AHA CHFM - Certified Health Care Facility Manager (CHFM)

Builder’s risk insurance is first-party property insurance that covers physical loss to the work under construction, including the replacement or repair value of a structure and materials during the construction period. It does not provide workers’ compensation (A), payment bond protection for subcontractors (B), or performance/contractor default liability (D). Those are separate coverages (workers’ comp, payment bond, performance bond).

NFPA 70 (NEC) Article 110.26(A)(1) establishes the depth of working space in front of electrical equipment. For systems 0–150 volts to ground, the minimum depth is 3 ft (36 in.); for 151–600 volts, the required depth is 3–4 ft depending on the condition (exposed live parts and grounded surfaces). In healthcare facilities, unless a more stringent “condition” applies, the baseline minimum clearance encountered for 600 V or less is 36 inches.

To stay within the $5,000,000 annual budget, the facilities department must reduce monthly spending to $337,500 for the remaining 8 months.

Hospitals must have a Type 1 Essential Electrical System (EES) as required by NFPA 99. Type 1 systems provide at least two separate branches: the Life Safety branch and the Critical branch, ensuring continuous power to essential life support, patient care, and safety functions during utility outages.

Type 2 systems (for smaller facilities) have fewer requirements.

Type A and B are not classifications under NFPA 99.

Submittals and shop drawings are specifically reviewed to ensure compliance with the design intent, plans, and specifications prepared by the architect/engineer. Code compliance is established during design and permitting, while minimizing change orders or ensuring contractor understanding are indirect benefits.

In a standard patient room in a healthcare facility, the typical medical gas outlets include:

Oxygen (1) – for patient respiratory therapy.

Medical Air (2) – used for respiratory support.

Vacuum (4) – for suction applications.

Nitrogen (3) is not normally supplied in a patient room; it is typically used in surgical suites for powering tools.

Any renovation project in a healthcare environment—even in non-clinical spaces like a dietitian’s office—requires evaluation of infection control and safety hazards. The Infection Control Risk Assessment (ICRA) process, supported by The Joint Commission and Facility Guidelines Institute (FGI) standards, mandates involvement of infection prevention and safety personnel in planning.

Correct (D): Ensures compliance with infection prevention standards and staff/patient safety during renovation.

Incorrect:

A. housekeeping and security: Important for support but not primary coordinators.

B. interior designer and supply chain: Handle design and material procurement, but not regulatory compliance.

C. information technologies and finance: Important in certain projects, but not relevant for infection/safety planning.

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.

Best practice in healthcare facilities management is to keep one critical spare part for each unique piece of patient-care equipment (not for every unit). This approach balances patient safety and risk mitigation while avoiding excessive storage costs.

A: “As needed” creates downtime risk.

B: Annual bulk purchase may leave gaps in urgent needs.

D: One-for-one spares is excessive, costly, and impractical.

NFPA 110 (Standard for Emergency and Standby Power Systems) requires that emergency generators be tested monthly under load. If the available load is less than 30% of the generator’s nameplate rating, the test may be conducted until operating parameters (water temperature, oil pressure) stabilize. For longer durations, supplemental loading or load bank testing applies, but the minimum standard is monthly operation until systems stabilize.