledge and Skills                               HIMSS   Staff               recruitment, retention and development)
Domain 5: Business     Financial Management                                    Define roles, responsibilities, and job descriptions
Knowledge and Skills                               HIMSS   Staff
Domain 5: Business     Financial Management                                    Assure staff competency in relevant skills
Knowledge and Skills                               HIMSS   Staff
Domain 5: Business     Financial Management                                    Link resources to business needs
Knowledge and Skills                               HIMSS   Planning

Domain 5: Business     Human Resource Management                               Human resources laws and regulations (e.g., labor law, wage and hour, FMLA,
Knowledge and Skills                               ACHE    Regulations         FLSA, EEOC, ERISA, workers compensation)



       11/11/2011                                                  25                                                                          Version 2.8
Domain 5: Business     Human Resource Management                        Performance management systems (e.g., performance-based evaluation, rewards
Knowledge and Skills                               ACHE   Assessment    systems, disciplinary policies and procedures)
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Theory        Recruitment and retention techniques
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Staff         Selection techniques
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Strategy      Labor relations strategies and tactics
Domain 5: Business     Human Resource Management                        Staffing methodologies and productivity management (e.g., acuity based staffing,
Knowledge and Skills                               ACHE   Staff         flexible staffing, fixed staffing)
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Assessment    Employee satisfaction measurement and improvement techniques
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Theory        Employee motivational techniques
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Standards     Compensation and benefits practices
Domain 5: Business     Human Resource Management                        Worker safety, security and employee health issues (e.g., OSHA; workplace
Knowledge and Skills                               ACHE   Regulations   violence)
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Negotiation   Conflict resolution and grievance procedures
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Standards     Organizational policies and procedures and their functions
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Management    The need for and/or desirability of outsourcing
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Staff         The varying work environments in which staff work
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Staff         Define staff roles, responsibilities, and job descriptions
Domain 5: Business     Human Resource Management                        Manage departmental personnel processes, including performance appraisals;
Knowledge and Skills                                                    incentives; staff recruitment, selection, and retention; training and education;
                                                   ACHE   Staff         coaching and mentoring
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Staff         Job classification systems
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Staff         Staffing methodologies and productivity management
Domain 5: Business     Human Resource Management                        Develop and implement policies and procedures with physicians to address
Knowledge and Skills                               ACHE   Physicians    physician behavioral and burnout issues
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Assessment    Develop and manage employee performance management system
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE   Physicians    Develop effective physican recruitment and retention programs



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Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE    Staff                Develop employee benefit and assistance plans
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE    Planning             Engage in workforce planning
Domain 5: Business     Human Resource Management
Knowledge and Skills                               ACHE    Analysis            Evaluate and manage employee efficiency and productivity
Domain 5: Business     Human Resource Management                               Coordinate the recruitment and orientation process of clinical and nonclinical staff.
Knowledge and Skills                               ACMPE   Healthcare Professionals
Domain 5: Business     Human Resource Management                               Manage the retention of clinical and nonclinical staff.
Knowledge and Skills                               ACMPE   Healthcare Professionals
Domain 5: Business     Human Resource Management                               Develop and monitor effective staffing strategy.
Knowledge and Skills                               ACMPE   Staff
Domain 5: Business     Human Resource Management                               Develop, implement and evaluate performance management programs for clinical
Knowledge and Skills                               ACMPE   Staff               and nonclinical staff.
Domain 5: Business     Human Resource Management                               Develop and implement staff compensation and benefit plans.
Knowledge and Skills                               ACMPE   Staff
Domain 5: Business     Human Resource Management                               Provide systems, processes and structure for administrative and clinical training
Knowledge and Skills                               ACMPE                       for
                                                           Healthcare Professionalsmedical providers, employees and students.
Domain 5: Business     Human Resource Management                                Establish systems and processes for awareness, education and compliance with
Knowledge and Skills                               ACMPE   Regulations          employment laws and regulatory standards.
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Planning             Participate in workforce planning and employment decisions
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Diversity            Champion a diverse workforce
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Accountability       Use corrective discipline to mitigate workplace behavior problems
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Assessment           Interpret and evaluate employee satisfaction/quality of work surveys
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Decision-Making      Create opportunities for employees to be involved in decision-making
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Leadership           Reward and recognize exemplary performance
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Staff                Formulate programs to enhance work-life balance
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Regulations          Interpret legal and regulatory guidelines
Domain 5: Business     Human Resource Management                                Manage collective bargaining environments or implement programs to avoid the
Knowledge and Skills                               AONE    Management           need
Domain 5: Business     Human Resource Management                                Identify and eliminate sexual harassment, workplace violence, and verbal and
Knowledge and Skills                               AONE    Risk                 physical abuse
Domain 5: Business     Human Resource Management                                Implement ergonomically sound work environments to prevent worker injury and
Knowledge and Skills                               AONE    Standards            fatigue


       11/11/2011                                                  27                                                                             Version 2.8
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE                        Identify clinical and leadership skills necessary for performing job-related tasks
                                                           Healthcare Professionals
Domain 5: Business     Human Resource Management                               Select top talent, matching organizational needs with appropriate skill sets
Knowledge and Skills                               AONE    Staff               (assess job candidate skills sets)
Domain 5: Business     Human Resource Management                                Manage performance through rewards, recognition, counseling and disciplinary
Knowledge and Skills                               AONE    Leadership           action
Domain 5: Business     Human Resource Management                                Analyze market data in relation to supply and demand and manage resources to
Knowledge and Skills                               AONE    Planning             ensure appropriate compensation
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Staff                Reward appropriate behaviors and confront and manage inappropriate behaviors
Domain 5: Business     Human Resource Management
Knowledge and Skills                               AONE    Assessment           Develop, communicate and monitor behavior expectations
Domain 5: Business     Human Resource Management                                Participate in workforce planning and employment decision; identify skill sets
Knowledge and Skills                               HFMA    Staff                needed to remain competitive
Domain 5: Business     Human Resource Management                                Develop and implement recruitment and retention strategies
Knowledge and Skills                               HFMA    Strategy
Domain 5: Business     Human Resource Management                                Interpret and evaluate employee satisfaction surveys
Knowledge and Skills                               HFMA    Analysis
Domain 5: Business     Human Resource Management                                Effectively lead and guide the human resources of a business unit to achieve
Knowledge and Skills                               HFMA    Leadership           business outcomes
Domain 5: Business     Human Resource Management                                Interpret and implement legal guidelines
Knowledge and Skills                               HFMA    Regulations
Domain 5: Business     Human Resource Management                                Display knowledge of worker's compensation
Knowledge and Skills                               HFMA    Regulations
Domain 5: Business     Human Resource Management                                Exhibit knowledge of the organization's employee compensation and benefit plans
Knowledge and Skills                               HFMA    Standards
Domain 5: Business     Human Resource Management                                Understand the goals of organizational HR policies
Knowledge and Skills                               HFMA    Staff
Domain 5: Business     Human Resource Management                                Implement effective employee training and development programs
Knowledge and Skills                               HFMA    Staff
Domain 5: Business     Human Resource Management                                Manage projects and/or resources
Knowledge and Skills                               HIMSS   Management
Domain 5: Business     Human Resource Management                                Assess resource requirements (e.g., space, personnel, environmental,
Knowledge and Skills                               HIMSS   Analysis             communication, productivity)
Domain 5: Business     Human Resource Management                                Participate in selection of team members
Knowledge and Skills                               HIMSS   Teamwork
Domain 5: Business     Human Resource Management                                Provide effective knowledge transfer through user and operational manuals and
Knowledge and Skills                               HIMSS   Staff                training
Domain 5: Business     Human Resource Management                                Monitor and assess ongoing performance (e.g., goal/performance indicators)
Knowledge and Skills                               HIMSS   Assessment
Domain 5: Business     Human Resource Management                                Manage departmental personnel resources (e.g., performance management, staff
Knowledge and Skills                               HIMSS   Assessment           recruitment, retention and development)


       11/11/2011                                                  28                                                                             Version 2.8
Domain 5: Business     Human Resource Management                                 Define roles, responsibilities, and job descriptions
Knowledge and Skills                                 HIMSS   Staff
Domain 5: Business     Human Resource Management                                 Assure staff competency in relevant skills
Knowledge and Skills                                 HIMSS   Accountability
Domain 5: Business     Human Resource Management                                 Link resources to business needs
Knowledge and Skills                                 HIMSS   Planning

Domain 5: Business     Organizational Dynamics and                               Organizational systems theory and structuring (e.g., span of control, chain of
Knowledge and Skills   Governance                    ACHE    Theory              command, interrelationships of organizational units)
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Culture             How an organizations culture impacts its effectiveness
Domain 5: Business     Organizational Dynamics and                               Governance theory (e.g., mission and values, relationships with board of
Knowledge and Skills   Governance                    ACHE    Governance          directors, roles of governing board and management)
Domain 5: Business     Organizational Dynamics and                               Governance structure (e.g., bylaws, articles of incorporation, fiduciary
Knowledge and Skills   Governance                    ACHE    Governance          responsibilities)
Domain 5: Business     Organizational Dynamics and                               Medical staff structure and its relationship to governing body and facility operation
Knowledge and Skills   Governance                    ACHE    Healthcare system   (e.g., credentialing, privileging and disciplinary process)
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Advocate            Public policy matters and legislative and advocacy processes
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Culture             Organizational dynamics, political realities, and culture
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Theory              Principles and practices of management and organizational behavior
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Collaborate         Build trust and cooperation between/among stakeholders
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Governance          Construct and maintain governance systems
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Standards           Document and implement policies and procedures
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Governance          Evaluate and improve governing bylaws, policies and processes
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Physicians          Facilitate physician understanding and acceptance of good business management
Domain 5: Business     Organizational Dynamics and                               Manage the performance of subsystems in a manner that optimizes the whole-
Knowledge and Skills   Governance                    ACHE    Systems thinking    synergy
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    ACHE    Regulations         Interpret and integrate federal, state and local regulations/laws
Domain 5: Business     Organizational Dynamics and                               Facilitate the establishment and monitoring of the appropriate corporate legal
Knowledge and Skills   Governance                    ACMPE   Governance          structure for the organization.
Domain 5: Business     Organizational Dynamics and                               Facilitate organizational governance structure and maintain proper corporate
Knowledge and Skills   Governance                    ACMPE   Governance          record-keeping of strategic decisions.



       11/11/2011                                                      29                                                                           Version 2.8
Domain 5: Business     Organizational Dynamics and                               Establish, communicate, implement and monitor production and compensation
Knowledge and Skills   Governance                    ACMPE                       standards for physician and mid-level professional staff.
                                                             Healthcare Professionals
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                                                Articulate the role of the governing body of the organization in the following areas:
                                                     AONE    Governance           Fiduciary responsibilities Credentialing, Performance management
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    AONE    Patients & Families Represent patient care issues to the governing body
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    AONE    Strategy            Participate in strategic planning and quality initiatives with the governing body
Domain 5: Business     Organizational Dynamics and                               Interact with and educate the organization’s board members regarding healthcare
Knowledge and Skills   Governance                    AONE    Nursing             and the value of nursing care
Domain 5: Business     Organizational Dynamics and
Knowledge and Skills   Governance                    AONE    Nursing             Represent nursing at the organization’s board meetings
Domain 5: Business     Organizational Dynamics and                               Articulate the governing body's fiduciary responsibilities
Knowledge and Skills   Governance                    HFMA    Governance
Domain 5: Business     Organizational Dynamics and                               Articulate the role of the governing body in organizational performance
Knowledge and Skills   Governance                    HFMA    Governance          management
Domain 5: Business     Organizational Dynamics and                               Participate in strategic planning initiatives with the governing body
Knowledge and Skills   Governance                    HFMA    Planning
Domain 5: Business     Organizational Dynamics and                               Interact with and educate the organization's governing body regarding healthcare
Knowledge and Skills   Governance                    HFMA    Governance          financial management
Domain 5: Business     Organizational Dynamics and                               Participate in defining organizational requirements, polices and procedures
Knowledge and Skills   Governance                    HIMSS   Standards
Domain 5: Business     Organizational Dynamics and                               Maintain operational documentation
Knowledge and Skills   Governance                    HIMSS   Standards
Domain 5: Business     Organizational Dynamics and                               Evaluate existing and emerging technologies in planning the technological
Knowledge and Skills   Governance                                                direction to support organizational strategy and systems architecture
                                                     HIMSS   Technology
Domain 5: Business     Organizational Dynamics and                               Assess organizational perception of systems effectiveness
Knowledge and Skills   Governance                    HIMSS   Assessment
Domain 5: Business     Organizational Dynamics and                               Assess the organizations impact of systems on operations and work
Knowledge and Skills   Governance                    HIMSS   Assessment
Domain 5: Business     Organizational Dynamics and                               Define organizational roles (e.g., information security, physical security,
Knowledge and Skills   Governance                    HIMSS   Healthcare system   compliance) responsible for managing vulnerabilities


Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                     ACHE    Implementation      Implementation planning (e.g., operational plan, management plan)
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                     ACHE    Planning            Contingency planning (e.g., emergency preparedness and response)
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                     ACHE    Management          Management functions (e.g., planning, organizing, directing, controlling)
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                     ACHE    Strategy            Strategic planning principles (e.g., scenario planning, forecasting, etc)

       11/11/2011                                                   30                                                                               Version 2.8
Domain 5: Business     Strategic Planning and                               Marketing principles and tools (e.g., market analysis, market research, sales,
Knowledge and skills   Marketing                ACHE    Analysis            advertising)
Domain 5: Business     Strategic Planning and   ACHE    Implementation      Business plan development and implementation processes
Knowledge and skills
Domain 5: Business     MarketingPlanning and
                       Strategic
Knowledge and skills   Marketing                ACHE    Planning            Business planning including business case and exit strategy development
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Strategy            Characteristics of strategic decision support
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Planning            Crisis and disaster planning
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Healthcare system   Healthcare system services
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Implementation      Implementation planning
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Leadership          Organizational mission, vision, objectives and priorities
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Implementation      Strategic planning processes development, and implementation
Domain 5: Business     Strategic Planning and                               Develop a benefits realization model that measures product or service
Knowledge and skills   Marketing                ACHE    Theory              performance to assure that strategic goals are met
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Strategy            Develop and monitor strategic and tactical objectives
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Analysis            Evaluate whether a proposed solution aligns with the organizational business plan
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Management          Manage projects and/or resources
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Strategy            Participate in organizational strategic planning
Domain 5: Business     Strategic Planning and                               Plan for business continuance in the face of potential disasters that could disrupt
Knowledge and skills   Marketing                ACHE    Planning            service delivery
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                ACHE    Collaborate         Pursuing and establishing partnerships and strategic alliances
Domain 5: Business     Strategic Planning and                               Lead development of the organization's strategic plan and its implementation.
Knowledge and skills   Marketing                ACMPE   Implementation
Domain 5: Business     Strategic Planning and                               Lead the integration of the corporate mission statement into all aspects of the
Knowledge and skills   Marketing                ACMPE   Culture             organization's culture.
Domain 5: Business     Strategic Planning and                               Develop and implement a marketing and communications plan.
Knowledge and skills   Marketing                ACMPE   Planning
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                AONE    Analysis            Analyze the situation and identify strategic direction
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                AONE    Analysis            Conduct SWOT and Gap analyses
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                AONE    Planning            Formulate objectives, goals, and specific strategies related to mission and vision


       11/11/2011                                                 31                                                                          Version 2.8
Domain 5: Business     Strategic Planning and                                Understand what organizations should measure in order to balance the financial
Knowledge and skills   Marketing                AONE    Accountability       perspective
Domain 5: Business     Strategic Planning and                                Measure and analyze performance from the learning and growth, business
Knowledge and skills   Marketing                AONE    Analysis             process, customer, and financial perspectives
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                AONE    Planning             Identify future skill sets needed to remain competitive
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                AONE    Analysis             Analyze marketing opportunities
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                AONE    Strategy             Develop marketing strategies
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                AONE    Systems thinking     Integrate marketing and communications strategies
Domain 5: Business     Strategic Planning and
Knowledge and skills   Marketing                AONE    Healthcare system    Use public relations and media outlets to promote your organization
Domain 5: Business     Strategic Planning and                                Identify financial and environmental issues with which the organization needs to
Knowledge and skills   Marketing                HFMA    External Relations   contend
Domain 5: Business     Strategic Planning and                                Conduct an internal environmental analysis to assess and identify the factors
Knowledge and skills   Marketing                HFMA    Analysis             impacting the organization's long-term success
Domain 5: Business     Strategic Planning and                                Articulate a strategic vision, mission and objectives appropriate to the organization
Knowledge and skills   Marketing                HFMA    Leadership
Domain 5: Business     Strategic Planning and                                Identify the key questions that must be addressed during strategy implementation
Knowledge and skills   Marketing                HFMA    Implementation
Domain 5: Business     Strategic Planning and                                Evaluate whether a proposed solutions aligns with the organizational business
Knowledge and skills   Marketing                HIMSS   Analysis             plan
Domain 5: Business     Strategic Planning and                                Develop a proposal that includes recommended approaches and solutions, and a
Knowledge and skills   Marketing                HIMSS   Planning             plan for realizing benefits
Domain 5: Business     Strategic Planning and                                Develop implementation strategies
Knowledge and skills   Marketing                HIMSS   Implementation
Domain 5: Business     Strategic Planning and                                Participate in organizational strategic planning
Knowledge and skills   Marketing                HIMSS   Strategy
Domain 5: Business     Strategic Planning and                                Market services to stakeholders
Knowledge and skills   Marketing                HIMSS   Planning
Domain 5: Business     Strategic Planning and                                Market services to stakeholders
Knowledge and skills   Marketing                HIMSS   Strategy
Domain 5: Business     Strategic Planning and                                Develop a strategic plan (e.g., process maturity and growth, gap analysis, quality
Knowledge and skills   Marketing                                             improvement, organizational alignment, roles and responsibilities, performance
                                                HIMSS   Planning             measurement)
Domain 5: Business     Strategic Planning and                                Execute and monitor implementation of a strategic plan
Knowledge and skills   Marketing                HIMSS   Implementation
Domain 5: Business     Strategic Planning and                                Manage projects and portfolios of projects (e.g., initiate, plan, execute, control,
Knowledge and skills   Marketing                HIMSS   Management           close)
Domain 5: Business     Strategic Planning and                                Establish change control processes for controlling impact assessment,
Knowledge and skills   Marketing                HIMSS   Implementation       authorization and implementation

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Domain 5: Business     Strategic Planning and                                Assess the organizations external influences
Knowledge and skills   Marketing                HIMSS   Assessment
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Technology           The role and function of information technology in operations
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Technology           Technology trends and clinical applications
Domain 5: Business     Information Management                                Technology security requirements (e.g., re: HIPAA, local governmental and
Knowledge and Skills                            ACHE    Technology           organizational policies)
Domain 5: Business     Information Management                               Health informatics (e.g., data/equipment inter-operability standards, decision
Knowledge and Skills                            ACHE    Information Systems support)
Domain 5: Business     Information Management                               Information systems continuity (e.g., disaster planning; recovery; backup;
Knowledge and Skills                            ACHE    Information Systems sabotage; natural disasters)
Domain 5: Business     Information Management                                Information systems planning and implementation (e.g., service architecture;
Knowledge and Skills                            ACHE    Implementation       technology lifecycles; obsolescence)
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Technology           Application software
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Information Systems Characteristics of administrative systems/programs
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Information Systems Characteristics of clinical systems/programs
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Regulations          Confidentiality principles and laws
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Analysis             Data analysis including manipulation, understanding of, and ability to explain data
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Technology           Electronic education and information resources and systems
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Information Systems Information systems continuity
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Technology           IT systems selection criteria and review
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Technology           Principles of database and file management
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Analysis             Testing and evaluation activities of IT systems
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Information Systems The changes in information systems and technology trends
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Analysis             Conduct demonstrations, evaluate and select healthcare IT systems
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Accountability       Ensure accuracy and integrity of data
Domain 5: Business     Information Management                                Ensure compatibility of software, hardware, and network components that
Knowledge and Skills                            ACHE    Technology           encourage user acceptance


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Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Staff                Ensure staff is trained to use information systems
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Analysis             Evaluate results of a system security/privacy effectiveness assessment
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Information Systems Integrate IT systems that support decision making
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Management           Link the information technology plan to the business plan
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Analysis             Monitor IT systems sustainability, reliability, and maintainability
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Assessment           Monitor and adjust IT system capacity as needed
Domain 5: Business     Information Management
Knowledge and Skills                            ACHE    Information Systems Recommend policies and procedures for information systems management
Domain 5: Business     Information Management                               Develop and maintain appropriate internal communications pathways for clinical
Knowledge and Skills                            ACMPE   Planning            and nonclinical staff.
Domain 5: Business     Information Management                               Develop a technology plan that establishes the criteria for selection and
Knowledge and Skills                                                        implementation of information technology, including computer systems, Internet
                                                ACMPE   Implementation      strategies and telecommunications.
Domain 5: Business     Information Management                               Plan and design a technology security process to protect patient and practice
Knowledge and Skills                            ACMPE   Information Systems data systems.
Domain 5: Business     Information Management                               Manage medical information systems including medical records, medication
Knowledge and Skills                            ACMPE   Information Systems administration and health care related document storage.
Domain 5: Business     Information Management                               Demonstrate basic competency in e-mail, common word processing,
Knowledge and Skills                            AONE    Technology          spreadsheet, and Internet programs
Domain 5: Business     Information Management
Knowledge and Skills                            AONE    Nursing              Recognize the relevance of nursing data for improving practice
Domain 5: Business     Information Management
Knowledge and Skills                            AONE    Technology           Recognize limitations of computer applications
Domain 5: Business     Information Management
Knowledge and Skills                            AONE    Technology          Use telecommunication devices
Domain 5: Business     Information Management                               Utilize hospital database management, decision support, and expert system
Knowledge and Skills                                                        programs to access information and analyze data from disparate sources for use
                                                AONE    Information Systems in planning for patient care processes and systems
Domain 5: Business     Information Management
Knowledge and Skills                            AONE    Change ManagementParticipate in system change processes and utility analysis
Domain 5: Business     Information Management
Knowledge and Skills                            AONE    Information Systems Participate in the evaluation of information systems in practice settings
Domain 5: Business     Information Management
Knowledge and Skills                            AONE    Information Systems Evaluate and revise patient care processes and systems
Domain 5: Business     Information Management                               Use computerized management systems to record administrative data (billing
Knowledge and Skills                            AONE    Information Systems data, quality assurance data, workload data, etc.)


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Domain 5: Business     Information Management                                 Use applications for structured data entry (classification systems, acuity level,
Knowledge and Skills                            AONE    Analysis              etc.)
Domain 5: Business     Information Management
Knowledge and Skills                                                          Recognize the utility of nursing involvement in the planning, design, choice and
                                                AONE    Implementation        implementation of information systems in the practice environment
Domain 5: Business     Information Management                                 Demonstrate awareness of societal and technological trends, issues and new
Knowledge and Skills                            AONE    Ethics                developments as they apply to nursing
Domain 5: Business     Information Management                                 Demonstrate proficient awareness of legal and ethical issues related to client
Knowledge and Skills                            AONE    Regulations           data, information, and confidentiality
Domain 5: Business     Information Management                                 Understand and articulate the major functions of a typical healthcare information
Knowledge and Skills                                                          system including the main administrative, clinical and financial moduels
                                                HFMA    Information Systems
Domain 5: Business     Information Management                                 Demonstrate fundamental technical literacy in Excel, Word, Internet applications
Knowledge and Skills                            HFMA    Technology            and PDAs
Domain 5: Business     Information Management                                 Manage the use of information technology to conduct business transactions
Knowledge and Skills                            HFMA    Information Systems
Domain 5: Business     Information Management                                 Participate in IT system evaluations, utility analysis and change processes
Knowledge and Skills                            HFMA    Analysis
Domain 5: Business     Information Management                                 Demonstrate awareness of legal and ethical issues related to patient
Knowledge and Skills                            HFMA    Regulations           data/information and confidentiality
Domain 5: Business     Information Management                                 Characteristics of technology infrastructure that support the healthcare
Knowledge and Skills                            HIMSS   Technology            environment
Domain 5: Business     Information Management                                 Promote and apply analytical tools to optimize systems function
Knowledge and Skills                            HIMSS   Analysis
Domain 5: Business     Information Management                                 Identify how a system design accommodates business processes
Knowledge and Skills                            HIMSS   Information Systems
Domain 5: Business     Information Management                                 Define an information infrastructure that supports current and anticipated
Knowledge and Skills                            HIMSS   Technology            business needs
Domain 5: Business     Information Management                                 Employ data management practices
Knowledge and Skills                            HIMSS   Assessment
Domain 5: Business     Information Management                                 Integrate systems to support business requirements
Knowledge and Skills                            HIMSS   Information Systems
Domain 5: Business     Information Management                                 Manage healthcare information systems (e.g., operate, upgrade)
Knowledge and Skills                            HIMSS   Information Systems
Domain 5: Business     Information Management                                 Develop downtime procedures
Knowledge and Skills                            HIMSS   Information Systems
Domain 5: Business     Information Management                                 Utilize a formal and documented testing methodology to demonstrate that
Knowledge and Skills                                                          solutions meet functional requirements (e.g., unit test, integrated test, stress test,
                                                HIMSS   Assessment            acceptance test)
Domain 5: Business     Information Management                                 Manage user access control according to established policies and procedures
Knowledge and Skills                            HIMSS   Standards
Domain 5: Business     Information Management                                 Ensure confidentiality, integrity, and availability of data
Knowledge and Skills                            HIMSS   Standards

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Domain 5: Business     Information Management                                 Develop data management controls (e.g., data ownership, criticality, security
Knowledge and Skills                                                          levels, protection controls, retention and destruction requirements, access
                                                HIMSS   Standards             controls)
Domain 5: Business     Information Management                                 Develop policies and procedures for information and systems management
Knowledge and Skills                            HIMSS   Standards
Domain 5: Business     Information Management                                 Maintain system documentation
Knowledge and Skills                            HIMSS   Information Systems
Domain 5: Business     Information Management                                 Validate implementation against contractual terms or design specifications
Knowledge and Skills                            HIMSS   Implementation
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Regulations           Confidentiality principles and laws
Domain 5: Business     Risk Management                                        Corporate compliance laws and regulations (e.g., physician contracts, billing and
Knowledge and Skills                                                          coding practices, antitrust, conflict of interest, EMTALA, Stark, fraud and abuse,
                                                ACHE    Regulations           anti-kickback, tax status)
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Regulations           Medicare/Medicaid/Third Party payment regulations
Domain 5: Business     Risk Management                                      Inspection and accrediting standards, regulations, and organizations (e.g., Joint
Knowledge and Skills                            ACHE    Regulations         Commission, NCQA, OSHA, FDA, NRC, CDC, AHRQ and IHI)
Domain 5: Business     Risk Management                                      Patients rights laws and regulations (e.g., organ donation, HIPAA, medical
Knowledge and Skills                                                        records, access to care, advance directives, durable power of attorney,
                                                ACHE    Patients & Families involuntary commitments)
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Regulations           Compliance with regulatory agencies and tax status requirements
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Planning              Contigency planning
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Standards             Corporate history and record keeping procedures
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE                        Credentialing, medical malpractice, and professional liability
                                                        Healthcare Professionals
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Standards             Personnel and property security plans and policies
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE                        Professional resource networks for risk-related activities
                                                        Healthcare Professionals
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Analysis              Risk assessments and analyses
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Risk                  Risk management principles and programs
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Risk                  Risk mitigation
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Staff                 Risks related to personnel management
Domain 5: Business     Risk Management
Knowledge and Skills                            ACHE    Patient Safety        Risks related to quality management and patient safety

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Domain 5: Business     Risk Management
Knowledge and Skills                     ACHE    Standards     Conflict resolution and grievance procedures
Domain 5: Business     Risk Management
Knowledge and Skills                     ACHE    Standards     Establish patient, staff and organizational confidentiality policies
Domain 5: Business     Risk Management
Knowledge and Skills                     ACHE    Regulations   Maintain compliance with government contractual mandates
Domain 5: Business     Risk Management                         Plan for business continuance in the face of potential disasters that could disrupt
Knowledge and Skills                     ACHE    Planning      service delivery
Domain 5: Business     Risk Management                         Develop and implement a risk management plan to ensure a safe environment for
Knowledge and Skills                     ACMPE   Risk          patients, staff and visitors.
Domain 5: Business     Risk Management                         Develop and implement policies and procedures to manage the impact of adverse
Knowledge and Skills                     ACMPE   Risk          legal events.
Domain 5: Business     Risk Management                         Implement a plan to control security, storage and access pharmaceutical
Knowledge and Skills                     ACMPE   Planning      supplies.
Domain 5: Business     Risk Management                         Establish a plan for disaster response and recovery.
Knowledge and Skills                     ACMPE   Planning
Domain 5: Business     Risk Management                         Develop and implement a compliance program for federal and state laws and
Knowledge and Skills                     ACMPE   Regulations   regulations.
Domain 5: Business     Risk Management                         Develop and implement processes to comply with mandated reports of specified
Knowledge and Skills                     ACMPE   Regulations   patient issues to regulatory agencies.
Domain 5: Business     Risk Management                         Develop and monitor a program for staff, business and equipment credentialing
Knowledge and Skills                     ACMPE   Risk          and licensure.
Domain 5: Business     Risk Management
Knowledge and Skills                     AONE    Risk          Identify areas of risk/liability
Domain 5: Business     Risk Management
Knowledge and Skills                     AONE    Staff         Ensure staff is educated on risk management and compliance issues
Domain 5: Business     Risk Management                         Develop systems which encourage/require prompt reporting of potential liability by
Knowledge and Skills                     AONE    Risk          staff at all levels
Domain 5: Business     Risk Management
Knowledge and Skills                     AONE    Planning      Develop and implement bioterrorism, biohazardand disaster readiness plans
Domain 5: Business     Risk Management
Knowledge and Skills                     AONE    Risk          Envision and take action to correct identified areas of potential liability
Domain 5: Business     Risk Management                         Assess and analyze financial risk/liability
Knowledge and Skills                     HFMA    Analysis
Domain 5: Business     Risk Management                         Participate in risk mitigation
Knowledge and Skills                     HFMA    Risk
Domain 5: Business     Risk Management                         Develop and manage contingency plans for business disruption
Knowledge and Skills                     HFMA    Planning
Domain 5: Business     Risk Management                         Assure adequate backup for IT technology
Knowledge and Skills                     HFMA    Technology
Domain 5: Business     Risk Management                         Conduct a risk assessment
Knowledge and Skills                     HIMSS   Assessment


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Domain 5: Business     Risk Management                                     Analyze data for problems and trends (e.g., error reports, help desk logs,
Knowledge and Skills                         HIMSS   Analysis              performance metrics, network monitoring)
Domain 5: Business     Risk Management                                     Prioritize or triage issues as necessary to ensure critical functions are repaired,
Knowledge and Skills                         HIMSS   Analysis              maintained, or enhanced
Domain 5: Business     Risk Management                                     Incorporate solution into organizational disaster recovery and business continuity
Knowledge and Skills                         HIMSS   Planning              plans
Domain 5: Business     Risk Management                                     Implement internal controls to protect resources and ensure availability and
Knowledge and Skills                                                       integrity during testing (e.g., security audits, versioning control, change control)
                                             HIMSS   Information Systems
Domain 5: Business     Risk Management                                     Utilize procedures and tools to identify potential privacy and security breaches
Knowledge and Skills                         HIMSS   Risk
Domain 5: Business     Risk Management                                     Assess privacy and security risks
Knowledge and Skills                         HIMSS   Risk
Domain 5: Business     Risk Management                                     Implement processes to mitigate privacy and security vulnerabilities
Knowledge and Skills                         HIMSS   Risk
Domain 5: Business     Risk Management                                     Maintain disaster recovery and business continuity plans
Knowledge and Skills                         HIMSS   Planning
Domain 5: Business     Risk Management                                     Ensure stakeholder understanding of opportunities and limitations
Knowledge and Skills                         HIMSS   Healthcare system
Domain 5: Business     Risk Management                                     Ensure that risk management is fully embedded in internal and external
Knowledge and Skills                                                       management processes, and consistently applied (e.g., risk assessment, risk
                                             HIMSS   Risk                  mitigation)
Domain 5: Business     Risk Management                                     Provide appropriate physical environment and safeguards to protect assets
Knowledge and Skills                         HIMSS   Risk
Domain 5: Business     Risk Management                                   Ensure compatibility of software, hardware, and network components
Knowledge and Skills                         HIMSS   Information Systems
Domain 5: Business     Risk Management       HIMSS   Risk                Perform privacy and security audits
Knowledge and Skills
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Assessment            Benchmarking techniques
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Physicians            Medical staff peer review
Domain 5: Business     Quality Improvement                                 Risk management principles and programs (e.g., insurance, education, safety,
Knowledge and Skills                         ACHE    Risk                  injury management, patient complaint, patient and staff security)
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Quality Improvement Performance and process improvement
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Patients & Families Customer satisfaction principles and tools
Domain 5: Business     Quality Improvement                               Clinical methodologies (e.g., clinical pathways, evidence-based medicine,
Knowledge and Skills                         ACHE                        population health, pay for performance)
                                                     Evidence-based practice
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Quality Improvement Utilization review
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Patients & Families National quality initiatives including patient safety

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Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Quality Improvement Clinical pathways and disease management
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Patients & Families Customer satisfaction principles and tools
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Analysis             Data collection, measurement and analysis tools and techniques
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Patients & Families Patient communication systems
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Theory               Quality improvement theories and frameworks
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Planning             Quality planning and management
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Staff                Training and certification
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Quality Improvement Develop and implement process improvement programs
Domain 5: Business     Quality Improvement
Knowledge and Skills                         ACHE    Patients & Families Develop and implement quality assurance and patient satisfaction programs
Domain 5: Business     Quality Improvement                               Develop clinical pathway structure and function
Knowledge and Skills                         ACHE    Management
Domain 5: Business     Quality Improvement                               Design and implement a quality management system that leads to the
Knowledge and Skills                         ACMPE   Quality Improvement improvement of health care delivery and ensures patient safety.
Domain 5: Business     Quality Improvement                               Monitor the peer review process for clinical staff.
Knowledge and Skills                         ACMPE   Healthcare Professionals
Domain 5: Business     Quality Improvement                               Identify, develop and maintain benchmarks for establishing practice performance
Knowledge and Skills                         ACMPE   Standards           standards.
Domain 5: Business     Quality Improvement                               Create internal processes and systems to participate in pay-for-performance
Knowledge and Skills                         ACMPE   Quality Improvement programs to enhance health care quality.
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Analysis             Interpret information from research
Domain 5: Business     Quality Improvement                               Utilize research findings for establishment of standards, practices, and patient
Knowledge and Skills                         AONE                        care
                                                     Evidence-based practice models in the organization
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE                        Disseminate research findings to patient care team members
                                                     Healthcare Professionals
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Quality Improvement Participate in studies that provide outcome measurements
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Nursing              Allocate nursing resources based on measurement of patient acuity/care needed
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Quality Improvement Articulate the organization’s QI program and goals
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Quality Improvement Determine patient care quality improvement goals


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Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Quality Improvement Define metrics as related to process improvement
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Analysis              Explain and utilize metrics as a unit of measure for any process
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Accountability        Articulate the link between metrics and goals
Domain 5: Business     Quality Improvement                               Articulate the link between organization metrics and national quality
Knowledge and Skills                         AONE    Quality Improvement initiatives/metrics
Domain 5: Business     Quality Improvement
Knowledge and Skills
                                             AONE                        Target outcomes that are evidence-based (comparison data benchmarking)
                                                     Evidence-based practice
Domain 5: Business     Quality Improvement                               Define quality metrics by: Identifying the problem/process, Measuring success at
Knowledge and Skills                                                     improving specific areas of patient care, Analyzing the root causes or variation
                                                                         from quality standards, Improving the process with the evidence, Controlling
                                             AONE    Analysis            solutions and sustaining success
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Advocate              Advocate use of documented best practices
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE                        Teach and mentor others to routinely utilize evidence based data and research
                                                     Evidence-based practice
Domain 5: Business     Quality Improvement                               Articulate organization decision-making for the criteria model adopted by the
Knowledge and Skills                         AONE    Decision-Making     organization
Domain 5: Business     Quality Improvement                                 Communicate key points of the model to a variety of audiences (nursing, financial,
Knowledge and Skills                         AONE    Communication         medical staff)
Domain 5: Business     Quality Improvement
Knowledge and Skills                         AONE    Physicians            Involve physicians in on-going utilization management practices
Domain 5: Business     Quality Improvement                                 Design continuum of care options for managing patient throughput (long term care
Knowledge and Skills                         AONE    Systems Thinking      units, urgent care centers, admission/discharge units, etc.)
Domain 5: Business     Quality Improvement                                 Articulate the organization's quality improvement program and goals
Knowledge and Skills                         HFMA    Quality Improvement
Domain 5: Business     Quality Improvement                               Articulate the role of evidence-based medicine and technology in quality
Knowledge and Skills                         HFMA                        improvement
                                                     Evidence-based practice
Domain 5: Business     Quality Improvement                               Articulate & demonstrate the relationship between quality and cost
Knowledge and Skills                         HFMA    Accountability
Domain 5: Business     Quality Improvement                               Know of the role of finance in quality improvement programs
Knowledge and Skills                         HFMA    Quality Improvement
Domain 5: Business     Quality Improvement                               Evaluate impact on issues related to healthcare systems (e.g., customer
Knowledge and Skills                                                     satisfaction, patient care quality, economics, access to care, business process
                                             HIMSS   Systems Thinking    improvement) by using a cost-benefit analysis
Domain 5: Business     Quality Improvement                                 Promote and apply problem solving and quality improvement methodologies
Knowledge and Skills                         HIMSS   Quality Improvement
Domain 5: Business     Quality Improvement                                 Validate that expected benefits are achieved (e.g., return on investment,
Knowledge and Skills                         HIMSS   Assessment            benchmarks, user satisfaction)


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Domain 5: Business               Quality Improvement                                                Measure performance against organizational goals
Knowledge and Skills                                                 HIMSS       Assessment
Domain 5: Business               Quality Improvement                                                Measure quantitative dimensions of systems effectiveness
Knowledge and Skills                                                 HIMSS       Assessment
Domain 5: Business               Quality Improvement                                                Define quality standards and practices, monitoring and reviewing internal and
Knowledge and Skills                                                                                external performance against the defined quality standards and practices
                                                                     HIMSS       Standards

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