This final report describes a project to develop a secondary education program management guide for health occupations education in Iowa. Introductory material includes the following: a summary sheet on project objectives, a description of how the objectives were met, the audience served, an educational equity statement, a statement that the materials are ready for pilot and field testing, and a list of perceived benefits of the guide. A mission statement for secondary health occupations education and information on clinical instruction follow. The rest of the document is the guide itself, which contains the following: (1) overall health occupations minimum competencies, including both occupational and leadership competencies; (2) general health occupations education competencies for three models; (3) suggested units of instruction on health careers, health care delivery system, health promotion and wellness, and ethical and legal aspects of health care; (4) nurse aide program competencies for two models; (5) emergency care program competencies for two models; (6) practical nursing program competencies; and (7) sample student profiles. (CML)