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
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)
What is not a good evaluation method?
Self Evaluation
Which of the following is the most important consideration when evaluating the effectiveness of training programs?
Post-training external labor expenses
What is the accounting standard adopted by the U.S. Securities and Exchange Commission?
GAAP
Generally Accepted Accounting Principles
How long must you wait to take your CHTM exam if you fail to make a passing score on your first attempt?
60 days
What is AAMI’s answer to cyber risk management?
ISO 800001
Under the ADA what are employers allowed to do?
Ask about the applicant’s ability to perform job functions.
What type of budget must take into consideration what expenses a department knows it will have based on past years financial data?
Operating
Who do you report RF interference equipment problems to?
FDA
When performing an inservice training which of the following is not desirable?
Ad-libbed training by an expert operator
As an HTM manager, you will need to analyze training needs for your department. Which of the following should you consider when making those training decisions?
Cost and requirements, competency and operations, resources and customer requirements
What should the HTM not be performing for medical device evaluations in their facility?
Approving purchase agreements
How many steps are there in AAMI’s approved Cyber risk management model?
5
What HDTV stations interfere with WMTS?
36/38
FMLA requests must be acted upon in how many days?
5
One of your employees has requested time off through the FMLA. How long do you have to respond to this request?
2 days
HTM professionals must be well-versed in different accounting principles. What should be included in an HTM department operating budget?
Parts and Labor
Evidence-based healthcare is:
using data to drive healthcare delivery
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
Total maintenance cost divided by the acquisition cost is a variation of which financial management benchmark tool?
COSR
An MEMP must be approved by which entity?
Hospital Safety Committee
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
When constructing an operating budget what can not be forecasted
a one time emergency maintenance expense
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.
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
What risk does not require analysis, according to TJC, when renovations are planned?
Financial
What document are manufacturers required to disclose which contains their system security information?
Manufacturer Disclosure Statement for Medical Device Security (MDS2)
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.
How many people warrant the hiring of an additional manager and clerical employee?
44783
? where does this number come from?
Who is not governed by the Family Medical Leave Act?
A small business with 35 employees
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
Who requires Continuous Quality Improvement
The Joint Commission
Is a recovering drug addict covered by the ADA?
Yes, if they have sought treatment and completed it
As an HTM department manager, you must be able to assess your customers’ satisfaction about services provided. Which of the following is considered a proactive customer satisfaction tool for HTM departments?
Surveys
f working with an ADA employee what constitutes grounds for firing?
Inability to meet performance benchmarks
The return-on-investment formula is
ROI = (Net Profit / Cost of Investment) x 100
What type of performance improvement opportunity should have the highest priority?
Regulatory surveys/standards
What is a disadvantage of equipment insurance?
Repairs need to be tracked for approval
What formula is: (Net Profit / Cost of Investment) x 100
return-on-investment formula
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
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
Any activity by the HTM department that is not related to the production of services is considered to be this in financial terms:
Overhead
HTM departments should be proactive in which areas of a new employee orientation program?
Patient care equipment and electrical safety
Which type of study is the best to consult for evaluating medical devices?
Independently run with large sample sizes
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
What would not be a Quality indicator benchmark?
Number of work requests per month
A unit indicating the workload of an employed person comparable across various contexts.
Full Time Employee-FTE
Evaluating the effectiveness of training programs would include which of the following:
Assessing post-training external labor expenses
What prevents discrimination on the basis of disabilities by federal/federally associated entities?
The Rehabilitation Act
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
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
Risk management steps should include?
Risk Analysis, Risk Evaluation, Risk Control, Risk Monitoring
What is a typical COSR for in house Maintenance?
4-6%
___________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
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 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
What organizations are involved in laboratory accreditation?
CAP and COLA
Which of the following can be used as a validation technique for surveys?
Use same question but written in a different way.
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.
Title VII is part of what federal legislation?
Civil Rights Act
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
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.
True or False: Once you pass your CHTM exam the credential can be used throughout your career.
false
Input from this group must be secure before medical equipment is purchased to ensure organizational goals are met.
Stakeholders
ISO defines risk as:
Probability & Severity
_____________ can be determined by looking at when most of your service requests come through.
Hours of operation
This act gives employees the ability to negotiate collective bargaining agreements.
The Wagner Act
One of your employees has a broken foot and is on crutches. They mention to you in casual conversation that it is extremely hard to get around and is taking much of their time walking to different areas of the hospital to complete daily activities. Which of the following would be a proper response?
Provide the employee a mobility scooter.
Is Training a form of compensation?
No
Equal Employment Opportunity laws are enforced by which government agency?
The EEOC
What is an often overlooked cause of justification for equipment replacement?
Standardization
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
This is a reactive system to investigate the underlying cause of an undesirable outcome or sentinel event:
RCA
What document are manufacturers required to disclose which contains their system security information?
Manufacturer Disclosure Statement for Medical Device Security (MDS2)
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.
What is not covered by the ADA?
Psychoactive substance use disorders
All medical equipment work orders should be logged into the facilities equipment software program by which of the following
Asset number
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
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
Customer Satisfaction Surveys can be of great benefit for an HTM department manager. Which of the following might the manager gain insight in?
Service Effectiveness
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
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
True or False: The ADA requires employees to submit a formal request for accommodations to the Director of HR to be valid.
False
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
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
Family medical leave act provides up to how many weeks of unpaid leave?
6 Weeks
___________ is an accounting process by which a company allocates an asset’s cost over the duration of its useful life.
Depreciation
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
What should not be part of the incident investigation policy?
Sanitization of equipment
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.
Where can an HTM find standardized naming conventions?
ECRI
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.
An action taken to address a problem with a medical device that violates FDA law is said to be a ____________.
Health device alert
Does PHI include Employment Records?
NO
What Size Private Sector employers are not governed by the Family Medical Leave Act?
Private Sector with less than 50 employees
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
Proactive customer satisfaction efforts include
Quarterly meetings with department leadership
Using the Ridgeway Equipment Replacement Plan, how many factors are used to rate items for replacement?
7
When should Technical training be negotiated?
With the purchase of equipment
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
If working with an ADA employee what constitutes grounds for firing?
Inability to meet performance benchmarks
What is the overall mission of The Joint Commission?
Improve the safety and quality of care of patients
As an HTM manager, you will need to analyze training needs for your department. Which of the following should you consider making those training decisions?
Cost and requirements, competency and operations, resources and customer requirements
Where can you find an aggregate of medical device recalls?
FDA
What should not be part of a training evaluation?
Trainer appearance
If the HTM department productivity went from 80% to 75%, which of the following will you most likely see as a result?
Reduce productive hours and increase hourly rate breakeven point.
An HTM manager sends a technician to service school. The cost is $12,000. In the same year, the technician was able to reduce outsourced labor on that same device from $32,000 to $11,000. Assuming all other expense remained the same, what was the year 1 ROI?
9000
What is the purpose of The American National Standards Institute (ANSI)?
ANSI accredits institutions that calibrate test equipment for accuracy, and standard adherence
This typically includes Manufacturer, Model, Serial Number, Device type, Risk score, and IT information.
Inventory
What is the highest amount of documented time you should expect from your employees?
0.85
Who is being protected by a positive pressure isolation room?
The Patient
What is a cost that can not be attributed to a single service, such as medical gasses?
Overhead Cost
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
If your facility stores or uses nuclear materials for any reason, they are regulated by the ________.
NRC
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
This resource is provided by the department of labor and provides free consultation on how to provide employee accommodations.
Job Action Network
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.
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
When an HTM department is financed by departments in the facility such as OR, Lab, or imaging by contributing a certain percentage of the HTM budget. this financial practice may be called which of the following:
Cost sharing
Title VII of the Civil Rights Act protects against discrimination based upon protected classes or protected characteristics. Which of the following is not a protected class / characteristic?
Housing location
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
What percentage is generally added to your operating budget for misc. expenses?
0.05
Every HTM department should have on hand the healthcare facilities code manual, which is referred to as?
NFPA 99
According to the SMDA, within how many days should adverse events be reported?
10 days
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
When evaluating purchase cost of medical equipment, you should consider?
Routine maintenance, price quote, upfront costs
Total maintenance cost divided by the acquisition cost is a variation of which financial management benchmark tool.
COSR
You are allotted how much time to complete your CHTM exam?
2 Hours
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
Performance improvement projects should be identified and prioritized by the HTM department using feedback from:
The safety committee, users, and customers
When planning to purchase medical equipment, operational costs must be considered. Which of the following is considered an operational cost?
Service contract
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
Rules of the NRLA apply to which entities
Private sector employers
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.
How many questions are on the CHTM exam?
100
What is the maximum number of weeks that can be granted by the FMLA?
26
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
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
What federal agency, which administers healthcare programs including Medicare and CHIP, mandates accreditation for reimbursement?
CMS
What is not accounted for in a salary account?
Uniforms
This 1970s federal act administers workplace safety laws.
OSHA
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
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
How many employees must an organization have for EEOC regulations to apply?
15
In a basic lifecycle management plan what would be the highest proirity for replacement?
Items that don’t meet regulatory requirements
HTM department managers must schedule resources, establish goals and policies, and maintain current clinical management maintenance software systems. Which of the following is impacted by each of these efforts?
Financial management, operations management
What does a right to work law do?
Requires unions to provide the same services to non-union workers as union workers.
How is Reliability Centered Maintenance (RCM) schedule managed?
Self diagnostic detection
What is the ACHC?
Accreditation Commission for Health Care.
What kind of Depreciation Table does the IRS use to determine the depreciation of a medical device throughout it useable life?
MACRS table
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?
$12,000,000
What equipment is not allowed to be put on an alternate equipment maintenance schedule?
Lasers
Title VIII of the Civil Rights Act protects all the following classes except ______.
Sexual orientation
A unit indicating the workload of an employed person comparable across various contexts.
FTE
________ cannot be used on diagnostic imaging, lasers, or devices that are too new to have sufficient service history.
AEM
Alternative Equipment Maintenance Schedule
How many paid weeks of leave are guaranteed by the Family Medical Leave Act?
0
Who do you report RF interference equipment problems to?
FDA
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
If running on a reimbursement for service accounting method, how are 3rd party services billed to departments?
At full rate
What does a performance improvement plan focus on?
Improvement/rehabilitation of employee
This organization can accredit all aspects of the laboratory in a healthcare facility.
CAP
What establishes minimum wage?
FLSA
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?
10167
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.
Capital Projects include all but:
Installations
When planning to purchase medical equipment, operational costs must be considered. Which of the following is considered an operational cost?
Service contract
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
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
What is generally considered the best way (budgetarily) for a maintenance shop to operate
Consolidated Budgeting
What is the purpose of COLA in HTM?
COLA is an accrediting organization for laboratories
Which of the following is the most accurate measure of business profitability?
EBITDA
The guiding document that should be used to establish the purchase of new medical equipment is referred to as the _____.
Strategic Plan
Total maintenance cost divided by the acquisition cost is a variation of which financial management benchmark tool.
COSR
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
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
This mode of analysis is proactive and drives process improvement before an incident can occur.
FMEA
