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MTAP 2 > Ciulla 5th Ed.: Laboratory Management > Flashcards

Ciulla 5th Ed.: Laboratory Management Flashcards

1
Q

Which of the following sections of the clinical laboratory is regulated by the Food and Drug Administration?
A. Chemistry
B. Blood bank
C. Serology
D. Hematology

A

B. Blood bank

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2
Q

In order to plan for the future, one must first determine where the organization stands. A SWOT analysis should be performed to determine both internal and external factors. The term “SWOT” stands for which of the following?
A. Successes, Weaknesses, Opportunities, Threats
B. Strengths, Weaknesses, Opportunities, Threats
C. Strengths, Weaknesses, Opportunities, Testing
D. Successes, Wastes, Opportunities, Threats

A

B. Strengths, Weaknesses, Opportunities, Threats

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3
Q

A number of management styles are used by supervisors in laboratories. Which of the following is a management style that includes the employee in decisions about how to accomplish tasks and encourages creativity?
A. Autocratic
B. Persuasive
C. Empowerment
D. Democratic

A

C. Empowerment

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4
Q

What is the meaning of the abbreviation FTE?
A. Full-time equivalent
B. Full-time expenditure
C. Fixed total expenditure
D. Fixed-timely equivalency

A

A. Full-time equivalent

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5
Q

Most laboratories have a definite structure that establishes the formal setup of the various departments and levels. Which of the following refers to this structure?
A. Administration table
B. Laboratory directory
C. Report of contact
D. Organizational chart

A

D. Organizational chart

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6
Q

In a budget, which of the following terminologies is used to describe money spent for a nonexpandable item that has a life expectancy greater than one fiscal year?
A. Expenditure
B. Annual cost
C. Capital expenditure
D. Depreciable item

A

C. Capital expenditure

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7
Q

Which of the following governmental legislations has had the greatest impact on the regulation of the laboratory industry?
A. Clinical Laboratory Improvement Act
B. Medicare and Medicaid
C. Fair Labor Standards Act
D. Occupational Safety and Health Administration Act

A

A. Clinical Laboratory Improvement Act

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8
Q

Which of the following is the process by which a competent public authority grants permission to an organization or an individual to engage in a specific professional practice, occupation, or activity?
A. Accreditation
B. Certification
C. Licensure
D. Credentialing

A

C. Licensure

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9
Q

Delegation is a responsibility of most laboratory managers. Effective delegation occurs when:
A. The employee is given the freedom to decide what to do
B. The employee has a limited time to complete the assignment
C. The manager assigns responsibility, authority, and accountability to the employee
D. The manager offers the assignment to the most senior employee

A

C. The manager assigns responsibility, authority, and accountability to the employee

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10
Q

A proper understanding of why a laboratory may become liable for the actions of its personnel requires a basic knowledge of the laws involved. This area is known as tort law and involves three types of wrongful conduct. Which of the following is considered wrongful conduct?
A. Occupational injuries
B. Negligent acts
C. Personal leaves
D. Requesting work reassignment

A

B. Negligent acts

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11
Q

DRG is a commonly used abbreviation. Which of the following statements is associated with DRGs?
A. Capitated contracts for services
B. Diagnosis and payment
C. Lean 6 Sigma strategies
D. Decision-making responsibilities of managers

A

B. Diagnosis and payment

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12
Q

Which of the following is associated with the outpatient PPS system of reimbursement?
A. DRG
B. Capitated rate
C. APC
D. PPO

A

C. APC

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13
Q

Which of the following factors is needed for an effective employee performance appraisal?
A. Employee-supervisor discussion with written evaluation
B. Organization standards
C. Current cash flow documentation
D. Kaizen review

A

A. Employee-supervisor discussion with written evaluation

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14
Q

Which of the following is associated with benchmarking?
A. Measurement of labor-hours with worked and paid productivity
B. Employee safety records
C. Performance standards
D. CAP accreditation

A

A. Measurement of labor-hours with worked and paid productivity

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15
Q

Which of the following is a part of the budget-making process as related to laboratories?
A. ICD-10 codes
B. Performance standards
C. Organization chart
D. Projected volume of testing

A

D. Projected volume of testing

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16
Q

Which of the following areas of questioning in the interview process is inappropriate or illegal?
A. References
B. Age
C. Education
D. Experience

A

B. Age

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17
Q

Which of the following should be included in a job description?
A. Incumbent name
B. Promotion potential
C. Qualifications and job duties
D. Job securities

A

C. Qualifications and job duties

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18
Q

Disciplinary action is a responsibility of supervision. Which of the following characteristics should be included for discipline to be effective and positive?
A. Public
B. Casual
C. Timely
D. Written

A

C. Timely

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19
Q

Which of the following voluntary agencies develops and implements blood bank practices for the clinical laboratory?
A. OSHA
B. FDA
C. AABB
D. PPS

A

C. AABB

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20
Q

Which of the following is associated with the goals of a laboratory continuing education program?
A. Cost-cutting measures
B. Elimination of promotional opportunity
C. Staff development
D. Increased workload

A

C. Staff development

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21
Q

Which of the following is considered a line item of the laboratory budget?
A. Labor union dues
B. Legal fees
C. Maintenance and repair of instruments
D. Electricity

A

C. Maintenance and repair of instruments

22
Q

Which of the following agencies is generally responsible for the inspection and accreditation of clinical laboratories in the United States?
A. CAP
B. NCA
C. CDC
D. ASCP

A

A. CAP

23
Q

What is the strategic process of attracting and maintaining a customer base called?
A. Marketing
B. Discretionary factors
C. Market environment
D. Product differentiation factors

A

A. Marketing

24
Q

For marketing purposes, which of the following terms best describes the laboratory customer?
A. Captive market
B. Patient-physician as partners
C. Discretionary buyer
D. Person or organization paying the bill

A

C. Discretionary buyer

25
Q

Assume that the chemistry analyzer in the laboratory of a 500-bed hospital yields 60,000 profiles per year made up of 10 results each. The number of quality control (QC) tests performed per year numbers 2400, and the total direct labor cost is $1.50 per test. The cost for a year’s supply of QC reagents is $3000. What are the QC direct labor cost per profile and the QC consumable cost per profile, respectively?
A. $0.05, $0.06
B. $0.06, $0.05
C. $0.08, $0.05
D. $0.60, $1.25

A

B. $0.06, $0.05

26
Q

Your lab has added a new test. It is important that you determine what the breakeven point is in the number of tests. The revenue per unit has been $10.00, whereas your
fixed cost is $400.00 and your variable cost
is $2.00. What is the breakeven point, if
you expect your net income to be zero (no profit and no loss)?
A. 45
B. 48
C. 50
D. 52

A

C. 50

27
Q

A laboratory has 14,159 total hours paid. Of the total hours paid, 1263 hours are nonproductive hours. Assuming that a full-time employee works 2080 hours annually, what is the total number of FTEs needed
to run the laboratory and the number of productive FTEs, respectively?
A. 6.2, 5.8
B. 6.8, 6.2
C. 7.4, 6.8
D. 11.2, 10.2

A

B. 6.8, 6.2

28
Q

As a result of fraud and abuse identified by the Office of the Inspector General (OIG), what are the laboratories required to develop?
A. Chemical hygiene plan
B. Compliance plan
C. PPE plan
D. Quality control plan

A

B. Compliance plan

29
Q

Which of the following refers to the portion (percentage) of the cost of an item or service that the Medicare beneficiary must pay?
A. Deductible
B. Balance bill
C. Coinsurance
D. Reasonable charges

A

C. Coinsurance

30
Q

Which of the following established the Equal Employment Opportunity Commission (EEOC)?
A. Title VII of the Civil Rights Act of 1964
B. Age Discrimination Employment Act of 1967
C. Rehabilitation Act of 1973
D. The Equal Pay Act of 1963

A

A. Title VII of the Civil Rights Act of 1964

31
Q

Which of the following refers to a program where the overall activities conducted by the institution are directed toward assuring the ongoing quality of the products and services provided?
A. Quality control
B. Cost containment
C. Value stream analysis
D. Continuous quality improvement

A

D. Continuous quality improvement

32
Q

Who introduced the use of statistical tools in decision making, in problem solving, and for troubleshooting the production process?
A. Philip Crosby
B. Joseph Juran
C. James Westgard
D. Edward Deming

A

D. Edward Deming

33
Q

Your laboratory is considering expansion.
You will have to buy land and build a new lab. One of the financial aspects to consider is the annual depreciation of the project. The total cost of the project is $800,000 ($200,000 for the land and $600,000 for the building). At current estimates, the building is expected to be used for 20 years, with a salvage value of $40,000. What is the annual depreciation of the project?
A. $38,000/year
B. $30,000/year
C. $28,000/year
D. $10,000/year

A

C. $28,000/year

34
Q

Which of the following processes is designed to measure the value (level of success) of performing diagnostic tests and other services related to the improvement of a patient’s disease or condition?
A. Clinical pathways
B. Outcomes assessment
C. Clinical practice guidelines
D. Quality assurance

A

B. Outcomes assessment

35
Q

Which of the following categories of personnel is required in laboratories performing tests using high-complexity methodology?
A. General supervisor
B. Clinical consultant
C. Technical consultant
D. Director

A

A. General supervisor

36
Q

Which of the following is not contained in the standard operating procedure manual (SOPM)?
A. Literature references
B. Control procedures
C. Reference ranges
D. Personnel requirements

A

D. Personnel requirements

37
Q

When a manager does not possess the expertise or knowledge to implement change and the resisters have significant power to impede the efforts, which of the following strategies for change will be used?
A. Facilitation and support
B. Participation and involvement
C. Negotiation and agreement
D. Manipulation and co-optation

A

B. Participation and involvement

38
Q

The struggle is underway, and the behavior of the participants makes the existence of the conflict apparent to others who are not directly involved. What is this stage of conflict known as?
A. Perceived
B. Felt
C. Manifest
D. Latent

A

C. Manifest

39
Q

Influence exerted through the control of support services, such as a safety officer or quality assurance coordinator, which provide recommendations to the manager and set policies, is a type of authority known as:
A. Staff
B. Line
C. Formal
D. Functional

A

A. Staff

40
Q

What is horizontal communication?
A. The official communication message generated by the business activities of the organization
B. The formal messages that are channeled through the hierarchical network of the organization
C. The activity that occurs during the normal conduct of business among departments, managers, and staff
D. Live discourse in which all parties exchange ideas and information and receive spontaneous feedback

A

C. The activity that occurs during the normal conduct of business among departments, managers, and staff

41
Q

Which of the following agencies develops and monitors engineering and work practice controls?
A. The Centers for Disease Control and Prevention
B. Occupational Safety and Health Administration
C. The Joint Commission
D. College of American Pathologists

A

B. Occupational Safety and Health Administration

42
Q

Which of the following refers to the continuum of care under one common computerized communication channel that links hospitals, labs, pharmacies, physicians, employers, payers, and medical information systems?
A. Common Healthcare Integrated Network
B. Continuum Health Internal Network
C. Community Health Information Network
D. Computerized Health Information Network

A

C. Community Health Information Network

43
Q

Which of the following budgeting processes attempts to set expenditures on a variable workload volume?
A. Operational
B. Capital
C. Project
D. Flexible

A

D. Flexible

44
Q

In addition to preparing a capital budget for the institution’s own use, federal and state regulations require healthcare facilities to submit capital plans on certain projects for approval and to obtain a:
A. Certificate of Approval
B. Certificate of Need
C. Capital Budget Appropriation
D. Capital Need Assessment

A

B. Certificate of Need

45
Q

What will be the payback period be for a
new chemistry analyzer that costs $150,000 and produces an annual income of $420,000?
A. 2.3 months
B. 2.8 months
C. 4.3 months
D. 33.6 months

A

C. 4.3 months

46
Q

Which of the following is not a part of the calculation of the total cost per test?
A. Direct and indirect labor
B. Direct and indirect materials
C. Equipment and overhead costs
D. Depreciation

A

D. Depreciation

47
Q

Which of the following best describes the role of a team leader?
A. Decision-maker
B. Taking minutes at team meetings
C. Leading, guiding, and teaching
D. Terminating employees

A

C. Leading, guiding, and teaching

48
Q

What is the primary coding system that is used by the federal government to determine levels of reimbursement at the procedural level for Medicare services?
A. CAP codes
B. CPT codes
C. Modifiers
D. ICD-10 codes

A

B. CPT codes

49
Q

Your laboratory wants to buy a new hematology analyzer. In determining the total
cost per test analysis, you need to know what the cost will be for equipment per test. The analyzer costs $55,000 and has a useful life of 7 years. After the 1-year
warranty expires, the annual maintenance
contract will cost $8000. You estimate that you will perform 3500 tests per year on this analyzer. What is the equipment cost for each test performed?
A. $1.38
B. $2.10
C. $2.81
D. $4.20

A

D. $4.20

50
Q

Which of the following styles of directing allows an employee to determine the task and how to accomplish the task in order to help the manager solve a problem?
A. Coaching
B. Autocratic
C. Empowerment
D. Authoritative

A

C. Empowerment

MTAP 2 (3 decks)

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