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Test Number : NE-BC
Test Name : ANCC Nurse Executive Certification
Vendor Name : Medical
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Exam : NE-BC
Exam Name : ANCC Nurse Executive Certification
Number of Questions : 175
Scored Questions : 150
Unscored Questions : 25

Category Domains of Practice No. of Questions Percent
I Structures and Processes 27 18%
II Professional Practice 55 37%
III Leadership 33 22%
IV Knowledge Management 35 23%
Total 150 100%

There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine how well these questions will perform before they are used on the scored portion of the examination. The pretest questions cannot be distinguished from those that will be scored, so it is important for a candidate to answer all questions. A candidate's score, however, is based solely on the 150 scored questions. Performance on pretest questions does not affect a candidate's score.

I. Structures and Processes (18%)
A. Human Capital Management
Knowledge of:
1. Federal and state laws (e.g., Family and Medical Leave Act [FMLA], American with Disabilities Act [ADA], Fair Labor Standards Act [FLSA], wage and hour laws, equal employment opportunities, Occupational Safety and Health Administration [OSHA],
workers compensation)
2. Labor relations (e.g., collective bargaining, contract negotiations, grievances and arbitrations, National Labor Relations Board [NLRB])
3. Resource utilization (e.g., cross training, job descriptions )
4. Principles associated with human resources (e.g., employee assistance and counseling, compensation, benefits, coaching, performance management)
5. Organizational culture (e.g., just culture, transparency)
6. Organizational structure (e.g., chain of command, organizational chart, span of control)
Skills in:
7. Participating in developing and modifying administrative policies and procedures
8. Implementing and enforcing administrative policies and procedures (e.g., monitoring compliance)
9. Providing feedback on effectiveness of administrative policies and procedures
10. Evaluating the effectiveness of roles based on changing needs in the health care environment (e.g., new or expanded job descriptions, professional development)
B. Financial Management
Knowledge of:
1. Basic financial and budgeting principles (e.g., revenue cycle, supply and labor expenses, productivity, depreciation, return on investment [ROI], cost-benefit analysis)
2. Reimbursement methods (e.g., payor systems, pay for performance, payment bundling, value-based purchasing)
3. Contractual agreements (e.g., vendors, materials, staffing)
4. Principles of staffing workload (e.g., full-time equivalents [FTE], hours per patient day, skill mix)
Skills in:
5. Developing a budget (e.g., operational, capital)
6. Analyzing variances and managing a budget (e.g., operational, capital)
7. Efficient resource utilization (e.g., contractual agreements, outsourcing)
8. Determining appropriate staffing workload
C. Health and Public Policy
Knowledge of:
1. Legal issues (e.g., fraud, whistle-blowing, the Health Insurance Portability and Accountability Act [HIPAA], corporate compliance, electronic access and security, harassment, malpractice, negligence)
2. Consumer-driven health care (e.g., public reporting, Community Health Needs Assessment [CHNA], Hospital Consumer Assessment of Healthcare Providers and Systems [HCAHPS], Healthgrades)
3. Emergency planning and response
4. Planning and responding to internal and external disasters
5. Planning and responding to health and public policy issues
6. Assessing, addressing, and preventing legal issues (e.g., violations, fraud, whistleblowing, the Health Insurance Portability and Accountability Act [HIPAA], corporate compliance, electronic access and security, harassment)

II. Professional Practice (37%)
A. Care Management/Delivery
Knowledge of:
1. Health care delivery models and settings (e.g., accountable care organization [ACO], patient-centered medical home [PCMH], nurse-led clinic, telehealth, e-health, inpatient, ambulatory care, home health, rehabilitation, etc.)
2. Laws, regulations, and accrediting bodies (e.g., The Joint Commission, Centers for Medicare and Medicaid Services, Nurse Practice Act)
3. Standards of nursing practice (e.g., clinical practice guidelines, clinical pathways, ANA Scope and Standards of Practice, Nurse Practice Act)
Skills in:
4. Establishing staffing models (e.g., primary care nursing, team nursing, nurse-patient ratios, skill mix, acuity)
5. Designing workflows based on care delivery model and population served (e.g., patient centered medical home [PCMH], interdisciplinary team, case management, disease management, throughput, staffing assignment and scheduling)
6. Developing policies and procedures that ensure regulatory compliance with professional standards and organizational integrity
B. Professional Practice Environment and Models
Knowledge of:
1. Professional practice models
2. Role delineation (e.g., credentialing, privileging, certification)
3. Professional practice standards (e.g., ANA Scope and Standards of Practice, Nurses Bill of Rights, Nurse Practice Act)
4. Employee performance feedback (e.g., coaching, performance appraisal, Just Culture)
Skills in:
5. Developing clinical staff (e.g., orientation, continuing education, competency validation, performance appraisal, peer review, mentoring, planning, lifelong learning)
6. Creating a professional environment for empowered decision making (e.g., shared governance, staff accountability, critical thinking, civility)
7. Recruiting, recognizing, and retaining staff
8. Providing internal and external customer service (including service recovery)
9. Creating a vision for professional nursing practice that promotes patient and family centered care
C. Communication
Knowledge of:
1. Communication principles (e.g., active listening, reflective communication, two-way communication, interviewing)
2. Communication styles (e.g., persuasive, assertive, passive, aggressive, passiveaggressive)
3. Negotiation concepts and strategies (e.g., compromising, collaborating, win-win)
4. Communication processes that support safe patient care (e.g., documentation, handoffs or hand-overs, bedside reporting, incident reporting, reporting sentinel events)
Skills in:
5. Communicating using verbal (e.g., oral and written) and nonverbal methods (e.g., body language, eye contact, active listening)
6. Facilitating collaboration to achieve optimal outcomes (e.g., team building, group dynamics, leveraging diversity)
7. Selecting the appropriate communication method for the audience and situation (e.g., email, role playing, presentation, reports, staff meeting, board meeting, one-on-one conversation, patient/family council, consumer feedback)
8. Conflict management

III. Leadership (22%)
A. Leadership Effectiveness
Knowledge of:
1. Key elements of a healthy work environment
2. Leadership concepts, principles, and styles (e.g., pervasive leadership, servant leadership, situational leadership, appreciative inquiry, culture of transparency, change management theories)
3. Coaching, mentoring, and precepting
4. Emotional intelligence
5. Sources of influence and power
Skills in:
6. Self reflection and personal leadership evaluation
7. Integrating diversity and sensitivity into the work environment
8. Change management
9. Building effective relationships through listening, reflecting, presence, communication, and networking
10. Succession planning
11. Creating an environment to engage and empower employees
B. Strategic Visioning and Planning
Knowledge of:
1. Strategic planning principles (e.g., alignment of nursings strategic plan with the organizational plan, SWOT analysis, components of strategic planning)
2. New program development (e.g., proposals, pro forma, business plans, marketing)
3. Trends that effect nursing practice and the healthcare environment
4. Communicating and building consensus and support for the strategic plan
5. Establishing baselines for processes (i.e., measuring current performance)
6. Evaluating processes and outcome measures over time
7. Project management to support/achieve the strategic plan (e.g., planning, implementing, and monitoring action plans)
C. Ethics and Advocacy
Knowledge of:
1. Ethical principles
2. Business ethics (e.g., corporate compliance, privacy)
3. ANAs Code of Ethics
4. Patients Bill of Rights
Skills in:
5. Advocating for patients (e.g., patient rights, access, and safety)
6. Advocating for staff (e.g., healthy work environment, equipment, staffing)
7. Advocating for the nursing profession (e.g., professional organizations, promoting education, certification, legislative influence)

IV. Knowledge Management (23%)
A. Quality Monitoring and Improvement
Knowledge of:
1. Systems theory
2. Continuous performance improvement (The Plan-Do-Study-Act [PDSA] Cycle, Lean, root cause analysis, tracer methodology)
3. Process and outcome measures (e.g., clinical, financial, safety, patient satisfaction, employee satisfaction)
4. Culture of safety (e.g., risk management, employee engagement, employee safety technologies [patient lifts], patient safety technologies [bar coding])
Skills in:
5. Creating a culture of continuous performance improvement
6. Translating data into information (including use of internal and external benchmarks), and disseminating it at various levels within the organization
7. Evaluating and prioritizing outcomes of care delivery (e.g., nurse sensitive indicators, ORYX indicators, National Patient Safety Goals, core measures)
8. Selecting the appropriate continuous performance improvement technique
9. Action planning to address identified quality issues
B. Evidence-based Practice and Research
Knowledge of:
1. Institutional Review Board (IRB) requirements (e.g., protection of human research subjects)
2. Research and evidence-based practice techniques (e.g., literature review, developing research questions, study methods and design, data management, levels of evidence)
3. Distinguish between performance improvement, evidence-based practice, and research
4. Creating a culture and advocating for resources that support research and scholarly inquiry (e.g., journal club, grant writing, research councils, research participation)
5. Communicating research and evidence-based findings to internal and external stakeholders
6. Incorporating evidence into policies, standards, procedures and guidelines
7. Evaluating and incorporating new knowledge and published research findings into practice
C. Innovation
Knowledge of:
1. Clinical practice innovation
2. Leadership practice innovation
Skills in:
3. Creating a culture that values, encourages, and recognizes new and innovative ideas that benefit the patient, family, organization, or community
4. Developing a framework for implementing innovations (e.g., small tests of change, pilot studies)
5. Leveraging diversity to encourage new and innovative ideas or new patterns of thinking
6. Evaluating and applying technology to support innovation

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Medical Certification teaching

medical Guardian overview 2020 | NE-BC PDF obtain and cheat sheet

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accidents and other medical emergencies are unluckily very standard among older adults mainly. One in 4 adults aged 65 and older fall every year, and falls are the leading reason for fatal injuries and essentially the most normal cause of nonfatal trauma-related admissions in older adults. If someone falls or has a coronary heart assault while alone, they could be unable to call for aid. This has develop into an increasingly common issue in the united states, the place 27% of older adults reside with the aid of themselves. If there’s an emergency, dwelling on my own with out information can be unhealthy.

In-home clinical alert methods may also be an important source of advice for these residing alone, so they compiled as tons analysis as possible to provide you with all of the guidance on medical alert systems so that you can make the top of the line determination for you or your friend. here, they assessment clinical Guardian, one of the most most excellent-widely used organizations for offering lifesaving devices.

professionals and Cons of clinical Guardian

earlier than deciding on an in-home scientific alert gadget, make certain you think about both its advantages and drawbacks. those pertaining to clinical Guardian methods are highlighted below:


  • No long-time period contracts: different scientific alert organizations require you to commit to long-term contracts. medical Guardian presents month-to-month plans, putting off the should make a prolonged commitment. 
  • vigour outage backup: medical Guardian programs have backup batteries, therefore making certain you’ll nonetheless be capable of get help however there’s a power outage. 
  • dissimilar sensor alternatives: for those who buy a medical Guardian gadget, you could select diverse sensor alternate options that fit your particular wants. accessible devices include watches, pendants, rings and wall buttons. 
  • Refund coverage: if you cancel your policy earlier than the month ends for any reason, scientific Guardian will refund you a prorated volume. 
  • Cons

  • Some models require a landline: the bottom-cost system — the basic Guardian — requires a landline. when you are one of the vital hundreds of thousands of individuals who will not have a landline and count solely on your cellular telephone, you’ll must select the domestic Guardian device, which is greater expensive. 
  • added notifications are provided, however at an further cost: you could choose greater emergency notifications which notify your contacts in case of an emergency. The seize is that these extras come with an delivered expense of $2.ninety nine per 30 days on true of your system cost. 
  • Fall detection is an delivered can charge: Some in-home alert systems consist of wearable instruments with fall detection in the monthly cost, however that’s now not the case for medical Guardian. you can add fall detection to your scientific Guardian wearable devices, however it will charge you an further $10 per thirty days per device. 
  • No smoke or carbon dioxide detection: whereas medical Guardian’s systems can aid seniors in a medical emergency, the systems don't encompass smoke or carbon dioxide detection monitors. For people looking for an all-in-one system, that’s a big downside.
  • top scientific Alert businesses: clinical Guardian

    scientific Guardian, which became based in 2005, is a privately owned enterprise primarily based in Philadelphia that provides customizable clinical alert programs designed notably for seniors. Its contraptions range from home base stations to wearable alert buttons, offering older adults with complete coverage and making it a sensible choice for energetic seniors. 

    while its monthly charges can be somewhat higher than its opponents, medical Guardian has numerous alternatives to choose among, and there are no lengthy-time period contracts to agonize about. For its two main techniques—the traditional Guardian and residential Guardian—there are no equipment fees or activation prices.

    classic Guardian

    The traditional Guardian is medical Guardian’s most least expensive alternative, with prices starting at $0.97 per day. The equipment connects to your landline cellphone and contains an alert device base station and wearable alert button. 

    With the bottom station, which you can press a button to reach clinical Guardian’s operating gadget. It has a 32-hour backup battery life. 

    The wearable alert button is water-proof, so that you can put on it whereas showering or bathing. The equipment has a 1,300-foot range. 

    Class Guardian

    home Guardian

    The home Guardian doesn’t require a landline, in its place using a nationwide cellular network to join you to medical Guardian’s monitoring center. The equipment contains a base station and wearable emergency button with a 600-foot range. 

    The gadget additionally has a 30-hour backup battery existence and a two-way communicator. The wearable pendant is waterproof, as a consequence conserving you whilst you shower or bathe. 

    An added bonus is that when you've got a partner living with you, that you would be able to add assorted clinical alert buttons to the home Guardian gadget so that you each are covered in and round your domestic. 

    The charge of the domestic Guardian equipment starts at $1.13 per day.

    Home Guardian

    cellular Guardian

    The cellular Guardian is a conveyable machine that works with a wearable emergency button. when you press it, you can connect to medical Guardian’s monitoring middle as long as you’re within 350 toes of the device. The cost of the cellular Guardian starts at $1.35 per day.

    Mobile Guardian

    different items

  • energetic Guardian: a transportable scientific alert device, the active Guardian gives you insurance plan at domestic and while faraway from your condominium. It comprises a mobile subscription, place monitoring, and two-way audio system so you can contact a knowledgeable operator. The charge of the the lively Guardian starts at $1.20 per day. 
  • Freedom Guardian: the freedom Guardian is a wearable medical alert watch. beginning at a price of $1.45 per day—plus a one-time $299.95 machine can charge—you are offered advanced vicinity tracking, medication reminders, and textual content-to-speech messaging. you could additionally press and hang the crimson button on the facet of the device for 3 seconds to request emergency response personnel. 
  • Mini Guardian: The Mini Guardian can clip to a belt loop and has enough battery power to run for 5 days. you can use it to speak with an operator and request emergency tips and song your area. The can charge of the Mini Guardian starts at $1.29 per day, plus a one-time $124.95 device charge. 
  • payment alternatives

    if you decide to buy a scientific Guardian device, you have got assorted price alternate options. counting on which gadget you select, which you could opt for month-to-month, quarterly, semiannual, or annual payments. deciding on an annual charge plan will deliver you a discount on the typical cost. 

    medical Guardian from time to time has particular presents for new shoppers, including a free second button, a lockbox, or a complimentary month of carrier.

    clinical Guardian stories and client guide

    clinical Guardian is continually ranked among the many superior medical alert agencies. ultimate company ranked scientific Guardian as the suitable enterprise, placing it above 87 other clinical alert methods. It gave medical Guardian an normal score of 9.eight out of 10, and the business has thousands of advantageous customer studies. an unlimited majority of medical Guardian stories certainly highlighted the business’s staggering client guide and believe-worthiness. 

    Third-celebration scores

    clinical Guardian additionally has a pretty good attractiveness in the medical alert industry. 

    clinical Guardian has a TMA five-Diamond Certification, a designation granted yearly to monitoring facilities that meet stringent guidelines. There are lots of scientific alert groups, however fewer than 200 obtain a 5-Diamond Certification. 

    To qualify for the certification, monitoring centers must display here: 

  • A commitment to bear random inspections and meet first-rate standards specifications
  • The highest ranges of customer carrier
  • Ongoing job-linked education and testing
  • TMA membership and participation
  • A dedication to cutting back false dispatches
  • clinical Guardian also has an Underwriters’ Laboratory Certification, recognizing the company’s dedication to security and reliability.

    scientific Guardian client studies

    i admire every thing about scientific guardian. I have used it twice and each instances, it helped keep my life. simply three days after I got my bracelet, I had to have it assist me and it changed into simply a few minutes except they bought there to save my existence.

    - Lillian, established consumer (assessment from

    This equipment is awfully convenient. i really like having it hold round my neck. it be there if i want something, all I need to do is press the button and someone is always there to answer. I've confirmed it several instances and they're all the time kind once I inadvertently push the button. they're very attentive and ask pertinent questions to be certain i'm very well. I suppose very protected with this equipment!

    - Carol, demonstrated consumer (evaluate from

    first rate gadget, delivered in a short while, install turned into very simple, trustworthy and brilliant customer carrier

    - Ed, tested client (evaluate from

    I had a stroke and my chum had counseled that I get whatever thing. the two of us began to kind of search round what might possibly be choicest. as far as the charge, medical Guardian turned into a great deal greater budget friendly. additionally, they like that it changed into lighter weight. The medical Guardian crew changed into top notch, notably the common adult I spoke to. all and sundry turned into so informative in letting us be aware of what become the best thing and what was my most effective alternatives. i'm very convinced with my experience.

    - E. of the big apple, confirmed consumer (evaluate from

    i was no longer satisfied with my old medical alert equipment provider as they did not name the individuals that have been on my record when they obligatory to. My brother who has scientific Guardian instructed me all of the merits of having their provider. My son took care of signing me up with them and up to now i like clinical Guardian. I can charge their device every four days when the battery runs out. i believed it could ultimate every week but nevertheless or not it's no longer difficult to can charge it. There turned into a time after I had intestinal bleeding and as quickly as I pressed my button, their team answered correct away. The hearth branch acquired to my region appropriate away. The ambulance didn't take long either and that they came from 10 miles away. i'm absolutely satisfied with the provider and that i suppose in reality relaxed with it. The reps are so polite and caring once they answer the mobilephone.

    - Marilyn of MN, Tested customer (review from

    warranty assistance

    Your medical Guardian device is coated through a guaranty. This skill in case your device is littered with typical wear and tear and needs to be replaced, the company will ship you a replacement gadget. 

    that you can additionally buy a separate protection plan to offer protection to your system from any damages.

    Monitoring middle

    scientific Guardian’s monitoring middle is accessible 24 hours a day, seven days per week. while other corporations have operators foreign places, medical Guardian’s operators are all based mostly in the u.s.. scientific Guardians emergency operators communicate English and Spanish, but can also talk in different languages through a translation carrier. 

    Operators are expert to dispatch each emergency responses and non-emergency tips. for example, if you want help to your home, an operator can contact emergency capabilities, as well as your pals and family members, to your behalf. 

    choosing an In-home clinical Alert equipment

    in case you’re hunting for an in-domestic clinical alert gadget for your self or a friend, it’s handy to get overwhelmed through the various options available. When comparing systems, be certain you look at factors like can charge, certifications, required contracts, client provider, and available backup energy. 

    When it comes to the most useful clinical alert businesses, clinical Guardian stands out with its superior month-to-month features and US-primarily based monitoring core.

    Kat Tretina is a journalist and copywriter with expertise in personal health and private finance. Her content material has been featured on websites corresponding to popular health, HuffPost, Forbes, Investopedia, and credit score Karma. Kat calls Orlando, Florida domestic.

    this link is to an external website that may also or might also now not meet accessibility guidelines.

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