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The HLA competencies were developed from job analysis surveys conducted to determine the relevant tasks performed by healthcare managers regardless of work setting or years of experience, and are clustered around five major domains (see Figure 1).

In January 2013, the group of SMEs met to achieve agreement on the fundamental competencies needed for health managers, the target audience for the framework, the appropriate range of competencies, and the target audience for the directory.

Completed in 2015, the Directory represents core competencies required of healthcare managers regardless of position, setting, or country (2).

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In many countries, national associations have been created by healthcare managers for sharing knowledge, information, and expertise.

In some countries, associations have a formal mandate to represent the profession, while in other countries they exist as ad hoc groups without regulatory or legal authority.

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