CAQ-HM study materials
CAQ-HM study resources

CAQ-HM study plan

CAQ-HM · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Health Care Environment, Policy, and Regulation & Leadership, Governance, and Organizational Strategy

  • Map each subarea of the health care environment, policy, and regulation domain to a one-page outline of the statutes, regulators, and payment programs it covers

  • Draft a comparison table of the major federal health care laws and the operational obligations each creates for a hospital or health system

  • Explain in writing how governing board fiduciary duties differ from management responsibilities, using three concrete decision examples

  • Build a glossary of 30 governance and policy terms with a one-sentence working definition for each

Your checkpoint

A 6-8 page policy and governance reference brief with a law-to-obligation table and a 30-term glossary, self-quizzed to at least 80% accuracy

Week 2

Health Care Environment, Policy, and Regulation & Financial Management and Reimbursement

  • Trace how a patient encounter moves from service delivery to coding, claim submission, and reimbursement, noting where denials originate

  • Calculate basic reimbursement scenarios for Medicare inpatient prospective payment, outpatient prospective payment, and a commercial contract

  • Summarize the key compliance risk areas in billing and coding and the controls that mitigate each

  • Draft five original practice questions on regulation and reimbursement and justify each correct answer

Your checkpoint

A reimbursement flow diagram plus a worked problem set of 10 calculations with answers and a one-paragraph explanation of each error you made

Week 3

Financial Management and Reimbursement & Operations Management and Quality Improvement

  • Build a budget model for a single department covering operating, capital, and volume-adjusted variance analysis

  • Interpret a set of financial statements and identify three indicators of financial distress

  • Design a quality improvement project using a recognized framework, specifying aim, measures, and change ideas

  • Select and justify the statistical process control chart appropriate for three different quality measures

Your checkpoint

A department budget workbook with variance analysis and a one-page QI project charter with a measurement plan

Week 4

Operations Management and Quality Improvement & Information Technology and Data Analytics

  • Construct a run chart and a control chart from a supplied dataset and state whether special-cause variation is present

  • Define the data governance roles, data quality dimensions, and security safeguards a health system needs

  • Evaluate an analytics use case by identifying the data sources, validation steps, and decision it supports

  • Compare at least four quality and safety measurement frameworks and state when each is appropriate

Your checkpoint

An analytics and quality measurement portfolio containing two correctly interpreted control charts and a data governance one-pager

Week 5

Human Resources and Professional Development & Patient Safety, Risk Management, and Legal Issues

  • Design a staffing plan that reconciles productivity targets, skill mix, and labor cost per unit of service

  • Outline a competency development pathway for a clinical manager from onboarding through leadership progression

  • Analyze a root cause analysis scenario and distinguish system failures from individual performance failures

  • Summarize the legal exposure created by consent, confidentiality, and negligence claims and the risk controls for each

Your checkpoint

A workforce and risk management packet with a staffing model, a competency pathway, and a completed root cause analysis worksheet on a hypothetical event

Week 6

Patient Safety, Risk Management, and Legal Issues & Population Health and Care Coordination

  • Map the elements of an organizational patient safety program, including event reporting, disclosure, and just culture

  • Design a care coordination workflow for a high-risk population across the continuum, naming the accountable role at each transition

  • Identify the social and behavioral risk factors that drive utilization and select an intervention for each

  • Draft a population health dashboard specification with at least six measures and their definitions

Your checkpoint

A care coordination and safety plan for one defined population, including a transition-of-care map and a dashboard specification sheet

Week 7

Leadership, Governance, and Organizational Strategy & Population Health and Care Coordination

  • Build a strategic plan outline for a service line, linking environmental assessment, goals, and resource requirements

  • Assess how payment and policy shifts toward value-based and population health models change organizational strategy

  • Calculate the projected impact of a value-based contract on revenue under two performance scenarios

  • Write a stakeholder communication summary of the strategy for a board audience

Your checkpoint

A service line strategic plan brief with a financial impact model for two value-based scenarios and a one-page board summary

Week 8

Health Care Environment, Policy, and Regulation & Leadership, Governance, and Organizational Strategy & Financial Management and Reimbursement & Operations Management and Quality Improvement & Information Technology and Data Analytics & Human Resources and Professional Development & Patient Safety, Risk Management, and Legal Issues & Population Health and Care Coordination

  • Complete a full-length timed practice exam and record accuracy by domain

  • Re-review every missed item and write the underlying rule or concept for each

  • Revisit the two lowest-scoring domains and rebuild the weakest concept from first principles

  • Consolidate all deliverables into one indexed study binder with a one-page summary per domain

Your checkpoint

A scored full-length practice exam with a domain accuracy report, corrected error log, and an indexed binder of eight domain summary sheets

Milestones

Week 2: Score at least 75% on a 40-question set drawn from domains 1 and 3, and explain every missed item in writing

Week 4: Produce a control chart interpretation judged correct against a model answer, and explain variance in the department budget without notes

Week 6: Score at least 75% on a 40-question set drawn from domains 6, 7, and 8, and complete the root cause analysis and care coordination deliverables

Week 8: Achieve at least 80% overall on the full-length timed practice exam with no domain below 70%, and finish the indexed binder