The American College of Healthcare Executives’Healthcare Executive Competencies Assessment Toolis offered as an instrument for healthcare leadersto use in assessing their expertise in critical areas ofhealthcare management.How to Use This ToolThis tool can be used in several different ways to identifyareas of strength and areas that may need professionalskill development as well as formulating a developmentplan. Some examples of how this tool can be used arelisted below. Self or organizational assessment. The tool is designed tohelp you identify strengths and areas for development inrelation to ACHE’s competencies. It may providevaluable information in your performance planning andreview. Team or group development. The tool may help linkindividual performance to the goals of the organization.Integrating knowledge and skills needed for effectiveleadership will allow team members to achieve corporategoals, objectives and values. E mployee selection or job descriptions. The tool mayprovide the ability to look beyond the individual andunderstand the composition of the entire workforce byexploring the strengths, weaknesses and gaps across theorganization. You can make more informed decisionsregarding training initiatives, allocate resources moreeffectively and align development opportunities withorganizational goals. Academic or professional development programs. The toolmay help uncover knowledge and skills you may wish toupdate or improve. Once you have completed theratings, you will get results that point to thecompetencies you should focus on when choosingprofessional development opportunities. Novice (1)–An individual’s primary focus isunderstanding and gaining information in order tocomprehend the skills needed. You have the level ofexperience gained in a classroom setting or on-thejob training. You are expected to need help whenperforming this skill. Competent (3)–People with considerable experiencedevelop competence in solving problems within thelearned guidelines and rules. You are able tosuccessfully complete the competency as requested.Help from experts may be required from time totime, but you can usually perform the skillindependently. Expert (5)–Experts work intuitively analyzing,recognizing patterns, critiquing and solvingproblems with ideas and expertise. You are known asthe expert in this area. You can provide guidance,troubleshoot and answer questions related to thiscompetency.For your convenience, a complete list of ACHE resources,including readings, programs, assessments, and self-studycourses are included in the back of the directory andreferenced by number in each section of the assessment.About This ToolThe competencies are derived from job analysis surveys ofhealthcare leaders across various management andadministration disciplines. They are aligned with thechallenges and opportunities experienced by leaderstoday. The tool is reviewed and updated annually.Communicationand RelationshipManagementThis tool is self-scored with no right or wrong answers.Use the results to make a development plan, and completethe ACHE Competencies Assessment Tool at desiredintervals to measure growth over time.To assess expertise in the five domains of this tool,consider where you, the person, or the team you areassessing would fall on the scale of skill acquisition.ProfessionalismLeadershipKnowledgeof theHealthcareEnvironmentBusiness SkillsandKnowledge*derived from HLA Model1ACHE Healthcare Executive Competencies Assessment ToolCopyright 2020 by the American College of Healthcare Executives

Within the ACHE Healthcare Executive CompetenciesAssessment Tool, the competencies are categorized into fivecritical domains: Communication and RelationshipManagement, Leadership, Professionalism, Knowledge ofthe Healthcare Environment and Business Skills andKnowledge. The definitions for the domains are as follows:1. Communication and Relationship ManagementThe ability to communicate clearly and concisely withinternal and external customers, establish and maintainrelationships and facilitate constructive interactions withindividuals and groups. This domain includes:A. Relationship ManagementB. Communication SkillsC. Facilitation and Negotiation2. LeadershipThe ability to inspire individual and organizationalexcellence, create a shared vision and successfully managechange to attain the organization’s strategic ends andsuccessful performance. Leadership intersects with eachof the other four domains. This domain includes:A.B.C.D.Leadership Skills and BehaviorOrganizational Climate and CultureCommunicating VisionManaging Change3. ProfessionalismThe ability to align personal and organizational conductwith ethical and professional standards that include aresponsibility to the patient and community, a serviceorientation, and a commitment to lifelong learning andimprovement. This domain includes:A. Personal and Professional AccountabilityB. Professional Development and Lifelong LearningC. Contributions to the Community and Profession5. Business Skills and KnowledgeThe ability to apply business principles, including systemsthinking, to the healthcare environment. This domainincludes:A.B.C.D.E.F.G.H.I.General ManagementFinancial ManagementHuman Resource ManagementOrganizational Dynamics and GovernanceStrategic Planning and MarketingInformation ManagementRisk ManagementQuality ImprovementPatient SafetyHealthcare leaders should demonstrate competence inaspects of all five of these domain areas. As you work yourway through the ACHE Competencies Assessment Tool, wehope you will find it valuable and that it providesguidance along your path of lifelong professionaleducation as you face the ongoing challenges ofmanagement and leadership. We have made it available asa PDF file at and hope youwill share it with other healthcare leaders.About the CompetenciesThe competencies were derived from job analysis surveysconducted by Healthcare Leadership Allianceassociations. In addition to the American College ofHealthcare Executives, members of the HealthcareLeadership Alliance are American Association ofPhysician Leadership, American Organization of NurseExecutives, Healthcare Financial ManagementAssociation, Healthcare Information and ManagementSystems Society and Medical Group ManagementAssociation.4. Knowledge of the Healthcare EnvironmentThe understanding of the healthcare system and theenvironment in which healthcare managers and providersfunction. This domain includes:A.B.C.D.Healthcare Systems and OrganizationsHealthcare PersonnelThe Patient’s PerspectiveThe Community and the EnvironmentACHE Healthcare Executive Competencies Assessment ToolCopyright 2020 by the American College of Healthcare Executives2

COMPETENCY LEVELNoviceCompetentExpert1. Communication and Relationship ManagementA. Relationship ManagementOrganizational structure and relationships12345Build collaborative relationships12345Demonstrate effective interpersonal relations12345Develop and maintain medical staff relationships12345Develop and maintain supplier relationships12345Identify stakeholder needs/expectations12345Provide internal customer service12345Practice and value shared decision making12345Other professional norms and standards of behaviors as definedby professions such as AHA, physician’s oaths andother professional pledges12345Creating an ethical culture in an organization12345Readings: 3, 11, 17, 18, 21, 23, 31, 34, 57, 59, 67, 74, 84, 86, 88, 91, 101, 102, 108, 112Programs: 8, 9, 10, 14, 15, 21, 36, 37, 39, 44, 48, 50, 51, 60Leadership Assessments: 1, 2, 6, 7, 8Self-Study Courses: 2, 3, 18B. Communication Skills3Public relations12345Principles of communication and their specific applications12345Sensitivity to what is correct behavior when communicatingwith diverse cultures, internal and external12345Communicate organizational mission, vision, objectivesand priorities12345Identify and use human and technical resources to developand deliver communications12345Prepare and deliver business communications, includingmeeting agendas, presentations, business reports andproject communications plans12345Present results of data analysis to decision makers12345Provide and receive constructive feedback12345Use factual data to produce and deliver credible andunderstandable reports12345ACHE Healthcare Executive Competencies Assessment ToolCopyright 2020 by the American College of Healthcare Executives

COMPETENCY LEVELNoviceCompetentExpertReadings: 11, 21, 23, 25, 86Programs: 9, 14, 36, 38, 48, 58Leadership Assessments: 7, 8C. Facilitation and NegotiationMediation, negotiation and dispute resolution techniques12345Team building techniques12345Labor relations strategies12345Build effective physician and administrator leadership teams12345Create, participate in and lead teams12345Facilitate conflict and alternative dispute resolution12345Facilitate group dynamics, process, meetings and discussions12345Readings: 3, 11, 22, 36, 69, 74, 84, 87, 98, 100, 106, 108, 112Programs: 3, 36, 38, 44, 48, 60Leadership Assessments: 5, 7, 8Self-Study Courses: 2, 18, 19, 24COMMUNICATION AND RELATIONSHIP MANAGEMENTDEVELOPMENT PLANACHE Healthcare Executive Competencies Assessment ToolCopyright 2020 by the American College of Healthcare Executives4

COMPETENCY LEVELNoviceCompetentExpert2. LEADERSHIPA. Leadership Skills and BehaviorLeadership styles/techniques12345Leadership theory and situational applications12345Potential impacts and consequences of decision making insituations both internal and external12345Adhere to legal and regulatory standards12345Champion solutions and encourage decision making12345Develop external relationships12345Collaborative techniques for engaging and working with physicians12345Incorporate and apply management techniques and theoriesinto leadership activities12345Foster an environment of mutual trust12345Support and mentor high-potential talent within the organization12345Advocate and participate in healthcare policy initiatives12345Readings: 3, 6, 15, 19, 22, 23, 36, 38, 50, 54, 57, 59, 76, 81, 82, 83, 85, 86, 88, 105, 106Programs: 3, 8, 9, 21, 32, 34, 38, 44, 48, 50, 59, 60Leadership Assessments: 1, 2, 4, 7, 8Self-Study Courses: 1, 3, 5, 7, 13, 19B. Organizational Climate and CultureCreate an organizational climate that encourages teamwork12345Create an organizational culture that values and supports diversity 12345Knowledge of own and others’ cultural norms12345Assess the organization, including corporate values and culture,business processes and impact of systems on operations1234512345Create an organizational climate that facilitates individual motivation 12345Readings: 21, 23, 31, 37, 45, 57, 82, 87, 90, 95, 102, 106Programs: 2, 8, 10, 16, 23, 33, 36, 48, 50, 60Leadership Assessments: 8Other: 3C. Communicating VisionEstablish a compelling organizational vision and goals5ACHE Healthcare Executive Competencies Assessment ToolCopyright 2020 by the American College of Healthcare Executives

COMPETENCY LEVELNoviceCompetentExpertEncourage a high level of commitment to the purpose andvalues of the organization12345Hold self and others accountable for organizationalgoal attainment12345Gain physician buy-in to accept risk and support newbusiness ventures12345Promote and manage change12345Explore opportunities for the growth and development of theorganization on a continuous basis12345Promote continuous organizational learning/improvement12345Anticipate and plan strategies for overcoming obstacles12345Anticipate the need for resources to carry out initiatives12345Develop effective medical staff relationships in supportof the organization’s mission, vision and strategic plan12345Readings: 18, 22, 23, 36, 74, 82, 84, 85, 87, 88, 106, 112, 123Programs: 2, 10, 14, 36, 37, 48Leadership Assessments: 8Self-Study Courses: 1, 13, 19D. Managing ChangeReadings: 1, 2, 3, 6, 11, 17, 18, 21, 22, 23, 26, 35, 36, 39, 57, 61, 67, 74, 82, 84, 85, 87, 88, 90, 100, 102, 104, 108, 112Programs: 2, 8, 25, 32, 34, 36, 37, 38, 39, 48, 59, 60Leadership Assessments: 4, 6Self-Study Courses: 2, 13, 18LEADERSHIP DEVELOPMENT PLANACHE Healthcare Executive Competencies Assessment ToolCopyright 2020 by the American College of Healthcare Executives6

COMPETENCY LEVELNovice3. PROFESSIONALISMCompetentExpertA. Personal and Professional AccountabilityPatient rights and responsibilities12345Ethics committee’s roles, structure and functions12345Consequences of unethical actions12345Organizational business and personal ethics12345Cultural and spiritual diversity for patients and staff as theyrelate to healthcare needs12345Conflict of interest situations as defined by organizationalbylaws, policies and procedures12345Professional roles, responsibility and accountability12345Professional standards and codes of ethical behavior12345Balance professional and personal pursuits12345Uphold and act upon ethical and professional standards12345Adhere to ethical business principles12345Other professional norms and standards of behaviors as defined byprofessions such as AHA, physician’s oaths and other professional pledges 12345Creating an ethical culture in an organization12345Professional norms and behaviors12345Professional societies and memberships12345Contribute to professional knowledge and evidence12345Time and stress management techniques12345Conduct self-assessments12345Network with colleagues12345Participate in continuing education and career planning12345Acquire and stay current with the professional body of knowledge 12345Readings: 34, 36, 67, 84, 86, 93, 94, 119Programs: 21, 34, 48, 51Other: 1, 2, 4, 5, 6, 8B. Professional Development and Lifelong LearningReadings: 28, 36, 86, 95, 117, 121Programs: 8, 10, 32, 50, 60Leadership Assessments: 2, 3, 7, 9Self-Study Course: 57ACHE Healthcare Executive Competencies Assessment ToolCopyright 2020 by the American College of Healthcare Executives


4. Knowledge of the Healthcare Environment The understanding of the healthcare system and the environment in which healthcare managers and providers function. This domain includes: A. Healthcare Systems and Organizations B. Healthcare Personnel C. The Patient’s Perspective D. The Community and the Environment 5. Business Skills and Knowledge