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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Compliance | 33% | - Documentation, inspections and corrective actions - Life safety and fire safety - Emergency preparedness and response - Regulatory standards and codes |
| Topic 2: Maintenance and Operations | 27% | - Utilities and operational continuity - Building systems: HVAC, electrical, plumbing - Preventive maintenance and asset management - Medical gas and emergency power systems |
| Topic 3: Planning, Design and Construction | 18% | - Construction safety and commissioning - Infection control and risk assessment - Interim life safety measures - Capital project planning and management |
| Topic 4: Administration | 12% | - Leadership and organizational management - Strategic and performance management - Policies, procedures and communication - Workforce development and safety programs |
| Topic 5: Finance Management | 10% | - Cost control and financial reporting - Life-cycle cost analysis - Operating and capital budgeting - Deferred maintenance and stewardship |
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NEW QUESTION # 39
After a recent lighting retrofit, the measured load on the affected lighting panel is 110 amps at 277 volts. The load is constant for 100 hours each week. Assuming the power factor to be 1, what is the annual energy consumption in kWh?
Answer: C
Explanation:
The correct calculation shows an annual energy consumption of 158,444 kWh. Smaller values (A and B) underestimate by factor of 10, while D overestimates by factor of 100.
References: NFPA 70; ASHE Energy Management Guidelines; CHFM Financial Management domain.
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NEW QUESTION # 40
Which of the following types of injuries is most likely to occur during an MRI scanning process?
Answer: C
Explanation:
MRI does not use ionizing radiation, so radiation-related injuries are not possible. The greatest risk is the
"missile effect" where ferromagnetic objects (scissors, oxygen tanks, tools) are violently pulled into the MRI bore by its powerful magnetic field.
D). Missile projection (Correct): Most likely injury hazard.
A). Visual impairment: Not a typical MRI injury.
B). Radiation overexposure: MRI uses magnetic fields, not radiation.
C). Hearing loss: Possible from loud noise but mitigated with ear protection; less common than missile hazard.
References:
FDA MRI Safety Guidelines.
ACR (American College of Radiology) MRI Safety Practices.
CHFM Candidate Handbook - Compliance domain.
NEW QUESTION # 41
Following standard accounting practices for the capital replacement of a generator, what would be the total capital budget?
Expense
Amount
New generator
$90,000
Removal of old generator
$9,000
Annual fuel
$2,000
Annual maintenance
$2,500
New batteries every three years
$1,500
Annual air permit
$700
New generator installation labor cost
$11,000
Answer: B
Explanation:
Capital budgeting includes expenditures directly associated with acquiring, replacing, and installing long-term facility assets. For the generator replacement project, the appropriate capital budget includes the purchase price of the new generator, removal of the existing generator, and installation labor.
The calculation is:
Generator purchase: $90,000
Existing generator removal: $9,000
Installation labor: $11,000
Total capital budget = $90,000 + $9,000 + $11,000 = $110,000.
Annual fuel consumption, routine maintenance, recurring permit charges, and periodic battery replacement are operating or recurring lifecycle expenditures rather than initial project capital costs.
Although actual financial reporting must follow the organization's capitalization policy, the examination scenario clearly distinguishes initial replacement expenditures from ongoing operating expenses.
Therefore, $110,000 represents the correct capital replacement budget.
Reference: Healthcare Facility Financial Management; Capital and Operating Expenditure Principles.
NEW QUESTION # 42
When more than one employee works on equipment that must be locked-out in accordance with OSHA regulations, which of the following is an acceptable procedure to follow?
Answer: B
Explanation:
OSHA's Control of Hazardous Energy (Lockout/Tagout) standard, 29 CFR 1910.147, requires that each authorized employee shall affix a personal lockout device to the energy-isolating device when they are working on equipment. This ensures that energy cannot be restored until every individual has removed their own lock, thereby directly protecting each worker.
Correct (D): The standard explicitly describes the use of a multiple lockout device (commonly called a hasp), where each employee applies their own personal lock. No lock may be removed until the individual's work is complete.
Incorrect Options:
A: Listing multiple names on a single lock/tag does not meet OSHA's requirement for individual control.
B: Providing multiple keys to a single lock defeats the purpose of individual energy control and is not compliant.
C: Commonly keyed locks are prohibited because one employee could remove another's lock.
Relevance to CHFM Exam (Compliance Domain):
The CHFM exam tests knowledge of OSHA workplace safety standards because healthcare facility managers must ensure compliance in utility and maintenance operations. Proper lockout/tagout procedures are critical for worker safety and regulatory adherence.
References:
OSHA 29 CFR 1910.147: The Control of Hazardous Energy (Lockout/Tagout) Standard.
AHA/CHFM Candidate Handbook - Compliance domain includes OSHA safety regulations.
NEW QUESTION # 43
A measured carbon dioxide level of 1,500 ppm in an area of a facility may indicate
Answer: D
Explanation:
Acceptable indoor CO# concentrations in healthcare facilities are generally expected to remain below 1,000 ppm, as recommended by ASHRAE Standard 62.1 (Ventilation for Acceptable Indoor Air Quality). A reading of 1,500 ppm typically signals inadequate ventilation and insufficient outside air being introduced into the space. This is a direct indicator of poor dilution of indoor contaminants.
Correct: Lack of outside air (C) - High CO# concentrations are directly linked to reduced outside air supply.
Incorrect:
A). Within design - Not correct, since 1,500 ppm exceeds design thresholds.
B). Vehicular exhaust - Would raise CO and NOx levels, not primarily CO#.
D). Humidity/dewpoint - Unrelated to CO# measurement.
References:
ASHRAE 62.1: Ventilation for Acceptable Indoor Air Quality.
CHFM Candidate Handbook - Maintenance and Operations domain: ventilation standards.
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NEW QUESTION # 44
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