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| Section | Weight | Objectives |
|---|---|---|
| Healthcare Delivery Systems and Community Resources | 10% | - Community-based services and resources - Interdisciplinary collaboration - Continuum of care settings - Healthcare policy and systems |
| Ethics, Legal, and Practice Standards | 18% | - Professional ethics and conduct - Confidentiality and privacy - Scope of practice and roles - Advocacy and patient rights - Legal and regulatory requirements |
| Reimbursement Methods | 12% | - Insurance principles and benefit structures - Financial resources and negotiation - Managed care and accountable care concepts - Coding and utilization review principles - Payment and reimbursement methodologies |
| Quality and Outcomes Evaluation and Measurements | 10% | - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards - Data collection and reporting - Performance improvement - Outcome measurement and analysis |
| Care Management | 30% | - Evidence-based case management models and tools - Client-centered care plan development - Caseload assignment and selection criteria - Care coordination and collaboration - Cost containment principles - Medication management - Age-specific care application |
| Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Cultural competence and diversity - Abuse and neglect recognition - Behavioral change theories and models - Family dynamics and support systems |
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질문 # 137
You are the Contract Manager for the Engineer in a hospital project using FIDIC Yellow Book (edition 2017).
The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during design and construction. Which one of the following is considered to be a valid Variation?
정답：A
설명：
Option B is correct: A Variation is a formal change to the Works instructed by the Engineer via a Notice (Sub- Clause 3.5). This includes changes to design or execution such as slopes on a road.
Option A is a proposal, not yet a Variation. Positive interest does not constitute a Variation.
Option C is partially correct but depends on formal instruction after proposal acceptance; the question specifies the Engineer instructs the Variation, but since it was a request for proposal first, the Variation instruction comes later. Without explicit instruction, this is not yet a Variation.
Option D is invalid as verbal instruction plus a Notice denying cost claims does not constitute a proper Variation.
References:
FIDIC Yellow Book 2017 Edition, Sub-Clause 3.5 - Variation Procedure
FIDIC Contract Manager Study Guide, Module on Variations and Change Management
질문 # 138
The Contractor is entitled to an advance payment. Applying FIDIC Red Book (edition 1999), which two of the following statements are correct?
Choose all of the correct answers (multiple possibilities):
정답：B,C
설명：
Comprehensive and Detailed Explanation:
Under FIDIC Red Book 1999, advance payment is intended to assist the Contractor in financing the mobilization and early works costs before the Contractor begins receiving regular payments for work performed (Option A). It is not a payment for work already completed, so Option B is incorrect.
The General Conditions provide that the advance payment is usually made in a lump sum or agreed instalments and that the Employer makes the payment in advance (Option C is partially true but generally it can be one or multiple instalments, depending on contract terms).
Importantly, the advance payment must be repaid by the Contractor through deductions from subsequent interim payments (Option D), ensuring the Employer recovers the advanced funds as the work progresses.
References:
FIDIC Red Book 1999, Sub-Clause 14.2 - Advance Payment
FIDIC Contract Manager Study Guide, Module on Payment Procedures and Financial Management
질문 # 139
You are the Contract Manager of the Engineer and person Y is the Contract Manager of the Employer in a construction project under FIDIC 2017 Red Book. The project is late in schedule and Y has issued Employer's claim on Delay Damages. You have asked Y to consider whether the Contractor's delay to completion is a reflection of cash-flow shortfall from interim payments before making deductions to the Contractor's payment. Y replied that even if the Contractor pays Delay Damages to the Employer, the Contractor is still obliged to complete the Works and is not relieved from its duties and obligations. You warned Y of the risks of further reduction of cash-flow by the deduction of Delay Damages from payments. As this could worsen the situation of the Contractor, leading to further delays to the completion of the Works. Who is right?
정답：B
설명：
Both statements are correct:
Y is right that payment of Delay Damages does not relieve the Contractor from completing the Works.
You are also correct that excessive deduction of Delay Damages can reduce the Contractor's cash flow, potentially worsening delays.
This situation requires careful balance between enforcing contractual rights and maintaining project progress.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 8.7 - Delay Damages
FIDIC Contract Manager Study Guide, Module on Claims and Cash Flow Management
질문 # 140
(Which one of the following statements is correct regarding the Employer ' s Representative under the FIDIC Silver Book (edition 1999)?)
정답：A
설명：
Under the FIDIC Silver Book 1999, Sub-Clause 3.1 [The Employer's Representative] provides that the Employer may appoint an Employer's Representative to act on his behalf. This reflects the optional nature of this role in EPC/Turnkey contracts, where the Employer typically has a more limited involvement compared to Red Book arrangements.
Option B is correct because the contract explicitly allows (but does not mandate) such an appointment. The Employer's Representative can carry out duties and exercise authority as delegated by the Employer.
Option A is incorrect because while neither the Employer's Representative nor any other party can unilaterally amend the Contract, this statement is misleading and not specific to the role defined in the Silver Book.
Option C is incorrect because the appointment is not mandatory; the Employer may choose not to appoint a Representative.
Option D is incorrect because the Employer does not need the Contractor's agreement to appoint an Employer' s Representative. The appointment is at the Employer's discretion, although it must be notified to the Contractor.
This reflects a key feature of the Silver Book: greater Employer control and flexibility, with fewer administrative layers compared to contracts involving an independent Engineer.
질문 # 141
Under the FIDIC Silver Contract (edition 2017), which two of the answers provide for preconditions for certification and payment of the Interim Payment Certificate?
Choose all of the correct answers (multiple possibilities).
정답：B,D
설명：
Comprehensive and Detailed Explanation:
Option A is correct: Certification and payment of interim payments are conditional on Employer's receipt of the Contractor's appointment and the Advance Payment Guarantee (Sub-Clause 14.2.1).
Option D is correct: Payment also requires receipt of the Contractor's statement supported by relevant documentation.
Option B alone is insufficient without supporting documents.
Option C relates to appointment and performance security but is not a stated precondition for payment certification.
References:
FIDIC Silver Book 2017 Edition, Sub-Clause 14.6 - Interim Payment Certificates FIDIC Contract Manager Study Guide, Module on Payment Procedures
질문 # 142
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