DLM Exam Questions Flashcards
Can husband and wife at same Lab use FMLA for child?
- Employees are eligible for leave if they have worked for their employer at least 12 months, at least 1,250 hours over the past 12 months, and work at a location where the company employs 50 or more employees within 75 miles. The 12 months of employment do not have to be consecutive.
- including a joint employer or successor in interest to a covered employer
- An eligible employee may also take up to 26 workweeks of leave during a “single 12-month period” to care for a covered servicemember with a serious injury or illness, when the employee is the spouse, son, daughter, parent, or next of kin of the servicemember.
Who does FMLA apply to?
- FMLA applies to all public agencies, all public and private elementary and secondary schools, and companies with 50 or more employees. These employers must provide an eligible employee with up to 12 weeks of unpaid leave each year for any of the following reasons:
- for the birth and care of the newborn child of an employee;
- for placement with the employee of a child for adoption or foster care;
- to care for an immediate family member (spouse, child, or parent) with a serious health condition; or
- to take medical leave when the employee is unable to work because of a serious health condition.
What are the phases of testing implementation?
Initial
How many hours constitute a full time employee?
- Full-time employees that work at least 30 hours per week in any month are counted as one full-time employee. Must work 120 days per year.
How are FTEs determined?
- Full-time employees that work at least 30 hours per week in any month are counted as one full-time employee. Must work 120 days per year. This amount is added to the number of part-time employees.
- Part-time employees are calculated by taking the hours worked by all part-time employees in a week and dividing that amount by 30.
- Seasonal employees aren’t counted in the calculation for those working up to 120 days in a year.
- An FTE of 1.0 (40 hours/week x 52 weeks/year = 2080 / year)
How many additional FTEs are needed given the following information?
Current workload = 5,000,000 Current staff = 50 FTE
Current productivity = 48 units per hour per FTE
Next years expected workload = 6,000,000 units
Next years expected productivity = 50 units per hour per FTE
Workload/Productivity = 6,000,000/50 = 120,000 required hours
Required hours/2080 (hrs/FTE/Yr) = 120,000/2080 = 57.7 FTEs required
*Need 8 additional FTEs (50+8)= 58
What are the 5 budget components
Capital Income Personnel Operating budget Indirect expenses
Capital
Budget component that:
- This is the purchase of asset that has expected useful life of more than one year.
- The purchase is reflected on the hospital’ s balance sheet.
- The actual purchase is not calculated into profit or loss for the year.
- It does, however, appear in the operational budget of the laboratory and is an expense item listed as Depreciation.
Instrument cost breakdown
- How much will it cost (depreciation, QC, calibration, utilities)
• Labor Costs
– Direct
– Indirect
• Material Costs: Reagents, Pipettes, Paper, Indirect- ROI = (gain from investment minus cost of investment) divided by cost of investment
- Acquisition Options ( financing decisions)
– Purchase – Lease
– Reagent Rental (Cost per test)
– Used Equipment
ROI Calculation
ROI = (gain from investment minus cost of investment) divided by cost of investment
Example:
Initial cost of equipment = 200,000
Useful life in months= 60 months
Savings per month 3500= 3500x12= 42,000 per year or 42,000x5= 210,000 years
ROI= (210,000-200,000)/200,000= 0.05 or 5%
Income sources in budget
Sources of revenue: Medicare (In/Out Pt, A/B) – Medicaid – Private Insurance – Managed Care including ACO – Professional (Management) Fee – Other (Incentives, HIT, PQRS, etc ) – MINUS Discounts and contractual allowances
Personnel component of budget
Relevant factors:
• Evaluation of current workload and productivity
• Expected workload
• Changes in productivity
• Changes in staffing/scheduling
• Changes to accommodate new or expanded programs
Justification:
• Increased workload and productivity
• Improved service (e.g., decreased TAT)
• Decreased length of stay
• Increased revenue or decreased cost (e.g., reference test in house)
Operating Budget (Supply & Expense) Components
- Reagents - leases
• Supplies - transfers to other departments
• Purchased services (blood, reference lab) - rent and other utilities for satellite lab
• Maintenance - marketing
• Physician fees - transportation and communication costs
• Education/travel - computer costs
• QA - safety - Depreciation
Projected Operating Budget Calculation
Current Operating Budget X % Change in Workload X % Change in Inflation Rate=
Projected Operating Budget
Example:
Current operating budget = 6,000,000 Assume a 5% increase and 3% inflation:
**Projected operating budget =
6,000,000x.05=300,000+6,000,000=6,300,000
6,300,000x.03=189,000
6,000,000+189,000+300,000=
6,489,000
Indirect Expense Budget Component (Overhead)
Common overhead expenses allocated to the laboratory:
• Space (Buildings and maintenance). Based on square feet.
• Utilities - based on square feet
• Hospital Administration - based on % of revenue
• Personnel Services - based on % of Personnel budget
• Purchasing services - based on % of Operating budget
Cost Driven Pricing Model
– Gross expected revenue - deductions and allowances - budgeted direct and indirect expenses = net revenue
– Net revenue plus profit (5-10%) = adjusted gross revenue
– Adjust current fees to meet new adjusted gross revenue
How much should fees be adjusted by given the following information: Deductions & allowances= 20,000,000 Direct Expense=22,000,000 Indirect expense=8,000,000 Expected profit = 5,000,000
Example:
Anticipated gross Revenue (current fees)=50,000,000
Net revenue =Expenses-Net revenue= 20+22+8=50-50=0
Expected profit=5,000,000
Required gross revenue=50+5=55,000,000
Increase fee by 10%
(55,000,000-5,000,000)/55,000,000=.99%
Costs to consider when implementing new tests
Prime costs Indirect costs Lab overhead cost Hospital allocated overhead Total test cost equals 4 above costs
Prime Costs
– instrument cost including maintenance
– direct material costs
– direct labor costs
Indirect costs
– general laboratory supplies
– indirect labor (supervision/training)
– other indirect (research)
Laboratory overhead
Specimen collection & processing
– Result reporting
– Laboratory Information System
– Laboratory management and direction
– Continuing Education- School of Medical Technology
– Quality Assurance
– Marketing
– Communication
- Depreciation
Does the ADA require an employee to be hired or considered?
- The ADA does not require that an employer hire an applicant with a disability over other applicants because the person has a disability. The ADA only prohibits discrimination on the basis of disability.
Who is covered by the ADA?
The part of the ADA enforced by the EEOC outlaws job discrimination by:
- all employers, including State and local government employers, with 25 or more employees after July 26, 1992, and
- all employers, including State and local government employers, with 15 or more employees after July 26, 1994.
- Under the ADA, you have a disability if you have a physical or mental impairment that substantially limits a major life activity.
What constitutes a substantial impairment?
- To be protected under the ADA, you must have, have a record of, or be regarded as having a substantial, as opposed to a minor, impairment. A substantial impairment is one that significantly limits or restricts a major life activity such as: major life activities include, but are not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working.
- An employer is required to provide a reasonable accommodation to a qualified applicant or employee with a disability unless the employer can show that the accommodation would be an undue hardship – that is, that it would require significant difficulty or expense.
