Appendix 2.6.c. Healthcare Administration MHA Program Competency Statement

The Master of Healthcare Administration Program educates professionals to lead innovative, effective healthcare organizations to improve their communities. The MHA Program, one of four demonstration sites selected by the National Center for Healthcare Leadership, (NCHL) uses the NCHL Health Leadership Competency Model developed in 2004 (http://www.nchl.org/ns/documents/documents.asp). The NCHL Health Leadership Model consists of three domains with 26 behavioral and technical competencies. The three domains — Transformation, Execution and People — capture the complexity and dynamic quality of the health leaders' role

Transformation: Visioning, energizing and stimulating a change process that coalesces communities, patients and professionals around new models of healthcare and wellness.

Execution: Translating vision and strategy into optimal organizational performance.

People: Creating an organizational climate that values employees from all backgrounds and provides an energizing environment for them. Also includes the leader's responsibility to understand his or her impact on others and to improve his or her capabilities, as well as the capabilities of others." (National Center for Healthcare Leadership 2004)

Competency Area
Specific Competencies	Learning Opportunities	Evaluation Opportunities
Accountability
NCHL Competency — Level 3: Demands high performance: Imposes new, different, or higher standards of performance with little input from others. Demands high performance, quality or resources: Insists on compliance with orders or requests: Mentions possible consequences for non-performance	PUBH 6544 PUBH 6561 PUBH 6564	Written feedback and evaluations by instructor and teammates Examinations
Achievement Orientation
NCHL Competency — Level 5: Makes cost-benefit analysis: Makes decisions, sets priorities, or chooses goals on the basis of calculated inputs and outputs (e.g. makes explicit considerations of potential profit and risks or return on investment)	PUBH 6544 PUBH 6545 PUBH 6556	Written feedback and evaluations by instructor and teammates Examinations
Analytical Thinking
NCHL Competency — Level 4: Develops complex plans or analyses: Identifies multiple elements of a problem and breaks down each of those elements in detail, showing causal relationships between them; Peels back multiple layers of a problem; Uses several analytical techniques to break complex problems into components part; Uses several analytical techniques to identify several solutions and weights the value of each.	PUBH 6541 PUBH 6543 PUBH 6544 PUBH 6548 PUBH 6554 PUBH 6555 PUBH 6556 PUBH 6557 PUBH 6560 PUBH 6561 PUBH 6562 PUBH 6563 PUBH 6596 PUBH 7746	Oral and written evaluations from instructors, preceptors and teammates Papers Exams Videotapes of presentations
Change Leadership
NCHL Competency — Level 6: Provides calm during the storm of change: Maintains an eye on the strategic goals and values during the chaos of change; Exemplifies quiet confidence in the progress and benefits of change; Defines the vision for the next wave of change.	PUBH 6540 PUBH 6544 PUBH 6545 PUBH 6563 PUBH 7596	Oral and written evaluations from instructors, preceptors and teammates Papers Exams Videotapes of presentations
Collaboration
NCHL Competency — Level 5: Works to build team commitment: Acts to promote good working relationships regardless of personal likes or dislikes; builds good morale or cooperation within the team, including creating symbols of groups identify or other actions to build cohesiveness; Encourages or facilitates a beneficial resolution to conflict.	PUBH 6544 PUBH 6545 PUBH 6554 PUBH 6561 PUBH 6562 PUBH 7596	Oral and written evaluations from instructors, preceptors and teammates Papers Exams Videotapes of presentations
Communications Skills
NCHL Competency — Level 4: Conducts group facilitation: Uses brainstorming; Uses consensus-building techniques; Uses group problem solving; Uses conflict resolution; Demonstrates good meeting management techniques (e.g. agenda development, time management)`	PUBH 6540 PUBH 6542 PUBH 6544 PUBH 6545 PUBH 6548 PUBH 6554 PUBH 6555 PUBH 6560 PUBH 6562 PUBH 6564 PUBH 7596	Oral and written evaluations from instructors, preceptors, and teammates Papers Exams Videotapes of presentations
Community Orientation
NCHL Competency — Level 6: Advocates for broader health environment: Engages in meaningful actions within the national health environment to move the recognized policies forward; Partners across health constituencies to create a coordinated and dynamic health system on a national basis that meets long-term health and wellness needs; Understands needs of health stakeholders nationally and pushes their agenda forward.	PUBH 6542 PUBH 6556 PUBH 6564	Class discussions Papers Exams Oral presentations
Financial Skills
NCHL Competency — Level 4: Evaluates and manages financial investment: Calculates rate of return, net present value, cash flow analyses; Calculates risk-return trade-offs and cost-benefit analyses; Conducts population, disease utilization analyses; Understands basics of insurance rating and actuarial risk.	PUBH 6535 PUBH 6757 PUBH 6758 PUBH 6762	Class assignments Homework Exams
Human Resources Management
NCHL Competency — Level 3: Understands union/labor practices: Understands union contracting; Understands negotiation processes roles and responsibilities. Understand grievance processes and mediation; Understands differences in managing union and non-union environments.	PUBH 6540 PUBH 6547 PUBH 6596	Class discussions Papers Exams Oral presentations
Impact and Influence
NCHL Competency — Level 4: Calculates impact of actions or words: Adapts a presentation or discussion to appeal to the interest and level of others; Anticipates the effect of an action or other detail on people’s image of the speaker, Takes a well-thought-out dramatic or unusual action in order to have a specific impact; Anticipates and prepares for others’ reactions.	PUBH 6540 PUBH 6544 PUBH 6561 PUBH 7596	Oral and written evaluations from instructors, preceptors and teammates Papers Exams Videotapes of presentations
Information Seeking
NCHL Competency — Level 5: Recognized as a user of best practices: Establishes ongoing systems or habits to get information; for example, walks around, hold regular informal meetings, or scans publications that feature best practices; Enlists individuals to do regular ongoing information-gathering; Adapts the best practices from other industries.	PUBH 6540 PUBH 6554 PUBH 6555 PUBH 6556 PUBH 6563 PUBH 6564 PUBH 6596	Class assignments Homework Exams
Information Technology Management
NCHL Competency — Level 4: Seeks and challenges the organization to use leading edge and develop information technology. Stays up to date on the latest developments in information technology; identifies new opportunities to use latest information technology in the organization. These uses fundamentally alter the way the organization operates or promotes wellness. Partners with latest thinkers and developers to identify and implement breakthrough systems.	PUBH 6556 PUBH 6560 PUBH 6562 PUBH 6574	Class assignments Homework Cases Exams
Initiative
NCHL Competency — Level 5: Acts over a year ahead; Anticipates and takes action to create an opportunity to avoid future crisis, looking ahead 4-12 months.	PUBH 6544 PUBH 6556 PUBH 7596	Class discussions Papers Exams Oral presentations
Innovative Thinking
NCHL Competency — Level 5: Creates new concepts: Creates new concepts that are not obvious to others and not learned from previous education to explain situation or resolve problems; Looks at things in new ways that yield new or innovative approaches-break-through thinking; Shifts the paradigm, starts a new line of thought.	PUBH 6540 PUBH 6541 PUBH 6544 PUBH 6545 PUBH 6554 PUBH 6561 PUBH 6562 PUBH 6563 PUBH 6564 PUBH 7596	Oral and written evaluations from instructors, preceptors and teammates Papers Exams Individual and team presentations and videotapes of presentations
Interpersonal Understanding
NCHL Competency — Level 5: Actively increases diversity and multi-cultural approaches: Uses own insights and perceptions to create greater diversity and multiculturalism; Uses understanding to shape future care scenarios to respond more positively to different community and demographic groups.	PUBH 6547 PUBH 6545 PUBH 7596	Oral and written evaluations from instructors, preceptors and teammates Papers Exams Individual and team presentations and videotapes of presentations
Organizational Awareness
NCHL Competency — Level 5: Understands underlying issues: Addresses the deeper reasons for organization, industry and stakeholder actions, such as the underlying cultural, ethnic, economic, and demo-graphic history and traditions; Uses these insights to gain long-term support for the creation of local, regional, and national integrated health systems that achieve national agenda for health and wellness.	PUBH 6540 PUBH 6542 PUBH 6543 PUBH 6544 PUBH 6547 PUBH 6548 PUBH 6554 PUBH 6555 PUBH 6562 PUBH 6563 PUBH 6564 PUBH 6596 PUBH 7596	Oral and written evaluations from instructors, preceptors, and teammates Papers Exams Individual and team presentations and videotapes of presentations
Performance Measures
NCHL Competency — Level 3: Monitors community wellness and uses evidence-based approaches: Measures organization successes by tracking community wellness and performance against national criteria and priorities; Uses advanced warning measure to enable the movement of people, equipment and resources; Anticipates community needs; Ensures timeliness, effectiveness and efficiency of service; advocates for treatment and other care decisions that are evidenced-based and patient-centered.	PUBH 6541 PUBH 6560 PUBH 6562 PUBH 6564	Papers Exams Projects in healthcare organizations
Process Management and Organizational Design
NCHL Competency — Level 4: Understands the Basics of Organization Governance: Understands governance practices including Board relations, committee structure and fiduciary responsibilities; Defines roles and responsibilities of Foundations and other auxiliary organization; Defines role and responsibilities of key governing and regulatory organizations such as State, County and City governments.	PUBH 6542 PUBH 6556 PUBH 6560 PUBH 6562 PUBH 6564	Papers Exams Projects in healthcare organizations
Professionalism
NCHL Competency — Level 4: Promotes population wellness: Develops professional roles/values compatible with improving population and individual health; Commits to addressing the health and wellness needs of the total population, including adapting new approaches that address diverse cultural attitudes about health.	PUBH 6547 PUBH 6556 PUBH 6562 PUBH 7596	Papers Exams Projects in healthcare organizations Oral and written feedback from preceptors in the field
Project Management
NCHL Competency — Level 2: Implements project plan; Tracks performance against plan and budget; Holds vendors accountable; Holds team members accountable; Reports project outcomes; Adjust plan and re-projects.	PUBH 6544 PUBH 6560 PUBH 7596	Papers Exams Projects in healthcare organizations Oral and written feedback from preceptors in field
Relationship Building
NCHL Competency — Level 5: Sustains strong personal networks: Builds and keeps personal relationships with colleagues such that one can ask and readily receive favors and requests; Can call on others for support and if needed, personal testimonials and references; Is recognized as “one of the good people”	PUBH 6544 PUBH 6545 PUBH 7596	Projects in healthcare organizations Oral and written feedback from preceptors in field
Self-Confidence
NCHL Competency — Level 4: Takes on challenges: Likes challenging assignments, and is excited by a new challenge: Looks for and gets new responsibilities; Speaks up when he or she disagrees with management or others in power; but disagrees politely, stating own view clearly and confidently- even in a conflict.	PUBH 6544 PUBH 6545 PUBH 7596	Projects in healthcare organizations Oral and written feedback from preceptors in field
Self Development
NCHL Competency — Level 4: Pursues long-term personal development: Independently analyses future developmental needs, factoring in accurate self-assessment, feedback from others, personal career goals and organization direction; Proactively pursues multi-year personal development, including willingness to tackle fundamental behavior change (e.g., from pacesetter to consensus builder).	PUBH 6544 PUBH 6545 PUBH 7596	Projects in healthcare organizations Oral and written feedback from preceptors in field
Strategic Orientation
NCHL Competency — Level 2: Develops strategy to address environmental forces: Positions the organization in light of the environmental forces over the next three to five years. Develops strategic goals and plans for the organization that take advantage of its strengths, addresses its shortcomings, builds on opportunities and attempts to minimize environmental threats.; Aligns organizational units and investment strategy (financial, people, technology a, materials) to achieve strategy.	PUBH 6543 PUBH 6554 PUBH 6562 PUBH 6563 PUBH 6544 PUBH 6545 PUBH 7596	Oral and written evaluations from instructors, preceptors and teammates Papers Exams Individual and team presentations and videotapes of presentations
Talent Development
NCHL Competency — Level 3: Gives reasons and other support: Gives directions or demonstrates with reasons or rationale as a training strategy; Provides practical support or assistance to make an assignment easier for others; Volunteers additional resources, tools information, expert advice, etc; Asks questions, gives tests, or uses other methods to verify that others have understood explanation or direction; Gives feedback in balanced, behavioral, and constructive manner.	PUBH 6544 PUBH 6561 PUBH 6545 PUBH 7596	Oral and written evaluations from instructors, preceptors, and teammates Papers Exams Individual and team presentations and videotapes of presentations
Team Leadership
NCHL Competency — Level 5: Demonstrates leadership: Establishes norms for team behavior; Personally models the norms; Takes appropriate action when members violate the norms; Works with team members to gain their personal commitment and energy to the team mission, goals and norms; Uses own positional power, trust, respect of others, and relationships to remove or smooth over obstacles that the team meets; Coaches and develops team members to top performance.	PUBH 6561 PUBH 6544 PUBH 7596 PUBH 6545	Oral and written evaluations from instructors, preceptors, and teammates Papers Exams Individual and team presentations and videotapes of presentations

Appendix 2.6.c. Healthcare Administration MHA Program Competency Statement

Competency Area