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Resource Details


COO Competencies and Professional Development Tool

Year Developed: 2023

Resource Type: Toolkit.

Primary Audience: Administrative Staff;; C-Suite (CEOs, CFOs, CIOs, CMOs, COOs, etc.); PCAs
Secondary Audience: Board of Directors; Enabling Staff

Language(s): English

Developed by: National Association of Community Health Centers (See other resources developed by this organization).

Resource Summary: This tool is appropriate for use by a wide variety of stakeholders, including health center Chief Executive Officers (CEO), COOs and other Leaders; Board of Directors; Human Resources; Search Firms; Primary Care Associations; Training Organizations; and more. It is our hope that this tool will provide the structure and common language to help define, develop, and sustain excellence in operations leadership of health centers across the United States.

Resource Details: Defining health center Chief Operating Officer (COO) Competencies is a project led by NACHC engaging health center leaders from across the country to identify a comprehensive set of COO work role domains, tasks/skills, and behaviors. This working group is creating a taxonomy of competencies to serve as a foundation for defining the important aspects of COO leadership and effectiveness. In healthcare and related industries, many organizations have published frameworks to evaluate competency and support professional development (e.g., Medical Group Management Association (MGMA), National Institutes of Health (NIH), Healthcare Financial Management Association (HFMA), etc.). For our purposes, the American College of Healthcare Executives (ACHE) Competencies (2023) was selected and serves as a common foundation for all heath center executives. The ACHE domains have been adapted to represent the environment and mission of health centers and specifically the role of the COO. This tool is organic and subject to continuous quality improvement and revision as COO practice evolves and feedback on the tool is gathered, analyzed, and incorporated.

Resource Topic: Governance, Workforce, Quality

Resource Subtopic: Administrative Policies, Development and Training, Leadership Skills, Human Resources, Programs and Services, —Value-Based Health Care Transformation, Sustainability, —Finance, Quality Improvement.

Keywords: Education of Staff (e.g., Competency-Based), Health Care Facilities, Health Systems, Planning.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit