ABEM HALM study materials
ABEM HALM study resources

ABEM HALM cheat sheet

ABEM HALM · Keep the key ideas within reach.

Quick reference

Health Care Administration

  • The four core functions of management are planning, organizing, leading, and controlling.

  • A budget variance is the difference between actual and planned financial performance; a favorable variance increases net income, an unfavorable variance decreases it.

  • Break-even volume = fixed costs / (price - variable cost per unit).

  • Current ratio = current assets / current liabilities; a ratio below 1.0 indicates potential short-term liquidity risk.

  • Days in accounts receivable = (accounts receivable / total charges) × days in period; a higher value signals slower cash collection.

  • The four primary financial statements are the balance sheet, income statement, statement of cash flows, and statement of changes in net assets.

  • Depreciation is a non-cash expense that reduces taxable income but does not affect cash flow from operations directly.

  • A capital budget plans long-term investments (e.g., equipment, facilities); an operating budget plans short-term revenues and expenses.

Quick reference

Leadership

  • Transformational leadership inspires and motivates followers toward a shared vision; transactional leadership relies on rewards and punishments.

  • Situational leadership theory holds that effective leaders adapt their style (directing, coaching, supporting, delegating) to follower readiness.

  • Emotional intelligence comprises self-awareness, self-regulation, motivation, empathy, and social skill.

  • The five stages of team development are forming, storming, norming, performing, and adjourning.

  • Servant leadership prioritizes the needs of followers and the community over the leader's own interests.

  • A just culture distinguishes human error (console), at-risk behavior (coach), and reckless behavior (sanction).

  • Lewin's change model consists of unfreezing, changing (moving), and refreezing.

  • Kotter's eight-step change model begins with creating a sense of urgency and ends with anchoring new approaches in culture.

Quick reference

Management

  • The five rights of delegation are right task, right circumstance, right person, right direction/communication, and right supervision/evaluation.

  • Maslow's hierarchy of needs orders motivation from physiological, safety, belonging, esteem, to self-actualization.

  • Herzberg's two-factor theory separates hygiene factors (which prevent dissatisfaction) from motivators (which drive satisfaction).

  • The PDSA cycle (Plan-Do-Study-Act) is a structured method for continuous quality improvement.

  • A Gantt chart displays project tasks against a timeline and is used for scheduling and tracking progress.

  • Conflict resolution modes include competing, collaborating, compromising, avoiding, and accommodating; collaborating seeks a win-win outcome.

  • FTE (full-time equivalent) = total paid hours / standard full-time hours (typically 2,080 hours per year).

  • The span of control refers to the number of subordinates directly reporting to a manager; a wider span reduces management layers.

Quick reference

Health Care Delivery Systems and Operations

  • The Triple Aim framework seeks to improve population health, enhance patient experience, and reduce per capita cost.

  • The Institute for Healthcare Improvement's Model for Improvement uses three questions (aim, measures, changes) plus PDSA cycles.

  • Six Sigma seeks to reduce process variation to 3.4 defects per million opportunities.

  • Lean methodology focuses on eliminating waste (muda) and improving flow; the eight wastes include defects, overproduction, waiting, non-utilized talent, transportation, inventory, motion, and excess processing.

  • The emergency department throughput metrics include door-to-doctor time, length of stay, and left-without-being-seen rate.

  • Pay-for-performance (P4P) ties reimbursement to quality metrics; value-based purchasing links payment to quality and cost performance.

  • The Balanced Scorecard measures performance across four perspectives: financial, customer, internal processes, and learning and growth.

  • A root cause analysis (RCA) is a structured retrospective method to identify underlying causes of adverse events; failure mode and effects analysis (FMEA) is a prospective risk assessment tool.