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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Finance Management | 10% | - Operating and capital budgeting - Life-cycle cost analysis - Cost control and financial reporting - Deferred maintenance and stewardship |
| Topic 2: Maintenance and Operations | 27% | - Building systems: HVAC, electrical, plumbing - Utilities and operational continuity - Preventive maintenance and asset management - Medical gas and emergency power systems |
| Topic 3: Planning, Design and Construction | 18% | - Infection control and risk assessment - Capital project planning and management - Construction safety and commissioning - Interim life safety measures |
| Topic 4: Compliance | 33% | - Life safety and fire safety - Emergency preparedness and response - Documentation, inspections and corrective actions - Regulatory standards and codes |
| Topic 5: Administration | 12% | - Workforce development and safety programs - Policies, procedures and communication - Strategic and performance management - Leadership and organizational management |
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問題 #42
The cost to replace an aging chiller should be part of an organization's
答案：C
解題說明：
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.
問題 #43
A justification for having an institutional standard for a ball valve instead of a gate valve is that ball valves
答案：B
解題說明：
In healthcare facility maintenance, institutional standards are established to improve consistency, reliability, and efficiency in operations. Ball valves are often chosen over gate valves because they are available in standardized sizes, have fewer variations, and simplify inventory management. This allows facility departments to reduce the number of spare parts stocked and streamline repairs. The CHFM exam reference materials, including ASHE/AHA guidelines, highlight that "ease of inventory control and standardization" is a common justification for selecting one type of valve as a facility standard.
References:
AHA/ASHE: CHFM Exam Review Study Guide - Maintenance and Operations (Valve standardization discussion).
NFPA 99: Health Care Facilities Code - Emphasis on reliable shutoff valves for medical gas and facility piping systems.
CHFM Candidate Handbook - Maintenance and Operations content domain (equipment standardization).
問題 #44
Which of the following are requirements of a medical equipment management plan?
problem, failure, or user error data collection
a computerized equipment inventory
performance standards
an annual plan review
答案：B
解題說明：
A medical equipment management plan must include:
Problem/failure/user error data collection for trending and corrective action.
Performance standards to ensure safe and reliable operation.
Annual review of the plan to maintain compliance and effectiveness.
A computerized inventory system is a useful tool but not mandated by The Joint Commission or CMS; paper- based systems may still be acceptable if compliant.
References: The Joint Commission, Comprehensive Accreditation Manual for Hospitals, EC.02.04.01; AHA
/ASHE CHFM Handbook - Administration domain.
問題 #45
A liquid oxygen tank has the chart shown below attached to the side of the tank:
At 107 in. = 234,480 cu. ft. (from chart)
Hospital usage = 15,000 cu. ft./day
How many days of oxygen are left in the tank?
答案：D
解題說明：
Calculation:
234,480 ÷ 15,000 = 15.63 days # # 15 days supply available.
References: NFPA 99, Oxygen Storage and Piping Systems; CHFM Candidate Handbook - Maintenance and Operations domain.
問題 #46
During an analysis of a recent fire alarm log, a higher-than-normal incidence of construction-related fire alarm activations is discovered. The following tasks must be performed:
The hospital evaluates actions to confirm that they resulted in improvements.
The hospital takes action when it does not achieve or sustain planned improvements.
The facility manager identifies and prioritizes improvement opportunities.
The hospital takes action on improvement priorities.
What is the most effective procedural sequence?
答案：A
解題說明：
The correct sequence aligns with the Plan-Do-Check-Act (PDCA) cycle of continuous improvement:
Identify and prioritize opportunities (3).
Take action on those priorities (4).
Evaluate to confirm results (1).
Take further action if goals are not sustained (2).
This matches performance improvement processes emphasized in the CHFM Administration domain.
References: AHA/ASHE CHFM Handbook - Administration domain; Joint Commission Performance Improvement standards.
問題 #47
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