CMRP Overview Session - WSHMMA Overview Session.pdf · CMRP Overview Session Disclaimer Please be advised that this is only an overview of the Materials Management Review Guide. It

CMRP CERTIFICATION

Overview Session� Lisa Atkins, CMRP

� Donna Bean, CMRP, FAHRMM

� Michael Moore, CMRP

CMRP Overview Session Disclaimer

Please be advised that this is only an overview of the Materials Management Review Guide.

It should not be inferred that test items in the examination are selected from any single

reference or set of references or that participation in this review session guarantees a passing

score on the examination.

CMRP Eligibility Concept

� No membership requirement

� Requirements blend EXPERIENCE and EDUCATION

� Requirements are designed to include experienced healthcare materials managers

CMRP Eligibility Requirements

� Baccalaureate degree + 3 years of associated materials management* experience

� Associate degree or equivalent + 5 years of associated materials management* experience

� High school diploma or equivalent + 7 years of associated materials management* experience.

* Associated healthcare resource and materials management includespersons who are involved in the materials functions of healthcare

facilities; or are active in the healthcare materials supply chain, including manufacturers, vendors, distributors, consultants, and employees of

group purchasing organizations.

Administration

� Examination application processed

� Eligibility confirmation sent to candidate

� Confirmation notice received

� Registration fees

� AHRMM Members $275; Non-members $425

� Schedule appointment

� Reschedule once within 4 business days − No Charge

� Rescheduled within 90 days − $100 rescheduling fee

� Reschedule after 90 days − resubmit application and pay fee (members $275; non-members $425)

Administration

� Selected H&R Block computers

� Photo ID (2 forms of identification)

� Paper and pencil or computer-based

� 2 hours

� 110 questions (10 pretest)

� Results upon completion of computer-based

� Certification

� Letter

� Pin

� Renewal

� Employer Notification Form

� Certificate

Exam Specifications

� AHRMM role delineation study identified real-world tasks that were grouped into categories and weighted to produce exam specifications.

1. Procurement/Product Value Analysis – 25%

2. Inventory Distribution Management – 20%

3. Information Systems and Data Management – 15%

4. Finance – 15%

5. Strategic Planning, Leadership and Compliance –25%

Exam Categorized

� Each item is categorized by a cognitive level that a candidate would like use to respond:

� Recall – ability to recall or recognize specific information

� Application – ability to comprehend, relate, or apply knowledge to new or changing situations

� Analysis – the ability to analyze and synthesize information, determine solutions, and/or evaluate the usefulness of a solution

Test Items

To ensure reliability and validity, test items are:

� Written by experienced healthcare resource and materials managers

� Geared to test application of knowledge - not just recall of facts

� Reviewed to ensure clarity

Examination Administration

� CMRP Exam is offered via computer at over 170 AMP Assessment Centers throughout the United States.

� Scores are kept PRIVATE.

Examination Administration

� Examination Application within CMRP Handbook and Application available through:

� AHA-CC’s website: www.aha.org/certification

� AHRMM’s website: www.ahrmm.org

� AMP at (913) 895-4600

� Certification is valid for 3 years

� Renewal is obtained through 45 contact hours of continuing professional education or successful re-examination

Shake, Rattle & Roll

� Where the fun begins

� Purchasing

� Procurement

� Product

� Value Analysis

Chuckle or Laugh

Purchasing, Procurement and

Product Value Analysis

� Administer and direct the program to purchase materials, supplies, and capital equipment

� 25 items

� Recall – 5 items

� Application – 15 items

� Analysis – 5 items



� 4 Steps of “Act of Purchasing”

1. Requisitioning

2. Sourcing

3. Negotiating

4. Ordering



� Requisition / Purchase order types

� Stock

� Non-stock

� Electronic

� Traveling

� Blanket

� Standing

� Open



� Freight terms and title of goods

� FOB destination

� FOB shipping point

� FOB destination, prepay freight, and add

� FOB shipping point, freight allowed

� Payment terms and conditions

� 2% 10 days, Net 30

� COD

� Credit card / purchase card



� Legal aspects of purchasing

� Product liability

� Wrongful rejection

� Failure to deliver

� Liabilities and warranties

� Uniform Commercial Code (UCC)

� Robinson-Patman Act



� Right of possession

� “Absence of rightful rejection”

� noted by agreement, delivery, use or payment

� Unconscionable contracts

� Unfair, one-sided but NOT illegal

� Liabilities and warranties

� Implied

� Expressed



� Safe Harbor

� Published in 1991 as an Amendment to the 1972 Medicare Fraud regulation

� Prohibits:

� Knowing and willful solicitation, receipt, offer, payment of remuneration in return for referral of Medicare patient

� Knowing, willful, payment, receipt remuneration to induce the purchase of goods/services which will be paid for by Medicare



� Safe Harbor requires hospitals to:

� Report all discounts, free goods, warranties in cost report, submitted to Medicare.

� Discounts are acceptable as rebates, credits. Must involve goods sold.

� Cannot rebate one item based on purchase of another.

� Cannot link incentive to furnish goods at no charge if another item is purchased.



� Uniform Commercial Code (UCC)

� Established in 1952

� Governs purchases in 49 states

� Excludes services associated with products

� Purchase of goods > $500 must be confirmed in writing to be enforceable under the law

� Statute of limitations is 4 years

Sample Question Purchasing

� A formal request for a non-stock item or product from a facility department to Materials Management is a

� A. purchase order.

� B. requisition.

� C. request for proposal.

� D. bid

Explanation

� (u) A. A purchase order is sent from MM to a vendor.

� (C) B. This is the definition of a requisition. A requisition may cover stock, non-stock, capital or service contracts.

� (u) C. A request for proposal is a request by MM for vendors to submit proposals.

� (u) D. A bid is typically submitted by a vendor following a request for proposal.

Materials Manager’s “Tool Bag”

� Activity Based Costing (ABC)

� A cost management tool to identify and allocate overhead costs

� Activity Based Management (ABM)

� Minimize costs, eliminate duplication

� Continually evaluate new supply chain process

Using ABC/ABM procedures will help ensure maximum returns for efforts expended and

costs that have been incurred.


� Value Added Opportunities

� Additional services offered as incentives

� Value Analysis

� Functionally oriented process

� Best and most economical procedures, products, equipment, or services

� Meet the needs of the user while reducing the overall cost involved


� Total Delivered Costs

� All aspects of the product cycle

� purchase price, receiving, warehousing, delivery

� holding, value of money, pilferage, obsolescence

� Outsourcing

� Reduce the overall cost

� Increase the quality

Inventory Distribution Management

� Assure that the organization’s acquisition and distribution strategies and practices improve the overall healthcare supply chain system

� 20 items





� Inventory control should:

� Provide monetary savings

� Improve service levels

� Improve internal operations

� Review supply utilization

� Reduce waste

� Fully utilize MMIS


� Inventory – “Product on Hand”

� Stock – may also be used to describe inventory

� Current asset that has been acquired by cash and is yet to be consumed

� Physical inventory − actual counting of supplies and comparing the amount on hand with the amount on the financial statement

� Turns-Total annual inventory purchases divided by the end inventory value


� Inventory can be counted 2 ways:

� Periodic Counting

� Regular intervals − usually 6 or 12 months

� Cycle Counting

� Continuously selecting subgroups to count

� Typically 10% of stock per month


� Successful Inventory Control

� To achieve balance between stock on-hand and need

� ABC Analysis – highest to lowest dollar

� A” 10% inventory account for 70% of dollars

� “B” 20% inventory account for 20% of dollars

� “C” 70 % of inventory account for 10% dollars


� “A” items have highest priority

� Increasing the order frequency of “A” items has

the same effect as increasing turn rate


� Lead time = require / order / receive / distribute

� Safety stock- protection against stock-out

� Supply level calculations

� Maximum/minimum

The greater the order quantity, larger the inventory.

The longer the lead time, the greater the inventory.

The higher the safety stock, the greater the inventory.

� Economic Order Quantity

� EOQ = 2(F*S)/(C*P)


� Inventory Valuation

� Last In, First Out (LIFO)

� Newest define cost

� First In, First Out (FIFO)

� Oldest define cost

� Average costing inventory

� Weighed average cost


� Carry Costs include such areas as:

� Invested capital

� Handling charges

� Storage

� Insurance

� Cost of money

� Spoilage

� Data processing


� 3 Types of Inventory

� Official

� Maintained as assets on balance sheets

� Unofficial

� Expenses upon receipt

� Consignment

� Housed by the facility, purchased when used


� Inventory Strategies

� Consolidation

� Reduction

� Storage space

� Inventory Ratios

� Not in-stock (Stock outs)

� Fill-rate

� % of back orders


� Distribution Methods

� Random request

� Emergency

� PAR

� Exchange carts

� Case carts

� JIT

� Stockless


� Inventory Management in the OR

� Intense need

� Diverse users

� Largest dollar volume

� “Unofficial”

� Preference items

� Low-turn rate

� (Out of control)

Typical Operational Supply Spend

Ancillary22%

Clinical38%

Support

40%

Ancillary

- Lab Supplies- Radiology- Blood- Drugs

Clinical / Medical

- Anesthesia Supplies- Cardiac Implants & Supplies- IOL’s

- IV’s- Med/Surg Supplies- Orthopedic Implants & Supplies- Pacers- Packs & Gowns - Prosthesis Other- Suture, Syringes & Needles

Support / Non Medical

- Dues and Subscriptions- Environmental- Food- Freight- General Supplies- Office Supplies- Purchased Services- Repairs & Maintenance- Service Contracts- Telecommunications- Transportation- Travel- Utilities

Sample Question #1 Inv Mgmt

� Two of the most common methods of measuring the accuracy of inventory records include

� 1. cycle count.2. replenishment requisition.3. inventory redistribution.4. annual inventory

� A. 1 & 3 B. 1 & 4 C. 2 & 3 D. 2 & 4

Explanation

(c) 1. Cycle counts are a periodic physical inventory of a portion ( category or location) of the total inventory.

� (u)2. The number of requisitions is not an indicator of inventory accuracy.

� (u) 3. Redistribution may be used to correct inventory records, but is not a method of measuring accuracy.

� (c) 4. Annual inventory is the traditional method of counting what is on-hand as compared to booked inventory.


� Assuming the cost of supplies will increase over time, which of the following inventory valuation methods will result in the highest inventory value?

� A. LIFO

� B. FIFO

� C. Average

� D. Standard cost

Explanations

� (u) A. LIFO method- the most recent items at the highest

prices are issued first. This leaves the lower priced items in Inventory.

� (c) B. FIFO- the oldest, least costly items are issued first. This leaves the highest priced items in the inventory.

� (u) C. Average cost- the item prices are averaged each time

new items are purchased. Inventory value between LIFO and

FIFO.

� (u) D. Standard costing- a price is set for each item and that price is maintained for a period of time. This usually results in the lowest Inventory Value.


� When linking activity-based costing (ABC) classification with usage frequency, existing days of inventory, and desired days of inventory, the highest possible cash flow can be achieved by increasing turnover of

� A. low dollar-high usage items.

� B. low dollar-low usage items.

� C. high dollar-low usage items.

� D. high dollar-high usage items

Explanation

� (u) A. Increasing turnover of low $$-high usage items reduces cash flow because dollars are tied up in inventory.

� (u) B. Increasing turnover of low $$- low usage items keeps dollars tied up for longer periods, which increases carrying costs.

� (u) C. Increasing turnover of high dollar-low usage items reduces cash flow because dollars are tied up in inventory.

� (c) D. Increasing turnover of high $$ - usage items maximizes cash flow by shortening holding times.


� Use of a automatic replenishment system (ARS) creates value by

� A. Cataloging purchasing transactions

� B. Reducing manual PAR counting

� C. Automatically tracking instruments

� D. Tracking capital equipment

Explanation

� (u) A. See explanation for B.

� (c) B. An ARS is a system by which a periodic automatic replenishment (PAR) level is tracked according to usage and users. Each item is tracked by the last use, last restocking and last user. The system generates a report on demand or as scheduled, which indicates each item that has reached its reorder point and the quantity to fill.

� (u) C. See explanation for B

� (u) D. See explanation for B

Let’s Take 5….

It’s time for a Quick Break!

Info & Data

� Information Systems

� Data Management

Numbers, Numbers and more Numbers

Systems [technology]

Chuckle or Laugh

Information Systems and Data

Management

� Direct acquisition and implementation of an automated, system-wide materials management information system

� 15 items





Management

� Materials Management Information System (MMIS) includes:

� Purchasing, Receiving, Inventory

� Interfaces to:

� Accounts payable

� General ledger

� Patient accounts

� Surgery

� Other clinical departments (as determined)


Management

� Selection Process

� Multi-disciplinary taskforce

� Identified processes

� Research marketplace

� Determine functionality requirements

� Develop RFP

� Demonstrations

� Develop project plan


Management

� Electronic Data Interchange

� Transmit data between computer systems

� Standard communication protocols

� Health Industry Business Communication Council (HIBCC)

� American National Standards Institute (ANSI)

� ANSI x .12

� File Transfer Protocol (FTP)


Management

� Bar-coding standards adopted by HIBCC

� “Code 39” or “Code 3 of 9”

� EDI data sets most commonly used:

� 832-price catalog

� 850-purchase order

� 855-PO confirmation

� 856-advance ship notice / auto receipt

� 810-invoice


Management

� The Internet and Business

� WWW – World Wide Web

� XML – Extensive markup language

� HTTP – Hypertext transfer protocol

� UML – Unified modeling language

� URL – Uniform resource locator

� LAN – Local area network

� ERP – Enterprise resource planning

Sample Questions

To establish accurate product data in the MMIS, data synchronization requires common manufacturer name, manufacturer product number and

A.Expiration date

B.Packaging data

C.Latex indicator

D.Lot number

Explanation

B.Packaging data. Medial supply chain participants sometimes use the same manufacturer name and part number for different units of purchase ( e.g., Case, Box and Each), so it is essential to maintain packaging information in the supply chain to support price calculations and ensure the correct quantity is delivered.

A.Expiration date is a product attribute and is not required for data synchronization.

C.Latex indicator (e.g., yes or no) is a product attribute and is not required for data synchronization.

D.Lot number is a product attribute and is not required for data

synchronization.

Sample Quesitons

Early Steps when choosing a replacement computerized MMIS are to

1. Define current cost of operations

2. Select a task force

3. Define functional requirements

4. Select a vendor

A. 1,2 and 3 only

B. 1,2 and 4 only

C. 1,3 and 4 only

D. 2,3 and 4 only

Explanation

A.1,2 and 3 only

1. Defining current costs of operations precedes selection of a vendor.

2. Selecting a task force precedes selection of a vendor

3. Defining functional requirements precedes selection of a vendor.

4. Selection of a vendor should be one of the last

steps in the selection process.

Finance

� Finance and accounting principles used to better understand an organization’s financial culture

� 15 items




Finance

� Balance Sheet

� Assets

� Current assets and fixed assets

� Liabilities

� Current and long term

� Owner’s equity or fund balances

� Money to fund future programs

Assets = Liabilities + Owner’s Equity

Finance

� Ratios

� Liquidity ratio

� The ability to pay bills

� Leverage ratios

� Measure ability to meet long-term needs

� Efficiency ratios

� How well assets are managed to produce a profit

Finance

� Break-Even Analysis

� Revenue

� Fixed costs

� Variable costs

� Volume

� BEP = Fixed cost / (Price – variable cost)

� Return on Investment (ROI)

� Revenue from investment resulting in profit

Finance

� Value Analysis

� Reduction of non-salaried expenses from a multidisciplinary or team approach

� Quantitative techniques used include:

� Cost benefit analysis

� Life cycle

� Forecasting

� Unit cost

� In-use cost

� Environmental cost

� Impact of staff productivity

Finance

� Value Analysis Application includes:

� Multidisciplinary approach

� Utilize brainstorming to problem solve

� Breaks down functions

� Identifies potential alternatives

� Reviews the total delivered cost

� Patient-focused, high-quality approach

Finance

� Retention of Health Information / Records

� Legal regulatory agencies include:

� HCFA

� Medicare

� OSHA

� TJC

� Specific state regulation

Finance

� Record Retention Schedules

� Patient records adult…..10 years

� Patient records minor….statute of limitations

� Diagnostic images……..5 years

� Fetal heart monitor…….10 years

� Register of birth………...permanent

� Register of death……….permanent

� Register of surgery……..permanent

Finance

� Below are examples of materials management record types and one organization’s examples of their retention schedules:

� Capital budget purchasing…..10 years

� Consultant contracts………….permanent

� Leases and rentals……………5 years

� Maintenance and service…….5 years

� Warranty contracts……………permanent

� Purchase orders………………2 years

� Requisitions…………………...1 year

Finance

� Corporate Compliance Programs

� Conflict of interest policy

� Background check on employees

� Guidelines for ethical behavior

� State and federal statute associated with Medicare and Medicaid

Finance

� Asset Management Program

� Financial analysis

� Acquisition vs. Rental

� Receipt

� Distribution and tracking

� Charging

� Maintenance

� Replacement

� Disposal

Sample Question

� A new clinical area is being added. Which of the following best describes a one-time investment cost?

� A. computer and printer system

� B. order transmission devices between clinical and distribution areas

� C. labor resources required to manage the new area

� D. shelving in the new area to establish PAR levels

Explanation

� (u) A. A computer & printer system does not represent a one-time investment cost because it requires periodic upgrades and repair.

� (u) B. Order transmission devices between clinical and distribution area typically represent low dollar costs, become outdated or unserviceable, and require replacement.

� (u) C. Labor resources required to manage the new area do not describe a one-time investment cost because the number of personnel needed to manage the area could fluctuate and represent a recurring cost.

� (c) D. New shelving in the clinic to establish PAR levels represents an initial cost of outfitting the new area and would most likely not be required again.

Sample Question

� Total capital equipment life cycle costs include the

� A. depreciation expense.

� B. initial purchase price.

� C. future replacement price.

� D. manufacturer's standard warranty price.

Explanation

� (u) A. Depreciation expense is an accounting function and not a part of the life cycle cost.

� (c) B. Total capital equipment life cycle costs includes the initial purchase price of the equipment, the cost of supplies purchased for the equipment throughout its useful life, the cost of labor involved in operation the equipment and the final disposition cost.

� (u) C. Future replacement price is a consideration for the next life cycle cost analysis.

� (u) D. Original manufacturer’s warranties are included in the initial purchase price of equipment and are not considered an individual life cost factor.

Sample Question

� The organization has the option of purchasing a piece of equipment for $1,000,000 or leasing it under a $1 buyout capital lease for 5 years of $18,000 per month. To best compare these two options as to overall cost, the Materials Manager should compute

� A. life cycle cost.

� B. net present value.

� C. payback period.

� D. break-even analysis.

Explanation

� (u) A. Life cycle cost will compare different pieces of the same type of equipment where purchase and operating costs are different. It is not a way to compare the cost of money over time.

� (c) B. Net present value is the best way to compare alternate methods of paying or the same purchase. It compares the value of money now to the value of money in the future assuming that the value will be reduced by some inflation factor.

� (u) C. The payback period is used to compare different purchases for how quickly they will pay for themselves. It doesn’t compare two different ways to purchase the same piece of equipment.

� (u) D. Break-even analysis will determine the number of uses needed for a piece of equipment to contribute enough to fixed expenses to be profitable.

Sample Question

� Physician insists that products of multiple brands and sizes be available in the operating room stock. To maintain a neutral inventory financial position, the best negotiation strategy is

� A. consolidation.

� B. just-in-time.

� C. stockless.

� D. consignment

Explanation

� (u) A. Inventory consolidation still requires an initial investment.

� (u) B. JIT replenishment may not ensure product availability

� (u) C. A stockless inventory system many not ensure product availability.

� (c) D. While it may not be possible to make all products and sizes available, this strategy entails the least amount of financial investment because the vendors own the products until they are used.

Sample Question

� Which of the following prohibits sellers from engaging in price discrimination?

� A. Uniform Commercial Code (UCC)

� B. Sherman Antitrust Act

� C. Robinson-Patman Act

� D. United States Code Title 22

Explanation

� (u) A. The UCC regulates the laws of commercial transactions

� (u) B. The Sherman Antitrust Act prohibits restraint of interstate and foreign trade.

� (c) C. The Robinson-Patman Act prohibits sellers from engaging in price discrimination.

� (u) D. United States Code Title 22 regulates

foreign relations and interchange.

Strategic Planning, Leadership and

Compliance

� Overview of using the principles of strategic planning and quality management to manage customer services

� 25 items





Compliance

� Plan – Control – Improve

� Set goals

� Provide infrastructure

� Provide resources

� Quality leadership and support


Compliance

� New The Joint Commission requirement for

facilities key to your future success!

� Patient Safety goals

� EOC standards- MM/SC departments must have

an Emergency Management Plan


Compliance

� Process Improvement Cycle

� Define the process

� Measure (baseline ) includes data collection & analyzing data

� Improve the process

� Control the process


Compliance

� 12 Steps

1. Identify customers

2. Determine customers needs

3. Respond to customer needs

4. Quality goals to meet customer needs

5. Produce product/process

6. Prove process

7. Measure and control

8. Establish standards

9. Identify problems

10. Solve problems

11. Measure success

12. On-going process plan


Compliance

� Framework

� Vision – Mission – Principles

� Implementation

� Goals – Objectives - Strategies

� Process

� Annual Plan – Evaluation – Performance Reports


Compliance

� Overview of Hazardous Materials and Waste

� Agencies and organizations that control handling and transportation include:

� Occupational Safety & Health Administration (OSHA)

� Environmental Protection Agency (EPA)

� The Joint Commission (TJC)

� Department of Transportation (DOT)


Compliance

� Chemical Hazards Communication Standard (CHCS) spells out employee “right to know”regulations

� Education and training

� Material Safety and Data Sheets (MSDS)

� Use and location of safety equipment

� Policies and procedures

� Documentation and labeling


Compliance

� Classification of Hazardous Materials / Waste

� Six (6) specific classifications of waste:

� Non-hazardous, general solid

� Hazardous − corrosives, flammables, reactive / toxic chemicals

� Cytotoxic

� Infectious

� Physical hazardous − sharps, needles, glass

� Radioactive


Compliance

Medical waste disposal

� Steam sterilization

� Dry Heat Sterilization

� EtO sterilization

� Incineration

� Off-site disposal (landfill)

� Microwave techniques


Compliance

� Surgical Linen Standards (AORN)

� Blood and aqueous fluid resistant

� Abrasive resistant

� Lint free

� Meet NFPA requirements

� Eliminate heat build up

� Be easily draped


Compliance

� Linen General

� Flame retardant fabrics

� Security and identification

� Transportation and storage

� Chemicals and laundering

� Inventory and tracking

� Pounds per patient day/charge back

� Ordering and cycling


Compliance

� Sterile Processing Overview

� Decontamination Process:

� Thorough cleaning procedure

� Sorting

� Pre-cleaning

� Transportation

� Disassembly

� Cleaning

� Decontamination

� Disinfection

� Chemicals

� Ultrasonic


Compliance

� Sterilization

� Thermal is steam or dry heat

� Steam safest, most practical

� Dry heat slower less even

� Ethylene Oxide (EtO) Gas

� Require proper aeration

� Maintenance of equipment by a professional

� Packaging should allow max penetration


Compliance

� Sterilization (cont.)

� Monitoring

� Mechanical

� Chemical

� Biological

� Documentation (TJC)

� Maintenance records

� Monitoring

� Staff education

� Policies and procedures

Samples Questions

Which of the following is the correct sequence of stages in the process improvement cycle?

1. Improve2. Measure3. Control4. Define5. Analyze

A. 1,4,5,3,2B. 2,1,5,3,4C. 4.2.5.1.3D. 5,1,4,2,3

Explanation

C.4,2,5,1,3

�Process improvement begins with definingthe process and opportunities and is followed by gathering relevant and up to date data (Measure), analyzing the collected data, implementing process improvements and ensuring process control.

Sample Questions

The Joint commission standards for Environment of Care require that the Materials Management department have which of the following?

A.A cost reduction plan

B.A value analysis program

C.An employee development plan

D.An emergency management plan

Sample Questions

� An effective linen management program includes

� 1. monitoring and modifying linen PAR levels.2. eliminating linen services on weekends and holidays.3. tracking linen loss rates.4. reporting linen utilization to customer departments.

� A. 1, 2, and 3 only C. 1, 3, and 4 only

� B. 1, 2, and 4 only D. 2, 3, and 4 only

Explanation

(c) 1. Monitoring and periodically modifying periodic automatic replenishment (PAR) levels are essential to assuring customer departments have the appropriate selection and quantity of items given changes in demand.

� (u) 2. Eliminating may be an option, but an effective linen management program would be adjusted based on demand and related cost/benefit analysis.

� (c) 3. Tracking linen loss rates by linen item type, and understanding the means whereby items are lost, are pivotal to developing a loss minimizing or lost linen recovery program.

� (c) 4. Reporting linen line item costs and utilization reports are key elements of an effective linen management program

Sample Questions

� In the event of a positive biological indicator in a sterilized load, which of the following steps must be followed?

� 1. Check wrapping for integrity.2. Isolate the load.3. Rewrap and reprocess the load.4. Notify infection control and risk management if any sets were used before the test was read.



Sample Questions

� EXPLANATIONS:

� (u) 1. Instrument wrapping will not affect the biological indicator.

� (c) 2. Load isolation is part of the recall process.

� (c) 3. Isolation and reprocessing of the load contents are parts of the recall process.

� (c) 4. Notification of a positive biological indicator is part of the recall process

Sample Questions

� Which organization develops manufacturing standards for surgical instrumentation?

� A. AHA

� B. AORN

� C. ASHCSP

� D. AAMI

Sample Questions

� EXPLANATIONS:

� (u) A. The American Hospital Association (AHA) develops policies and standards, but not those related to instrumentation.

� (u) B. The Association of Operating Room Nurses (AORN) develops sterilization standards, and may make recommendations about instrumentation, but does not set instrumentation standards.

� (u) C. The American Society for Healthcare Central Service Professionals (ASHCSP) does not develop instrumentation standards.

� (c) D. The Association for the Advancement of Medical Instrumentation (AAMI) sets instrumentation standards

Sample Questions

� Specify the parameters required to assure sterilization has been met.

� A. temperature, time, and pressure

� B. steam, pressure, and chemical indicator

� C. pressure, contact, and packaging

� D. heat, humidity, and time

Explanation

(c) A. Time, temperature, and pressure are parameters indicated on the sterilization chart/graph for each type of sterilizer for each cycle.

� (u) B. Time, in addition to steam and pressure, is required for a complete sterilization cycle.

� (u) C. Although pressure is required, there is not a manner in which contact can be determined, packaging is not required for flash sterilization.

� (u) D. Heat is equivalent to temperature, humidity is not a measurable parameter, and time is required

Sample Questions

� According to Dr. W. Edwards Deming, quality transformation rests on which of the following key tenets?

� 1. Decisions must be based on fact.2. The people who know the work best are the ones who perform it.3. Graphically displayed information determines best course of action.4. Groups of people working in teams can be more successful than individuals working alone.



Sample Questions

� EXPLANATIONS:

� (c) 1. Deming's work focuses on people, processes, and workflow.


� (u) 3. Graphically displayed information is a tool to illustrate concepts and is not a key tenet.


�Conclusion

Purpose of CMRP Certification

� Recognize individuals who meet eligibility.

� Encourage continued personal and professional growth in the practice.

� Provide a national standard of requisite knowledge required for certification.

Our Standard of Excellence

Be Proud of It!

Questions?

�THE END

Sample Questions

� A Health Insurance Portability and Accountability Act (HIPAA) compliance program for a purchasing department should include a

� 1. vendor confidentiality statement covering protected information.2. clause inserted into every contract that covers protected information.3. statement reflecting the facility gifting policy.4. statement describing actions taken if a policy is violated.



Sample Questions

� EXPLANATIONS:

� (c) 2. Hospitals must protect themselves from disclosure of protected information that a vendor may acquire. They must also articulate and disclose action steps for failure to comply with HIPAA-related policies. While a gifting policy should be part of a hospital's code of employee conduct, it is not essential and does not pertain to HIPAA.

.

Samples Questions

� The highest level of infection control that can be achieved with peracetic acid is

� A. sterilization.

� B. high-level disinfection.

� C. decontamination.

� D. disinfection.

Sample Questions

� EXPLANATIONS:

� (c) A. Peracetic acid kills gram-positive and gram-negative bacteria, fungi, and yeast in fewer than 5 minutes of processing time. The FDA has approved peracetic acid as a sterilant.

� (u) B. See Explanation A.

� (u) C. See Explanation A.

� (u) D. See Explanation A

Sample Questions

� If a vendor representative is involved in a surgical case, which of the following information may not be disclosed to the vendor's company under the Health Insurance Portability and Accountability Act (HIPAA)?

� A. items used in case

� B. physician's name

� C. case date

� D. patient diagnosis

Sample Questions

� EXPLANATIONS:

� (u) A. The vendor representative will need the items used in order to bill the facility for the items used and restock the vendor-managed inventory (VMI).

� (u) B. The physician's name is not considered confidential under HIPAA.

� (u) C. The case date is not covered under HIPAA.

� (c) D. Under HIPAA, patient information is considered confidential, and may only be disclosed to the particular parties involved

� Which of the following waste separation strategies in the operating room will result in the lowest amount of red bag waste and be in compliance with (OSHA) Bloodborne Pathogens Standards?

� A. All waste coming out of an operating room suite must be contained in a red bag.

� B. Waste from an operating room suite that is generated before a patient enters the room can go in regular trash, but all waste generated after the patient comes into the room must be contained in a red bag.

� C. Waste from an operating room suite that is soiled, but not dripping, with blood or body fluids must be contained in a red bag and all other waste can go into regular trash.

� D. Waste from an operating room suite that is saturated with blood or body fluids must be contained in a red bag and all other waste can go into regular trash.

Sample Questions

� EXPLANATIONS:

� (u) A. See Explanation D.

� (u) B. See Explanation D.

� (u) C. See Explanation D.

� c) D. According to OSHA Standards, only waste that is saturated with blood or body fluids must be contained in a red bag. Even if there is evidence of blood or body fluids on the items, they do not automatically need to be disposed in red bags. The amount of blood or body fluids must be enough that the item is completely saturated so that the fluid may drip off or flake off once dried

Sample Questions

� Corporate compliance is a program that relates closely to an organization's

� A. ethics.

� B. mission.

� C. goals.

� D. finances.

Sample Questions

� EXPLANATIONS:

� (c) A. The intent of a corporate compliance program is to

observe the spirit of the law, and therefore closely relates to the ethics of the organization.

� (u) B. Corporate compliance does not directly affect the mission of the organization.

� (u) C. Corporate compliance does not directly affect the goals of the organization.

� (u) D. Corporate compliance does not directly affect the finances of the organization although it influences the prevention of fraud.

Sample Questions

� The purpose of a SWOT analysis is to

� A. understand current strategic position.

� B. identify safety hazards in the environment.

� C. determine appropriate staffing levels.

� D. assess the needs of customers.

Sample Questions

� EXPLANATIONS:

� (c) A. Examining the aspects of an institution's strengths, weaknesses, opportunities, and threats during a SWOT analysis is intended to give information about strategic positioning and possible tactics to attain objectives.

� (u) B. See Explanation A.

� (u) C. See Explanation A.

� (u) D. See Explanation A.

Sample Questions

� Which of the following is a strategic objective?

� A. Reduce inventory by the end of the fiscal year.

� B. Reduce inventory by 15% and maintain customer satisfaction.

� C. Reduce inventory by 15% by the end of the fiscal year.

� D. Reduce inventory by 20% and increase customer communication

Sample Questions

� EXPLANATIONS:

� (u) A. This response lacks a quantitative standard.

� (u) B. The inventory reduction target is clear and measurable, but there is no time reference.

� (c) C. The objective and the time frame are clear and able to be measured.

� (u) D. The objective of reduction is clear, but there is no time reference.

Sample Questions

� Total capital equipment life cycle costs include the:

� A. Depreciation expense

� B. Initial purchase price

� C. Future replacement price

� D. Manufacture’s standard warranty price.

Sample Questions

What does FOB destination mean?

A.The buyer pays all freight charges

B.The seller pays all freight charges

C.The seller retains ownership in transit

D.The buyer retains ownership in transit

Sample Questions

A basic stock out ratio is calculated by dividing the

A.Reorder point by the lead time

B.Average usage by the monthly receipts

C.Number of lines out by the number of lines ordered

D.Number of stock outs by the number of receipts

Samples Questions

To maximize return on investment for a new MMIS, implementation processes should do which of the following?

A.Encourage and act on user feedback

B.Utilize the system’s “best practices.”

C.Incorporate customization of the system as part of the overall plan

D.Map business processes to system processes immediately after activation

Sample Questions

Which of the following is the LEAST effective strategy for a hospital surviving a prospective payment system?

A.Laying off staff

B.Increasing efficiencies

C.Reducing budgetary costs

D.Maximizing payment from contractual payers

Sample Questions

A hospital is considering developing a sterile custom pack program. To help offset initial start-up costs, the hospital may market its services to smaller facilities within a 50-mile radius. The hospital’s MM department should consider which of the following before making this decision?

1. A market review of other facilities to determine if there is interest

2. A cost analysis of equipment, supplies and labor needed for the venture

3. A comparative analysis of in-sourcing and out-sourcing to determine cost benefit ratio

4. A report stating how much expansion would be possible for the MMdepartment

continued

� A. 1,2 and 3 only

� B. 1,2 and 4 only

� C. 1,3 and 4 only

� D. 2,3 and 4 only

Samples Questions

Turns are defined as a basic measure of efficiencies in:

� A. Management

� B. Vendor delivery

� C. Financial control

� D. Inventory control

Sample Questions

When a capital requisition has been generated, a buyer needs to take which of the following criteria into account to determine the best method of procurement?

A.Shortages in the industry

B.Lease or purchase decision

C.Whether an item is in stock

D.Economic events in the industry

Documents

CMRP Overview Session - WSHMMA Overview Session.pdf · CMRP Overview Session Disclaimer Please be advised that this is only an overview of the Materials Management Review Guide. It