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| Section | Objectives |
|---|---|
| Operations and Maintenance Management | - Facility maintenance systems - Equipment and infrastructure management |
| Financial and Asset Management | - Budgeting and cost control - Asset lifecycle management |
| Healthcare Environment and Regulatory Compliance | - Accreditation and inspection requirements - Regulatory standards and healthcare codes |
| Leadership and Administration | - Strategic planning and communication - Human resource and team management |
| Planning, Design, and Construction | - Construction oversight and project management - Facility planning and capital projects |
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NEW QUESTION # 18
To minimize the number of change orders, it is best to have
Answer: D
Explanation:
The primary cause of change orders is incomplete or unclear plans and specifications. Ensuring that drawings and specs are fully developed before bidding reduces ambiguity, scope gaps, and the likelihood of modifications during construction.
A (Correct): Complete plans/specs = fewer change orders.
B: Bonds/policies protect financially but do not reduce change orders.
C: Prequalification ensures capable bidders but doesn't eliminate scope issues.
D: Competent managers/subcontractors help but cannot offset incomplete design docs.
Reference: CHFM Handbook - Planning, Design, and Construction domain.
NEW QUESTION # 19
In order to ensure a safe environment for patients, what department must be involved during the planning of all construction projects?
Answer: C
Explanation:
All construction and renovation projects in healthcare must include Infection Control Risk Assessment (ICRA). Infection Control professionals assess potential risks such as dust, ventilation disruptions, and waterborne hazards during construction. They ensure patient safety through control measures (barriers, negative pressure, monitoring).
D). Infection Control (Correct): Mandatory involvement in construction planning.
A). IT / B. Biomed / C. Patient Services: May participate but are not mandated by TJC and CDC requirements for ICRA.
References:
CDC Guidelines for Environmental Infection Control in Healthcare Facilities.
The Joint Commission, Environment of Care and Infection Prevention Standards.
CHFM Candidate Handbook - Planning, Design, and Construction domain.
________________________________________
NEW QUESTION # 20
The cost to replace an aging chiller should be part of an organization's
Answer: B
Explanation:
Replacement of major building systems (e.g., chillers, boilers, roofs) falls under capital expenditures because these items are large, non-recurring, and add to or extend the life of facility assets. The capital budget accounts for these costs, which are not part of the day-to-day operations budget.
Correct: Capital budget (A) - Covers replacement of major equipment and infrastructure.
Incorrect:
B). Project fund - May finance special projects but not part of standard budgeting categories.
C). Depreciation fund - An accounting mechanism, not typically a direct budget line for replacement.
D). Operating budget - Covers recurring expenses like utilities, maintenance, and repairs, not full replacements.
References:
AHA/ASHE: Health Care Facility Budgeting Guidance.
CHFM Candidate Handbook - Financial Management domain: capital vs. operating budgeting.
NEW QUESTION # 21
According to OSHA, which of the following is required as part of a lockout/tagout program?
Answer: D
Explanation:
OSHA's Control of Hazardous Energy (Lockout/Tagout) Standard (29 CFR 1910.147) requires that employers implement a staff training program to ensure all affected employees understand energy control procedures. Insulated tools, logs, or clothing may be used in some contexts, but training is mandatory under OSHA.
References: OSHA 29 CFR 1910.147(c)(7) - Employee Training and Communication.
NEW QUESTION # 22
What is the required fire rating of a door in a 2-hour rated wall assembly?
Answer: B
Explanation:
NFPA opening-protective tables specify that doors protecting openings in 2-hour fire-resistance-rated fire barriers are required to have a 1-1/2-hour (90-minute) fire protection rating. This distinction between the wall' s fire-resistance rating and the door's fire-protection rating is standard in NFPA 101 and NFPA 80.
References:
NFPA 101: Life Safety Code - Table for opening protective ratings in fire-resistance-rated assemblies.
NFPA 80: Standard for Fire Doors and Other Opening Protectives - Fire door rating requirements for 2-hour barriers.
AHA/CHFM Exam Content Outline - Compliance domain (Life Safety Code requirements).
NEW QUESTION # 23
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