Health Care Skills Rating
  Healthcare Leadership Competencies Skills Checklist
   NAME  
   Email-Id
   DATE    
I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:

This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

 
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

  
Rating Stars (Click)
RELATIONSHIP MANAGEMENT 1
2
3
4
Organizational structure and relationship
Build collaborative relationships
Develop and maintain medical staff relationships
Provide internal customer service
Practice and value shared decision making
Rating Stars (Click)
COMMUNICATION SKILLS 1
2
3
4
Sensitive to what is correct behavior when communicating with diverse cultures, internal, and external
Communicate organizational mission, vision, objectives, and priorities
Prepare and deliver business communications, including meeting agendas, presentations, business reports, and project communications plans
Present results of data analysis to decision makers
Provide and receive constructive feedback
Rating Stars (Click)
FACILITATION AND NEGOTIATION 1
2
3
4
Mediation, negotiation, and dispute resolution techniques
Team building techniques
Create, participate in, and lead teams
Facilitate group dynamics, process, meetings, and discussions
Rating Stars (Click)
LEADERSHIP 1
2
3
4
Leadership styles/techniques
Potential impacts and consequences of decision making
Establish a compelling organizational vision and goals
Hold self and others accountable for organizational goal attainment
Promote and manage change
Promote continuous organization learning/improvement
Rating Stars (Click)
HEALTHCARE SYSTEMS AND ORGANIZATIONS 1
2
3
4
Managed care models, structures, and environment
Levels of healthcare along the continuum of care
Evidence-based management practice
The interrelationships among access, quality, cost, resource allocation, accountability, and community
The patient experience (e.g., cultural differences, expectations)
Healthcare technological research and advancements
Organization and delivery of healthcare
Regulatory and administrative environment in which the organization functions
Rating Stars (Click)
Age Specific Competencies 1
2
3
4
Infant (Birth - 1 year)
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)
Rating Stars (Click)
BUSINESS SKILLS AND KNOWLEDGE 1
2
3
4
Ability to analyze and evaluate information to support a decision or recommendation
Collect and analyze data from internal and external sources relevant to each situation
Techniques for business plan development, implementation, and assessment
The functions of organizational policies and procedures
Promote and apply problem-solving philosophies
Demonstrate critical thinking and analysis
Systems thinking
Facilities planning