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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Planning, Design and Construction | 18% | - Interim life safety measures - Infection control and risk assessment - Capital project planning and management - Construction safety and commissioning |
| Topic 2: Compliance | 33% | - Life safety and fire safety - Regulatory standards and codes - Emergency preparedness and response - Documentation, inspections and corrective actions |
| Topic 3: Finance Management | 10% | - Life-cycle cost analysis - Operating and capital budgeting - Deferred maintenance and stewardship - Cost control and financial reporting |
| Topic 4: Administration | 12% | - Strategic and performance management - Workforce development and safety programs - Leadership and organizational management - Policies, procedures and communication |
| Topic 5: Maintenance and Operations | 27% | - Building systems: HVAC, electrical, plumbing - Preventive maintenance and asset management - Medical gas and emergency power systems - Utilities and operational continuity |
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NEW QUESTION # 10
The Safe Medical Device Act of 1990 requires reporting of incidents involving a medical device when which of the following occurs?
Answer: C
Explanation:
The Safe Medical Device Act (SMDA) of 1990 requires healthcare facilities to report to the FDA and the manufacturer when a device is suspected of causing or contributing to death or serious injury.
C). death or injury (Correct): Specifically mandated under SMDA.
A). inappropriate application: A usage issue, not a reporting trigger.
B). recall: Issued by the FDA/manufacturer, not the facility's reporting obligation.
D). major breakdown: Requires service but not mandatory reporting.
References:
Safe Medical Device Act of 1990, Public Law 101-629.
FDA Medical Device Reporting (MDR) requirements.
CHFM Candidate Handbook - Compliance domain.
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NEW QUESTION # 11 
(Base Bid / Alternate A / Alternate B)
Company A: $18,000 / $2,000 / Not available
Company B: $20,000 / $3,000 / Included
Company C: $19,000 / $4,000 / $500
Company D: $19,000 / $4,000 / $1,000
Which company has the LOWEST cost if alternate B is chosen?
Answer: B
Explanation:
When Alternate B is chosen, total price = Base Bid + price for Alternate B (or zero if "Included").
Lowest total = $19,500 (Company C).
References:
AHA/CHFM Exam Content Outline - Planning, Design, and Construction domain (procurement/bid evaluations and alternates).
ASHE Project Management guidance - Evaluating base bids with alternates.
NEW QUESTION # 12
To protect systems and life, GFCI systems monitor which of the following?
Answer: A
Explanation:
A Ground-Fault Circuit Interrupter (GFCI) continuously monitors the current balance between the "hot" and
"neutral" conductors. If an imbalance greater than about 5 milliamps occurs (indicating leakage current flowing to ground), the GFCI trips instantly to protect personnel from shock.
Correct (D): Current - GFCIs detect differences in current between conductors.
Incorrect: Resistance (A), Voltage (B), and Power (C) are not directly monitored by GFCIs.
References:
NFPA 70: National Electrical Code (NEC), Article 100 - GFCI definition.
OSHA Electrical Safety Standards, Subpart S - Requirement for GFCI personnel protection.
AHA/CHFM Exam Content Outline - Compliance domain, electrical safety requirements.
NEW QUESTION # 13
Child abduction system evaluation is best accomplished by
Answer: D
Explanation:
The evaluation of child abduction systems-such as infant security alarms, electronic tagging devices, and controlled access systems-falls under the expertise of security professionals. These professionals are trained to test, monitor, and validate the effectiveness of electronic security and surveillance systems. Their role ensures that abduction-prevention technology is properly installed, maintained, and capable of responding effectively in an emergency.
* Correct Answer (B. security professionals): According to the CHFM exam content outline under Compliance, healthcare facilities are expected to implement and evaluate security measures that meet regulatory and safety requirements. The responsibility for the technical and functional evaluation of systems like infant abduction alarms lies with trained security staff.
* Incorrect Options:
* A. administration: While hospital administration sets policy and allocates resources, they are not directly responsible for evaluating technical systems.
* C. the safety committee: Safety committees review incidents and provide oversight but do not conduct system-level technical evaluations.
* D. risk managers: Risk managers focus on identifying potential liability and compliance issues but rely on security professionals to conduct the detailed evaluation of child abduction systems.
Relevance to CHFM Compliance Domain:
Within the Compliance domain of the CHFM exam, managers must demonstrate knowledge of regulatory standards for security in healthcare facilities, particularly in sensitive areas such as maternity wards.
Evaluation of abduction-prevention systems aligns directly with security operations, which are managed and verified by trained security professionals to ensure compliance with The Joint Commission (TJC), CMS, and industry best practices.
References:
American Hospital Association (AHA), CHFM Candidate Handbook - Exam Content Outline, "Compliance" domain: includes responsibilities for security and safety system evaluation.
The Joint Commission (TJC), Environment of Care Standards - Requirements for infant and pediatric abduction prevention measures.
NFPA 99: Health Care Facilities Code - Security system integration into patient safety measures.
NEW QUESTION # 14
Fire drills in healthcare occupancies shall include the
Answer: B
Explanation:
NFPA 101 (Life Safety Code, Chapter 18/19.7.1.4) requires healthcare fire drills to include transmission of the fire alarm signal and a simulation of emergency fire conditions, ensuring staff are trained to carry out emergency duties. Full evacuation of patients is not required during drills.
References: NFPA 101, Sections 18/19.7.1.4; The Joint Commission EOC standards.
NEW QUESTION # 15
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