CHC Practice Test Notes Flashcards
How is Simple Payback calculated
Capital project Cost divided by Savings per year
Which is the following way to determine the financial viability of an energy saving measure?
A) New Present Valve
B) Simple Payback
C) Simple Rate of Return
D) Internal Rate of Return
Simple Payback
Financial Viability of Energy Saving)
What is Net present Valvue (NPV)?
The difference between the present value of cash inflows and the present value of cash outflows
NPV is used in capital budgeting to analyze the profitability of an _______ or ______
investment, project
_______ analysis is sensitive to the reliability of future cash inflows that an investment or project will yield. This is a more advanced decision making tool
NPV
Financial Viability of Energy Saving)
_____ ____ __ ____ shows the amount of time it will take to recover an investment.
It is calculated by dividing the return from the investment by the investment cost
Simple rate of return
Financial Viability of Energy Saving)
Using the Simple Rate of Return method, if one invests $1,000 and receives $150 in the first year of the investment, what is the rate of return?
15%
Financial Viability of Energy Saving)
What is the internal rate of return?
It is similar to the simple rate of return but defines the expected benchmark rate for a go/no go decision on projects.
IRR is the rate of growth a project is expected to generate
IRR is calculated by the condition that the discount rate is set such that the NPV=0 for a project
Which of the following entities requires healthcare institutions to establish an emergency communications plan?
A) The Joint commission
B) The Facility Guidelines Institute
C) The National Fire Protection Association
D) The Center for Disease Control (CDC)
A) The Joint Commission
The Guidelines for Design and Construction of Health Care Facilities does not address an emergency communications plan. True or False?
True. It does not address it
Which of the following is used by hospitals in developing an emergency management plan?
A) Defend-in-Place Analysis
B) Hazard Vulnerability Analysis (HVA)
C) Interim Life Safety Measures (ILSM)
D) Infection Control Risk Mitigation Recommendations (ICRMR)
Hazard Vulnerability Analysis (HVA)
_____ is used by hospitals to assess events that could trigger the emergency operations plan for the organization and the likelihood of those events occuring
HVA (Hazard Vulnerability Analysis )
Defend-in-Place Analysis is part of the ____ ____ for project design
code review
ILSM define alternate measures taken to compensate for ____ deficiencies in the life safety systems
known
Infection Control Risk Mitigation Recommendations (ICRMR) is part of the infection control process _____ construction or maintenance operations
During
According to the ILSM, how often is fire alarm testing required if a temporary system has to be put in place?
Monthly
Who determines that a temporary fire alarm system must be tested monthly?
The Joint Commission
If a unit has a separate CMS provider number, but is being constructed as an addition to the hosital, it be separated by a ___ hour fire barrier and have ____ or metered utilities
2, independent
NFPA 241-2009 requires that construction areas be separated from occupied areas within a non-sprinklered building by a minimum fire-rated barrier of ____ hours
1
The CDC recommends that microbiologic sampling of air, water and inanimate surfaces occur only in which 4 situations
Outbreak Investigation
Research
Microbial Abatement Validation
Infection Control Procedure Evaluation
What is a sentinel event
An unexpected occurence involving death or serious physical or psychological injury, or the risk therof.
NFPA 101 requires that every floor used for sleeping or treatment of patients in an new healthcare facility be divided in not less than ___ smoke compartments with a maximum size of ___SF per compartment
2; 22,500
NFPA 101 requires that the maximum travel distance to any exit in a smoke compartment be less than ___ feet
200
According to the Guidlines for the Design and Construction of Health Care Facilities “clean to dirty” refers to ____ ___
air flow
What is a Protective Environment (PE) room?
a room intended for use by immunocompromised pateint, i.e patients with compromised immune systems who are more sysceptible to infection.
Legionella bacteria in a hospital setting thrives under what 2 conditions?
Stagnent Water & Favorable temperatures (warm)
Ambulatory care centers are not equipped for patients requiring care beyond a ____ hour period
23 1/2
What are 4 necessary things for a hospital command center to have?
TV, emergency power, network connection & whiteboards
A hospital _____ _____ center is used as the location from which the operation of the facility takes place when there are unusual circumstances, either external or internal such as a prolonged power failure.
incident command
According to the National Center for Missing and Exploited Children (NCMEC), the most effective method for reducign infant abduction is to educate mothers to release thier infants only to ____ ______
authorized personnel
The ______ _______ standards requires emergency power for the the following:
- Alarm systems as required by NFPA
- Exit Route and exit sign illumination as required by the Life Safety Code
- Elevators
- Equipment that could cause harm when it fails (life support systems, med gas, etc.)
- Areas in which loss of power could result in patient harm (OR’s, Nurseries, Urgent Care, etc.)
Joint Commission
Marketing and community pressure are benefits to healthcare institutions pursuing sustainable features in a project. True or False
True
CT devices use ____ ____ (x-rays) in their operation
ionizing radiation
When a medical gas system is breached to add gas outlets, what must happen?
The system downstream from the nearest zone valve must be tested
The minimum design effeciency for a HEPA filter is ____% efficient again ___ microns in diameter
99.97%, 0.3
An airborne infection isolation rooms requires ___ air changes per hour with negative pressure relative to the surrounding areas
12
Radioactive materials are used in _______ ______ _____ (PET) diagnostic testing
Positron emission tomography
Sustainability ) What 2 agencies are recongnized to awards certification for buildings constructed to meet thier standards?
The Green Guide for Health Care; Green Globes
A facility may be designated as a ____ _____ hospital if it maintains no more than 25 inpatient beds, maintains an annual average length of stay of 96 hours per patient for acute inpatient care, and complies with all CAH Conditions of Participation, including to make available 24-hour emergency care services 7 days a week
Critical Access
What is the primary purpose for the the separate of branches in a hospitals power distribution system?
So that in the case of a power failure and the generator kicks on, the equipment, critical & life safety loads can be shed in order of priority. The life safety load should be the last load to fail.
The ____ (NIH) is an agency of the United States Department of Health and Human Services and is the primary agency of the US government responsible for biomedical and health-related research
National Institute of Health
The ____ is an agency of the US Department of Health and Human Services responsible for protecting and promoting public health through the regulation and supervision of food safety, tobaccoo products, etc.
FDA
The _____ addresses the topic for medical gas valves, piping and outlets which are commonly adopted by the AHJ
National Fire Protection Association (NFPA)
Precast concrete is the ____ expensive construction technique for a building envelope/skin
least
NFPA requires that the AHJ be notified if the fire alarm system is being taken out of service for more than __ hours in an 24 hour period
4
What gases are required in a typical Med/Surge patient room?
Vacuum & Oxygen
The type of major medical equipment selections needed should be made during the _____ Design phase so the design team can accommmodate all the anticipated final equipment features into the project. Specific models can be determined later
Schematic
NFPA 101 states that the primary level of exit discharge of a building shall be the lowest story whose floor is level with or above finished grade on the exterior wall line for ___% or more of its perimeter.
50
How is the Facility Condition Index (FCI) calculated?
By dividing the Deferred Maintenance Costs or Deficiency cost by the Capital Asset Value or Cost to Replace the building. The higher the FCI the worse the condition of the building.
Joint Commission standards for ISLM requires _____ inspections of all temporary systems
Monthly
The Joint Commission requires that the inspection of exits in the affected area be inspected how often in the ILSM?
Daily
The _____ _____ standards require hospitals to identify security senstive areas
Joint Commission
_____ establishes procedures required to minimize the disruption of facility operation and the distribution of dust, odors, and particulates. It is created before construction starts.
ICRA (Infection Control Risk Analysis)
What should the owner be provided with upon occupancy of the building?
Closeout/ Record Documents (As-builts,etc.)
