ABPS Administrative Medicine case studies
ABPS Administrative Medicine · Put your knowledge to work in context.
Administrative Medicine is the branch of physician practice concerned with running the systems in which care is delivered - departments, service lines, medical groups, hospitals, and health plans - rather than with direct clinical care alone. The ABPS Administrative Medicine credential is intended for physicians who already hold an active license and who now spend a substantial part of their working life on budgets, contracts, staffing, quality infrastructure, policy, and governance. The ABPS Administrative Medicine case studies are 5 cases and about 3,339 words.
1Emergency Department Boarding and the Discharge Lounge Decision
A 320-bed community hospital has a 42-bed emergency department. Over the past 90 days, median ED length of stay for admitted patients has risen from 4.2 to 7.8 hours, and the percentage of patients who leave without being seen has climbed from 1.9% to 5.4%.
663 words, about 3 min2Prior Authorization Denial for an Imaging Study
A 58-year-old patient with a history of diverticulitis presents with three weeks of left lower quadrant pain and a change in bowel habits. The physician orders a CT colonography.
632 words, about 3 min3Deploying a Sepsis Alert in the EHR
A 210-bed hospital plans to go live with an electronic sepsis screening alert in 60 days. The alert fires when two or more systemic inflammatory response criteria plus a suspected infection trigger are documented.
627 words, about 3 min4A High-Performing Physician with Disruptive Behavior
A senior orthopedic surgeon performs 340 joint replacements per year and accounts for roughly 18% of the hospital's surgical margin. Over six months, three operating room nurses and one anesthesia colleague have reported that he raises his voice, throws instruments, and makes demeaning comments during cases.
694 words, about 3 min5Rural Clinic Expansion Under a Fixed Budget
A rural health system operates three primary care clinics and one 25-bed critical access hospital. The board has approved a one-time $2.4 million strategic fund and asked leadership to propose how to use it.
723 words, about 4 min