AAMI CHTM Certified Healthcare Technology Manager Flashcards
Question
Correct_Answer
How many paid weeks of leave are guaranteed by the Family Medical Leave Act?
0
What percentage is generally added to your operating budget for misc. expenses?
0.05
If an HTM department has an operating budget of 14 million dollars and medical equipment assets worth 200 million dollars, what is the COSR?
0.07
A facility has a capital budget of $12,000,000. An MRI machine costs $2.5 million, an x-ray machine costs $500,000, and cryogens have an average monthly cost of $5,000. What percentage of the capital budget will be spent on these items?
0.25
What is the highest amount of documented time you should expect from your employees?
0.85
High-risk devices must have _______ completion rates.
1
How many forms of ID must be provided to the exam proctor before your exam can be taken?
2
How many areas are there to explore when doing FMEA?
4
FMLA requests must be acted upon in how many days?
5
How many steps are there in AAMI’s approved Cyber risk management model?
5
How many steps are there in AAMI’s approved Cyber risk management model?
5
Using the Ridgeway equipment replacement plan How many favtors are used to rate items for replacement?
7
How many employees must an organization have for EEOC regulations to apply?
15
The ADA must be observed by employers with ___ employees and more?
15
The Americans with Disabilities Act (ADA) covers employers with ____ or more employees, including State and local governments. It also applies to employment agencies and to labor organizations.
15
What is the maximum number of weeks that can be granted by the FMLA?
26
FMLA must be provided to private companies with ____ or more employees, all public entities, and all public and private schools.
50
You have a total direct cost of labor (personnel) of 484,577.00 and a total cost of overhead of 653,204 with a total number of productive hours for the department of 11,388. What is your total hourly labor cost?
99.91
You have a total departmental cost of labor of $484,577.00 and total overhead expenses of $653,204.00 with 10,030 total productive hours for year 2019. In 2020 you had an increase in labor expenses of 2%, but your overhead went down by 1% and your productivity increased by 6%. What is your new cost per hour you must charge to break even on your budget?
107.37
You have a total departmental cost of labor of $484,577.00 and total overhead expenses of $653,204.00 with 10,030 total productive hours. What would be your total hourly rate to break even if you had a 5% increase in productivity for the HTM department?
108.04
You have a total departmental cost of labor of $484,577.00 and total overhead expenses of $653,204.00 with 10,030 total productive hours. If you decrease your overhead by 10% in the first 6 months of the year and overhead stays the same for the next 6 months, what would be your total hourly rate you would need to charge to break even on your budget?
110.19
You have a total departmental cost of labor of $484,577.00 and total overhead expenses of $653,204.00 with 10,030 total productive hours. What would be your total hourly rate be to break even?
$113.44
How much should an item be worth to be considered an asset?
1000
An HTM manager sends a technician to service school. The cost is $10,000. In the same year, the technician was able to reduce outsourced labor on that same device from $25,000 to $6,000. Assuming all other expense was the same, what was the Year One ROI(Return on Investment)?
$9,000
How many people warrant the hiring of an additional manager and clerical employee?
44783
You are currently spending $100,000 per year on a PM only service contract to support 25 anesthesia machines in your facility. The cost to send 1 technician to the OEM’s service school is $10,000 and the cost of service tools required to provide preventive maintenance is going to cost $15,000. PM parts will cost $20,000 per year total. It is expected that it will take 2 hours for your technician to complete each PM at a labor rate of $90 per hour and the preventive maintenance frequency requirement is annual. What is your expected service contract cost reduction in the first year?
55000
You have a 100,000.00 piece of capital equipment and you have been instructed to find its value by using a seven-year property class depreciation with a year one depreciation rate of 14.29% and a 25,000 salvage price. What will your value price be for the equipment after year one?
89282.5
Your CMMS data shows your facilities medical equipment acquisition cost is $200,000,000 and the department has a COSR of 6%. What is the Total Cost of Service?
12000000
A valid departmental cost should reflect all costs that the HTM incurs. What is the cost per hour if your department incurs $75,000 in fixed costs, $150,000 in parts costs, with 6 FTEs each reporting 2,500 hours of work?
$15.00/hr.
Your organization has an average 10% net annual increase in inventory. You utilize the historical data in your CMMS to determine that an additional 2820 annual device hours will be required to support the net equipment increase. Your current staff’s available device hours per technician is 1888 hrs. How many additional FTE will be required to support the increase in inventory?
1 FTE
Rescheduling of exam date is allowed how many times?
1 time
According to the SMDA, within how many days should adverse events be reported?
10 days
You and the risk manager have determined you have a sentinel event, and a form 3500A must be submitted to the FDA. How many days do you have to comply with the SMDA law?
10 Days
To be covered by the FMLA, a full-time employee must be employed for how many months?
12 Months and 1250 hours of service during that 12 months.
You have an employee with 2 years of service to the hospital, and this employee has just become a father for the first time. He asks about taking time off to spend with the new family addition. What will you tell the employee about how much unpaid free time can be extended under FMLA guidelines?
12 weeks
You have a part-time employee you hired 22 months ago. This employee has requested FMLA to care for a sick parent. How many hours must the employee work in the last 12 months to be covered for this time off?
1250 hours
You are the HTM department director and your latest hire has stated that they are filing a discrimination lawsuit with the EEOC for not receiving a promotion. Generally, the employee has how many days to file a complaint?
180 days
One of your employees has requested time off through the FMLA. How long do you have to respond to this request?
2 days
You are allotted how much time to complete your CHTM exam?
2 hours
Which of the following are elements of a capital budget?1. Salaries for new employees 2. New MRI equipment 3. New patient bed wing project 4. Chiller replacement
2, 3, and 4
How many CMS accrediting organizations operate within the US?
20+
Your employee has requested FMLA to care for his sister who was injured during military service. How much FMLA leave can be given to this employee?
26 weeks
To be covered by the FMLA, a full-time employee must be employed for how many months?
3 months
The Radiology Director at your facility comes to you stating that they could increase revenues by $320,000 per year if they had a second CT system. The facility already has sufficient radiology staff to take on the additional workload with no additional labor costs. The new CT system including room build out and installation will cost $650,000 with an annual full-service support agreement costing $100,000. What is the payback period of this investment?
3 years
What HDTV stations interfere with WMTS?
36/38
What is generally the most useful training?
3rd Party equipment training
How many people warrant the hiring of an additional manager and clerical employee?
44783
? where does this number come from?
What is a typical COSR for in house Maintenance?
4-6%
Family medical leave act provides up to how many weeks of unpaid leave?
6 Weeks
How long does a covered entity have to notify patients if a data breach loses PHI data?
60 Days
How long must you wait to take your CHTM exam if you fail to make a passing score on your first attempt?
60 days
Calculate the depreciation of a medical device purchased for $100,000 after Year 1 using the Seven-Year MACRS depreciation table.
85710
100000 / 7 is 14285. 14285* 6 remaining years is 85710
One primary advantage of documentation in an employee discipline action is that it?
A Gives the employee clear Expectations moving forward
B Reduces risk of employee lawsuits
C Shows discipline is arbitrary
D None of the above
A Gives the employee clear Expectations moving forward
When constructing an operating budget what can not be forecasted?
A one time emergency maintenance expense
In any maintenance strategy, including AEM, equipment uptime should be a realized benefit of
A robust PM program
Who is not governed by the Family Medical Leave Act?
A small business with 35 employees
FMLA ensures these must be kept for an employee during FMLA coverage.
A. Health benefits and same or equivalent job
B. Salary and health benefits
C. Vacation and same or equivalent job
D. Salary and same or equivalent job
A. Health benefits and same or equivalent job
This organization is the deeming authority with CMS for blood banks and transfusion services.
AABB
What non-profit organizations provides the most targeted and valuable information for the HTM department manager?
AAMI
What is the ACHC?
Accreditation Commission for Health Care.
What federal law would come into play for question number 1?
ADA
What are the three major points of HIPAA compliance?
Administrative, Physical, and Technical
________ cannot be used on diagnostic imaging, lasers, or devices that are too new to have sufficient service history.
AEM
Alternative Equipment Maintenance Schedule
Your employee handbook states that PTO can only be taken in increments of 2 hours. You have an employee that has a regular doctor visit each week and has requested 1 hour per week of FMLA leave. What is your response to this request?
All employees must abide by the employee handbook guidelines concerning time off.
What is NOT a method for continuous quality improvement?
Analytical Success Analysis
As a minimum how often should performance evaluations be performed?
Annually
How often do maintenance plans need to be reviewed according to CMC & TJC?
Annually
This organization oversees the creation, promulgation, and use of thousands of norms and guidelines that directly impact businesses in nearly every sector, including engineering and healthcare
ANSI
What is the purpose of The American National Standards Institute (ANSI)?
ANSI accredits institutions that calibrate test equipment for accuracy, and standard adherence
What should the HTM not be performing for medical device evaluations in their facility?
Approving purchase agreements
What is the organization that manages frequencies in the WMTS bans?
ASHE
Under the ADA what are employers allowed to do?
Ask about the applicant’s ability to perform job functions.
If running on a reimbursement for service accounting method, how are 3rd party services billed to departments?
At full rate
If you survey many employees from the same department and they have the same job title you may consider doing what with all those surveys.
Average the responses.
What is an advantage of an extended warranty?
Avoid future transactions
What organization sets/enforces limits on where employees can eat in the workplace?
A. TJC
B. OSHA
C. AAMI
D. NFPA
B. OSHA
The COO has request that you provide them with a simple, easy-to-read statement that will show the organization’s liabilities, assets, and owner’s equity on a specific day so that they can better understand the relative health of the organization. What type of financial statement would you provide?
Balance Sheet
This report reveals the cash inflows and outflows experienced by an HTM department during a specified reporting period
Balance sheet
_______________ is a process of measuring the performance of a company’s products, services, or processes against those of another business considered to be the best in the industry.
Benchmarking
What is benchmarking?
Benchmarking is a method of using statistics to measure performance and productivity
A(n) ________is an estimation of revenue and expenses over a specified future period of time; it is compiled and re-evaluated on a periodic basis.
Budget
This financial document is an estimation of revenue and expenses over a specified future period of time; it is compiled and re-evaluated on a periodic basis.
Budget
This type of document is used by HTM professional managers and is defined as an estimation of revenue and expenses over a specified future period of time.
Budget
This provides the monthly and year-to-date budget information indicating the degree to which managers have adhered to their predicted budget expenditures.
Budget Reports
Which of the following non-profit organizations provides the most targeted and valuable information for the HTM department manager?
A ANSI
B AABB
C AAMI
D All of the above
C AAMI
An HTM manager must justify the expense involved in sending a technician to an OEM service school. The school and all other associated expenses will be $12,000. Currently, the device the technician will be trained to use is on a service contract with a $10,000 annual cost. The manager estimates a future state where cost will only be about $1,500 annually. He determines that year 1, due to the training costs, will not recognize any savings, but that years 2 and beyond will show significant savings. What process did the manger use to make this determination?
Calculating ROI
This organization can accredit all aspects of the laboratory in a healthcare facility.
CAP
What organizations are involved in laboratory accreditation?
CAP and COLA
This financial document is used in allocating money for the acquisition or maintenance of fixed assets such as land, buildings, and equipment.
Capital budget
What type of budget which encompasses test equipment purchases?
Capital Budget
Which type of budget encompasses Test equipment purchases
Capital Budget
Which agency conducts and supports health promotion, prevention, and preparedness activities in the United States, with the goal of improving overall public health?
CDC
Center for Disease Control
This is the branch of the FDA responsible for the premarket approval of all medical devices.
CDRH: Center for Devices and Radiological Health
Title VII is part of what federal legislation?
Civil Rights Act
This act ensures that all lab testing on human specimens meet minimum quality standards.
CLIA
A system to plan, track, measure, and optimize everything to do with maintenance.
CMMS
Software package that is used to store asset inventory and often also stores asset history (maintenance and repairs).
CMMS
This resource provides an HTM department manager with the tools to provide all departments in the hospital data on which to base decisions on new purchases and parts to keep on hand for quick repairs
CMMS
What federal agency, which administers healthcare programs including Medicare and CHIP, mandates accreditation for reimbursement?
CMS
Which federal agency administers healthcare programs including Medicare and CHIP, and mandates accreditation for reimbursement?
CMS
What is the purpose of COLA in HTM?
COLA is an accrediting organization for laboratories
What does CMMS Stand for
Computerized Maintenance Management System
Budgeting method that will help you better track actual costs associated with maintaining medical technologies and reduce service costs over time.
Consolidated Budget
This type of budget gives all service dollars from each clinical department control by the HTM department.
Consolidated budget
What is generally considered the best way (budgetarily) for a maintenance shop to operate
Consolidated Budgeting
The only way to provide safe, effective, and high-quality healthcare for patients is to provide what to all employees?
Continuing Education
What might be considered soft-skill training?
Corporate communication skills
What should be included in every HTM department’s Policy and procedure manual?
Corporate policies
Acquisition costs can vary between one healthcare system to another. When benchmarking the different HTM departments, which benchmarking tool will give different ratios?
COSR
Total maintenance cost divided by the acquisition cost is a variation of which financial management benchmark tool?
COSR
Using a ___________ is a way to project costs of service so they equal or become neutral for different systems such as x-ray systems and infusion pumps so these technologies can be evaluated financially in an equal way.
COSR formula
Typically what plays a main part in the final decision?
Cost
Most hospitals’ financial management system will put the HTM department into which accounting category:
Cost center
What accounting process would be used to spread the cost of an expensive asset such as an MRI over several years?
Cost Distribution
This budgeting tool is a way to project costs of maintaining different technologies such as infusion management devices and imaging systems, allowing the HTM department manager to project costs evenly.
Cost of Service Ratio
You have an entry level position available in your HTM department. While reviewing resumes you find 4 candidates that you would like to interview. You take the 4 resumes to your shop supervisor to review as she will be directly responsible for supervising their day-to-day operations. After reviewing the resumes, she returns and points out the schools they list have different accrediting bodies. What accreditation should you be looking for in a college graduate?
Council for the Higher Education Accreditation (CHEA)
Which of these is a good method for collecting evaluation information?
A. Personal Preference
B. Sales Rep Opinions
C. Infomercials
D. Clinical Evaluations
D. Clinical Evaluations
This federal agency deals with complaints filed by employees who feel that their rights protected by fair labor laws have been violated.
Department of Labor
___________ is an accounting process by which a company allocates an asset’s cost over the duration of its useful life.
Depreciation
An accounting process used to spread the cost of an expensive asset over several years.
Depreciation
You calculate a startup labor rate to charge for HTM services at $113.00/hour as your breakeven point for your budget. In your projected 5 year out budget, you calculate a rate of $109.00 per hour. What would be the most likely reason for this discrepancy?
Depreciation of capital investment
ECRI has instituted a risk scoring level of low, medium, and high. Which answer below describes the low level of risk?
Devices whose failure or misuse is unlikely to result in serious consequences
Who should fill out your evaluation?
Direct supervisor
You have decided to implement a new budgeting method this year that will help you better track actual costs associated with maintaining medical technologies and reduce service costs over time. What type of budgeting method will you implement?
Distributed Budget
What is one of the most effective tools for managing employee performance and behavioral issues and reducing legal risks.
Documentation
What is the most accurate measure of business profitability?
EBITDA
Earnings Before Interest, Taxes, Depreciation, and Amortization
This nonprofit organization is dedicated to bringing the discipline of applied scientific research to discover which medical procedures, devices, drugs, and processes are best, all to improve patient care.
ECRI
Where can an HTM find standardized naming conventions?
ECRI
What organization is responsible for enforcing federal laws that make it illegal to discriminate against a job applicant or an employee because of a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation) national origin, age (40+), disability, or genetic information?
EEOC
Which entity is responsible for enforcing federal laws that make it illegal to discriminate against a job applicant or an employee based on their race, color, religion, sex (including pregnancy, gender identity and sexual orientation) national origin, age (40+), disability, or genetic information?
EEOC
How can a shop improve productivity?
Eliminate repeat repairs
According to AAMI, who is responsible for new employee orientation training?
Employee department manager
PHI includes all of these EXCEPT:
Employment records
On your first day of a new job as an HTM department director, you notice you have 2 employees, one male and one female, with almost identical time on the job and job duties. The salary for the female is 36% less than the male. What federal law may have been violated?
Equal pay act of 1963
What is not a typical trait of BMETs?
Excellent customer service people.
What should not be covered in a performance improvement plan?
Exit interview
Training of HTM staff is critical to a well running department. What are considered benefits of an effective employee training program?
Expanded employee knowledge, increase in job satisfaction.
Your senior technician who takes care of all the telemetry in your facility comes to you very frustrated by an increase in complaints about the two new telemetry systems that just came out of warranty. The technician suspects EMI problems and suggests that an RF spectrum test be conducted. What federal agency should you reference to find out more about frequency requirements in medical devices which transmit RF energy?
FCC
Where can you find an aggregate of medical device recalls?
FDA
Which agency is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medical devices?
FDA
Who do you report RF interference equipment problems to?
FDA
What risk does not require analysis, according to TJC, when renovations are planned?
Financial
This is known as a cause-and-effect diagram that helps managers to track down the reasons for imperfections, variations, defects, or failures.
Fishbone diagram
This type of diagram is known as a cause-and-effect diagram that helps managers track down the reasons for imperfections, variations, defects, or failures.
Fishbone diagram
This federal act governs minimum wage, overtime pay, record keeping, and child labor.
FLSA
What establishes minimum wage?
FLSA
Where does “time and a half” come from?
FLSA
This mode of analysis is proactive and drives process improvement before an incident can occur.
FMEA
You are incorporating a new technology into the hospital and the facility wants to understand the workflows and risks involved with the technology. What process would help facilitate this?
FMEA
A proactive system to determine potential risk is ?
FMEA
Failure Mode and Effects Analysis
Which “act” entitles employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had never taken leave?
FMLA
A unit indicating the workload of an employed person comparable across various contexts.
Full Time Employee-FTE
What is the accounting standard adopted by the U.S. Securities and Exchange Commission?
GAAP
What is the accounting standard adopted by the U.S. Securities and Exchange Commission?
GAAP
Generally Accepted Accounting Principles
What does the acronym GAAP stand for?
Generally Accepted Accounting Principles
One primary advantage of documentation in an employee discipline action is that it
Gives the employee clear expectations moving forward
What is the most effective way to prevent the spread of disease?
Handwashing
You have an employee who has missed three consecutive days of work due to an illness. When the employee returns, they tell you they would like to use FMLA for the three days. What must the employee do to be granted the FMLA leave?
Have 2 visits in 30 days with a healthcare provider.
An HTM manager has been tasked with lowering the service cost in the respiratory therapy department. She calculates the COSR and realizes that the full-service contracts on the ventilators are costing her more than benchmarking indicates is reasonable. Which of these would be the most likely first scenario the manager would consider?
Having the facility technician responsible for the first response and PMs
FMLA ensures these must be kept for an employee during FMLA coverage.
Health benefits and same or equivalent job
An action taken to address a problem with a medical device that violates FDA law is said to be a ____________.
Health device alert
This federal act dictates you must ensure the confidentiality, integrity, and availability of all e-PHI they create; receive, maintain, or transmit and identify and protect against reasonably anticipated threats to the security or integrity of the information; and protect against reasonably anticipated impermissible uses or disclosures and ensure compliance by their workforce.
HIPAA
What federal act of 1996 requires the Secretary of the U.S. Dept. of Health and Human Services to establish guidelines to protect certain health information in the digital format?
HIPAA
What is the name of the regulation that is designed to protect personal information and data collected and stored in medical records?
HIPAA
Preventive Maintenance schedules and procedures for High-Risk medical devices shall be based on
Hospital approved MEMP
What should always be counted as part of the hospital inventory
Hospital owned equipment
An MEMP must be approved by which entity?
Hospital Safety Committee
_____________ can be determined by looking at when most of your service requests come through.
Hours of operation
Title VII of the Civil Rights Act protects against discrimination based upon protected classes or protected characteristics. What is not a protected class / characteristic?
Housing location
_____ should ensure training opportunities are available to HTM Staff.
HTM managers
Who is responsible for ensuring training opportunities are available to HTM Staff:
HTM managers
Application of risk management for IT-networks incorporating medical devices is the standard known as?
IEC 80001-1
This standard recognizes and demands that medical devices are incorporated into IT-networks to achieve desirable benefits. It defines the roles, responsibilities, and activities that are necessary for risk management of IT-networks incorporating medical devices to address safety, effectiveness, and data and system security.
IEC 80001-1
This international standard creates a framework for the disclosure of security-related capabilities and risks necessary for managing the risk in connecting medical devices to IT-networks
IEC 80001-2
Is a relapse back to drinking, of an Alcoholic a reason to fire that person under the ADA?
If it effects there work attendance or performance
What is the overall mission of The Joint Commission?
Improve the safety and quality of care of patients
What does a performance improvement plan focus on?
Improvement/rehabilitation of employee
If working with an ADA employee what constitutes grounds for firing?
Inability to meet performance benchmarks
A robust employee benefits package should provide?
Increase department labor cost, decrease employee turnover
Implementing quality improvement efforts–or QI–in the HTM department may result in?
Increases in efficiency, reduction in expenses
Which type of study is the best to consult for evaluating medical devices?
Independently run with large sample sizes
Capital Projects include all but:
Installations
The HTM department is being asked to reduce the cost of servicing and maintaining flexible and rigid endoscopes by 14.5% in the upcoming budget year. All scopes are under contract with the OEM. The scope service is currently managed by Sterile Processing, and their budget funds will be transferred to HTM. What are the steps to evaluate the change and provide a best recommendation to leadership?
Interview the Sterile Processing managers to determine scope of service needs, review the inventory, review the current contracts, determine the current COSR ratio, request service proposals from OEM and third party to determine potential cost savings.
This typically includes Manufacturer, Model, Serial Number, Device type, Risk score, and IT information.
Inventory
What is AAMI’s answer to cyber risk management?
ISO 800001
What is a primary advantage of documentation in an employee discipline action?
It gives the employee clear expectations moving forward.
What must happen to tools and equipment that is taken into an isolation room?
It must be cleaned and sterilized.
In a basic lifecycle management plan what would be the highest proirity for replacement?
Items that don’t meet regulatory requirements
What is the main accreditation body for hospitals in the United States.?
JC
Which agency focuses on performance improvement strategies that help health care organizations continuously improve the safety and quality of care, which can reduce the risk of error in the environment of care?
JCAHO
This resource is provided by the department of labor and provides free consultation on how to provide employee accommodations.
Job Action Network
Many HTM department goals are driven by customer satisfaction surveys. Which techniques should be employed to receive the highest statistical return rate on department customer satisfaction survey responses?
Keep the surveys brief.
What equipment is not allowed to be put on an alternate equipment maintenance schedule?
Lasers
What is not a reasonable accommodation according to the ADA:
Lowering quality or quantity standards
What is not a reasonable accommodation according to the ADA?
Lowering quality or quantity standards
What kind of Depreciation Table does the IRS use to determine the depreciation of a medical device throughout it useable life?
MACRS table
What is not an alternative equipment maintenance plan?
Maintenance by MFG schedule
Who should ensure training opportunities are available to HTM Staff.
Managers
What database is accessible to all consumers to look at potential reported issues with medical devices?
Manufacturer and user facility device experience.
What document are manufacturers required to disclose which contains their system security information?
Manufacturer Disclosure Statement for Medical Device Security (MDS2)
What is the first step in Failure Mode Effects Analysis?
Map the process
Reports generated through SMDA(Safe Medical Device Act) requirements have produced many sets of medical device problem data in the _______________ database.
MAUDE
Manufacture and User Facility Device Experience database is maintained by the FDA under SMDA of 1990.
What are the primary responsibilities of an HTM department?
Medical device acceptance training AND Manage department operation budget AND Manage hazard alerts and recall
The hospital has a written plan for managing medical equipment. This written plan is known as what?
Medical Equipment Management Plan
What does MEMP stand for?
Medical Equipment Management Plan
A Federal Act administered by the FDA, the ______________ was passed into law in 1992 by Congress to ensure a high standard of care leading to early breast cancer detection.
MQSA
Federal Act administered by the FDA, the _______________________was passed into law in 1992 by Congress to assure a high standard of care leading to early breast cancer detection.
MQSA
-Mammography Quality Standards Act
What does the NLRA do?
National Labor Relations Act. Aims to protect rights of employees and employers, to encourage collective bargaining, and to curtail certain private sector labor and management practices that can harm workers, businesses and the US economy.
Training is a very important job aspect of an HTM professional. Absent of any other specific role, which clinical training might HTM personnel typically be facilitating?
New employee electrical safety
Which agency focuses on eliminating death and injury to fire, electrical, and related hazards?
NFPA
The director of respiratory therapy sends you an email with questions about compressed gases. Which NFPA publication should you reference before responding?
NFPA 55
_____ establishes criteria for levels of health care services or systems based on risk to the patients, staff, or visitors in health care facilities to minimize the hazards of fire, explosion, and electricity.
NFPA 99
Every HTM department should have on hand the Health Care Facilities Code Handbook, which is referred to as?
NFPA 99
What are the most critical NFPA Codes for Hospital / healthcare agencies?
NFPA 99 and NFPA 101
This government agency was formerly known as the National Bureau of Standards (NBS), it provides the weights, measurements and all other standards related to test equipment calibration.
NIST
National Institute of Standards and Technology
Does PHI include Employment Records?
NO
Is the QA process meant to evaluate employee performance?
No
Is Training a form of compensation?
No
Your CMMS shows you have an inventory of 56,400 medical devices for year 2020. During FY 2020, you took over service on 25 anesthesia machines with an annual service of 6 hours per year per machine. You currently have on staff 30 technicians with a calculated staff available device hour of 1,875. How many FTE will you need to add to your department in 2021 to service your inventory for the upcoming year?
No Increase is needed.
Is external benchmarking of an HTM department generally considered a best practice, and why or why not?
No, because of the variance in the scope of each HTM department
If your facility stores or uses nuclear materials for any reason, they are regulated by the ________.
NRC
What would not be a Quality indicator benchmark?
Number of work requests per month
What type of budget must take into consideration what expenses a department knows it will have based on past years financial data?
Operating Budget
You are charged with giving each department in the hospital with an estimated labor rate for the HTM service personnel. This estimation can be calculated by using which budgets?
Operating budget AND Capital budget
When planning to purchase medical equipment, operational costs must be considered. What type of cost would Service Contracts fall under?
Operational cost
This 1970s federal act administers workplace safety laws.
OSHA
What organization sets/enforces limits on where employees can eat in the workplace?
OSHA
Which agency is responsible for ensuring safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education, and assistance?
OSHA
What group is part of the department of labor?
OSHA
Who enforces the Occupational Safety and Health Act (OSHA)?
OSHA
Any activity by the HTM department that is not related to the production of services is considered to be this in financial terms
Overhead
As an HTM department manager you spend 60% of your time performing staff supervision, paperwork, and attending meetings. Where would you categorize this expense in a start-up budget?
Overhead
Your COO informs you that you had a 2% increase in your non-pass-through costs for the current budget. To account for this increase in your budget, where should this increase be added to your budget?
Overhead
What is a cost that can not be attributed to a single service, such as medical gasses?
Overhead Cost
HTM professionals must be well-versed in different accounting principles. What should be included in an HTM department operating budget?
Parts and Labor
HTM departments should be proactive in which areas of a new employee orientation program?
Patient care equipment and electrical safety
What is a major danger during the equipment disposal process?
PHI/PII Loss
The HTM Department has been exceeding its goal of 8 days or less equipment turnaround time. What might be an appropriate approach to resolving the challenge?
PIP
Performance Improvement Plan
What is the most important consideration when evaluating the effectiveness of training programs?
Post-training external labor expenses
Rules of the NRLA apply to which entities
Private sector employers
What Size Private Sector employers are not governed by the Family Medical Leave Act?
Private Sector with less than 50 employees
ISO defines risk as
Probability & Severity
The income statement focuses on the four key items–revenue, expenses, gains and losses. What is another name for this financial document?
Profit and loss statement
What is not covered by the ADA?
Psychoactive substance use disorders
What step in FMEA (Failure Mode and Effects Analysis) involves assigning a value to the failure based on severity?
Quantify the possible effects
Proactive customer satisfaction efforts include:
Quarterly meetings with department leadership
You have been asked by your CFO to provide the cost per unit of work for your HTM department. What method would you use to calculate this?
Ratio of total program cost divided by the number of total paid hours.
This is a reactive system to investigate the underlying cause of an undesirable outcome or sentinel event:
RCA
TJC requires some type of _______ for all sentinel events submitted.
RCA
Assistance or changes to a position or workplace that will enable an employee to do his or her job despite having a disability
Reasonable accommodations
If the HTM department productivity went from 80% to 75%, what will you most likely see as a result?
Reduce productive hours and increase hourly rate breakeven point.
What type of performance improvement opportunity should have the highest priority?
Regulatory surveys/standards
The process in which the HTM department bills out each service request made by clinical departments is known as what?
Reimbursement for Service
What type of accounting principle is used if the HTM department bills out each service request made by clinical departments such as nursing, x-ray, OR, etc.
Reimbursement for service
What should be done with equipment involved in an incident?
Remove from the floor and secure it
The HTM department is in the best position to find the best ways to dispose of medical equipment within the healthcare facility. What is the paramount consideration when getting rid of hospital facility equipment?
Removing PHI
What data from your CMMS can you analyze to establish replacement order for equipment?
Repair Rates
What is a disadvantage of equipment insurance?
Repairs need to be tracked for approval
Many healthcare organizations use this type of document in the acquisition process for capital equipment.
Request for proposal
How can an HTM ensure that an outside maintenance tech is has the proper skills and credentials to perform work inside their facility?
Request records from the source company.
Does a right to work law do?
Requires unions to provide the same services to non-union workers as union workers.
What does a right to work law do?
Requires unions to provide the same services to non-union workers as union workers.
What things are considered equity?
Retained earnings
What formula is: (Net Profit / Cost of Investment) x 100
return-on-investment formula
Risk management steps should include?
Risk Analysis, Risk Evaluation, Risk Control, Risk Monitoring
This department has the authority and responsibility to initiate, guide, and document device investigations in a healthcare facility
Risk Management
The return-on-investment formula is
ROI = (Net Profit / Cost of Investment) x 100
What is the return-on-investment formula?
ROI = (Net Profit / Cost of Investment) x 100
What is the best way to ensure service personnel check in/out through the HTM department?
Route all payments through the HTM budget
When evaluating purchase cost of medical equipment, you should consider?
Routine maintenance, price quote, upfront costs
What is a federal law that requires manufacturers and user facilities to report any adverse events associated with a medical device to the FDA?
Safe Medical Devices Act (SMDA)
Select all that apply to your fixed costs in your operating budget.
Salaries
What should not be part of the incident investigation policy?
Sanitization of equipment
Corporate compliance policies are designed to address anti-bribery and anti-corruption in the workplace and comply with?
Sarbanes-Oxley Act
How is Reliability Centered Maintenance (RCM) schedule managed?
Self diagnostic detection
What is not a good evaluation method?
Self Evaluation
When a sentinel event involving a medical device occurs, once any safety concerns regarding the patient have been addressed, what should be the next step?
Sequester the device in a locked or protected location
Once any safety concerns regarding the patient have been addressed, what should be the next step after a sentinel event involving a medical device occurs?
Sequester the device in a locked or protected location.
A sentinel event is an unexpected occurrence involving _________
Serious injury, psychological injury, death
Customer Satisfaction Surveys can be of great benefit for an HTM department manager which provides insite into?
Service Effectiveness
What is usually a reactive tool for customer satisfaction?
Service Recovery
Risk management scores by ECRI are focused on the seriousness of the harm to the patient and are considered this type of classification
Severity
Title VIII of the Civil Rights Act protects all classes except ______.
Sexual orientation
You are preparing your annual operating budget for your HTM department. What would you not typically include?
Staff Salary costs
Input from this group must be secure before medical equipment is purchased to ensure organizational goals are met.
Stakeholders
What is an often overlooked cause of justification for equipment replacement?
Standardization
The guiding document that should be used to establish the purchase of new medical equipment is referred to as the _____.
Strategic Plan
You have been asked by your CFO to provide the cost per a unit of work for your HTM department. What method would you use to calculate this?
Sum of total worked hours and total number of devices serviced
As an HTM department manager you must be able to assess your customers satisfaction about services provided. What is considered a proactive customer satisfaction tool for HTM departments?
Surveys
Total maintenance cost divided by patient discharges can be used as a benchmarking tool for HTM departments. Large discrepancies are noted between which healthcare organizations using this model:
Teaching hospitals vs. non-teaching AND Large vs. small hospitals
An HTM manager works within a health system that submits their annual budgets in May in order to be approved and implemented at the beginning of the fiscal year, which begins on July 1. Two separate budgets are created, one for capital expenses and one for operational expenses. Which of the following is most likely to be considered as part of the capital budget?
Test Equipment
When analyzing an HTM startup budget and comparing it to a 5-year steady state budget you notice the capital budget at startup was $186,000.00 and the steady state capital budget was only $71,000.00. When asked by a junior associate in your department about why the difference occurred, which of the following may explain this discrepancy?
Test equipment purchased at start up is generally higher than steady state.
What is the primary concern when a BMET enters an active OR?
The BMET breaking the sterile field and putting the patient at risk.
When a facility is “accredited” what is the main standard that they are being verified in compliance of?
The Centers for Medicare & Medicaid Services Conditions of Participation
What is the best tool for an HTM to base decisions and policies from?
The CMMS
Computerized Maintenance Management System
Equal Employment Opportunity laws are enforced by which government agency?
The EEOC
What is the role of the FCC in HTM?
The FCC controls communication, and sets the limits on the bands that devices can use to transmit information.
Who requires CQI
The Joint Commission
Who requires Continuous Quality Improvement
The Joint Commission
Who is being protected by a positive pressure isolation room?
The Patient
What prevents discrimination on the basis of disabilities by federal/federally associated entities?
The Rehabilitation Act
Performance improvement projects should be identified and prioritized by the HTM department using feedback from:
The safety committee, users, and customers
This act gives employees the ability to negotiate collective bargaining agreements.
The Wagner Act
If you receive a survey where the respondent has selected all numerical answers the same and provided no response to text questions, what should be done with the survey?
Throw the survey out.
What is a key to SMART goal setting?
Time oriented
Specific, Measurable, Achievable, Relevant, Time-bound
This healthcare accrediting organization adopted the NFPA 99 2012 edition as the standard to use for auditing purposes.
TJC
What should not be part of a training evaluation?
Trainer appearance
Which of these should not be part of a training evaluation?
Trainer appearance
Which of these is not a form of compensation?
Training
What is not accounted for in a salary account?
Uniforms
Evidence-based health care is:
Using data to drive healthcare delivery
Where are GFCIs required?
Wet areas where interruption can be tolerated
Which of these is not a focus of Root Cause Analysis:
Who’s fault was the event?
When should Technical training be negotiated?
With the purchase of equipment
Which method of competency assessment is appropriate, but time-consuming and expensive:
Written testing
Is a recovering drug addict covered by the ADA?
Yes, if they have sought treatment and completed it
One of your employees has requested time off through the FMLA. Today is January 20th and you hired this employee on July the 6th. What is the best response to your employee?
You only qualify for FMLA after one year of employment.
What is a resource in the hospital that can help you if you have an employee who submitted an EEOC violation report?
Your Human Resources Director
True or False: ADA accommodation must be met for new employees.
FALSE
True or False: Once you pass your CHTM exam the credential can be used throughout your career.
FALSE
True or False: The ADA requires employees to submit a formal request for accommodations to the Director of HR to be valid.
FALSE
True or False: If an individual with a disability does not request an accommodation, the employer is not obligated to provide one
TRUE
True or False: Total maintenance cost should include operating expenses as well as depreciation of capital investment for maintenance, e.g., test equipment.
TRUE
