Slide Flashcards

Question

Marsha Heinke's 3 basic approaches to employee performance evaluations

Answer 1

1. formal performance reviews 2. coaching conversations 3. corrective action discussions

Answer 2

1. regular informal feedback by supervisor -day to day observations- even . praise-- can practice with quarters 2.performance goals set by employee and supervisor- employees need 5to have active role in review process help with goal setting- timeline and quantificable- give them tools- record and review often, modify is needed 3.Actions plans to address performance or disciplinary problems- e mployee should have input.. help them design plan- will get more buy in and greater commitment. ** review often 4. formal reviews that address big picture (follow through)- has the statements goals been met, have action plans been followed, is team member on right path

Answer 3

1. annoyed, take notice 2. second time, mentally note-pattern 3. 3rd-warrants conversation three occurrences is justified conversation- examples are helpful

Answer 4

Awareness-describe with clarity to employee Behavioral Expectations-explain improvement employee must make consequences- what will happen next if behavior repeated Decision confirmed-ask employee if able to make change=need agreement here employee involvement-if employee agrees, THEY must write action plan- can use smart goal - help them WHAT NEEDS TO CHANGE TO MEET EXPECTATION follow up-SCHEDULE a time to follow up employee

Answer 5

1. conflict addressed 2. listen all issues 3. determine real problem 4. exercise control avoid argument 5. avoid delay in decision 6. maintain records

Answer 6

as pm we need to model way and help them succeed-

Answer 7

1. is this individual problem 2. who is involved 3. does it relate to job satisfaction 4. is patient care compromised 5. is poor service the issue confirm what you hear with :what i heard you saY is

Answer 8

1. verbal warning with correction method-documented with supervisor signatures 2. written warning (# decided practice) doc/signed- bjoth parties 3. final waring should state next step termination

Answer 9

1. no regular evaluations 2. unsatisfactory eval... no raise 3. policy manual should stae- employee may be terminated on 2 weeks notice, with or without causse 4. education on policy 5. not related protected class 6. family stessor- give time

Answer 10

unethical behavior criminal activity falsification of records insubordination ppe will violation policy timecard violation sleeping on duty imappropriate computer use

Answer 11

20 employees on 50% of the typical business day previous calendar year

Answer 12

blend of fee for service and HMO- not required to visit primary- do have network of providers and cost more to go outside network

Answer 13

like HMO except don't have to see primary first to see specialist unless the specialist is outside of network

Answer 14

tax saving both employer and employee. allows employees to pay certain expenses including premium, before taxes deducted

Answer 15

FSA acct , pretax section 125 plan, owned by employer, no high deductible plan required. generally use or lose end of years

Answer 16

Affordable Care Acct PPACA of 2010

Answer 17

50+ full time employees or be penalized if not providing health insurance employees, If you are under 50 employees and don't provide, employee can be penalized. Act also places certain cap/CONDITIONS on HSA and FSA

Answer 18

Dept of labor

Answer 19

Employee Retirement Income Security Act. Title 1 1974

Answer 20

Savings Incentive Match Plan

Answer 21

established by employers, employee contribute pre tax $- employer required to match or % contribution- simple to administer

Answer 22

Established employer employer not required to contribute can have profit sharing component need professional admin and can be costy]

Answer 23

Simple Employee Pension

Answer 24

similar profit sharing funded employer- NOT EMPLOYEES employer has tax savings

Answer 25

Health insurance Retirement Plans- 401 k, simple, sep PTO Sick leave Vacation Holidays Pet Health care Dues/license- need a policy continuing education- cost 5% practice(team development) Disability insurance uniform allowance life insurance dental and vision plans

Answer 26

Practices that require CE are required to pay time incurred for all non-exempt employees. Hours must also be counted in overtime

Answer 27

elimination period benefit period non cancelable guaranteed renewal residual coverage automatic benefit indexing waiver of promiums future insure options total recovery clause

Answer 28

environmetal protection access and storage protects confidentiality but remains accessable what records should be stored separately retention and disposal guidelines

Answer 29

application-resume-interview notes-background check job description offer letter discipline docs W4 copy degree, diploma etc contracts, non competes action forms- changes attendance leave of absence-not FMLA emergency contact- employment records including date of hire, promos etc

Answer 30

IRS and FSLA- access limited- stored separately

Answer 31

full name, address, ss birth date work schedule- pay rate, earnings record benefits records timeclock records

Answer 32

docs cannot be legally used to make decisions (protected class) docs on gender, race, religion , vet status, disabiltiy Garnishment or credit report investigation docs for criminal cases

Answer 33

1personnel file-job related 2. Security file- docs related garnishment, background results, credit checks, docs no legal role in firing, promotion 3. Medical file 4. payroll file 5. I-9

Answer 34

2-5 business days

Answer 35

3 years- I-9, hiring records, personnel file 4 years-(rolling four years) tax records, pay rate, pension plans 5 years- injury and work comp 30 years- medical exam findings, exposure records, covid

Answer 36

Title VII civil rights, ADA, ADEA- require 1 year from termination FMLA-3 years I9 -3 years

Answer 37

Hard skills are generally technical skills that can be taught soft skills are generally inherant---- critical thinking

Answer 38

lawsuit, discrimination allegations, some unemployment claims

Answer 39

used training-roadmap new hire performance reviews and expectations

Answer 40

Engaged employees are typically seeking more than new tasks, they want more responsibility

Answer 41

1. reference tool for standards of care and practice guideline 2.training and instructional tool 3. define a standard which employees can be help accountable

Answer 42

court may consider contract.. be sure to state.. not a contract attorney review large print positive and not authoritarian, create positive work environment, prevent problems via clarity open dialogue-- think about culture you project

Answer 43

same directory/file name network location and file organization revision date and initials- bottom of revision page

Answer 44

correct way to do tasks as well as benchmark to determine whether employees are achieving stated standards Checklists are valuable and usually evolved from these manuels- update as they evolve

Answer 45

What is procedure who is responsible what resources optimal outcome steps to complete when this created and when reviewed again

Answer 46

1. allow convenient storage of important data 2. improve quality of patient care/client care 3. facilitate charge capture and auditing processes

Answer 47

Hybird logs ex. cremation-paw prints Patient logs- ex laboratory logs Procedure logs- task completion-autoclave cleaning

Answer 48

1. required (federal law) written plan to notify staff how hospital complies with OSHA Hazard communication standard 2. at core is Right to Know law - every employee has right 3. Employer responsibility to be educated about risk, not only to mitigate them but inform employees of risks.

Answer 49

1. anesthesia and wag 2. accident prevention and response 3. animal handling, bite prevention, noise risk 4. blood borne path and first aid 5. infection control/zoonotic disease prot 6. Hazardous chemical 7. chemotherapy 8. driving/machinery 9 dentistry

Answer 50

electricity concerns ergonomics fire and emergency evacuation lasers meals. snacks nature disasters/weather radiation safety training securuty and violence prevention

Answer 51

every employee must have access to handbook and told they have right and responsibility to view it

Answer 52

set CE goals that help support the Mission and Vision of practice

Answer 53

inspires team to improve quality care contributes to prevention burn out important in staff retention

Answer 54

staff felt CE skills learned were not used management doesnt place value on ce management doesnt embrace new ce information personal family challenges

Answer 55

for rvt,dvm, cvpm practice usualy covers cost of renewal and can amount to 1200 yearly

Answer 56

Controlled Substance Act

Answer 57

can RX ANYWHERE if registered at some principal place of business. to administer or dispense, must be classified as employee or registered at the facility

Answer 58

yes if agents/employees of registered dvm yes if performing in reg course of business yes if acting under direction of Dvm (present) yes if under the direction of dvm (on premises)

Answer 59

The law is less clear.. they certainly can RX but should maintain their own DEA license to support IC factor-

Answer 60

they are sent out by DEA no charge when registration granted.. and appropriate box requesting copies checked

Answer 61

only registered DVM or person with valid power of attorney may legally sign

Answer 62

when shipment arrives, date of receipt and the number of containers of each drug docuemtned on copy 3 or original order form used when order placed.. file separately all Schedule II drugs and copies

Answer 63

yes if is employee of location registered dvm

Answer 64

4 different locations owned by the same business owner

Answer 65

no- C2 drugs must be recorded and stored separately from medical record

Answer 66

yes if they can be readily retrievable- common belief is they are not retrievable in quick manner in case of audit

Answer 67

must obtain a receipt signed by registerd vet who received drug and stored with other records of these drugs. These drugs can be returned to same dvm using same receipt records

Answer 68

yes but use same format as if purchasing drug using DEA 222 form

Answer 69

accounting must be done- old vet prepares invoice all drugs (dated and signed with time), exact count of Schedule 2 drugs- C3-C5 can be estimated counts unless bottle holds 1000+ tabs- then exact count. these records must be keep in controlled record keeping book or log

Answer 70

biennially or every 2 years

Answer 71

I- las heroin II- oxymorpphone, morphine, pentobarbital fentanyl III- hycodan, codeine, buprenorphine, hydrocodone, ketamine, teleazol IV- tramadol, valium, phenobarbital, butophanol V-lomitil. robitussinAC

Answer 72

ID selves, state purpose, give credentials, written notice to inspect or warrant

Answer 73

Within past 5 years have you been convicted of a crime or within the past 2 years a misdemeanor, or ARE Presently chargge IN Past 3 years have you knowinngly taken narcotic, amphetamine or barbituarrates not prescribed

Answer 74

is Title II of the Comprehensive Drug Abuse Prevention and Control Act 1970 REgulaates by registration, persons involved in the manufacture, distribution, and dispensing of controlled substances CSA designed "closed system" for handlers of these drugs to reduce them coming into the illicit drug market.

Answer 75

Highest abust lowest potential medical use heroin LSD

Answer 76

High potential abuse-severe dependence accepted medical use morphine oxymorphine

Answer 77

less potential abuse-dependence accepted medical use codeine, hydrocodone, ketamine,telazol

Answer 78

low potential abuse- limited depend accepted medical use tramadol, phenobarb, valium

Answer 79

lowest potential aboust accepted medical Robotissuin Lomitil

Answer 80

DEA and attorney general

Answer 81

Food and Drug Administration Center for VEterinary medicine

Answer 82

regulating animal foods/feeds and animal care products

Answer 83

unsanitary, lack of control in manuf, differ in strenght from compendum, mixed

Answer 84

False misleading labels that not have adequante information for manf/packer/distrubute/quantity- NO adequate directions for use

Answer 85

1. For use only under veterinarian 2. in possission person engaged in manuf/storageg sale of vet drugs 3. in possession of a Veterinarian

Answer 86

no except radiation emitting devices

Answer 87

FDA approved which requires a demonstration of bioequivalence with the safety and efficacy with the orginal pioneer drug

Answer 88

Center for Devices Radiological Health

Answer 89

FIFRA- Federal insecticide, fungicide and rodenticide act

Answer 90

the science and activities relating to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problem

Answer 91

1.drugs/ medical devices,food and dietary-FDA 2.pesticides-EPA or reporting page provided- Nat'l Pesticide Info Center NPIC 3.vaccines- not required to report- required to record- report to USDS CVB- APHIS

Answer 92

US Department of Health and Human Services

Answer 93

1. vet believes need to alter approved drug for non food animal with Dx 2. there is VCPR 3. Pet has medical condition 4. Vet determines compounded drug is needed

Answer 94

1. person familiar with event 2. Clinical signs right after exposure 3. Product name and lot 4. Patient or owner

Answer 95

1. safety manager 2. ann hazard inspection 3. Safety plan 4. Chemical list- plan for safety 5. SDS 6. Secondary labeling 7. Protocol emergency evat 8. Training program all PPE, monitoring devices and hazards

Answer 96

First Aid Kits Hazard Assessment Personal Protective Equipment Safety and hazard training sanitation and housekeeping waste disposal egress and emergency exits Fire extinguishers and sprinklers electricity stairs vehicles ergonomics indoor air quality SDS library container labeling noise hazards radiology chemotherapy Hazardous Chemical Plan

Answer 97

1. must be in writing 2. Complete list of all hazardous chemical 3. SDS 4. Secondary labels 5. staff training

Answer 98

1. It is the law poster- state poster if avail 2. Notice of pending inspection 3. Inspection citation 3 days or until fixed- longer 4. warning signs, exits and radiation 5. written plans for

Answer 99

Set and enforce safety Be present during the inspection can require warrant can request postponement Trade secrets cant be divulged consult before, during after inspection before responding inquiry see complaint insist staff members interview during off times right to appeal

Answer 100

provide workplace-free unnec hazards set and enforce safety rules Provide PPE and proper use provide training hazards

Answer 101

1. workplace free hazards 2. informed rights 3. informed hazards and trained to do job safelyu 4. provided and instructed on PPE 5. view and receive copies OSHA standards 6. access medical exposure records 7. be presnet when safety testing performed 8. present complaints to emplyer or OSHA 9. speak compliance officer privately

Answer 102

to comply with all safety rules, regualtion and orders by workplace or OSHA know that can be discipline up to including termination for violation of safety rule provided given proper instruction or training

Answer 103

1. READ OSHA POSTER 2. comply standards 3. follow safety rules and regs 4. wear PPE 5. report hazardous conditions supervisor 6. report job related injury and seel treatment 7. coorpeate with compliance officer

Answer 104

11 or more employees! Log of work related injuries- record every work related injury beyond first aid. also work related illness diagnosed by dr

Answer 105

- every business- Illness and Injury Indicent Report- within 7 days that you know of recordable work related injury- this form or equivalent

Answer 106

11 or more employees Summary Work Related illnesses/injury- must posted Feb 1 to April 30- displayed even with zero reports

Answer 107

1. social ethics 2. personal ethics 3. professional ethics

Answer 108

principles accepted by society codified into law

Answer 109

right or wrong on individual basis

Answer 110

developed by professionals that create codes of conduct for members of profession

Answer 111

To help members achieve high standards of behavior through moreal consciousness, decision making.

Answer 112

1. descriptive-study of ethical views 2. official- professional ethical standards- they develop and enforce 3. administrative- actions by administrative govt bodies- license revoke 4. normative- search for good/bad right/wrong

Answer 113

the govt enforces laws, the professional asso develop the ethics and enforce the ethics

Answer 114

1. peers 2. clients 3. animals 4. society

Answer 115

Professional behavior VCPR Attending, consulting, referring influence on judgment therapies genetic defects medical records fees and remuneration advertising euthanasia

Answer 116

promote profession CE refinement skills equitabel cooperative with fellow members excellence to clients-pets Honest, integrity, industriousness above all elese confidential bus affairs protect hosp funds keep hosp records in house- owner of practice soley

Answer 117

INformed Consent Emergency care

Answer 118

1. consent freely given 2. treatment/diagnosis in understandable terms. 3. risk/benefits/prognosis stated 4. prog if no treatment stated 5. alternative treatmetns with risk, benefits cost 6. ability to ask questions

Answer 119

emergency care of the pet ,not in owner's possession.- ethically vet has responsibility to save life or relieve suffering. Without owner, getting paid can be issue. Lact of payment due to lack of consent. The law of Unjust Enrichment was created to avoid unjust enrichment of one party at expense of another

Answer 120

1. more valuable animal, the greater chance recovery 2. More emergent animal's need, more urgency to provide medical care 3. Vet attempted to reach owner 4. The emergency care was reasonable

Answer 121

Wilson states, It is the situation, not the act that should be analyzed for ethical considerations because what may be unethical in one scenario, may be acceptable in a different scenario.

Answer 122

you know ethically appropriate action to take but you are unable to act on it. You act in manner contrary to personal and professional values, it undermines your integrity and authenticity and causes moral distress

Answer 123

Ask-is moral distress present Affirm- commitment to address moral distress Assess-Contemplate readiness to act- risk and benefits (4 R's) Act-develop a plan-identify resourcess inside and out

Answer 124

RElevance- impact risk- what about not acting reward- when acting roadblocks- identify struggles

Answer 125

fatigue, emotional distress, and lack of will to act in a way consistent with the belief of what is right. It isn't a lack of compassion, but prevented from acting in a way you feel is morally right. Prevention is key- minimizing moral distress ahead of time

Answer 126

Unsatisfied Experience lack of communication Unexpected Death Conduct, record keeping, premises, and Pharmacy issues

Answer 127

the surgery room is not separate room

Answer 128

vet not honoring request to prvide written rx

Answer 129

*Hospital policy for shredding *Develop liability release volunteers, interns *follow AVMA updates Fairness to Pet Owners Act and Compounding *Develop medical records standards (SOAP format, abbrev. data entry, password protect *SOP for client communication, conflict, and complaints *Ensure practice meets state requirements

Answer 130

civil law and criminal law

Answer 131

tort and contract

Answer 132

Offer Acceptance Consideration Intent to contract (Today, more emphasis is placed on what a reasonable person would conclude from the conduct of the other)

Answer 133

Minority Mental Disability Intoxication/substance abuse

Answer 134

Agency and consent for care- best practice - contract owner for confirmation Agency and Consents for Euthanasia- when someone other than presents a pet for euthanasia- request owner come in to sign form

Answer 135

requirement for written memorandum before courts will enforce certain contracts

Answer 136

1. contracts for sale of real estate. 2. leases longer than a year 3. contracts not performed within year 4. contracts to answer debt of another 5. contracts over a certain price

Answer 137

any agreement not contained in written contract-- under parol evidence rule, these agreements are inadmissible

Answer 138

person appointed to protect interests of minor or legaly incompetent person. In vet med- if pets become guardians, what is potential issue- who determines best interest pet wrongful death civil lawsuits? no pain meds- neglect lawsuit?

Answer 139

unfair tx cuz of race, color, religion, sex (including preg/gender identity/sex orientation) national origin, age, disability or genetic info.

Answer 140

Harrassment because of race, color, religion, sex (including preg), national origin, age, disability or genetic info

Answer 141

Denial work accom needs becauseof religious beliefs or disability

Answer 142

protects employee who complained about job discrimination or assisted in job discrimination case

Answer 143

EMployers although specific count is unclear Law seeks to preserve jobs for American citizen and immigrants who are authorized to work

Answer 144

Amended Immigration and Nationality ACt- make unlawful to hire alien knowing person is unauthorized to work without verifying- or continuing to allow to work knowing unauthorized Established I9 system (EEOC)- required to attest on form made by Attorney General that docs have been verified- the worker also attested he is authorized- keep records for 3 years

Answer 145

all business- Fundamental Employee Act

Answer 146

14-15- permitted with work permit- 3 hours school days- 8 hours non school- hours must be between 7a ma -7 pm- except 9 pm summer break

Answer 147

salary 455 week cannot be reduced quality or quantity work job duties under these: executive- 2+ direct reports administrative professional- dvm

Answer 148

WAge and Hour Division of US Dept Labor- inspections can be random after complaint

Answer 149

SExual Harassment Preg Discrimination Amer with disabilities Age discrimination

Answer 150

Unlawful for employer to refuse to hire any individual or discriminate with respect to race, color, religion, sex or national origin

Answer 151

EEOC was created to enforce the anitdiscrimination law

Answer 152

gender based discrimination sex discrimination based on pregnancy sexual harrassment

Answer 153

Quid Pro Quo Hostile environment

Answer 154

unwelcome conduct sex or not directed because of gender and interferes with work

Answer 155

based on pregnancy, childbirth, related medical conditions

Answer 156

Preg women must be treated same as other empoyees on ability or inability to do work Preg worker must be allow to work at all time as long as she can perform duties

Answer 157

emplyers 15+ who are on payroll at least 20 weeks expanded to include persons with mental disabilities ** be sure jjob description includes essential task including physical, time, stress requirements

Answer 158

Can't discriminate based on age- special rules pertainning to pension and other benefit plans

Answer 159

employees in qualified benefit programs (retirement, stock, group medifcal insurance, prepaid legal services ERISA provides safeguards for employee interested in these plans

Answer 160

Title 1- reporting and disclosure- fuduciary standards- enforced DOL Title 2- IRC enforced IRS Title IV- Administered by Pension Benefit Guaranty corp all reports must be filed, DOL,IRS. PBGC annually and to participants and beneficialy]

Answer 161

enforces feral laws, prohibiting discrimination- protect employees and job applicants against discrimination- 15 or more employees- wrk at least 20 calendar weeks last 2 years

Answer 162

Consolidated Omnibus Budget Reconciliation Act

Answer 163

employers 20+ employees .. for employees who leave under certain circumstances

Answer 164

Qualified individuals are allowed to enstend th3eier coverage on a self pay basis for 18 months to 36 months after end of employment- lentgth of time determined by type of event COBRa has numerous notice requirements on employers, plan administrators, and covered employees

Answer 165

Health insurance portability and Accountability Act

Answer 166

all eligible employees

Answer 167

protects employees health inusrance coverage when they change jobs, limits exclusions for preexisting conditions, and prohibits discrimination against employees and dependents based on their health status. Also deals with privacy concerns regarding health care and some tax implecations

Answer 168

all eligible employees

Answer 169

Provides for fairness and consistency between medical and surgical benefits . Same annual $ benefits medical.mental

Answer 170

prohibits most private sector employers from directly/indirectly requiring lie detector test employers cannot discharge, discipline or discriminate against any employee who refuses lie detector test EPPA does permit on some job applicants9 stringent requirements)

Answer 171

1. Fair labor standards and min wage 2. equal opportunity provisions 3. Family and Medical leave act 4. OSHA Job safety and Health Protection requirements (right to know) 5. Employee Polygraph Protection ACT 6. Uniformed services employment and reemployment rights act 7. Right to join/form unions and asso

Answer 172

duty of keeping private information pertaining to patient health obtained dur8ng formation of diagnosis (more than medical records)

Answer 173

Not all states specifically recognize veterinary-client-patient confidentiality but ethical considerations remain the same regardless

Answer 174

the Principles of Veterinary Medical Ethics of the AVMA require vets to protect the personal privacy of clients and patients and clients. All records are considered privileged and confidential and should not be released except by court order or consent of patient's owner.

Answer 175

In most states it does not

Answer 176

Some states require vets to report animal abuse or neglect to child protection/welfare authorities due to some studies suggesting a correlation between animal abuse and child abuse

Answer 177

States that have abuse reporting requirements will protect reporting vet from civil lawsuit providing report done in good faith

Answer 178

For states that do have regulations, the client owns the confidentiality

Answer 179

1. Client or agent consents to release 2. law requires disclosure 3. animals health at stake 4. legal dispute has arisen in court conflict 5. board investigation exists against vet or owner 6. suspected or actual abuse 7. vet served with subpoena

Answer 180

they all should be reviewed by the social media manager

Answer 181

all potential confidentiality breaches both on the practice and staff need to be addressed. Employees can create legal problems for vet posting unauthorized photos or confidential text

Answer 182

Practice cannot dictate what staff post on personal site but can establish professional guidlines with disciplinary consequences when violated

Answer 183

1. all post on practice websites taken with hospital camera-never personal cell 2. cell phone policy prohibits any and all recordings while on duty 3. only authorized staff can post 4. all photos/detailed text must have client authorization 5. statement any negetvity caused may result in disciplinary action up to and including termination 6. inappropriate posting include- remarks, harassment, threats, unprofessional comments

Answer 184

federal/state laws obligate us to protect sensitive info written policy/training

Answer 185

Perform reg background checks all limit keyed access computers password protected shred all personal/financial paper red flag rule

Answer 186

how to gather and store personal info what can and cannot be discussed over phone./internet/fax, 3rd party leaving records unattended keep staff phone lists/computer codes out of public view

Answer 187

inabiliity to provide govt ID handwritten credit card numbers photo doesnt represent previous records presents altered or forged medical records-drug seeking

Answer 188

Sharing w/o consent may result in disciplinary actions. this even includes kennels, trainders **Unauthorized disclosure of information may lead to client claiming invasion of provacy or breach of duty to maintain confidentiality

Answer 189

systematic listing of all account names and numbers by company. Recommended use only chart of accounts needed

Answer 190

income statement, PL, covers specific period of time. reports revenue less expenses to show net income during that period of time

Answer 191

shows financial condition of practice listing assets, liabilities and owners equity. - does not forecast- no historial data. can use to create accounting equation

Answer 192

Asset=liabilities + equity

Answer 193

shows were cash in practice comes from and how used

Answer 194

expenses subtracted from income-

Answer 195

nonphysical property that has value- goodwill, non-compete, copyrights

Answer 196

everything of value owned by practice (intangible and tangible)

Answer 197

Current assets and fixed or long term assets

Answer 198

items consumed within a short periof of time often a year. ex inventory

Answer 199

assets that extend longer than a year ex building, land equipment, software

Answer 200

debts. can be short term like accts payable or long term like mortgage

Answer 201

asset-liabilities. it shows the net worth of practice. sometimes referred to as net book value

Answer 202

products used to produce a service for client or products sold to client- variable expense

Answer 203

The theories the purpose the practicality the effect

Answer 204

Cash based accounting accrual based accounting

Answer 205

recognized revenue when cash received and expenses paid. Allow more clear vision of day to day operations. important bills paid on time. majority of practices use this shows many peaks and valleys

Answer 206

required in corporations with gross > $10 mil recognizes revenue when it is earned and expenses when they incur. Goods received and services are performed. As general rule, considered more accurate. more complex poor job tracting cash better at matching

Answer 207

straight line - cost asset evenly distributed over useful life MACRS- cost distribulted accelerated, more cost at first couple years then reduced

Answer 208

enable ownership and management to properly review what has happened in period

Answer 209

key employees and department heads

Answer 210

Identifies trends and recognized problems that need attention. beneficial and necessary.

Answer 211

Helps to make sound and thoughtful business decisions. Enables performance of practice to be measured in historical and prospective terms so that decisions can be made

Answer 212

Most important of financial statements important detailed as possible to help with inconsistencies correct categories stating expenses as % valuable tool to compare historial data. % give more accurate picture than numbers

Answer 213

any outflow of money owed to another company. fixed and variable

Answer 214

set cost that don't fluctuate with busyness of hospital. ex dr on salary=fixed expense

Answer 215

will change with amount of business. ex vaccine, dvm on production, staff payroll

Answer 216

compare percentages ask questions of percentages implement change

Answer 217

invoice paid late income drop signficantly expense misclassified

Answer 218

***If center is not managed, it cannot be improved

Answer 219

1. gross revenue per month for service 2. square footage used by service 3. fixed cost practice 4. fixed cost per square foot for service

Answer 220

got to look at numbers ex; Revenue from profit center- fixed cost of sq footage(including dvm/eqt)/facility) -variable cost staff= net income for that center

Answer 221

also called- Statement of Financial Condition of Practice summarizes assets, liabilities, and equitites at time-no historial although real estate could be increasing in value, this increase not represented on balance sheet

Answer 222

illustrates cash generated minus cash flowed out rendering cash total end of year Snapshot of checking- but not necessarily correct because could have inventory not sold that was purchased, account receivable, b

Answer 223

1. timeliness- 5-10 business days end of month 2. accurate- often times cpa audit not feasible. manager does self audit 3. Simplicity 4. sufficiently detailed - so non acct can understand 5. analytical- information worthy of analysis- benchmarks/budgets

Answer 224

1. safeguarding assets 2. pricing/fee structure- is it adequate 3. cost evaluation- consider cost of services 4. procurement of capital- assuring owners ROI 5. incremental performance- CASH FLOW, PROFIT, CHANGE IN COST, INVESTMENT 6. accountability via departmentalization- what are profit centers doing 7. profitability analysis- two different number- profit for owners and profit for tax purposes 8. return on capital analysis-

Answer 225

change in cost, cash flow, profit, and or investment

Answer 226

depreciation of assets, owner compensation, rent to owner, other owner discretionary expenses

Answer 227

income divided by average total assets= return on capital % usually measured before interest, taxes, depreciation, and amortization

Answer 228

basic statistics used to measure preformance, compare benchmarks and identify changes. Usually entered in spreadsheet compares over previous year

Answer 229

*Total revenue and total trans per month *average trans per month *new clients and lost clients by month *revenue transactions, and average transactions per DVM by month *revenue by category *accts receivable by aging classification

Answer 230

practice profit/practice revenue- measures simple profit. A higher value indicates more revenue falls to the bottom line instead of being consumed by expenses

Answer 231

% make it clear how practice is doing

Answer 232

Identifies the variance of financial metric and may help explain why

Answer 233

Gross profit/revenue- measures how much profit is in service

Answer 234

practice revenue/practice transactions. Ideally number should increase

Answer 235

practice revenue/full time DVM

Answer 236

DVN who spends 100% of their time with clients

Answer 237

credit sales/average accounts receivable- higher number better, indicates acct receiveable converted to cash more often

Answer 238

Manual- employers liable for error- highest risk errors Automated in house- quickbooks- more efficient manual, can schedule regular reoccuring deductions 3rd party- convenient, expertise, savings

Answer 239

Weekly- 52 biweekly- 26- problem: difficult to make specific historical comparisons since quarters inconsistent year to year 2 quarters 6 and 2 qts 7 pay periods semi monthly- 24 Shift differential- wage premium used in 24 hr facilities- less desireable shifts more rewarding

Answer 240

Federal Insurance Contribution Act

Answer 241

Federal Unemployment Tax Act

Answer 242

vary often include state income tax and unemployment tax- THERE MAY BE OTHER TAXES DEPENDANT ON STATE

Answer 243

definition of part time - full time how and when PTO is accrued and if rolls over year end or is paid out at termination segregate duties for up0dating personnel data from duties of payroll accumulation, recording, and reporting require manage approval changes payroll records or personnel info restrict access as need to know basis mandatory direct deposit process new hires timely personal records when using 3rd party- compare records monitor timeclock- cant clock in for other employee track advances- signed auth from employee and payback asap via payroll deductions

Answer 244

date orf hire PTO jpaid vs used tardiness

Answer 245

Can be liable for back taxes, interest, penalties

Answer 246

watch that not spending more than making must develop a plan if getting out of control

Answer 247

decrease spending-increase revenue hold employee accountable waste' consider reevaluation fee structure review charges be sure charged correctly and not missed if line of credit needed- have plan to pay back asap

Answer 248

monies owed practice for services rendered that not paid at time of service

Answer 249

no higher than 1.5% gross rev

Answer 250

AR over 3% should get focus entire team

Answer 251

If it is high, should look at AR policy and Institute Flex or Indigent acct financially sustained by client contributions or fund raisers. Team develops guidllines for eligible cases

Answer 252

take loss, try to capture by self, turn over 3rd party

Answer 253

check verification machine- either verifies or immediately captures funds . Real time transfer is most cost effective- make sure always get DL

Answer 254

Part of best practice plan to prevent fraud

Answer 255

Manually or Computerized AR system

Answer 256

want to prevent internal embezzlement. Usually finance fees are added. When payment rec'd, a receipts provided and the copy of receipt forwarded to AR manager who will update ledger. Aged acct can be flagged different colors and appropriate notices sent

Answer 257

All calculations of interest and fees are automatically added. Eliminates errors and decreases embezzlement

Answer 258

OPost sign at practice, estimates to all clients signature required from the client 50% required all services- all employees must be okay with this

Answer 259

accepting check with current date but depositing later- not recommended. Problem with tracking and depositing on right date. No guarantee of funds If mistake, usually hospital has to pay service fee

Answer 260

Illegical in some if not most states

Answer 261

Should be paid within 30 days

Answer 262

It offers the PM a more accurate review of AR

Answer 263

Immediately after service

Answer 264

handwritten note on stateemetn overdue sticker placed on statement. Fair Debt Collection Practices Act says stickers cannot be placed on outside envelope. Also, return address is okay but cannot put Debt Collector name on outside envelope

Answer 265

Harder to collect beyond 90 days Client should be notified will be turned over if not made Team member calls cleient to discuss status and attempt to collect or make arrangements Once all attempts exhausted, turn over to collections

Answer 266

turn over to agency, if they cant collect, amt reported to credit bureau and credit affected 7 years

Answer 267

Yes but need to weigh options, costly to go small claims with fees and time lost, maybe only for larger amounts

Answer 268

flag them in PMS to avoid further services

Answer 269

regulates collection procedures of past due accounts to protect public from unethical collection procedures against all collectors

Answer 270

cannot subject client to harassment, oppressive tactics or abuse cant make false statements, claiming to be lawyer cant call client work if client objects, cleints cant be called before 8 am or after 9 pm Acct details only discussed with client

Answer 271

use caller ID Counsel team not to take personal keep conversation focused on acct collection team member introduces themselves Team member confirms who speaking with to avoid disclosing personal info. never leave voice message with details, just leave name and practice name and phone number Conversations should be documented in PMS

Answer 272

at 30, 60, 90 days letter short and polite, simple words make sure date, amt and client info correct provide specific date client must respond provide a date when action will be taken include a thank youi

Answer 273

Written policy Best practices says employees should not be allowed to charge May not be able to collect employee leaves practices can loose money with discount balance should not be greater than 100 mandatory monthly payments if deducting payments from check- check state law must have signed document employee authorizes payroll deduction federal law prohibits money being withheld that would take wages lower than min wage

Answer 274

client full name, address phone balance due client occupation cleint employer address driver license copy of client info sheet and signature guaranteeing payment they charge 40-60%

Answer 275

beginning AR+ending AR/2

Answer 276

credit sales/average AR

Answer 277

indicates how many days clients acct sits in AR before being collected # of days in period/AR turnover

Answer 278

AR turnover and # days in AR important to see how practice is performing

Answer 279

used to help determine liquidity, solvency, and profitability. Two most common formulas is AR turnover and days in AR ratios

Answer 280

how many days of working capital to maintain the practices cash flow needs.

Answer 281

Pet insurance- studies show pet insurance means more visits, HIGHER cap on treatment, spend TWICE AS MUCH OVER PET LIFETIME- 3 types are major medical, accident, wellness cARE CREDIT HELD CREDIT CARD PAYMENTS- consider adding fee to cover costs - be sure read credit care agreement- surcharges may not be allowed WELLNESS AND PREVENTATIVE PACKAGES-to encourage to accept highest level of care- allow clients to spread out payments ADDing admin fee is reasonable

Answer 282

Tort of outrageous conduct right not to have one's sensibilities shocked

Answer 283

process of planning expense and revenue and measuring values against actual financial results which provides knowledge of how operational plans are being executed

Answer 284

1. last 3 yrs PL 2. all lease/loan docs 3. fee schedule 4. list op changes expected next few years 5. list major capital expenses expected next few years 6. employee rooster and recent W2

Answer 285

Predictable long term pattern changes in national income. Has an impact on consumer confidence, labor market, inflation and therefore impact on practice revenues

Answer 286

expansion, prosperity, contraction, recession

Answer 287

technology- ex telehealth interest rates and access to credit

Answer 288

1. determine financial results- where do want to be- $ dollar amt profit 2. analysis financial statements- how have you been doing 3. normalizing the revenue and expenses 4. budgeting revenue 5. budgeting expenses 6. combining budgeted revenue and expense - making adjustments

Answer 289

specify goals of practice, usually profit and/or earning to gross- amount of profit on every dollar

Answer 290

Revenue- historical trends by profit centers- which centers have the greatest potential RR says Breaking down revenue by profit centers and taking the time to understand the main sources of practice draws income and which areas possess the greatest potential. Expenses- can be reorganized in 4 categories

Answer 291

personnel expenses variable expenses/cost of goods- related revenue occupancy/facility expenses fixed/administrative expenses-leases dues interest

Answer 292

remove any one time item from financials or use average last 3 yrs to normalize

Answer 293

can look at patient volume (key driver) look at schedule and # procedures poss day look at fee schedule

Answer 294

adding or subtracting services adding or losing vet economic conditions advertising fee increase demographics in area what are some constraints

Answer 295

average time dvm appt average time dvm procedure average number appt/procedures in day look at 5 day work week and 48 weeks to project practice potential ex. 48 weeks year X 24 appts day X 5 days week= 5760

Answer 296

can increase client loss best to project revenue on per profit center basis for more accurate projection. When introducing new service be conservative and conduct market research *** RR like profit centers

Answer 297

normalize figures by add last three years growth rate to base expense figure * doesnt work unless practice established, expenses stable last 3 years, and expect to continue

Answer 298

personnel wages- estimate raises and potential staffing adjustments. add benefits package expense occupancy/facility-look at mortgage/lease docs and increase utilities by consumer price index variable expense/cost of goods-use historical % fixed/admin expense-typically grows consistently with last three years data

Answer 299

once subtracted expense from revenue and got profit, determine if addequate- if not adjust with increase reveneue decrease expense adjust profit

Answer 300

use as guideline for daily operational and financial activities. If large variance, thorough analysis is in order- create action plan

Answer 301

long term dependable clients and goodwill- it can also increase compliance for high dollar tx.

Answer 302

cleint credit policy charge account policy

Answer 303

establishes pre qualification necessary to open charge account

Answer 304

establishes credit limits, payment due dates, payment methods, invoice procedures

Answer 305

all pre-qual procedures, process of flagging, invoice amount, % bill must be paid at discharge, procedure for managing aging account and collection overdue AR

Answer 306

client info amt unpaid credit service fee total financed terms-day mon payment due and penality if not paid interest rate and timing client signature in agreement

Answer 307

train employees (no exceptions or will lose team trust) post written guidelines about providing estimates so everyone informed and know to request if concerned about payment. talk to clients about payment options when scheduling new appt

Answer 308

call phone number, is disconnected-no or very little credit call employer to verify employment and length

Answer 309

markup remains consistent when practice costs increase be aware of Consumer Price Index and increase prices annually to reflect the cost of living at minimun.

Answer 310

((Fixed cost/min + staff cost/min X length of procedure) + (DVM cost/min X length procedure) + (direct cost X 2) + profit)

Answer 311

=fixed cost for month/ # minutes practice open month

Answer 312

= staff cost per month/# minutes practice open mon

Answer 313

avoid sticker shock with single large increase be aware shopped/non shopped fee setting determined by type practice dont be too far off competitors unless value component

Answer 314

location and appearance practice history in community staff training. client relationships competition

Answer 315

sudden wealth talk of money problems call at work creditors complaints bookeeping errors declines vacation gambling lift stress divorces, family illness

Answer 316

proceed caution notify owner/leaders secure important records. backup offsite second copy attorney inform insurance- what are insurance policy theft contact accountant/attorney advice reassign duties concerning money on attorney advice, contact police but no accusattions do not talk about dollar amount

Answer 317

Marketing is how we tell people what we promise to give them each and every time they visit our practice

Answer 318

Emotion-comfort Value Virtualtechnology always changing Excel-every experience Expeerience- - treat people well

Answer 319

breaking down demographics into segments helps you define the needs within each segment what is economic environment what is the demand for vet services what is competition for animal care dollars what is the median age of the population know your market segments

Answer 320

A marketing term refers to the aggregating of prospective buyers into groups (segments) that have common needs and will respond similarly to a marketing action. Market segmentation enables businessess to target different categories of consumers who perceive the full value of certain products and services differently from one another. using the client profile data to categorize existing clients into groups with smaller characteristics- (that is the goal)

Answer 321

Rate of movement of the population rate of growth or decline?- Municipal government influences Industrial influences Income levels Single families vs multi-family housing

Answer 322

distance from practice # of Doctors Impression of facility # of clients Gross revenue strengths differences in fees- what sets us apart

Answer 323

specific measurable achievable realistic time-dependent

Answer 324

Average Transaction Fee- set targets number of transactions- begin with 5000/dr # of visits per client- set goal 10 # of active clients- aim 1000/dr

Answer 325

non verbal communication listening sequencing- logical chain of thought scripts- not prepared - define points to follow as looks guidelines

Answer 326

client education consistent message clean office professional clean employees professional warm relationships

Answer 327

centers on bringing new clients into practice expanding services to current clients and is delivered in many ways

Answer 328

client communication

Answer 329

focus on retaining current clients includes recalls, reminders, newsletters, postcards, telephone etiquette, always running on time, staff enthusiasm, pets by name, anything that makes client experience better

Answer 330

aimed at potential clients- key to determine prospective cleints and determine best method to attract them ex social media, website, signage, open house, community classes, office tours

Answer 331

allow for direct, indirect, internal and external marketing, Hire a co. to develop but make sure it is unique

Answer 332

reaching a specific group determined from your demographic and segment research- where to concentrate efforts.

Answer 333

to target our marketing to the majority of pet owners in the community.

Answer 334

Your vision- retail fit with your vision Image- Space

Answer 335

ASSIGN a designated driver staff training- manager should spend 30min week reviewing selling with team needs of facility- traffic flow veterinary recommendation- vet needs to know and agree with what on shelf- Assumptive sale- One number way to sell advertising/promotion unique retailing- blend medical vs product- feliway active marketing - dont just place on shelf accomodate children show products return policy know price advantage display strategy

Answer 336

word of mouth- testimonials is a great tool

Answer 337

increase traffice flow name mascot gues # biscuit open hourse * stowe notes- DONT TAKE time away from more important vet servcies

Answer 338

Unique value-added- extra size value - based- rawhire dental chew enzyme volume

Answer 339

products not above 5' and lower 1 ft group products for convenience comparision displays open keep in view of receipt for theft keep stocked display near checkout-impulse put prices on products create product reviews consider seasonal

Answer 340

Says for am y price, there will be resistance

Answer 341

if one person complains, you too low If every client, you're too high Price products to have 15-20% resistance, and accept the fact always some resistance.This % appropriate for business to push the envelope for profitability. If no complaint, consider raising prices Aim for 1.5-2 people out of 10 to complain

Answer 342

Search engine Optimization- the process of affecting the visibility of a website . Client searches with key word,The goal is to have practice at tiop of listed results

Answer 343

keywords chosen potential clients should be woven into webiste and more often they appear, the higher the SEO

Answer 344

linking other pages within your website

Answer 345

linking other successful businesses on your website

Answer 346

to promote, to bring people in and keep them coming back with portal, educaiton, forms, blogs social media links

Answer 347

mission, doctors, services doctors with photo and bio hours contact info website address map QR code

Answer 348

1. provide essential information to new clients 2. compel new clients to consider loyalty 3. establish relationships new clients 4. Establish a sense of trust 5. establish a sense of partnership- the hospital works with me rather than something else

Answer 349

social media client education materials business cards magnets on hold messaging donations- develop a budget gift certificates

Answer 350

marketing techniques will not overcome effects of poor client relations within practice

Answer 351

1.exam rooms- where cleint relationshops are built- marketing in exam rooms important 2. recommendations- train staff use assertice marketing techniques that give clients the information they need to accept services 3.Client perception- tour the practice, what looks good or bad- secret shop

Answer 352

1.take time investigate, create planned response that will be positive 2. response should be empathetic and apologetic, invite to discuss. try to reach clinent and if cannot, reply to post that trying to reach 3. promote good reviews 4. be proactive and create positive culture in practice to avoid client experience that creates negative review.

Answer 353

1. gather data- perform a SWOT-what are target groups 2. define your goal 3. Implement strategy-what when where why and how will plan work 4. create a WRITTENwritten plan- time line and budget what is predicted ROI- execute and measure

Answer 354

a critical step- creating a plan without measuring and adjusting strategy is likely a waste of time- always measure the results

Answer 355

1. cost per client 2.revenue per FTE vet 3. net income 4. income per client 5. shopper call conversations 6. net new clients 7. service and inventory sales

Answer 356

gross revenue/ # of clients X % of cost

Answer 357

average transaction fee X invoices per year (DVM specific) average expenditure per client per year X # of active clients

Answer 358

stowe defines profit as what the owner gets to take home end of day

Answer 359

It is challenging but achievable to aim for a profit of 39-40%-ACHIEVEALBE IF- gross rev high, expenses controlled, efficient

Answer 360

13% directly concerned about price 87% looking best vet- train team turn calls into appt

Answer 361

6:1 ratio indicates significant growth in new to lost clients per monthly 5:1 or 4:1 needs investigation 3:1 or 1:1 indicates poor growth nad agressive research

Answer 362

creates and places paid media message- best strategies if need immediate results- beign boastful can backfire. at best can persuade your target to try you once.

Answer 363

matches products/services to c onsumer needs. Attempts to forecast products should be agressively promoted, has 5 basic components

Answer 364

1. product/service attributes 2. marketing communications 3. market research 4. customer service 5. sales management

Answer 365

art of developing reciprocal underrstnading and goodwill between a business and the public paves way to sale but more imp increases moral, productivitiy, job satisfaction provides early warning system because you built a relationship with community, avoid disruptions should jsingle surprise issue arise protects long develped reputations when org is under attack- no shame in promoting WHEN PLANN9NG YOUR PUBLIC RELATIONS STRATEGY, TAKE A LONG TERM APPROACH AND USE THE TOOLS TO ESTABLISH CREDIBILITY, INCREASE AWARENESS, AND BUILD COMPETITIVE DISTINCTIONS.

Answer 366

tells clients that we are concerned with not only physical but also well being of pet and their emotional well being

Answer 367

Communication considerate approach gentle control touch gradient

Answer 368

sum total of all following ingredients that clients experience as they interact with practice

Answer 369

client loyalty-know your top 20%-overwhelm reputation- positive practices are more profitable make client active partner improve communication demonstarte love of animals develop pet loss strategies- help with grief create bonds clients personalize experience great last impression] evaluate image

Answer 370

if you dont consider each step, can loss to another practice

Answer 371

Create memorable with: phone call--answer 3rd ring-give name- not on hold, recept is credible, confident, competent, Reception counter-eye contact, warm smile, greets by name, likeability in 90 secondds, pre-prepare forms, refreshments, uncluttered desk facility- Have a motto- if cleint calls... fill that need

Answer 372

phone call reception counter faciltiy service provided patient care meeting needs follow up

Answer 373

majority is female with 1.5 children- they welcome distractions for children

Answer 374

pickup drop off services large print materials house call- transporation pet school extended hours multiple ways to contact hospital pet adoption self service bath area

Answer 375

personal possession in boarding treats comfort hospitalized pets with blankets, close circuit video boarding as a Band B cats not cages, have condo and sunshine doggy day trips

Answer 376

large holding cages reception room compl cat carriers comp leashes water bowls pet sitting, dog walking new client kits through discharge instructions

Answer 377

email photo of pet and discharge\ immediate response to questions medical surgical call 48 hours assess progress

Answer 378

proactive process of creating experience positive and memorable

Answer 379

proactive marketing tool like salesforce, process of gathering data on client prefeerences and activities to better target to meet client needs CRM can be used to enhance CEM

Answer 380

consider virtual tours including patients mood, odors, smile, noise, uniforms, client library

Answer 381

consistency- customer service-cost 5x more to get new client than retain existing competence cost-value driven compassion convenience

Answer 382

high touch high tech

Answer 383

refers to high quality service and ambiance leaves lasting impression- retains more clients, offer client options, comforatlbe space, respectful

Answer 384

must exceed client expectations every time in general small animal hosp will lose 10-15% clients every year goal is retain 70-75% over 3 year period

Answer 385

recall, reappointment, reminder for each client, each visit

Answer 386

clients retain only 20% hear and 30% read- average client needs to hear 5 times

Answer 387

handouts should be professional and have practice ontact info on it.. all clients should be sent home with at least 1 piece, document when handing out documents

Answer 388

person in exam may not be person who cares for pet reflects professional competent team ensures the same infor sent every client pateint care and compliance is increased giving information in writing and documenting in records helps protect practice liability

Answer 389

info sheets specific diseases on hold practice brochures or newletters brochures by vendors business cards exam room power point models body systems videos

Answer 390

act of obtaining and buying goods

Answer 391

Relationship between the product availability and the need of the consumer to purchase it

Answer 392

all goods owned and held for sale or use in the regular course of business

Answer 393

decrease in on-hand inventory that is caused by use that is not recorded or invoiced

Answer 394

The price that will have to be paid to replace an existing inventory asset with the same or similar product

Answer 395

Sometimes called Professional inventory- items used in the course of providing vet medical and surgical services

Answer 396

process whereby the need to maintain sufficient inventory to meet operating demands is weighed against the monetary cost of carrying the inventory. Optimal inventory control ensures that frequently used items are always available and that the return on investment for carrying and managing inventory is at the highest possible level.

Answer 397

receiving a product just as needed vs storing the product- pros and cons pro- low holding cost, no expired product cons-high ordering cost, stock outs and back orders

Answer 398

identifies product needs and places orders using the suppliers chosen by the inventory ressearcher. Also know as PROCUREMENT

Answer 399

trained to unpack, account for, and stock the shipments

Answer 400

documents the receipt of inventory, transfers of inventory, hospital use, shrinkage, etc. in order to maintain accurate and up-to-date data in the practice management software.

Answer 401

**the inventory purchaser should be separate from the inventory receiver and inventory documenter tracker to avoid theft. Patterson says: the inventory counter and the bookkeeper roles should be handled by someone other than the purchaser

Answer 402

*inventory roles are filled *products are available to treat and clients can get refills *quantities are controlled to min expenses *accurate inventory reports *regular evaluation of preferred pharmaceuticals and supplies to avoid redundancy *Employees can efficiently order and dispense items (there are diff types of ordering-call in- online- through pms) should not pull staff away from patient care * controlled drugs properly mant * security and safeguards exist to ensure proper use *employees well versed communicating value of products *fees adjusted regularly and profit margins are set and accomplished

Answer 403

* too much product * not enough product shelf * too freq ordering *shrinkage *theft *back orders *expired products (print list and use first) *incorrect products ordered or received *high cost of overnight * shipping costs with smaller orders

Answer 404

total amount paid to vendor divided by number of units

Answer 405

price that will be paid to replace the inventory with the same or similar item

Answer 406

labor related expenses such as employee compensaton, including benefits, and taxes paid to perform the various duties ass. with ordering-receiving- managing records

Answer 407

cost invested in keeping the inventory on premises while waiting to use or sell. These costs incldue personal property tax, insurance, pharmacy licensing/DEA fees, utilities, loss due to expiration/waste/spoilage. OSHA relautions regarding safe handling of inventory and routine product maint

Answer 408

If DVMs are paid on production and inventory is included, then allocation of a portion of their pay is considered an actual cost to inventory

Answer 409

1. print your code and product list- delete or inactivate, look for duplicates, are consumables being counted?- make adjustments 2. reprint- have you cleaned up list 3. Create a list of unconsolidated products - its important not to carry more than top 2 brands of same type item. (prepare a report that shows profit/loss of each and make some decisions) FINISH THIS STEP BEFORE PROCEEDING 4. count inventory 5. begin to enter/receive inventory accurately as it is delivered to the practice

Answer 410

control functions -prepare and distribute written policies and procedures create and maintain security and safety protocols, and regularly monitor the system via counts and accountability. Need to be flexible to change- if incorrect- investigate- what happened- breakage? written policy on procedures written safety procedure counts

Answer 411

one that can provide an accurate idea of inventory quantities at any time.

Answer 412

uses data from manual product counts at the end of every financial period

Answer 413

all measures, systems, and protocols used to prevent errors, waste, and fraud

Answer 414

a variance

Answer 415

a 1-4% variance on high turns items can be acceptable the more signficant the variance, the more signficant loss controlled items- issue!! expense items- issue!!

Answer 416

average daily use X lead time

Answer 417

the ability of inventory system to signal when an item needs to be reordered to avoid an outage. It should account for the estimated delay between ordering and receiving items with longer delay should be given a high re-order level or amt

Answer 418

if you order weekly, consider the shipping.. if it is one day shipping, you lead time is 8 days (with weekly ordering) WHEN factoring in lead time, start with the longest potential lead time Round up rather than dow based on expected growth or items that can have a run (ex fluids all sudden used up)

Answer 419

The amount to order once the re-order point has been reached.

Answer 420

average daily use X turnover goal in days **** turn over goals shouild try to match the vendor's billing cycle to sell before the practice has to pay

Answer 421

Price setting tracking profit margin compare inventory and supply expense to revenue generated gross profit is the difference between $ product to client and cost of product to practice

Answer 422

red tag system

Answer 423

tag inventory with red tag that contains all necessary ordering informaton on it. The tag represents the point at which a reorder should occur. When that product is opened or sold, the team member is responsible for placing red tag in box. some cautions- tags fall of, packages get out of order, team mmeber loses or forgets to place in box

Answer 424

zoning and central supply

Answer 425

Like creating A MAP where you store products * begin with inventory team leads creating list of supplies they are responsible for *helps ensure inventory will not float which makes difficult to track * create a stocking list with min re-order amounts of each item * team leads can spot check by referring to stocking list *great for mobile trucks

Answer 426

also known as Ration Based Inventory supplies and inventory are stored in main highly secured area and systematically rationed out to other areas of practice. used main in large practices

Answer 427

*used to control internal theft or waste as aid in tracking *location for primary9majority) and secondary storage *access limited 1-2 people * keyed lock or electronic key pad- dont hid keys * physical removal requires sign out reports iwth quantities No person should have control over the asses and the record of the assets movement

Answer 428

Efficient turnover

Answer 429

re-order point re-order quantity effect of billing cycles

Answer 430

profit based management system that prioritizes inventory based on value and importance. uses the pareto 80/20 rule

Answer 431

in large hospital where they carry all the basics like cotton balls but check out inventory as needed by using their pin to gain access- then another person records the numbers logging in the product to the zone. two peolple in mix

Answer 432

sya 20% of items account for 80% of sales, that 80% of costs exist in 20% of items, and that 80% profit can be predicted to come from 20% from the products sold **also 20% client base accounts for 80% income

Answer 433

suggest investing the most time in in manage those products in the 20%. Minimize # times orders are placed per week. Ideeally order top 20% monthly

Answer 434

value BI + value EI (DMSP)/2

Answer 435

DMSP/Average inventory= DMSP/AI

Answer 436

6 times a year- in general the higher the turnoever ratio, the tighter the controls

Answer 437

365= / annual turnover rate (ITR) * useful calculation in determine efficiency of inventory management

Answer 438

Mark-up Margin

Answer 439

common in vet medicine historically multiply acquisition cost by a factor 100%=doubles = product $ X 2 200%= triple= product $ X 3

Answer 440

predetermines the amount of profit desired and adds that to the acquision cost. Can be useful when there are large dfifferences in resulting pprice based on the size of patient. Margin priceing decreased the rate at which the price increases for the client when compared to mark up pricing

Answer 441

margin is = sales minus the cost of goods sold Markup=amt by which the cost of the product is increased in order to derive that sales price

Answer 442

amount of revenue that covers all fixed and variable cost without generating either profit or loss

Answer 443

SP= FC + VC + P

Answer 444

sales price

Answer 445

fixed cost (unit cost, estimated ordering and holding cost

Answer 446

variable cost (DVM production % and asso payroll benefits/taxes) can include almost any liability

Answer 447

profit- aim for 12%

Answer 448

maintenance of existing equipment and purchase cost of new equipment.

Answer 449

is it new to practice or replacement- if replacement, what benefits does it have over existing equipment * how will equipment be paid * what will cleint be charged, and where is break even point? * cash is smartest, most economical * perform breakeven analysis prior to purchase

Answer 450

analysis that is used to determine when your business will be able to recover all of its expenses and begin to make a profit

Answer 451

price of equipment/ client invoiced cost - cost to actually produce the service

Answer 452

1 % gross back into new equipment or maintenance

Answer 453

Use tax act of 2003

Answer 454

you can write off in the first year 139,000 (2012)

Answer 455

after used section 179, this section gives you an additional deduction of 50% of remaining balance of equipment that is purchased above the 139,000 amount already written off

Answer 456

after taken 179 and 168K, you can depreciate the remainder on a straight line depreciation schedule- doesnt allow you to write off the whole thing but reduces the cost even further

Answer 457

Modified accelerated cost recovery system - established by IRS as formulaic table to calculate depreciation

Answer 458

*lack of complete patient and client identification * lace of complete system by system description with annotated exam notes *lack of tentative diagnosis *lack of treatment specified and especially lack of clients informed consent or waiver or denial of recommnedation *illegible entries and alterations or deletions of record after a reasonable contemporaneous period 1) NOT COMPLETED REASONALBE TIME 2. LACK OF SUFFICIENT DETAIL 3. LACK OF READABILITY

Answer 459

if treatment or diagnosis is not documented it is presumed to not have happened medical record violations are part of the majority of investigations by state licensing boards although a client complaint is rarely about records, it is the records that the board will investigate to rule on complaint even if vet are acquitted, they could still be cited for medical record violations if they do not meet the min standards Being illegible is same as no medical record

Answer 460

most common medical record format.

Answer 461

* defined database * problem list (AKA master list) * plan * progress section

Answer 462

the progress section

Answer 463

subjective- most CRITICAL information for support staff objective- info collected via physical exam, diagnostics, interpretation- this section is FACTUAL assessment- a conclusion reached multiple or tentative diagnoses can be documented here with use of rule ins or rule outs plan- developed according to assessment and includes any treatment, surgery, medication, intended diagnostics and communication with the owner. Need to be accurate for next vet

Answer 464

Data is entered in the medical record and then grouped by the information source and then organized chronologically by date of patient encounter.

Answer 465

client oral history physical exam findings imaging studies laboratory results

Answer 466

they can be if well organized but depending on the doctor, the date to date history may be very disjointed. Use of check lists can increase the probability of doctor capturing necessary data

Answer 467

Probably the most effective way to orgainze the record from the private practice perspeitive. It would include *major problem list *vaccine history * exam uses the SOAP format with major problems entered using the POMR source orientated format

Answer 468

To develop effective automated information and processing systems that can evolve with practice growth and that will be able to take advantage of new technology as it developed

Answer 469

online CE computer appt system consultation with specialist digital photographos digital radiongraphs email reminder electronci medical records supply purchases webpage design

Answer 470

think about low tech staff and their anxiety- provide time new software should come with onsite team training, no less than 1/2 day- appts should be kept at min so team can concentrate on learning if multiple applications or modules purchased, consider implementing them in phases if new software is intended to take you to paperless, gradual training transition is recommended.

Answer 471

purchase and implement new hardware implement new software for 6-12 months begin final phase of going paperless

Answer 472

avoid the urgent and crisis oriented circumstnaces and maintains more of a preventativve relationship for the practice.

Answer 473

min liability exposure review consent forms, handbooks, letter of intent conduct practice risk audits and form reviews two to three times a year buy sell agreements shareholder agreeements

Answer 474

audited- very detailed- lengthy-highest level to present fair documentation of bus financial position review- less detailed than audit focused on confirming fin statements in conformity with GAAP- CPA will identify modification to confirm compilation - most basic- cpa should determine if any obvious departures from GAAP

Answer 475

place where an infectious organism survives and replicates

Answer 476

living organism provides environment for the maintenance of the organism but may not be necessary for the organisms survival

Answer 477

requires close contact between the reservoir of the disease and the susceptible host

Answer 478

more complex and involves intermediaries that carry the agent of diseeasse from one source to another

Answer 479

living organism that transports

Answer 480

1400 exist and 60% know to cross species

Answer 481

mode of transmissio of infection from reservoir to host, usually air or dirt, non living

Answer 482

zoonotic disease is disease that may be directly or indirectly transmitteed to humans from wild or domesticate animals

Answer 483

the vet can be held liable for tansmissio of zoonotic disease. Teams should received extensive training on issue and each employee receives training should sign docuemnt

Answer 484

the AVMA code of ethics, many state boards, and regulatory agencies require vet to educatio public regarding zoonotic diseease One reomminded standard of care is to deworm all puppies and kittens on first visit and educate client on zoonotic potential of parasites and alwasy document conversatoin in medical record

Answer 485

on reservoirs and hosts when implementing control methods for zoonotic disease

Answer 486

these programs require a thorough knowledge of the disease and how it is maintained in order to break the cycle of the idsease. Examples of preventio may include vaccination, water filtration or superior hygiene.

Answer 487

Pasterella

Answer 488

fever, septicemia, menignitis, endocarditis, septic arthritis

Answer 489

wash area well warm soapy water for at least 5 min, apply dilute betadine solution, then rinse with strong stream of water and consider seeking medical attention

Answer 490

a form should be singed and placed in their medical file to protect the practice form workers compensation case

Answer 491

Liability coverage Property insurance

Answer 492

covers damages that the vet (or any employee )causes to other person, pets, or proptery. A liability policy will contain multiple provisions, with separate limits, for personal injury and property damage caused to others

Answer 493

covers damage to insured own property

Answer 494

yes, malpractice which is clasified legally as a tore that requires proof of foure essential elements and if any of the elements cannot be provided by a preponseerance of the evidence then the cause of action fails

Answer 495

a civil wrong or wrongful act, whether intentional or accidental, from which injury occurs to another.

Answer 496

1. duty of practice within the standard of care is typically established at hte creation of a VCPR 2. breach of duty- failure to act in accordance with the standard of care 3. proximate cause- the connection between the negligent act of the practitioner and the harm to the patient or client 4, damages- harm incurred to patient or client as a direct result of the negligent act of the practioner.

Answer 497

There is no duty to treat until a valid VCPR is established- not even emergencies

Answer 498

1. animal recovers 2. vet has completed all the treatment that was agreed upon 3. animal dies 4. client terminates the VCPR 5. responsibility for treament is transferred to another practitioner iwth the consent of the client. **termination is difficult wiithout client consent

Answer 499

when defendant in malpractice action may be able to show that the client was also negligent in the care of their animal

Answer 500

similar to contributory negligence, except the cleint's recovery is determined by the percent of negligence on the part of the client. If the client is found to be 25% negliigent, then they will recover only 75% of the total damage. Tyupically, if the client is found to be over 50% negligent the client cannot recover any damages

Answer 501

continuing education- hard for vet to win if client can show vet unaware fo facts that reasonalbe vet would do *medical records- details are the most important evidence in malpractice case *informed consent- client must be given sufficient data to make informed decisions regarding health of their pets * staff training- staff properly trained in medical knowledge and have proepr communiciaotn skills * referral- general vet should be careful to make cleints aware of plethiora of speicialist having high level of specialized care than they can provide

Answer 502

Introductory-vision, innovation and energy- before doors are open- REPEATEDLY THIS COURSE HAS PROMOTED MISSION VISION AND VALUES Growth- efficiency, discipline, and talent development are critical Maturity- manage risks, problem solve, search for continuous opportinity for growth- TEAM SHOULD BE RUNNING PRETTY GOOD HERE- KEEP TEAM VIBRANT- decline- decreased demand for services. Revisiting the strategic plan for revitalizing the practice is vital.

Answer 503

Formulation Development Implementation Evaluation

Answer 504

1development of Mission, vision and values- represents how every decision is made. every member must embrace MVV of practice 2SWOT analysis- strengths. opp etdc (IMPORTANT PROFESSIONAL AND PERSONALLY) 3Gap Analysis- compare current performance with potential or desired performance. This will lead to development phase of plan. DEEP DIVE WHAT IS GOING ON AND WHERE WE WANT TO GO

Answer 505

What services are delivered today and what services are desired to be offered in future? What skills, knowledge, and abilities does the team need to get to goal? What is employee retention rate and are there true career opportunities?

Answer 506

Uses all those things found out in formation phase to create strategic intent to acheive desired goals. HOw you get form point A to point B

Answer 507

Deep dive on where we want to go Team members- skill level, training, retention clients- who is target market, how to find them Patients- what equipment or tools are needed to reach patient care goals Budget- what investments are needed to reach goals and how will practice obtain those funds

Answer 508

to create a strategy that has a "strategic fit" where the practices activities interact with and support the strategy and each one optimizes the other to reach the goal.

Answer 509

the strategic intent in translated into specific plans of action. There should be allocation of resources, communication to team members, management of team, education and staffing to achieve goals

Answer 510

incorporate "System Thinking" where consideration is given to how each department affects another list objective and how to measure how will objections be obtained and what resources what is time frame.. WHAT METRICS

Answer 511

Time to think about original objectives created in the Development phase. Evaluate the success of those. There should be check-in points for KPI's that were discussed. Might consider a balanced scorecard

Answer 512

A tool that illustrates the state of the practice in regards to client satisfaction, financial status, learning and development progress. The scorecard metrics can show the side effects of your strategy and its successful implementation, as well as whether the changes have affected other areas of the business.

Answer 513

The methodology that identifies aspects of workflow, procedures, roles, and systems and aligns them to fit current business realities and goals. Organization design clearly defines roles within the practice and should empower team members due to clear responsibilities, clear goals, and effective communication.

Answer 514

1 Define the problem 2 Design a solution 3. Implement phase 4 Follow through

Answer 515

Characterized by the ability to adapt to change and respond quickly to environmental/consumer changes think covid

Answer 516

client services patient care TEAM DEVELOPMENT

Answer 517

leadershiop dod not support or commit to change wrong message or message did not resonate with the team chages were forceful instead of collaborative lace of clear communicaiton change does not align with MVV

Answer 518

Uses System Thinking as it relates to being a learning organization therefore every team member must generate ideas and create solutions for all parties involved MVV critical element to systems thinking team members need to know that leadership readily embraces charge and accepts recommendations failures create learning opportunities and empower team members to continue being engaged in the process

Answer 519

1) notify owner 2) secure important data- badckup 3) inform insurance agency 4) contact attorney/accountant 5) Reassign duties so they are shared 6) on attorney advice, contact policy 7) Do not talk about numbers $

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