ABPS Administrative Medicine study plan
ABPS Administrative Medicine · Give each week a clear focus.
8 weeks · About 6 hours per week
Health Care Delivery Systems and Organization
Map the continuum of care settings (ambulatory, acute, post-acute, home, telehealth) and diagram referral and patient-flow pathways between them
Compare ownership and governance structures (nonprofit, for-profit, public, integrated delivery networks) and list the incentives each creates for physician leaders
Explain how payer mix, case mix, and service-line composition shape organizational strategy
Summarize the major models of physician-hospital alignment (employment, PSA, IPA, clinically integrated network) and their tradeoffs
Your checkpoint
A one-page comparison table of at least 6 care-delivery or alignment models with 3 pros and 3 cons each, plus a 200-word summary of which fits a mid-size community hospital
Health Care Finance and Economics
Trace the revenue cycle end to end (registration, coding, charge capture, claims, denial management, collections) and identify where physician documentation affects payment
Distinguish fee-for-service, capitation, bundled payments, and shared savings, and compute a simple margin example for each
Interpret core financial statements (income statement, balance sheet, cash flow) and calculate operating margin, days cash on hand, and payer mix percentages
Explain cost accounting concepts (direct vs indirect, fixed vs variable, contribution margin) applied to a service line
Your checkpoint
A worked 10-line budget exercise: given a hypothetical service line's revenues and costs, calculate contribution margin, operating margin, and breakeven volume, showing all formulas
Health Care Delivery Systems and Organization & Health Care Finance and Economics
Analyze how payment reform (value-based, risk-based, site-neutral) changes delivery-system design decisions
Evaluate a capital or program investment using payback period and simple ROI
Explain antitrust and Stark/AKS considerations at a conceptual level as they constrain alignment and referral structures
Draft talking points a physician executive would use to justify a service-line investment to a CFO
Your checkpoint
A 1-page investment memo recommending for or against a hypothetical new clinic line, citing margin, breakeven, and strategic-fit reasoning
Health Policy, Law, and Regulation
Outline the statutory and regulatory hierarchy affecting hospitals and physician practices (licensure, accreditation, reimbursement conditions of participation)
Summarize key federal fraud-and-abuse concepts (False Claims Act, Anti-Kickback Statute, Stark) and give one compliant and one non-compliant scenario for each
Explain EMTALA, HIPAA privacy/security basics, and informed-consent doctrine as operational obligations
Describe the scope and limits of physician peer review protections and medical staff bylaws
Your checkpoint
A 15-item compliance scenario quiz you write yourself, with answer key and citation to the governing concept for each item
Quality Improvement and Patient Safety
Apply a structured improvement framework (PDSA or DMAIC) to a hypothetical patient-safety problem
Distinguish structure, process, and outcome measures and select appropriate measures for a chosen clinical microsystem
Explain root cause analysis, failure mode effects analysis, and just-culture principles in adverse-event review
Identify high-reliability organizing practices and how they translate to daily huddles and safety huddles
Your checkpoint
A completed one-page A3 or PDSA charter for a real or hypothetical medication-reconciliation problem, including aim statement, measures, and countermeasures
Leadership and Organizational Management & Strategic Planning and Operations
Compare leadership styles and situational-leadership approaches, and match each to a physician-leader scenario
Practice giving structured feedback and conducting a difficult conversation using a documented framework
Build a SWOT and a basic strategic plan for a department, including objectives and leading indicators
Explain change-management models and identify stakeholder-mapping and communication tactics for a rollout
Your checkpoint
A 2-page departmental strategic plan (SWOT, 3 objectives, 2 metrics each, communication plan) for a hypothetical physician group
Health Information Technology and Informatics & Physician Workforce and Human Resources
Explain EHR architecture, interoperability standards (HL7, FHIR), and health-information-exchange models at a conceptual level
Describe informatics governance, clinical decision support design, and data-security and privacy controls
Outline physician workforce planning: recruitment, credentialing, privileging, onboarding, and retention drivers
Explain compensation models (RVU, salary, blended) and their effect on productivity and burnout
Your checkpoint
A one-page informatics and workforce briefing: 5 recommendations for a practice adopting a new EHR module and 5 for retaining early-career physicians, each with a rationale
Ethics, Professionalism, and Governance
Apply an ethical decision-making framework to a conflict-of-interest and resource-allocation case
Explain fiduciary duty, medical-staff self-governance, and board-level accountability structures
Review all nine domains and self-assess weakest areas against the exam blueprint weights
Complete a timed practice set and analyze missed items by domain
Your checkpoint
A written self-assessment: domain-by-domain confidence ratings, a list of 10 missed concepts, and a remediation reading list for each
Milestones
Week 2: Score at least 80% on a self-written 20-question finance and delivery-systems check; if below, redo weeks 1-2 goals before proceeding
Week 4: Complete the 15-item compliance quiz with at least 12/15 correct and be able to explain each missed item without notes
Week 6: Deliver the departmental strategic plan and verbally present it in under 5 minutes as if to an executive committee
Week 8: Finish a full-length timed practice exam and log every missed item to a domain; final readiness decision documented