ABPM Clinical Informatics study plan
ABPM Clinical Informatics · Give each week a clear focus.
8 weeks · About 7 hours per week
Clinical Decision Support and Evidence-Based Care
Map the CDS taxonomy (rules, alerts, order sets, pathways, scoring tools) and classify 10 real-world examples into it
Distinguish the five rights of CDS and write a one-line justification for each right using a clinical example
Compare guideline-derived logic versus local consensus logic for a single high-volume condition and articulate the tradeoffs
Draft alert-fatigue mitigation strategies and rank them by expected impact
Your checkpoint
A one-page CDS design brief for a medication-safety alert, including the five rights, override rationale capture, and a fatigue-mitigation plan
Clinical Decision Support and Evidence-Based Care & Clinical Informatics Fundamentals and Core Concepts
Trace how a published guideline becomes executable logic, listing each translation step and the failure points at each step
Define core informatics constructs (data-information-knowledge-wisdom, clinical workflow, cognitive load, sociotechnical model) and apply one to a CDS scenario
Explain evidence grading and how strength of recommendation should modulate alert severity
Identify three ways CDS can introduce bias or inequity and propose a mitigation for each
Your checkpoint
A 15-item self-quiz on CDS and core concepts, scored, with written explanations for every missed item
Health Information Systems and Electronic Health Records
Diagram the architecture of an EHR from database layer through application layer to clinician-facing interface
Contrast build-time configuration with runtime behavior for order sets, templates, and note structures
Describe the lifecycle of a clinical document from creation through amendment, signature, and retention
List the main EHR failure modes that affect clinician trust and describe how each surfaces to end users
Your checkpoint
A labeled EHR architecture diagram with a 200-word narrative explaining where configuration changes do and do not propagate
Data Analytics, Quality Measurement, and Population Health
Define a clinical quality measure end to end: denominator, numerator, exclusions, and exception handling
Distinguish process, outcome, structural, and balancing measures and classify 8 sample measures
Explain how attribution, risk adjustment, and denominators affect reported performance
Compute a rate, a confidence interval, and a small-number caution for a synthetic dataset
Describe how population registries and stratification support outreach and equity monitoring
Your checkpoint
A completed measure specification worksheet for one synthetic measure, including numerator/denominator logic and a worked rate calculation
Interoperability and Health Information Exchange Standards
Compare the roles of HL7 v2, FHIR, and CDA and state which exchange use case each best serves
Walk through a FHIR resource bundle and identify patient, encounter, observation, and medication resources
Explain the purpose of terminology systems and value sets and how mapping errors create downstream defects
Describe the components of a health information exchange and the consent models that govern data sharing
Your checkpoint
An annotated interface specification for one data exchange, naming the standard, trigger event or resource, and required coded terminologies
Privacy, Security, and Regulatory Compliance & Patient Safety, Error Reduction, and Risk Management
Apply the HIPAA Security Rule safeguards (administrative, physical, technical) to a concrete informatics system
Distinguish privacy, security, and confidentiality and give a clinical scenario for each
Classify patient-safety hazards using a recognized taxonomy and rank them by severity and detectability
Perform a failure mode and effects analysis on a medication-ordering workflow and identify the highest-risk step
Explain how reporting systems, just culture, and closed-loop follow-up reduce recurrence of harm
Your checkpoint
A completed FMEA table for one workflow with at least six failure modes, severity/likelihood/detectability scores, and prioritized mitigations
Systems Implementation, Usability, and Human Factors & Leadership, Governance, and Change Management
Plan a system implementation using a phased rollout with defined go-live readiness criteria
Design a usability evaluation (heuristic review or think-aloud) and specify the metrics you would capture
Map stakeholders and build a communication and training plan that addresses resistance to change
Draft a governance structure that assigns decision rights for build requests, prioritization, and change control
Identify human-factors principles that reduce error during high-stress clinical workflows
Your checkpoint
A go-live readiness checklist plus a one-page stakeholder and communication plan for a single module rollout
Research Methods, Evaluation, and Informatics Scholarship & Clinical Informatics Fundamentals and Core Concepts & Data Analytics, Quality Measurement, and Population Health
Design a study to evaluate an informatics intervention, choosing an appropriate design and naming confounders
Distinguish internal, external, and construct validity and identify threats in your own design
Select appropriate statistical tests for common evaluation questions and justify each choice
Integrate weak domains into a consolidated review plan with dated review blocks
Complete a full-length timed practice exam and analyze error patterns by domain
Your checkpoint
A two-page evaluation proposal for one informatics intervention plus a scored practice-exam error log mapped to all ten domains
Milestones
Week 2: Can explain the five rights of CDS and translate a guideline into executable logic without notes; self-quiz score at least 80%
Week 4: Can produce a measure specification with correct numerator/denominator/exclusion logic and compute a rate accurately from synthetic data
Week 6: Can name the HIPAA safeguard categories and complete an FMEA with prioritized mitigations; practice section scores at or above 75% in domains 5 and 9
Week 8: Full-length practice exam completed under time; all domains at or above 70% with a written remediation plan for any domain below threshold