DHCA Doctor Exam study plan
DHCA Doctor Exam · Give each week a clear focus.
8 weeks · About 7 hours per week
Health Care Leadership and Governance & Health Care Finance and Reimbursement
Map the governance structures, board roles, and leadership accountability models that appear in health care organizations
Outline the revenue cycle end-to-end, labeling each stage and the leadership decision points within it
Define and contrast payer mix, reimbursement methodologies (fee-for-service, capitation, bundled, value-based), and their margin implications
Build a one-page glossary of finance and governance terminology you will reuse all eight weeks
Your checkpoint
A two-column concept map linking each governance role to at least one finance decision it owns, plus a 25-term glossary
Health Care Finance and Reimbursement
Work through budget construction: operating vs. capital budgets, variance analysis, and break-even calculation
Compute contribution margin, days in accounts receivable, and cost per case from sample figures you construct yourself
Explain how payer contracts, denials, and charity care shift net revenue
Draft three practice calculation problems and solve them without notes
Your checkpoint
A worked spreadsheet (or hand-computed sheet) with five finance calculations shown step by step and a written interpretation of each result
Health Care Leadership and Governance & Strategic Planning and Operations Management
Connect strategic planning methods (SWOT, portfolio analysis, scenario planning) to governance oversight
Draft a strategy for a hypothetical service line including market assessment, capacity, and financial projection
Sequence an operations improvement effort using capacity, throughput, and scheduling concepts
Identify which strategic decisions require board approval versus management authority
Your checkpoint
A 2-page mock strategic business case for one service line that names the approving governance body and includes a simple pro forma
Quality Improvement and Patient Safety
Compare quality frameworks and measurement approaches, and distinguish structure, process, and outcome measures
Trace how a patient safety event is reported, analyzed (root cause analysis), and closed with corrective action
Select and justify at least four metrics for a quality dashboard tied to a stated aim
Design a small Plan-Do-Study-Act cycle for one identified process failure
Your checkpoint
A one-page quality dashboard specification with four metrics, their definitions, data sources, and targets, plus a completed PDSA plan
Health Policy, Law, and Ethics & Health Information Systems and Data Analytics
Summarize core legal concepts: informed consent, negligence elements, privacy and security obligations, and fraud and abuse basics
Apply an ethical decision framework to two constructed dilemmas involving resource allocation and end-of-life care
Describe health information system components (EHR, interoperability standards, clinical decision support) and the data governance issues they raise
Interpret basic analytic outputs: rates, risk-adjusted comparisons, and the difference between association and causation
Your checkpoint
Two written case analyses (one legal, one ethical) each applying a named framework and reaching a defensible recommendation
Health Policy, Law, and Ethics & Health Information Systems and Data Analytics & Population Health and Community Health Management
Explain major policy mechanisms affecting access, payment, and coverage, and how they flow into organizational behavior
Build a community health needs assessment outline including data sources, prioritization, and intervention selection
Link population health metrics (incidence, prevalence, social determinants) to organizational strategy
Identify the legal and ethical constraints on using patient data for population analytics
Your checkpoint
A community health needs assessment outline with at least five named data sources and a ranked list of three priority needs with rationale
Human Resources and Organizational Behavior & Strategic Planning and Operations Management
Analyze organizational behavior concepts: motivation, team dynamics, conflict, and change management
Design a staffing and workforce plan for a unit, including productivity measures and retention tactics
Draft a change communication plan for an initiative that will meet resistance
Practice giving structured feedback and handling a performance conversation scenario
Your checkpoint
A workforce and change plan for one department covering staffing ratios, productivity metric, retention actions, and a communication timeline
Health Care Leadership and Governance & Health Policy, Law, and Ethics & Health Care Finance and Reimbursement & Quality Improvement and Patient Safety & Health Information Systems and Data Analytics & Strategic Planning and Operations Management & Human Resources and Organizational Behavior & Population Health and Community Health Management
Synthesize all domains by solving integrated scenarios that combine finance, quality, and governance decisions
Re-test your weakest three domains using self-written questions and identify remaining gaps
Rehearse timing and pacing on a full-length practice set you assemble from your own notes
Consolidate a one-page summary sheet of formulas, frameworks, and key definitions for final review
Your checkpoint
A one-page master review sheet plus a written gap analysis listing your three weakest areas and a remediation step for each
Milestones
Week 2: Complete five finance calculations unaided and explain each result in writing with no reference materials open
Week 4: Produce a quality dashboard spec and PDSA plan that name measurable targets and data sources for every metric
Week 6: Complete both case analyses and the community needs assessment outline; confirm each cites a named framework or data source
Week 8: Finish the master review sheet and gap analysis, and score at least 75% on a self-assembled integrated practice set