AAMI CHTM Flashcards
This report reveals the financial performance of an organization for the entire reporting period. It begins with income, and then subtracts out all expenses incurred during the period to arrive at a net profit or loss.
Income Statement
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 are charged with giving each department in the hospital with a estimated labor rate for the HTM service personnel. This estimation can be calculated by using which of the following budgets
Operating and Capital budget
Budgeting method that will help you better track actual costs associated with maintaining medical technologies and reduce service costs over time.
Consolidated Budget
Capital Projects include all but:
Installations
What database is accessible to all consumers to look at potential reported issues with medical devices?
Manufacturer and user facility device experience.
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
What is usually a reactive tool for customer satisfaction?
Service Recovery
________ should ensure training opportunities are available to HTM Staff.
HTM Managers
Corporate compliance policies are designed to address anti-bribery and anti-corruption in the workplace and comply with which of the following.
Sarbanes-Oxley Act
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
What should not be covered in a performance improvement plan?
Exit interview
What is the best way to ensure service personnel check in/out through the HTM department?
Route all payments through the HTM budget
You are preparing your annual operating budget for your HTM department. Which of the following would you not typically include?
Staff Salary costs
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
Who should ensure training opportunities are available to HTM Staff.
Managers
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
What is NOT a method for continuous quality improvement?
Analytical Success Analysis
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.
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
Rescheduling of exam date is allowed how many times?
1 time
Who requires CQI?
The Joint Commission
Your facility’s current OR unit service budget is $1,000 per month. By the fifth month, $7,000 of the current year’s budget has been spent. Your supervisor has stated budgets can have no more than a 5% increase. Which of the following will be the maximum OR unit service budget for the next year?
12600
$12,000 x 1.05= $12,600
The guiding document that should be used to establish the purchase of new medical equipment is referred to as the _____.
Strategic Plan
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.
Is the QA process meant to evaluate employee performance?
No
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
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
What organization sets/enforces limits on where employees can eat in the workplace?
A. TJC
B. OSHA
C. AAMI
D. NFPA
B. OSHA
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
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
_______________ 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
This is the branch of the FDA responsible for the premarket approval of all medical devices.
CDRH: Center for Devices and Radiological Health
What must happen to tools and equipment that is taken into an isolation room?
It must be cleaned and sterilized.
HTM professionals must be well versed in different accounting principles. Which of the following is to be included in an HTM department operating budget?
Parts and Labor
What step in FMEA (Failure Mode and Effects Analysis) involves assigning a value to the failure based on severity?
Quantify the possible effects
Which type of budget encompasses Test equipment purchases
Capital Budget
True or False: If an individual with a disability does not request an accommodation, the employer is not obligated to provide one
TRUE
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
Most hospitals’ financial management system will put the HTM department into which accounting category:
Cost center
_____ 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
This healthcare accrediting organization adopted the NFPA 99 2012 edition as the standard to use for auditing purposes.
TJC
Application of risk management for IT-networks incorporating medical devices is the standard known as?
IEC 80001-1
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
What is not a reasonable accommodation according to the ADA:
Lowering quality or quantity standards
This department has the authority and responsibility to initiate, guide, and document device investigations in a healthcare facility.
Risk Management
Which of the following accounting methods would give the HTM department manager the best data to make financial decisions for the healthcare institution concerning clinical equipment?
Distributed budget
What is an advantage of an extended warranty?
Avoid future transactions
The process in which the HTM department bills out each service request made by clinical departments is known as what?
Reimbursement for Service
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 is a key to SMART goal setting?
Time oriented
Specific, Measurable, Achievable, Relevant, Time-bound
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
How many paid weeks of leave are guaranteed by the Family Medical Leave Act?
0
Risk management scores by ECRI are focused on the seriousness of the harm to the patient and are considered this type of classification:
Severity
The only way to provide safe, effective, and high-quality healthcare for patients is to provide what to all employees?
Continuing Education
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)
How many CMS accrediting organizations operate within the US?
20+
A system to plan, track, measure, and optimize everything to do with maintenance.
CMMS
If you are administering a customer satisfaction survey from the HTM department, which of the following would likely be included for survey responses?
Administrators, Department directors, Nursing management
What type of budget must take into consideration what expenses a department knows it will have based on past years financial data?
Operating Budget
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
Training of HTM staff is critical to a well-running department. Which of the following are considered benefits of an effective employee training program?
Expanded employee knowledge AND Increased job satisfaction
What should be included in every HTM department’s Policy and procedure manual?
Corporate policies
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 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 one, due to the training costs, will not recognize any savings, but that years two and beyond will show significant savings. What process did the manger use to make this determination?
Calculating ROI
Many healthcare organizations use this type of document in the acquisition process for capital equipment.
Request for proposal
Where does “time and a half” come from?
FLSA
The guiding document that should be used to establish the purchase of new medical equipment is referred to as the _____.
Strategic Plan
_______is one of the most effective tools for managing employee performance and behavioral issues and reducing legal risks
Documentation
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.
Performance improvement projects should be identified and prioritized by the HTM department using feedback from:
The safety committee, users, and customers
Once any safety concerns regarding the patient have been addressed, what should be the next step when a sentinel event involving a medical device occurs?
Sequester the device in a locked or protected location.
This report shows the financial position of a business as of the report date (so it covers a specific point in time). The information is aggregated into the general classifications of assets, liabilities, and equity.
Balance sheet
What is the first step in Failure Mode Effects Analysis?
Map the process
This type of budget gives all service dollars from each clinical department control by the HTM department.
Consolidated budget
What is the organization that manages frequencies in the WMTS bans?
ASHE
Which of these things are considered equity?
Retained earnings
What are the primary responsibilities of an HTM department?
Medical device acceptance training AND Manage department operation budget AND Manage hazard alerts and recall
Which of the following are the most critical NFPA Codes for Hospital / healthcare agencies?
NFPA 99 and NFPA 101
A robust employee benefits package should provide?
Increase department labor cost, decrease employee turnover
True or False: ADA accommodation must be met for new employees.
False
Many HTM department goals are driven by customer satisfaction surveys. Which of the following techniques should be employed to receive the highest statistical return rate on department customer satisfaction survey responses?
Keep the surveys brief.
How long does a covered entity have to notify patients if a data breach loses PHI data?
60 Days
What data from your CMMS can you analyze to establish replacement order for equipment?
Repair Rates
Quality improvement initiatives can be used in which of the following areas of a hospital
Any area needing improvement
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 are the three major points of HIPAA compliance?
Administrative, Physical, and Technical
How often do maintenance plans need to be reviewed according to CMC & TJC?
Annually
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
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
A sentinel event is an unexpected occurrence involving _________
Serious injury, psychological injury, death
FMLA ensures this must be kept for an employee during FMLA coverage.
Health benefits
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.
As an HTM professional you are tasked with finding the total number of productive labor hours in the HTM department. Your organization has a benefit package of 15 paid holidays a year and 12 paid vacation days and 4 days of sick time. Your calculated productivity for the department is 75% for the 7 technicians in the department and you have 30% hands-on time (productive time) for yourself as the manager. What is the number of total productive hours estimated?
10300
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.
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
Which method of competency assessment is appropriate, but time-consuming and expensive:
Written testing
What might be considered soft-skill training?
Corporate communication skills
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
This report reveals the cash inflows and outflows experienced by an HTM department during a specified reporting period.
Balance sheet
An HTM department manager should consider technical training and personal development of all department employees to be?
An ongoing requirement
This 1970s federal act administers workplace safety laws.
OSHA
What does CMMS stand for?
Computerized Maintenance Management System
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
Where are GFCIs required?
Wet areas where interruption can be tolerated
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
If running on a reimbursement for service accounting method, how are 3rd party services billed to departments?
At Full Rate
How can a shop improve productivity?
Eliminate repeat repairs
What is the best tool for an HTM to base decisions and policies from?
The CMMS
Computerized Maintenance Management System
This report shows the financial position of a business as of the report date (so it covers a specific point in time). The information is aggregated into the general classifications of assets, liabilities, and equity.
Balance sheet
The director of respiratory therapy sends you an email with questions about compressed gases. Which NFPA publication should you reference before responding?
NFPA 55
What is the most accurate measure of business profitability?
EBITDA
Earnings Before Interest, Taxes, Depreciation, and Amortization
________ cannot be used on diagnostic imaging, lasers, or devices that are too new to have sufficient service history.
AEM
Preventive Maintenance schedules and procedures for high-risk medical devices shall be based on:
Hospital-Approved MEMP
A proactive system to determine potential risk is which of the following.
FMEA
Failure Mode and Effects Analysis
What is benchmarking?
Benchmarking is a method of using statistics to measure performance and productivity
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
