ACHE Board of Governors Exam Study
Manual Overview 2026/2027 With
Verified Questions And Answers
Healthcare Management and Leadership - correct answer <<<<<💕💕💕✔✔Covers management
functions (planning, organizing, directing, controlling), strategic planning (SWOT, scorecards), change
management (Kotter), leadership styles (transformational, servant, situational), and team dynamics.
Governance and Organizational Structure - correct answer <<<<<💕💕💕✔✔Explains board
responsibilities (CEO selection, budget approval), governance models (managerial, resource-based),
medical staff oversight (credentialing, privileging), and organizational structures (functional, matrix,
service-line).
Human Resources - correct answer <<<<<💕💕💕✔✔Includes recruitment, labor law (FMLA, ADA),
performance reviews, compensation models, DEI, conflict resolution, retention, and succession
planning.
Financial Management - correct answer <<<<<💕💕💕✔✔Details income statements, balance
sheets, financial ratios, reimbursement models (DRGs, APCs, VBP), budgeting types, and the HFMA Code
of Ethics.
Information Technology and Systems - correct answer <<<<<💕💕💕✔✔Covers HIS, EHR,
cybersecurity, HIPAA, HITECH, data governance, analytics (descriptive, predictive), project lifecycles, and
tech adoption.
Quality and Performance Improvement - correct answer <<<<<💕💕💕✔✔Explains Lean, Six
Sigma, PDSA, CQI, risk management (RCA, FMEA), clinical pathways, population health, benchmarking
(HCAHPS, NPS), and PI councils.
Laws and Regulations - correct answer <<<<<💕💕💕✔✔Includes Stark Law, EMTALA, Anti-
Kickback, False Claims Act, IRBs, informed consent, HIPAA, HITECH, ADA, and accreditation (TJC, CMS).
,Professionalism and Ethics - correct answer <<<<<💕💕💕✔✔Covers ACHE Code of Ethics, Belmont
Report, COI prevention, diversity/inclusion, research ethics, organizational values, and leadership
integrity.
Marketing and Communications - correct answer <<<<<💕💕💕✔✔Explains the 4 Ps, service line
promotion, community outreach, internal communication, crisis comms, branding, and PR strategy.
Business and Operations - correct answer <<<<<💕💕💕✔✔Includes Lean ops, throughput,
capacity planning, project management, supply chain logistics, JIT, space planning, and emergency
preparedness.
SWOT - correct answer <<<<<💕💕💕✔✔A strategic planning tool used to identify strengths,
weaknesses, opportunities, and threats.
DRGs - correct answer <<<<<💕💕💕✔✔Diagnosis-Related Groups, a system to classify hospital
cases into groups for payment purposes.
APCs - correct answer <<<<<💕💕💕✔✔Ambulatory Payment Classifications, a system for
outpatient services reimbursement.
VBP - correct answer <<<<<💕💕💕✔✔Value-Based Purchasing, a strategy to improve healthcare
quality by linking payment to performance.
FMLA - correct answer <<<<<💕💕💕✔✔Family and Medical Leave Act, a labor law requiring
employers to provide employees with job-protected and unpaid leave for qualified medical and family
reasons.
ADA - correct answer <<<<<💕💕💕✔✔Americans with Disabilities Act, a civil rights law that
prohibits discrimination based on disability.
RCA - correct answer <<<<<💕💕💕✔✔Root Cause Analysis, a method of problem-solving used for
identifying the root causes of faults or problems.
,FMEA - correct answer <<<<<💕💕💕✔✔Failure Mode and Effects Analysis, a systematic method
for evaluating processes to identify where and how they might fail.
HCAHPS - correct answer <<<<<💕💕💕✔✔Hospital Consumer Assessment of Healthcare Providers
and Systems, a standardized survey of patient perspectives on hospital care.
NPS - correct answer <<<<<💕💕💕✔✔Net Promoter Score, a metric used to gauge the loyalty of a
firm's customer relationships.
LEAN - correct answer <<<<<💕💕💕✔✔A systematic method for waste minimization within a
manufacturing system without sacrificing productivity.
Six Sigma - correct answer <<<<<💕💕💕✔✔A set of techniques and tools for process
improvement.
PDSA - correct answer <<<<<💕💕💕✔✔Plan-Do-Study-Act, an iterative four-stage problem-
solving model.
COI - correct answer <<<<<💕💕💕✔✔Conflict of Interest, a situation in which a person or
organization is involved in multiple interests, financial or otherwise, and serving one interest could
involve working against another.
Legal and Ethical Duties of Board Members - correct answer <<<<<💕💕💕✔✔Responsibilities and
obligations that board members must adhere to in healthcare governance.
Board Composition & Structure - correct answer <<<<<💕💕💕✔✔The arrangement and makeup
of a board of directors in a healthcare organization.
Core Functions of the Governing Board (ACHE / WMHCO) - correct answer
<<<<<💕💕💕✔✔Essential roles and responsibilities of the governing board as defined by ACHE
and WMHCO.
, Board Committees and Their Roles - correct answer <<<<<💕💕💕✔✔Specific groups within the
board that focus on particular areas of governance.
Medical Staff Governance and Oversight - correct answer <<<<<💕💕💕✔✔The framework for
managing and supervising the medical staff in a healthcare organization.
Organizational Structure Types in Healthcare - correct answer <<<<<💕💕💕✔✔Different models
of organizational frameworks used in healthcare settings.
IRS and Nonprofit Board Compliance - correct answer <<<<<💕💕💕✔✔Regulatory requirements
for nonprofit boards to comply with IRS standards.
Risk Management and Governance Accountability - correct answer <<<<<💕💕💕✔✔Strategies for
identifying and mitigating risks while ensuring accountability in governance.
Board Education and Evaluation - correct answer <<<<<💕💕💕✔✔Processes for training board
members and assessing their performance.
Voluntary Governance Best Practices (Sarbanes-Oxley Inspired) - correct answer
<<<<<💕💕💕✔✔Recommended governance practices inspired by the Sarbanes-Oxley Act.
Domain 3: Human Resources - correct answer <<<<<💕💕💕✔✔Focus area concerning the
management of personnel in healthcare organizations.
Strategic HR Foundations - correct answer <<<<<💕💕💕✔✔Fundamental principles that guide
human resources strategy in healthcare.
Recruitment, Selection, and Onboarding - correct answer <<<<<💕💕💕✔✔Processes for
attracting, choosing, and integrating new employees.
Retention and Employee Engagement - correct answer <<<<<💕💕💕✔✔Strategies to keep
employees motivated and committed to the organization.
Manual Overview 2026/2027 With
Verified Questions And Answers
Healthcare Management and Leadership - correct answer <<<<<💕💕💕✔✔Covers management
functions (planning, organizing, directing, controlling), strategic planning (SWOT, scorecards), change
management (Kotter), leadership styles (transformational, servant, situational), and team dynamics.
Governance and Organizational Structure - correct answer <<<<<💕💕💕✔✔Explains board
responsibilities (CEO selection, budget approval), governance models (managerial, resource-based),
medical staff oversight (credentialing, privileging), and organizational structures (functional, matrix,
service-line).
Human Resources - correct answer <<<<<💕💕💕✔✔Includes recruitment, labor law (FMLA, ADA),
performance reviews, compensation models, DEI, conflict resolution, retention, and succession
planning.
Financial Management - correct answer <<<<<💕💕💕✔✔Details income statements, balance
sheets, financial ratios, reimbursement models (DRGs, APCs, VBP), budgeting types, and the HFMA Code
of Ethics.
Information Technology and Systems - correct answer <<<<<💕💕💕✔✔Covers HIS, EHR,
cybersecurity, HIPAA, HITECH, data governance, analytics (descriptive, predictive), project lifecycles, and
tech adoption.
Quality and Performance Improvement - correct answer <<<<<💕💕💕✔✔Explains Lean, Six
Sigma, PDSA, CQI, risk management (RCA, FMEA), clinical pathways, population health, benchmarking
(HCAHPS, NPS), and PI councils.
Laws and Regulations - correct answer <<<<<💕💕💕✔✔Includes Stark Law, EMTALA, Anti-
Kickback, False Claims Act, IRBs, informed consent, HIPAA, HITECH, ADA, and accreditation (TJC, CMS).
,Professionalism and Ethics - correct answer <<<<<💕💕💕✔✔Covers ACHE Code of Ethics, Belmont
Report, COI prevention, diversity/inclusion, research ethics, organizational values, and leadership
integrity.
Marketing and Communications - correct answer <<<<<💕💕💕✔✔Explains the 4 Ps, service line
promotion, community outreach, internal communication, crisis comms, branding, and PR strategy.
Business and Operations - correct answer <<<<<💕💕💕✔✔Includes Lean ops, throughput,
capacity planning, project management, supply chain logistics, JIT, space planning, and emergency
preparedness.
SWOT - correct answer <<<<<💕💕💕✔✔A strategic planning tool used to identify strengths,
weaknesses, opportunities, and threats.
DRGs - correct answer <<<<<💕💕💕✔✔Diagnosis-Related Groups, a system to classify hospital
cases into groups for payment purposes.
APCs - correct answer <<<<<💕💕💕✔✔Ambulatory Payment Classifications, a system for
outpatient services reimbursement.
VBP - correct answer <<<<<💕💕💕✔✔Value-Based Purchasing, a strategy to improve healthcare
quality by linking payment to performance.
FMLA - correct answer <<<<<💕💕💕✔✔Family and Medical Leave Act, a labor law requiring
employers to provide employees with job-protected and unpaid leave for qualified medical and family
reasons.
ADA - correct answer <<<<<💕💕💕✔✔Americans with Disabilities Act, a civil rights law that
prohibits discrimination based on disability.
RCA - correct answer <<<<<💕💕💕✔✔Root Cause Analysis, a method of problem-solving used for
identifying the root causes of faults or problems.
,FMEA - correct answer <<<<<💕💕💕✔✔Failure Mode and Effects Analysis, a systematic method
for evaluating processes to identify where and how they might fail.
HCAHPS - correct answer <<<<<💕💕💕✔✔Hospital Consumer Assessment of Healthcare Providers
and Systems, a standardized survey of patient perspectives on hospital care.
NPS - correct answer <<<<<💕💕💕✔✔Net Promoter Score, a metric used to gauge the loyalty of a
firm's customer relationships.
LEAN - correct answer <<<<<💕💕💕✔✔A systematic method for waste minimization within a
manufacturing system without sacrificing productivity.
Six Sigma - correct answer <<<<<💕💕💕✔✔A set of techniques and tools for process
improvement.
PDSA - correct answer <<<<<💕💕💕✔✔Plan-Do-Study-Act, an iterative four-stage problem-
solving model.
COI - correct answer <<<<<💕💕💕✔✔Conflict of Interest, a situation in which a person or
organization is involved in multiple interests, financial or otherwise, and serving one interest could
involve working against another.
Legal and Ethical Duties of Board Members - correct answer <<<<<💕💕💕✔✔Responsibilities and
obligations that board members must adhere to in healthcare governance.
Board Composition & Structure - correct answer <<<<<💕💕💕✔✔The arrangement and makeup
of a board of directors in a healthcare organization.
Core Functions of the Governing Board (ACHE / WMHCO) - correct answer
<<<<<💕💕💕✔✔Essential roles and responsibilities of the governing board as defined by ACHE
and WMHCO.
, Board Committees and Their Roles - correct answer <<<<<💕💕💕✔✔Specific groups within the
board that focus on particular areas of governance.
Medical Staff Governance and Oversight - correct answer <<<<<💕💕💕✔✔The framework for
managing and supervising the medical staff in a healthcare organization.
Organizational Structure Types in Healthcare - correct answer <<<<<💕💕💕✔✔Different models
of organizational frameworks used in healthcare settings.
IRS and Nonprofit Board Compliance - correct answer <<<<<💕💕💕✔✔Regulatory requirements
for nonprofit boards to comply with IRS standards.
Risk Management and Governance Accountability - correct answer <<<<<💕💕💕✔✔Strategies for
identifying and mitigating risks while ensuring accountability in governance.
Board Education and Evaluation - correct answer <<<<<💕💕💕✔✔Processes for training board
members and assessing their performance.
Voluntary Governance Best Practices (Sarbanes-Oxley Inspired) - correct answer
<<<<<💕💕💕✔✔Recommended governance practices inspired by the Sarbanes-Oxley Act.
Domain 3: Human Resources - correct answer <<<<<💕💕💕✔✔Focus area concerning the
management of personnel in healthcare organizations.
Strategic HR Foundations - correct answer <<<<<💕💕💕✔✔Fundamental principles that guide
human resources strategy in healthcare.
Recruitment, Selection, and Onboarding - correct answer <<<<<💕💕💕✔✔Processes for
attracting, choosing, and integrating new employees.
Retention and Employee Engagement - correct answer <<<<<💕💕💕✔✔Strategies to keep
employees motivated and committed to the organization.
