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Date Updated: August 7, 2019

Health Systems Science

The Health Systems Science Exam content outline includes:

Outline
Core Domains
Health Care Economics and Policy
8%–12%
  Advocacy and reform
  Economics (stakeholders)
  Insurance (examples: Medicaid, Medicare, private insurance)
  Law and medicine
  Reimbursement
  Systems-based incentives
Health Care Structures and Processes
13%–17%
  Current state of health care delivery system and catalysts for change
  Health care processes
  Health care structures
  Structure, process, and outcome model of care delivery and quality
High-value Care (including Patient Safety)
23%–27%
  Application in clinical practice (examples: shared
   decision making,deprescribing)
  Attributes of high-quality health care
  Communication with patients after an adverse event
  Cost versus charges in clinical practice (individuals and medical practices)
  Epidemiology of medical errors and adverse events
  Factors contributing to errors and adverse events
  Reporting and monitoring for errors and adverse events
  Stakeholders (patients, providers, insurers)
  Strategies to reduce errors and adverse events
  Systems response - mitigation of future events
Informatics
8%–12%
  Data and data sets
  Privacy
  Tools
Population Health, Social Determinants, Health Disparities
23%–27%
  Epidemiology, prevention, surveillance, and screening
  Health Equity and Disparities – history and determinants
  Health outcomes - contributions to health and well-being
    from medical and non-medical determinants
  Nomenclature
  Public health as part of systems
  Race, gender, and ethnicity
Quality Improvement
13%–17%
  Dimensions of quality
  Improvement at different systems levels
  Improvement model
  Leadership and change management
  Quality measures
  Recognition of systems vulnerabilities (example: root cause analysis)
  Use of performance data for improvement
Cross-Cutting Domains
Evidence-based Practice
18%–22%
Leadership and Change Management
8%–12%
Patient-centered Care
18%–22%
Systems Thinking
28%–32%
Teamwork and Communication
18%–22%

 

 

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