Deck 19: Laboratory Management

Question 1

The general organizational structure of a clinical laboratory:

A)has a laboratory director/manager who reports to a hospital vice-president
B)has departments, sections, or units that correspond to the specialties and subspecialties delineated in the final regulations for CLIA '88
C)both a and b
D)neither a nor b

Answer 1

has a laboratory director/manager who reports to a hospital vice-president

Question 2

CLIA '88 defines a ______ supervisor as the immediate bench supervisor who reviews daily work and quality control and a ______ supervisor as one who acts as the principle laboratory supervisor.______ are required for high-complexity testing.

A)technical, general, general supervisors
B)technical, general, both supervisors
C)general, technical, both supervisors
D)general, technical, technical supervisors

Answer 2

general, technical, both supervisors

Question 3

A quality-assurance program is designed to:
1)monitor and evaluate the ongoing quality of the total testing process
2)identify and correct problems
3)ensure accurate, reliable, and prompt reporting of results
4)ensure adequacy and competency of the staff

A)1, 2, 3, 4
B)1, 2, 3
C)2, 3, 4
D)1, 3, 4

Answer 3

1, 2, 3, 4

Question 4

What is the most important management skill/ability that should be utilized by a laboratory director when planning changes in laboratory services?

A)communication
B)technical knowledge
C)background research
D)financial restraint

Question 5

What is the purpose of a pro forma analysis?

A)to evaluate the performance of an employee
B)to justify capital equipment purchases requested for the laboratory
C)to review a laboratory's readiness for an inspection
D)to establish normal reference ranges for a laboratory assay

Question 6

________ regulations serve to ensure the quality of laboratory test results by defining performance standards for all aspects of laboratory testing.

A)CLIA '88
B)OSHA
C)HIPAA
D)LRN

Question 7

A laboratory test is considered a ____________ test until the test is classified by the FDA.

A)waived
B)moderately complex
C)highly complex
D)experimental

Question 8

A full-time equivalent (FTE) works how many hours per year?

A)1010 hours
B)1040 hours
C)2020 hours
D)2080 hours

Question 9

Following first-year evaluations of individuals performing moderate- and high-complexity testing, under CLIA '88 regulations, how often must reevaluation be performed, given that there are no procedural or instrumentation changes?

A)every 3 months
B)every 4 months
C)every 6 months
D)every 12 months

Question 10

________ regulations serve to ensure the operation of a safe laboratory.

A)CLIA '88
B)OSHA
C)HIPAA
D)LRN

Question 11

Laboratory procedures are billed to insurance companies or organizations according to which system of coding?

A)Hospital Information System (HIS) coding
B)Diagnosis Related Group (DRG) coding
C)Common Procedure Terminology (CPT) coding
D)Health Insurance Portability and Accountability Act (HIPAA) coding

Question 12

Which of the following usually accounts for the majority of a laboratory's annual budget?

A)labor and supplies
B)new equipment
C)repair and maintenance
D)referred testing

Question 13

If tests performed by a clinical laboratory are classified as moderately complex, and no highly complex tests are being performed, the following personnel are required by CLIA '88:
1)laboratory director
2)technical consultant
3)clinical consultant
4)testing personnel

A)1, 2, 3, 4
B)1, 2, 4
C)1, 3, 4
D)2, 3, 4

Question 14

Which of the following would be a negative aspect of a reagent rental plan for acquiring a piece of equipment, as compared to leasing equipment?

A)Equipment least costs and reagent costs may be less than the complete reagent rental costs.
B)Next-generation equipment from a different company may become available before the contract expires.
C)The test volume may decrease for the equipment before the reagent rental contract expires.
D)all of the above

Question 15

Based on CLIA '88 regulations, which of the following are permitted to evaluate the competency of all testing personnel?
1)the laboratory director
2)the technical consultant
3)the technical supervisor
4)the general supervisor

A)1, 2, 3, 4
B)1, 2, 4
C)2, 3, 4
D)3, 4

Question 16

Frequent budget analysis is an important function of the laboratory manager.The type of budget analysis that involves a comparison of the current month's actual dollars spent versus the budgeted dollars is known as a ______ analysis.A budget analysis that compares the current month's actual dollars spent per test with the budgeted dollars per test is a ______ analysis.Of these two, the ______ analysis excludes variances in test volumes.

A)static, flexible, static
B)static, flexible, flexible
C)flexible, static, static
D)flexible, static, flexible

Question 17

A Laboratory Response Network is:

A)a network of safety professionals that will respond to a chemical or biological incident in a clinical laboratory
B)a network of laboratory directors and managers that will respond to regulatory compliance concerns in clinical laboratories
C)a network of public health, local, state, and federal laboratories that will ensure an effective laboratory response to bioterrorism or public health outbreaks
D)a network of laboratory personnel within a given laboratory that will be available to respond to an emergency