Valuable Leadership Strategies in the Health Care Sector Discussion Paper

ACHE HEALTHCARE EXECUTIVE 2018 COMPETENCIES ASSESSMENT TOOL AmericanCollege of HealthcareExecutives for leaders who care ® T he American College of Healthcare Executives Healthcare Executive Competencies Assessment Tool is ofered as an instrument for healthcare executives to use in assessing their expertise in critical areas of healthcare management. We trust you will fnd this latest edition of the assessment tool useful. Te competencies are derived from job analysis surveys of healthcare executives across the healthcare continuum so that they are aligned with the challenges and work experienced by leaders today.* Tey represent knowledge needed to successfully perform as a healthcare manager regardless of the setting. ACHE updates the assessment annually. For your convenience, a complete list of ACHE resources, including readings, programs, assessments and self-study courses, are included in the back of the directory and referenced in each section. Te self-assessment is designed to help you identify areas of strength and areas you may wish to include in your personal development plan. You may choose to have your immediate supervisor use the tool to assess you and then compare results from your self-assessment with perceptions from your supervisor. Used in such a manner, the competency selfassessment can be a powerful tool in facilitating feedback about gaps in skills necessary for optimizing performance. Another way to use this assessment is to share the results with your mentor and work toward addressing identifed professional growth areas. Healthcare organizations also may choose to use this assessment tool to better defne the requirements of specifc roles within the organization. Once defned, the organization then can respond with a targeted training and development plan for those roles. Certain tasks also may require teams with a blend of strengths, and the self-assessment tool can be used to arrive at an ideal skill mix among such teams. Te competency tool provides a common framework and lexicon for a variety of healthcare managers in a range of roles and settings; they serve to defne the feld. Tey can be used for individual as well as team self-assessment and improvement. New this year is a sub-domain (under Business Skills and Knowledge) of Patient Safety, emphasizing competencies required and knowledge needed to address the core leadership challenges of achieving zero harm for both patients and the workforce. While specifc components of a patient safety and quality strategy will vary by organization, ACHE believes healthcare executives should lead a comprehensive approach to ensuring patient safety and quality. As supporting documents for this sub-domain, use Leading a Culture of Safety: A Blueprint for Success and Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human for understanding and advancing patient safety in your organization. Tese tools can be downloaded at ache.org/ Blueprint and npsf.org/freefromharm. Within the Healthcare Executives Competency Assessment Tool, the competencies are categorized into fve critical domains: Communication and Relationship Management, Leadership, Professionalism, Knowledge of the Healthcare Environment, and Business Skills and Knowledge. Te defnitions for the domains are as follows: Communication and Relationship Management Professionalism Leadership Knowledge of the Healthcare Environment Business Skills and Knowledge *derived from HLA Model 1. Communication and Relationship Management Te ability to communicate clearly and concisely with internal and external customers, establish and maintain relationships, and facilitate constructive interactions with individuals and groups. Communication and Relationship Management includes: A. Relationship Management B. Communication Skills C. Facilitation and Negotiation * Te directory was derived from job analysis surveys conducted by Healthcare Leadership Alliance associations. In addition to the American College of Healthcare Executives, other members of the Healthcare Leadership Alliance are: American Association of Physician Leadership, American Organization of Nurse Executives, Healthcare Financial Management Association, Healthcare Information and Management Systems Society, and the Medical Group Management Association. 1 ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives 2. Leadership Te ability to inspire individual and organizational excellence, create a shared vision and successfully manage change to attain the organization’s strategic ends and successful performance. According to the HLA model, leadership intersects with each of the other four domains. Leadership includes: A. Leadership Skills and Behavior B. Organizational Climate and Culture C. Communicating Vision D. Managing Change 3. Professionalism Te ability to align personal and organizational conduct with ethical and professional standards that include a responsibility to the patient and community, a service orientation, and a commitment to lifelong learning and improvement. Professionalism includes: A. Personal and Professional Accountability B. Professional Development and Lifelong Learning C. Contributions to the Community and Profession 4. Knowledge of the Healthcare Environment Te understanding of the healthcare system and the environment in which healthcare managers and providers function. Knowledge of the Healthcare Environment includes: A. Healthcare Systems and Organizations B. Healthcare Personnel C. Te Patient’s Perspective D. Te Community and the Environment 5. Business Skills and Knowledge Te ability to apply business principles, including systems thinking, to the healthcare environment. Business Skills and Knowledge includes: A. General Management B. Financial Management C. Human Resource Management D. Organizational Dynamics and Governance E. Strategic Planning and Marketing F. Information Management G. Risk Management H. Quality Improvement I. Patient Safety Healthcare executives should demonstrate competence in aspects of all fve domain areas. As you work your way through the self-assessment tool, we hope you will fnd it valuable and that it helps you along the path of lifelong professional education as you face the ongoing challenges of leadership. We have made it available as a PDF fle at ache.org/CareerResources and hope you will share it with other healthcare executives. ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives 2 COMPETENCY LEVEL Novice Competent Expert 1. Communication and Relationship Management A. Relationship Management Organizational structure and relationships 1 2 3 4 5 Build collaborative relationships 1 2 3 4 5 Demonstrate efective interpersonal relations 1 2 3 4 5 Develop and maintain medical staf relationships 1 2 3 4 5 Develop and maintain supplier relationships 1 2 3 4 5 Identify stakeholder needs/expectations 1 2 3 4 5 Provide internal customer service 1 2 3 4 5 Practice and value shared decision making 1 2 3 4 5 Other professional norms and standards of behaviors as defned by professions such as AHA, physician’s oaths and other professional pledges 1 2 3 4 5 Creating an ethical culture in an organization 1 2 3 4 5 Public relations 1 2 3 4 5 Principles of communication and their specifc applications 1 2 3 4 5 Sensitivity to what is correct behavior when communicating with diverse cultures, internal and external 1 2 3 4 5 Communicate organizational mission, vision, objectives and priorities 1 2 3 4 5 Identify and use human and technical resources to develop and deliver communications 1 2 3 4 5 Prepare and deliver business communications, including meeting agendas, presentations, business reports and project communications plans 1 2 3 4 5 Present results of data analysis to decision makers 1 2 3 4 5 Provide and receive constructive feedback 1 2 3 4 5 Use factual data to produce and deliver credible and understandable reports 1 2 3 4 5 Readings: 7, 10, 14, 15, 27, 50, 58, 65, 77, 82, 86, 95, 97, 98, 107, 112 Programs: 8, 11, 12, 14, 15, 18, 21, 35, 36, 38, 42, 46, 48, 58 Leadership Assessments: 1, 2, 6, 7 Self-Study Courses: 2, 3, 19 B. Communication Skills 3 ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives COMPETENCY LEVEL Novice Competent Expert Readings: 7, 21, 116 Programs: 12, 15, 35, 37, 45, 46, 56 Leadership Assessments: 7 C. Facilitation and Negotiation Mediation, negotiation and dispute resolution techniques 1 2 3 4 5 Team building techniques 1 2 3 4 5 Labor relations strategies 1 2 3 4 5 Build efective physician and administrator leadership teams 1 2 3 4 5 Create, participate in and lead teams 1 2 3 4 5 Facilitate confict and alternative dispute resolution 1 2 3 4 5 Facilitate group dynamics, process, meetings and discussions 1 2 3 4 5 Readings: 7, 10, 19, 24, 29, 61, 65, 66, 77, 79, 93, 95, 96, 106, 107, 112 Programs: 3, 15, 18, 35, 37, 42, 46, 58, 60 Leadership Assessments: 5, 7 Self-Study Courses: 2, 19, 20, 25 COMMUNICATION AND RELATIONSHIP MANAGEMENT DEVELOPMENT PLAN ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives 4 COMPETENCY LEVEL Novice Competent Expert 2. LEADERSHIP A. Leadership Skills and Behavior Leadership styles/techniques 1 2 3 4 5 Leadership theory and situational applications 1 2 3 4 5 Potential impacts and consequences of decision making in situations both internal and external 1 2 3 4 5 Adhere to legal and regulatory standards 1 2 3 4 5 Champion solutions and encourage decision making 1 2 3 4 5 Develop external relationships 1 2 3 4 5 Collaborative techniques for engaging and working with physicians 1 2 3 4 5 Incorporate and apply management techniques and theories into leadership activities 1 2 3 4 5 Foster an environment of mutual trust 1 2 3 4 5 Support and mentor high-potential talent within the organization 1 2 3 4 5 Advocate and participate in healthcare policy initiatives 1 2 3 4 5 Readings: 3, 13, 17, 19, 24, 29, 30, 38, 41, 46, 50, 66, 68, 73, 74, 75, 78, 82, 95, 105, 106 Programs: 3, 13, 15, 18, 21, 30, 34, 37, 41, 42, 45, 46, 57, 58 Leadership Assessments: 1, 2, 4, 7 Self-Study Courses: 1, 3, 5, 7, 13, 20 B. Organizational Climate and Culture Create an organizational climate that encourages teamwork 1 2 3 4 5 Create an organizational culture that values and supports diversity 1 2 3 4 5 Knowledge of own and others’ cultural norms 1 2 3 4 5 Assess the organization, including corporate values and culture, business processes and impact of systems on operations 1 2 3 4 5 1 2 3 4 5 Create an organizational climate that facilitates individual motivation 1 2 3 4 5 Readings: 36, 74, 79, 85, 90, 98, 106 Programs: 2, 8, 16, 23, 31, 35, 46, 58 Leadership Assessments: 7 Other: 3 C. Communicating Vision Establish a compelling organizational vision and goals 5 ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives COMPETENCY LEVEL Novice Competent Expert Encourage a high level of commitment to the purpose and values of the organization 1 2 3 4 5 Hold self and others accountable for organizational goal attainment 1 2 3 4 5 Gain physician buy-in to accept risk and support new business ventures 1 2 3 4 5 Promote and manage change 1 2 3 4 5 Explore opportunities for the growth and development of the organization on a continuous basis 1 2 3 4 5 Promote continuous organizational learning/improvement 1 2 3 4 5 Anticipate and plan strategies for overcoming obstacles 1 2 3 4 5 Anticipate the need for resources to carry out initiatives 1 2 3 4 5 Develop efective medical staf relationships in support of the organization’s mission, vision and strategic plan 1 2 3 4 5 Readings: 10, 15, 19, 24, 29, 65, 66, 74, 77, 78, 79, 82, 106, 112, 123 Programs: 2, 8, 12, 13, 15, 18, 35, 36, 46 Leadership Assessments: 7 Self-Study Courses: 1, 13, 20 D. Managing Change Readings: 1, 2, 3, 7, 10, 14, 15, 19, 24, 28, 29, 43, 52, 58, 65, 74, 77, 78, 79, 82, 83, 85, 95, 96, 98, 102, 107, 112 Programs: 2, 11, 13, 18, 25, 27, 30, 34, 35, 36, 37, 38, 45, 46, 57, 58, 61 Leadership Assessments: 4, 6 Self-Study Courses: 2, 13, 19 LEADERSHIP DEVELOPMENT PLAN ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives 6 COMPETENCY LEVEL 3. PROFESSIONALISM Novice Competent Expert A. Personal and Professional Accountability Patient rights and responsibilities 1 2 3 4 5 Ethics committee’s roles, structure and functions 1 2 3 4 5 Consequences of unethical actions 1 2 3 4 5 Organizational business and personal ethics 1 2 3 4 5 Cultural and spiritual diversity for patients and staf as they relate to healthcare needs 1 2 3 4 5 Confict of interest situations as defned by organizational bylaws, policies and procedures 1 2 3 4 5 Professional roles, responsibility and accountability 1 2 3 4 5 Professional standards and codes of ethical behavior 1 2 3 4 5 Balance professional and personal pursuits 1 2 3 4 5 Uphold and act upon ethical and professional standards 1 2 3 4 5 Adhere to ethical business principles 1 2 3 4 5 Other professional norms and standards of behaviors as defned by professions such as AHA, physician’s oaths and other professional pledges 1 2 3 4 5 Creating an ethical culture in an organization 1 2 3 4 5 Professional norms and behaviors 1 2 3 4 5 Professional societies and memberships 1 2 3 4 5 Contribute to professional knowledge and evidence 1 2 3 4 5 Time and stress management techniques 1 2 3 4 5 Conduct self-assessments 1 2 3 4 5 Network with colleagues 1 2 3 4 5 Participate in continuing education and career planning 1 2 3 4 5 Acquire and stay current with the professional body of knowledge 1 2 3 4 5 Readings: 27, 29, 58, 77, 88, 89, 120 Programs: 21, 34, 46, 48 Other: 1, 2, 4, 5, 6, 8 B. Professional Development and Lifelong Learning Readings: 23, 29, 81, 90, 118, 121 Programs: 8, 30, 33, 58 Leadership Assessments: 2, 3, 8 Self-Study Course: 5 7 ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives COMPETENCY LEVEL Novice Competent Expert C. Contributions to the Community and Profession Ethical implications of human subject research 1 2 3 4 5 Serve as the ethical guide for the organization 1 2 3 4 5 Practice due diligence to carry out fduciary responsibilities 1 2 3 4 5 Mentor, advise and coach 1 2 3 4 5 Advocate for patients, families and communities 1 2 3 4 5 Advocate with physicians for the importance of hiring professionally trained and certifed administrators and supporting their professional development 1 2 3 4 5 Participate in community service 1 2 3 4 5 Readings: 2, 38, 41, 66, 67, 89 Programs: 15, 26 Self-Study Courses: 1, 7, 20 Other: 7, 8 PROFESSIONALISM DEVELOPMENT PLAN ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives 8 COMPETENCY LEVEL Novice Competent Expert 4. KNOWLEDGE OF THE HEALTHCARE ENVIRONMENT A. Healthcare Systems and Organizations Healthcare and medical terminology 1 2 3 4 5 Managed care models, structures and environment 1 2 3 4 5 Te interdependency, integration and competition among healthcare sectors 1 2 3 4 5 Levels of healthcare along the continuum of care 1 2 3 4 5 Levels of service from a business perspective 1 2 3 4 5 Evidence-based management practice 1 2 3 4 5 Healthcare economics 1 2 3 4 5 Requirements for nonproft healthcare organizations 1 2 3 4 5 Te interrelationships among access, quality, cost, resource allocation, accountability and community 1 2 3 4 5 Ancillary services 1 2 3 4 5 Physician roles 1 2 3 4 5 Te healthcare sectors 1 2 3 4 5 Staf perspective in organizational settings 1 2 3 4 5 Nurse and allied health professionals’ scope of practice 1 2 3 4 5 Support services 1 2 3 4 5 Role of nonclinical professionals in the healthcare system 1 2 3 4 5 Educational funding for healthcare personnel 1 2 3 4 5 Workforce issues 1 2 3 4 5 Readings: 1, 10, 16, 21, 28, 53, 54, 55, 94, 102, 108 Programs: 2, 8, 10, 29, 36, 55, 61 B. Healthcare Personnel Readings: 11, 19, 32, 50, 56, 62, 66, 90, 106, 123 Programs: 11, 15, 29, 42, 48 Self-Study Courses: 3, 20 9 ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives COMPETENCY LEVEL Novice Competent Expert C. Te Patient’s Perspective Te patient’s perspective (e.g., cultural diferences, expectations) 1 2 3 4 5 Socioeconomic environment in which the organization functions 1 2 3 4 5 Healthcare trends 1 2 3 4 5 Implications of community standards of care 1 2 3 4 5 Healthcare technological research and advancements 1 2 3 4 5 Organization and delivery of healthcare 1 2 3 4 5 Community standards of care 1 2 3 4 5 Corporate compliance laws and regulations 1 2 3 4 5 Regulatory and administrative environment in which the organization functions 1 2 3 4 5 Governmental, regulatory, professional and accreditation agencies 1 2 3 4 5 Legislative issues and advocacy 2 3 4 5 Readings: 2, 12, 101 Program: 28 Self-Study Course: 12 D. Te Community and the Environment 1 Readings: 1, 13, 27, 39, 60, 73, 75, 102, 124 Programs: 26, 27, 36, 45, 61 Self-Study Course: 12 Other: 8 KNOWLEDGE OF THE HEALTHCARE ENVIRONMENT DEVELOPMENT PLAN ACHE Healthcare Executive Competencies Assessment Tool Copyright © 2018 by the Healthcare Leadership Alliance and the American College of Healthcare Executives 10 COMPETENCY LEVEL Novice Competent Expert 5. BUSINESS SKILLS AND KNOWLEDGE A. General Management 11 Ability to analyze and evaluate information to support a decision or recommendation 1 2 3 4 5 Ability to distinguish relevant from irrelevant information 1 2 3 4 5 Ability to integrate information from various sources to make decisions or recommendations 1 2 3 4 5 Collect and analyze data from internal and external sources relevant to each situation 1 2 3 4 5 Basic business contracts 1 2 3 4 5 Techniques for business plan development, implementation and assessment 1 2 3 4 5 Justify a new business model or business plan 1 2 3 4 5 Principles of public afairs and community relations 1 2 3 4 5 Te functions of organizational policies and procedures 1 2 3 4 5 Analyze the current way of doing business and clinical processes 1 2 3 4 5 Anticipate cause-and-efect relationships 1 2 3 4 5 Conduct needs analysis, identify and prioritize requirements 1 2 3 4 5 Defne problems or opportunities 1 2 3 4 5 Distinguish between important and unimportant aspects of business and clinical situations as a basis for sound decision making 1 2 3 4 5 Identify alternate processes and potential s…

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