HCAD 375 Test 2 Questions & Answers 2024/2025
Failing to do what can sink a healthcare organization? - ANSWERSControl costs
Fixed costs do what as the census changes? - ANSWERSDo not change
What type of cost should raw food costs be? - ANSWERSVariable cost
costs that accrue over a spe...
Failing to do what can sink a healthcare organization? - ANSWERSControl costs
Fixed costs do what as the census changes? - ANSWERSDo not change
What type of cost should raw food costs be? - ANSWERSVariable cost
costs that accrue over a specific span of time are called - ANSWERSPeriod costs
what is one of the most common ways to examine labor costs and staffing - ANSWERSHPPD formula=
Hour per patient day
what does FTE stand for? - ANSWERSFull time equivalent of 1 employees productive and non-productive
time usually 40 hours
reasons to avoid nursing pools/agencies - ANSWERS1. 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? - ANSWERS1. 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? - ANSWERStraining and
recruitment costs
Fixed cost - ANSWERSFixed costs do not vary in total when activity levels of operations change
example: salaries of department managers
variable cost - ANSWERSvariable costs vary in direct proportion when activity levels of operation change
example: supplies
what makes a cost a variable? - ANSWERSa cost is only a variable if it is managed and adjusted as
changes in the cost drivers or activity drivers change
Step fixed cost - ANSWERSstep 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 - ANSWERS60-70%
what does is mean if CNA's are working short? and what are consequences of this? - ANSWERS1. 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? - ANSWERSThis 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 - ANSWERSaverage is 3.5 PPD
what are some benchmark floor staffing ratios for nursing employees in SNFs? - ANSWERSDay 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 -
ANSWERSHaving 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 - ANSWERSthey 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 - ANSWERSthis 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.
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