FACHE case studies
FACHE · Put your knowledge to work in context.
The FACHE (Fellow of the American College of Healthcare Executives) is the board certification in healthcare management offered by ACHE. It signals that a healthcare executive has met the profession's standard for demonstrated competence and commits to ongoing professional development. Candidates are typically mid- to senior-level leaders - hospital and system executives, department directors, consultants, and leaders in payer, ambulatory, and public health settings - who already hold a graduate degree and a qualifying position. The exam is multiple choice and is organized around five competency domains: communication and relationship management, leadership, professionalism, knowledge of the healthcare environment, and business skills and knowledge. The FACHE case studies are 5 cases and about 2,456 words.
1The Disengaged Nursing Unit
You are the new CEO of a 250-bed community hospital. During your first month, you review the annual employee engagement survey results and notice that the medical-surgical unit has the lowest scores in the hospital: only 35% of nurses feel their opinions count, and 40% are considering leaving within a year.
464 words, about 2 min2The Physician Employment Decision
You are the CEO of a 300-bed nonprofit hospital. A large, independent primary care group (20 physicians) in your service area has approached you about employment.
501 words, about 3 min3The Ethical Dilemma of Resource Allocation
You are the CEO of a hospital that is part of a regional health system. The system has a limited supply of a new, highly effective but expensive drug that treats a rare form of cancer.
452 words, about 2 min4The Quality Improvement Initiative
You are the COO of a 400-bed hospital. The hospital's rate of central line-associated bloodstream infections (CLABSI) in the ICU is 2.5 per 1,000 line days, which is above the national benchmark of 1.0.
473 words, about 2 min5The Payer Contract Negotiation
You are the CFO of a 200-bed hospital. A major commercial payer, which accounts for 25% of your patient volume, has proposed a new contract that would reduce reimbursement rates by 5% across all services.
566 words, about 3 min