Major health care reforms have been instituted in Georgia (Caucasus Region). Evidenced-based management focuses on developing the necessary and sufficient competencies for senior and middle managers in an applied hospital setting. Application and integration of knowledge, skills and abilities (KSAs) is demonstrated through achievement of pre-established outcomes. An innovative health management education (HME) model utilizes a combination of in-service education, workshops, short-courses, residencies, and on-the-job training. A trilateral hospital management team is used involving the Slovak Republic, USA and Georgia. Development and implementation of the model at Gudushauri National Medical Center in Tbilisi, Georgia is presented along with examining curriculum content, teaching methods, processes, and outcome indicators.