HCAD 375 Exam 2 Questions and Answers Already Passed

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 - Housekeeping: book 1 8hr staff/1000 sq feet - Laundry: book 1 work hr/100 lbs laundry. 8-10 lbs PPD, often scheduled over 12-16 hours - Maintenance: book 100 residents -1 FTE if larger or older building what are benefits or disadvantages to staffing CNAs or other employees on 7.5 versus 8 hour shifts - Answers Having over lapping shifts with the 7.5 versus the 8 hr shifts can save a company with 100 beds anywhere from $60-$100K a year because they aren't having to pay that extra half hour and having employees clock out for a lunch. More flexibility to work long without over time. This could have better communication of what is going on that day between the over lapping shifts, could have to report to nurses at the end and start of shifts. Downside they would have to be paying double what do the regulations require SNFs post about staffing daily - Answers they have to have a list posted of who is working every shift and have copies in their office, this should be retained for 18 months so that anyone can have access to see who was working when what is PBJ and why do we have it - Answers this is a payroll based journal that keeps track of exactly what happened during a shift. these are submitted quarterly. They track call outs, latenesses, leaving early etc. strategies for managing over time - Answers 1. avoid mandatory over time 2. avoid staffing agencies 3. consider OT in the yearly budget 4. develop an internal on call or casual staffing pool