HCAD 375 Exam 2 Questions and Answers Already Passed
Failing to do what can sink a healthcare organization? - Answers Control costs
Fixed costs do what as the census changes? - Answers Do not change
What type of cost should raw food costs be? - Answers Variable cost
costs that accrue over a specific span of time are called - Answers Period costs
what is one of the most common ways to examine labor costs and staffing - Answers HPPD
formula= Hour per patient day
what does FTE stand for? - Answers Full time equivalent of 1 employees productive and non-
productive time usually 40 hours
reasons to avoid nursing pools/agencies - Answers 1. nursing pools are expensive because
salary is high and incentives are provided to achieve profits
2. hiring outside of the organization takes away from the continuity that must exist to continue
providing excellent nursing care
3. They aren't as invested in the facility as some of the regular nurses are
4. They sometimes make more money than regular nurses so you could lose some staff to
agencies
what might a high rate of absenteeism indicate? - Answers 1. the need for over time hours and
nursing pools
2. greater amounts of stress for the workers who cover for those who are absent
3. anger from other employees
4. financial problems for the facility
5. demoralization within the workplace
what are some of the direct financial costs associated with turnover? - Answers training and
recruitment costs
Fixed cost - Answers Fixed costs do not vary in total when activity levels of operations change
example: salaries of department managers
variable cost - Answers variable costs vary in direct proportion when activity levels of operation
change
example: supplies
, what makes a cost a variable? - Answers a cost is only a variable if it is managed and adjusted
as changes in the cost drivers or activity drivers change
Step fixed cost - Answers step fixed costs are fixed over some range of service volume but rise
to a new level for higher range of service volume
example: staffing
what percent of an average budget is spent of staffing in long term care - Answers 60-70%
what does is mean if CNA's are working short? and what are consequences of this? - Answers 1.
It means they are short staffed, they have to do more in less time. This is bad because it can
affect the quality of care given and resident's quality of life, resulting in negative impacts to the
facilities reputation by families speaking poorly about the facility to other people in the
community.
2. turnover and potential surgery citations
what are minimum staffing requirements in WI for nursing in SNFs? Federal minimums? -
Answers - Federal minimum is not specified by a number but that is needs to be sufficient
enough to provide care.
- State minimum: 13 states have minimums number but these are dated.
- PPD calculations here for minimum SNF has to have 2.50
what does a patient dat mean? - Answers This is how many hours of care per patient is needed
in a 24 hour period set up by 8 hour shifts to determine how many nurses and assistant nurses
need to be staffed
what are some typical nursing PPD benchmarks in the chippewa valley - Answers average is 3.5
PPD
what are some benchmark floor staffing ratios for nursing employees in SNFs? - Answers Day
PM NOC
LPN/RN 1:25 1:25 1:50
CAN 1:6-8 1:10-12 1:20-25
what are some comparative benchmarks for staffing and other costs for typical SNF
departments - Answers - Dietary staff: book 7-8 meals/hour (100 residents x 3 meals/day /7
=42.86 hours of staff time/day = 5-6 shifts per day and 4.3 PPD) Reality: .7 (.85-.9 high end) PPD
more common
- Dietary food and supplies: book raw food $3.5 PPD + $4-5 PPD national Average food: $6-7
PPD
Failing to do what can sink a healthcare organization? - Answers Control costs
Fixed costs do what as the census changes? - Answers Do not change
What type of cost should raw food costs be? - Answers Variable cost
costs that accrue over a specific span of time are called - Answers Period costs
what is one of the most common ways to examine labor costs and staffing - Answers HPPD
formula= Hour per patient day
what does FTE stand for? - Answers Full time equivalent of 1 employees productive and non-
productive time usually 40 hours
reasons to avoid nursing pools/agencies - Answers 1. nursing pools are expensive because
salary is high and incentives are provided to achieve profits
2. hiring outside of the organization takes away from the continuity that must exist to continue
providing excellent nursing care
3. They aren't as invested in the facility as some of the regular nurses are
4. They sometimes make more money than regular nurses so you could lose some staff to
agencies
what might a high rate of absenteeism indicate? - Answers 1. the need for over time hours and
nursing pools
2. greater amounts of stress for the workers who cover for those who are absent
3. anger from other employees
4. financial problems for the facility
5. demoralization within the workplace
what are some of the direct financial costs associated with turnover? - Answers training and
recruitment costs
Fixed cost - Answers Fixed costs do not vary in total when activity levels of operations change
example: salaries of department managers
variable cost - Answers variable costs vary in direct proportion when activity levels of operation
change
example: supplies
, what makes a cost a variable? - Answers a cost is only a variable if it is managed and adjusted
as changes in the cost drivers or activity drivers change
Step fixed cost - Answers step fixed costs are fixed over some range of service volume but rise
to a new level for higher range of service volume
example: staffing
what percent of an average budget is spent of staffing in long term care - Answers 60-70%
what does is mean if CNA's are working short? and what are consequences of this? - Answers 1.
It means they are short staffed, they have to do more in less time. This is bad because it can
affect the quality of care given and resident's quality of life, resulting in negative impacts to the
facilities reputation by families speaking poorly about the facility to other people in the
community.
2. turnover and potential surgery citations
what are minimum staffing requirements in WI for nursing in SNFs? Federal minimums? -
Answers - Federal minimum is not specified by a number but that is needs to be sufficient
enough to provide care.
- State minimum: 13 states have minimums number but these are dated.
- PPD calculations here for minimum SNF has to have 2.50
what does a patient dat mean? - Answers This is how many hours of care per patient is needed
in a 24 hour period set up by 8 hour shifts to determine how many nurses and assistant nurses
need to be staffed
what are some typical nursing PPD benchmarks in the chippewa valley - Answers average is 3.5
PPD
what are some benchmark floor staffing ratios for nursing employees in SNFs? - Answers Day
PM NOC
LPN/RN 1:25 1:25 1:50
CAN 1:6-8 1:10-12 1:20-25
what are some comparative benchmarks for staffing and other costs for typical SNF
departments - Answers - Dietary staff: book 7-8 meals/hour (100 residents x 3 meals/day /7
=42.86 hours of staff time/day = 5-6 shifts per day and 4.3 PPD) Reality: .7 (.85-.9 high end) PPD
more common
- Dietary food and supplies: book raw food $3.5 PPD + $4-5 PPD national Average food: $6-7
PPD
