leader

standard roles of management

controlling, organizing, planning, leading

TJC

the Joint Commission

CAP

College of American Pathologists

HIPAA

Health Insurance Portability and Accountability Act

POCT

point of care testing

former name of TJC

JCAHO

TJC is a (for profit/nonprofit) organization.

nonprofit

assigning a specific task to an accountable subordinate

delegation

planning specific action and actively overseeing hte execution of a plan

directing

the process of assisting participants to move through material in a logical and structured way

facilitation

inspiration or stimulation in a desired way or to achieve a desired result

motivation

Decisions should be made at the (lowest/highest) level possible.

lowest

(Group/Individual) decisions are more accurate.

Group

decisions made using hunches, subjective values, and personal or emotional factors

intuitive

decisions reached after data are gathered and facts are analyzed

judgmental

manager type with high concern for people, leads by example, works with the team to reach its goals as effectively as possible

team manager

manager type with high concern for people, low task orientation, uses rewards rather than coercive power

country club manager

manager type with low concern for people, high task orientation, when something goes wrong, they tend to focus on blame rather than on the problem

authoritarian manager

manager type with low concern for people, low level of task orientation, the team does what it wants

impoverished manager

primary concern of HIPAA

patient privacy

most effective manager leading to the most effective teams

team manager

internally generated rules that set expectations for behaviors within the laboratory

policies

written set of instructions that codify technical and administrative activity in the laboratory

SOP

specific aim directed toward achieving a goal

objective

written statement that clearly defines what the organization does and why it is important

mission statement

written statement that defines not what an organization is but what the organization expects to become and should inspire the organization to achieve its mission

vision statement

audience that is inspired by the vision statement

individuals within the lab

T/F It is possible to change and improve your management style.

true

T/F Good managers must be leaders and good leaders must be managers.

true

T/F The need for effective managers declines as the world becomes more technologically advanced.

false

T/F It is possible for a manager to excel in many areas yet fail in leadership.

true

theory that focuses on the importance of humanizing the workplace

behavioral theory

methodical and structured process whereby an organization defines its mission, identifies directions, develops a unified approach, prioritizes long and short term goals, assigns accountabilities and allocates financial resources

strategic planning

getting things done through other people

management

influencing others to attain group, organizational, and societal goals

leadership

process of selecting people from a pool to perform a task

delegating

process of determining that everything is going according to plan

controlling

process of assessing participants to move through material in a logical and structured way

facilitation

CLIA

Clinical Laboratory Improvement Amendments of 1988

benefits of on the job training

lower labor cost, greater supply of individuals to fill positions, implementation of training program

aspect of the clinical lab requiring the highest financial outlay

labor

steps of corrective action

verbal warning, written warning, penalty stage, termination

factors contributing to the current shortage of clinical laboratory scientists

fewer people entering the field, increased opportunities outside the lab sector, fewer schools offering laboratory training

unacceptable job interview question

Do you have children?

workweek rule in which the employee is allowed to work any number of hours per shift as long as the total hours worked in a week do not exceed 40. Hours in excess of 40 per week are paid at the overtime rate

40 hour workweek rule

percentage of a physician's medical decision making based on laboratory results

70

categories used by CLIA to describe test complexity

high, moderate, waived

regulates the requirements for personnel to perform testing in the clinical laboratory

CLIA

a determination of the need for a specific position in the organization

needs assessment

benefits to staffing a lab with technicians rather than technologists

higher level of expertise in testing methods, more formal education

system for continuously analyzing, improving, and reexamining resources, processes, and services within an organization

quality management

T/F Waived and nonwaived tests are classified according to their difficulty and their risk of harm to the patient

true

addressed by workplace safety standards

TB, bloodborne pathogens, latex allergy, sharps, chemicals

second part of HIPAA

protecting insurance coverage for people who lose or change jobs

competency assessment components

ability to perform the assay correctly and ability to recognize and solve minor problems without needing assistance

organization with voluntary compliance

ANSI

T/F Some states require techs to have a state license in addition to national certification

true

verification and validation relate to

daily quality control procedures

entities that may perform laboratory inspection

CMS, TJC, CAP, AABB

publishes the Morbidity and Mortality Weekly Report, which provides information on bloodborne pathogens, infectious waste disposal, and other topics

CDC

CLIA treats all labs the same, regardless of their location

site neutrality

T/F The amount of regulatory oversight of clinical labs has been steadily diminishing in the last 30 years

false

phase of testing process with the fewest errors

analytical

frequency of inspection for clinical laboratories performing moderate or high complexity testing

every 2 years

regulates shipping of biohazardous materials

DOT

federal agency that regulates safety in the workplace

OSHA

T/F Test results of family members may be accessed by laboratory workers outside of their assigned work

false

regulations relevant to employees who feel discriminated against

EEOC

T/F Proficiency testing is available for all tests

false

T/F All laboratories that perform waived testing are required to enroll in and perform PT using one of the 2 CMS approved PT programs

false

not included in an SOP

cost of test kit

laboratories exempt from CLIA

veterinary laboratories, research laboratories not using patient specific results in the diagnosis or treatment of humans, laboratories licensed in states that have their own inspection programs, laboratories performing forensic testing only

patients order their own laboratory tests

DAT

only external performance indicator required by CLIA

proficiency testing

safeguard designed to prevent hacking and unauthorized access to patient data

blocking automatic software downloads

T/F Some states are exempt from CLIA because they have their own licensing system

true

analyzes PT specimens

the person who normally performs the assay

regulates workplace ergonomics

OSHA

regulated by CLIA

proficiency testing, quality control testing, and personnel qualifications

year CLIA was passed

1988

relates to ICD code

patient's diagnosis

ability to inspect clinical laboratories and the CMS accepts their results

deemed status

organization that must certify all clinical laboratories

CLIA

contributes to advances in clinical testing

miniaturization, automation, nucleic acid testing

PPE

lab coat, latex gloves, face shield

biosafety level that involves the handling and testing of the most dangerous pathogens

4

developed and maintains CPT codes

AMA

used for documentation of services rendered and required for filing claims and billing Medicare and other payors

CPT codes

government agency that evaluates and adjusts the American system of healthcare payment

CMS

biological hazard

exposure to infectious blood and body fluids

intended purpose of the Patient Protection and Affordable Care Act of 2010

to make healthcare available for everyone in the US

responsible for enforcing that each employee adhere to safe work practices in the workplace

employer

total cost of the products and services rendered without any deductions

gross billing charge

applies APCs

patients who report to the lab for an outpatient blood draw

provides medical and dental care of current and former military personnel

TRICARE

managed care organization paying a medical bill by a set fee for each day the patient is hospitalized

per diem

T/F Laboratories are required to have a designated safety officer and safety committee

true

T/F Reimbursement for laboratory services has not kept pace with the medical price index, which means laboratory profit margins are decreasing

true

pays the fee for inspections by organizations

laboratory being inspected

class A fire extinguisher is used for

paper and wood