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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Planning, Design and Construction | 18% | - Construction safety and commissioning - Infection control and risk assessment - Capital project planning and management - Interim life safety measures |
| Topic 2: Administration | 12% | - Leadership and organizational management - Workforce development and safety programs - Policies, procedures and communication - Strategic and performance management |
| Topic 3: Compliance | 33% | - Documentation, inspections and corrective actions - Life safety and fire safety - Regulatory standards and codes - Emergency preparedness and response |
| Topic 4: Maintenance and Operations | 27% | - Medical gas and emergency power systems - Preventive maintenance and asset management - Building systems: HVAC, electrical, plumbing - Utilities and operational continuity |
| Topic 5: Finance Management | 10% | - Deferred maintenance and stewardship - Cost control and financial reporting - Life-cycle cost analysis - Operating and capital budgeting |
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67. Frage
Costs to overhaul an AHU to the extent that the life of the equipment is extended for five years are considered what type of cost?
Antwort: B
Begründung:
According to standard accounting practices, when an overhaul or replacement extends the useful life of an asset, it is considered a capital expenditure. Operating costs are day-to-day expenses; contingency is reserved budget for unforeseen costs; non-depreciable refers to land, not equipment.
References: AHA/ASHE CHFM Handbook - Financial Management (capital vs. operating cost criteria).
68. Frage
Which of the following must be considered at the schematic design stage?
Antwort: C
Begründung:
In the schematic design phase, the design team establishes overall building configuration, circulation, and code-driven life safety concepts, including means of egress. Life Safety Code requirements (occupant loads, exit access, number and arrangement of exits, travel distances) are fundamental constraints that shape the plan early; they must be set before moving into design development where specific fixtures and detailed equipment specifications are finalized. Contract "general conditions" are part of procurement/contract documents later, not schematic design.
References:
AIA, Architect's Handbook of Professional Practice (Programming and Schematic Design-code and egress framework).
NFPA 101, Life Safety Code (fundamentals of means of egress).
AHA/ASHE CHFM Study Resources - Planning, Design, and Construction domain.
69. Frage 
A facility has the following changes in annual operations because of a recycling program:
Landfill at $40/ton: Before 600T # After 390T
Compactor pulls at $200/pull: Before 104 # After 52
Cardboard recycling revenue at $30/ton: Before 0 # After 200T
Aluminum recycling revenue at $0.30/lb: Before 0 # After 2T
What was the gross revenue from the recycling effort?
Antwort: A
Begründung:
The CHFM exam Financial Management domain requires knowledge of cost savings and revenue generation calculations from operational changes such as recycling initiatives. In this example, gross revenue is calculated by summing the total recycling income streams (cardboard and aluminum).
Correct Answer (C. $7,200): Derived from combining $6,000 (cardboard) and $1,200 (aluminum) revenue.
Other options are incorrect because:
A ($6,000): Considers cardboard only.
B ($6,600): Misapplies aluminum tonnage conversion.
D ($18,000): Exaggerates revenue beyond calculated amounts.
References:
American Hospital Association (AHA), CHFM Candidate Handbook - Financial Management domain includes evaluating cost savings and revenue streams in facility operations.
Environmental Protection Agency (EPA), Waste Management and Recycling Revenue Guidance - Defines commodity values for recyclable materials.
70. Frage
Which of the following Environment of Care (EOC) management plans requires inspecting buildings/facilities and grounds to identify hazardous conditions?
Antwort: B
Begründung:
The Safety and Security Management Plan under TJC's Environment of Care standards requires healthcare facilities to regularly inspect buildings, facilities, and grounds to identify unsafe conditions and security risks.
C). Safety and Security Management (Correct): Includes hazard surveillance rounds.
A). Utilities Management: Focuses on utility systems operation and maintenance.
B). Hazardous Materials Management: Covers handling/storage/disposal of hazardous substances.
D). Fire Safety Management: Addresses fire protection systems and procedures, not general hazard inspection.
References:
The Joint Commission, Environment of Care Standards (EC.02.01.01).
AHA/CHFM Candidate Handbook - Compliance domain.
71. Frage
A visual indication that an electrical receptacle is hospital grade is that the receptacle
Antwort: C
Begründung:
Hospital-grade receptacles, as defined in UL 498 and required under NFPA 99 Health Care Facilities Code, must be marked with a green dot. This identifies receptacles tested for durability, grounding reliability, and retention force.
Red outlets are often tied to emergency power, but that is separate from the "hospital grade" designation.
References: NFPA 99, Chapter 6 (Electrical Systems); UL 498; CHFM Compliance domain.
72. Frage
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