1. Facilities Management Best Practices Version I
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2. Directions
This CD-ROM is meant to assist with review of the most current applications of facility management practices in the areas of Compliance, PDC, O&M, Finance, and Administration. There are two sections on this program. The first section consists of questions and answers for study, and resource review. It is important to note that the first section is for reference and knowledge only. The second section consists of sample items in the form of test questions for practice.

3. There is no express or implied warranty or guarantee with the content of the information contained herein, including accuracy, and correctness. This program is meant only as a study guide with resource material. All responsibility for validation of resource material is the responsibility of the student.
Registered Copyright

4. Quick Table of Contents
Section 1
Section 2
References
Compliance
PDC
Finance
Admin
O&M

5. Section One: Identified Roles for the Health Care Facility Manager
For questions for review of each topic click on the applicable topic:
Compliance
Planning, Design, and Construction
Maintenance and Operations
Finance
Administration

6. Section Two Facilities Management Review
The primary mode of delivery in this section of the CD-ROM is in the form of Multiple Choice. The questions are formatted on one slide, with the answer provided on the subsequent slide along with a resource for the answer.
The questions are categorized in a cognitive level that a person reviewing them is likely to respond:
Application
Recall
Analysis
Click
For sample
Test Questions

7. Question and answer version
REVIEW
Question and answer version
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8. Compliance
References for this section are located on the final slides of this program.

9. Q: True or False: To avoid confusion, and maintain consistency among surveys accomplished during a given year, it is JCAHO policy to update the EC scoring guidelines only once per year.

10. A: False. JCAHO reserves to update scoring guidelines at any time; health care facilities should subscribe to the Joint Commission Perspectives periodical to stay up-to-date on any changes. Also, for Environment of Care issues it is good to review the EC News.

11. Q: True or False. Freestanding business occupancy clinics do not have to complete a Statement of Conditions?

12. Q: True or False. Freestanding business occupancy clinics do not have to complete a Statement of Conditions?
A: True, Intent statement EC referenced in the “Note.”

13. Q: In internally illuminated signs, what size of lettering is required for exit signs?

14. Q: In internally illuminated signs, what size of lettering is required for exit signs?
A: A: 4” NFPA 101, *

15. Q: Doors shall be arranged to be opened readily from the egress side whenever the building is occupied. NFPA 101,
True or False? The exception for this requirement allows for the Authority Having Jurisdiction to allow for locks on designated doors

16. A: True, NFPA 101, requires all doors to readily open from the egress side; however, Exception 1, explained in / , allows for the door to be locked in the interest of the patient, and with the approval from the Authority Having Jurisdiction. (NFPA edition.)

17. Q: True or False: The JCAHO Environment of Care standards state that all health care facilities will prohibit patients, visitors, and staff from smoking inside of any buildings in which health care services are rendered.

18. A: True. (Reference: Intent of EC.1.1.2

19. Q: What paragraph in NFPA 99 covers actuation of bulk medical gas system’s local signal and alarm?

20. What paragraph in NFPA 99 covers actuation of bulk medical gas system’s local signal and alarm?
A: NFPA edition,

21. Q: The evaluation and approval of equivalencies is the responsibility of ___________________?

22. The evaluation and approval of equivalencies is the responsibility of ___________________?
A: The authority having jurisdiction (AHJ) NFPA 101 section 1.5.1

23. Q: A guide to alternative approaches of life safety addresses, _____ Safety _____ System (FSES).

24. A: A guide to alternative approaches of life safety addresses, Fire Safety Evaluation System (FSES). NFPA 101A Guide on alternative approaches to life safety

25. Q: For doors, the maximum forces to open
Release latch is-- _____lbf
Set door in motion--____lbf
Fully open—15 lbf
Existing—50 lbf
Breakaway door--____lbf

26. A: For doors, the maximum forces to open Release latch is– 15 lbf
Set door in motion—30 lbf
Fully open—15 lbf
Existing—50 lbf
Breakaway door—50 lbf
NFPA 101,

27. Q: What makes something a dead-end corridor?

28. Q: What makes something a dead-end corridor?
A: “A dead end occurs where an occupant may enter a corridor thinking there is an exit at the end and, finding none, must retrace the path traveled to again reach a choice of egress travel paths.” NFPA 101, A

29. Q: True or False. IAW the 2000 edition of the Life Safety Code, dead-end corridors are prohibited in “new” healthcare construction.

30. A: FALSE. Dead end corridors that are less than 30 feet in length are allowed
NFPA 101, LSC 101, 2000 edition

31. Q: True or False: After brazing, the outside of all joints shall be cleaned by washing with water and a wire brush to remove any residue and permit clear visual inspection of the joint.

32. A: True—NFPA 99 2002 edition, Gas and Vacuum Systems, 5.1.10.5.7.1

33. Q: True or False: The Life Safety Code is administered and enforced by the authority having jurisdiction designated by the governing authority?

34. A: True
The Life Safety Code is administered and enforced by the authority having jurisdiction designated by the governing authority. NFPA 101, 1.7.1

35. Q: Ordinary combustibles such as wood, paper, cloth, household rubbish, rubber, and many plastics are safely extinguished using which class of fire extinguisher?

36. Q: Ordinary combustibles such as wood, paper, cloth, household rubbish, rubber, and many plastics are safely extinguished using which class of fire extinguisher?
A: Class A. NFPA 10

37. Q: What is a Class C fire extinguisher used for?

38. Q: What is a Class C fire extinguisher used for?
A: “Energized” Electrical Equipment
NFPA 10, 1.3

39. Q: True or false? In existing healthcare occupancies, any door in an exit passageway, stairway enclosure, horizontal exit, smoke barrier or hazardous area enclosure shall be permitted to be held open only be an automatic release device that complies with ?

40. A: True
In existing healthcare occupancies, any door in an exit passageway, stairway enclosure, horizontal exit, smoke barrier or hazardous area enclosure shall be permitted to be held open only be an automatic release device that complies with NFPA 101,

41. Q: True or false? IAW the 2000 LSC, under no circumstances will locks be installed on patient sleeping room doors.
You are half way through
Compliance

42. A: False.
There is an exception to the general “no locks on sleeping room doors” requirement : Key locking devices that restrict access to the patient sleeping room from the corridor and that are operable only by staff from the corridor side shall be permitted. However, such devices shall not restrict egress from the room. NFPA 101, / exception nos. 1 & 2.

43. Q: A building or portion thereof used to provide services or treatment to 4 or more patients that 1) provides, on an outpatient basis, treatment that renders patients incapable of self preservation, and 2) provides, on an outpatient basis, anesthesia that renders the patients incapable of taking action for self preservation under emergency conditions without the assistance of others can best be defined as:________________.

44. A: An Ambulatory Health Care Center can be defined as: A building or portion thereof used to provide services or treatment to 4 or more patients that 1) provides, on an outpatient basis, treatment that renders patients incapable of self preservation, and 2) provides, on an outpatient basis, anesthesia that renders the patients incapable of taking action for self preservation under emergency conditions without the assistance of others.
NFPA 101, 2000 edition,

45. Q: Portable fire extinguishers should be inspected approximately every__________.

46. Q: Portable fire extinguishers should be inspected approximately every__________.
A: 30 days NFPA 10, 4-3

47. Q: For Life Safety Code purposes, the fire alarm system is involved in three functions. The three functions are _______, _______, and ________.

48. A: Initiation, notification and control the operation and regulation of building equipment. NFPA 72

49. Q: Egress ________ is the ability of an egress component or system of components to meet the demand of occupants traversing the means of egress.

50. Egress capacity is the ability of an egress component or system of components to meet the demand of occupants traversing the means of egress.
A: capacity NFPA 101, /13.2.3

51. Q: Hospitals, ambulatory health care centers, and clinics must comply, as appropriate with what chapter of NFPA 99 (2002 edition) for Health Care Emergency Management?

52. Q: Hospitals, ambulatory health care centers, and clinics must comply, as appropriate with what chapter of NFPA 99 (2002 edition) for Health Care Emergency Management?
A: Chapter 12 NFPA 99, (2002 edition)

53. Q: What three precautions should be taken when storing cylinders of nonflammable gases?

54. A: 1. Separate full and empty cylinders when stored together. 2
A: 1. Separate full and empty cylinders when stored together Mark empty cylinders Protect from weather and rusting. NFPA 99, chapter 5

55. Q: What portion of the means of egress is defined as a street, alley, or other similar parcel of land open to the outside air, dedicated to public use, with a clear width and height of at least 10 feet?

56. Q: What portion of the means of egress is defined as a street, alley, or other similar parcel of land open to the outside air, dedicated to public use, with a clear width and height of at least 10 feet?
A: The public way NFPA 101, 7.7.1

57. Q: ____ __, shall be used for additional requirements for laboratories in health care occupancies?

58. Q: ____ __, shall be used for additional requirements for laboratories in health care occupancies?
A: NFPA 99, Chapter 11 Health Care Facilities 2002 edition

59. Q: What word indicates a mandatory requirement?
Keep going--almost finished
W/Compliance

60. Q: What word indicates a mandatory requirement?
A: Shall NFPA edition, definitions, 3.2.6

61. Q: Travel distance to any fire extinguishers should be located not more that _____ft. from any point?

62. Q: Travel distance to any fire extinguisher should be located not more that _____ft. from any point?
A: Not more than 75 feet. NFPA 10 chapter 3

63. Q: True or False. In general, the order of precedence for fire alarm signals is fire alarm, supervisory, and trouble signals.

64. A: True. In general, the order of precedence for fire alarm signals is fire alarm, supervisory, and trouble signals.

65. Q: True or False: Piping shall be labeled by stenciling or adhesive markers that identify the medical gas vacuum systems.

66. A: True: Piping shall be labeled by stenciling or adhesive markers that identify the medical gas vacuum systems NFPA 99, Pipe labeling

67. Q: The installation of medical gas and vacuum systems shall be made by _________,___________technicians who are experienced in making such installations

68. A: The installation of medical gas and vacuum systems shall be made by qualified, competent technicians who are experienced in making such installations. NFPA 99,
Note: paragraph Installers of medical gas and vacuum systems shall meet the requirements of ANSI/ASSE Standard 6010.

69. Q: Operating alarms and local signals for medical air systems shall be __________ for conditions that may affect air _________ during use or in the event of failure, based on the type of compressor (s) used in the system.

70. A: Operating alarms and local signals for medical air systems shall be monitored for conditions that may affect air quality during use or in the event of failure, based on the type of compressor (s) used in the system.
NFPA 99,

71. Q: A hospital is required to have what type of essential electrical system installed?
A: Type 1
This is because the hospital is required by JCAHO to provide emergency power to life safety systems such as: Exit route illumination; Emergency communication; Illumination to exit signs, and critical equipment/systems and other critical service areas. A type on EES allows this type of connection

72. Q: NFPA 70 categorizes patient care areas into three types
Q: NFPA 70 categorizes patient care areas into three types. What are they?

73. Q: NFPA 70 categorizes patient care areas into three types
Q: NFPA 70 categorizes patient care areas into three types. What are they?
A: 1. General care areas Critical care areas Wet locations. NEC Article ; ; and

74. Q: ____ ________ should be unobstructed, accessible, and within the natural path of travel. There should be at least one ____ ______ at each required exit, with additional ones so located that the total travel distance to a ____ _______ does not exceed 200 feet.

75. A: Pull Stations should be unobstructed, accessible, and within the natural path of travel. There should be at least one pull station at each required exit, with additional ones so located that the total travel distance to a pull station does not exceed 200 feet.
NFPA 72

76. Begin PDC
References for this section are located on the final slides of this program.
Return

77. Space Management Medical Functionality
Adequate space
Patient Privacy
Cost/Benefit Analysis
Physical Access
Logical Layout

78. Space Management Mission
To provide a healthcare environment that enhances the dignity of the patient through features that permit privacy and confidentiality. Provide and maintain a safe environment for patients, personnel, and the public while enhancing the performance, productivity, and satisfaction of the staff.

79. Goals Patient Privacy, Confidentiality, and Security Code Compliance
Fire Codes (Isle width, Clear Egress, Fire Detection)
The Americans with Disabilities Act (ADA)
The Office of the Assistant Secretary of Defense Health Affairs (OASD(HA) Space Guideline.
Infection Control/Air Quality
Create a balance between primary, support and administrative areas.

80. Goals
Interior and exterior are aesthetically pleasing and conducive to the delivery of high quality medical care
Landscaping is attractive and neatly kept
Staff as important as patient
Fiscal Responsibility – Minimize the need for construction and physical changes within the building
Plan for the future – Looking back only to see how we can do things better in the future.

81. Space Management
EC.3.1 The buildings and grounds should promote a therapeutic environment that enhances the self-image of individuals served. The physical structure, grounds, and space are adequate to meet the needs of individuals served and their families and contribution to the enhancement of the organization’s neighborhood and community.
Health Insurance Privacy and Portability Act (HIPPA), and involves legislation protecting patient privacy and records security. The legislation was just finalized and was released in the August 14, 2002 Federal Register. The legislation became enforceable on April 14, 2003.

82. The American Institute of Architects Guidelines for Design and Construction, 2001 Edition
Bedroom Space – In new construction patient rooms shall be a minimum of 100 square feet of clear floor area per be in multiple rooms and 120 square feet of clear floor area for single-bed rooms
Hand washing stations shall be provided to serve each patient room. In new construction, hand washing stations shall be in the patient room as well as the toilet room. Will be outside the patient’s cubicle curtain so that it is accessible to staff.

83. The American Institute of Architects Guidelines
For both adult and pediatric units, there shall be a minimum of 8 feet between beds.
Each patient bed shall have visual access, other than skylights, to the outside environment with not less than one outside window in each patient bed area.
Operating/surgical cystoscopic rooms must have a minimum of 15 air changes per hour.
Temperatures for operating rooms is degrees with percent humidity.
The minimum width for corridors in new hospital construction 8 feet.

84. The American Institute of Architects Guidelines
Critical care areas as defined by NFPA 99 and NFPA 70, including pediatric and newborn intensive care units, shall have
at least seven duplex outlets at the head of each bed, crib, or bassinet.
Trauma and resuscitation rooms shall have eight duplex outlets located convenient to the head of each bed.
General care areas shall have four per bed.
(NEC Article (b))

85. The American Institute of Architects Guidelines
The ICRA requirements are detailed within Chapter 5, “Planning and Design and Construction.” states:
“Planning for health care facilities shall include, in addition to space and operational needs, provisions for infection control and protection of patients during any renovation or new construction…During the programming phase of a construction project the owner shall provide an Infection Control Risk Assessment (ICRA).”

86. Forms of Construction Contracts
Contractor agrees to perform specific portions of work for predetermined unit prices
Prices usually include direct, indirect cost, as well as overhead and profit
Price of contract depends on actual quantities and units of work measured when job is complete
Q: The definition best describes:
Unit price contract
Lump sum contract (single-fixed price)
Cost plus fixed fee contract
Guaranteed maximum price contract

87. A: 1. Unit Price Contract
Contractor agrees to perform specific portions of work for predetermined unit prices
Prices usually include direct, indirect cost, as well as overhead and profit
Price of contract depends on actual quantities and units of work measured when job is complete
May be used for heavy construction projects such as roads and highways
Contractor negotiates on unit prices based on approximate quantities furnished by the owner

88. Forms of Construction Contracts
Fixed-lump sum contracts are used on most competitively bid projects
Binds the contractor to plans, specifications, and general conditions
Main work by general contractor, other work subcontracted out to specialty contractors
General contractor assumes responsibility for all work
Q: The definition best describes:
Unit price contract
Lump sum contract (single-fixed price)
Cost plus fixed fee contract
Guaranteed maximum price contract

89. A: 2. Lump Sum Contract
Fixed-lump sum contracts are used on most competitively bid projects
Binds the contractor
Plans, specifications, and general conditions
Main work by general contractor, other work subcontracted out to specialty contractors
General contractor assumes responsibility for all work

90. Forms of Construction Contracts
Contractor agrees to perform the work and the owner agrees to pay the contractor for the direct field costs, plus a fee to cover the contractor’s home office costs and profit
Fee is based on the size and complexity of the work
Q: The definition best describes:
Unit price contract
Lump sum contract (single-fixed price)
Cost plus fixed fee contract
Guaranteed maximum price contract

91. A: 3. Cost Plus Fixed Fee Contract
Contractor agrees to perform the work and the owner agrees to pay the contractor for the direct field costs, plus a fee to cover the contractor’s home office costs and profit
Fee is based on the size and complexity of the work

92. Forms of Construction Contracts
Contractor agrees to perform all the work necessary to complete the construction project for a price that will not exceed a pre-established maximum price.
Any costs above the guaranteed price are absorbed by the contractor
If the contractor completes the project before the scheduled time, he may receive a bonus
Incentive clause
Used primarily for negotiated contracts
Q: The definition best describes:
Unit price contract
Lump sum contract (single-fixed price)
Cost plus fixed fee contract
Guaranteed maximum price contract

93. A: 4. Guaranteed Maximum Price Contract
Contractor agrees to perform all the work necessary to complete the construction project for a price that will not exceed a pre-established maximum price.
Any costs above the guaranteed price are absorbed by the contractor
If the contractor completes the project before the scheduled time, he may receive a bonus
Incentive clause
Used primarily for negotiated contracts

94. Q: Select the best description:
Construction Management
Design-Build
Fast Track
Turn Key
Prime
Prime
Prime
Prime

95. A: 1. Construction Management Method
Prime
Prime
Prime
Prime

96. Q: Select the best description:
Construction Management
Design-Build
Fast Track
Turn Key
Saves time, therefore saves money
One firm designs and constructs
Construction begins as each segment is designed
Design and construction phases overlap
Controls cost-price of the contract is established early in the design process

97. A: 2. Design-Build Saves time, therefore saves money
One firm designs and constructs
Construction begins as each segment is designed
Design and construction phases overlap
Controls cost-price of the contract is established early in the design process

98. Q: Select the best description:
Construction Management
Design-Build
Fast Track
Turn Key
Compresses the time between start of design & construction completion
Works well on relatively large projects
Can be adapted for competitive bid or negotiated contracts

99. A: 3. Fast Track
Compresses the time between start of design & construction completion
Works well on relatively large projects
Can be adapted for competitive bid or negotiated contracts
Segments of construction docs must be completed in sequence
Separate contract is awarded for site excavation as soon as size, shape, and depth of the foundation is determined
Excavation can begin before a detailed design is completed

100. Q: Select the best description:
Construction Management
Design-Build
Fast Track
Turn Key
Differs form other construction methods in financing
Contractor arranges for and obtains all necessary construction financing
Upon completion of the project, the contractor exchanges the title of the building for either full payment or an agreement for future payments

101. A: 4. Turn Key Differs form other construction methods in financing
Contractor arranges for and obtains all necessary construction financing
Upon completion of the project, the contractor exchanges the title of the building for either full payment or an agreement for future payments

102. Q: Information about the color and type of paint to be used in a construction project can be found where in a set of blueprints?

103. A: Information about the color and type of paint is found on the finish schedule of the blueprints

104. Q: The minimum width for corridors in new hospital construction is?

105. Q: The minimum width for corridors in new hospital construction is?
A: 8 feet NFPA 101,

106. Q: What type of door hardware will have a rating label?

107. Q: What type of door hardware will have a rating label?
A: Fire exit hardware NFPA 80

108. Q: What are the minimum number of receptacles per bed in a general care area?

109. Q: What are the minimum number of receptacles per bed in a general care area?
A: Four NEC Article (b)

110. BONUS QUESTION. What article in NFPA 70 the National Electric Code references healthcare?

111. BONUS QUESTION. What article in NFPA 70 the National Electric Code references healthcare?
A: NEC Article 517

112. Q: The distribution and wiring systems within Essential Electrical System (EPS) shall be installed in accordance with ________ ______.

113. A: The distribution and wiring systems within Essential Electrical System (EPS) shall be installed in accordance with Applicable Standards.
(See NFPA 70, National Electrical Code Article )

114. Q: True or False:
For existing buildings, any story with more than 30 sleeping patients requires subdivision?

115. A: True
For existing buildings, any story with more than 30 sleeping patients requires subdivision with smoke compartments limited to 22,500 sq. ft. NFPA 101,

116. Bid Documents for New Project
The project manual for a construction contract is typically organized into the bidding documents and contract condition, and technical sections. Bidding documents contain:
Invitations
Instructions
Information (Specifications)

117. Project Management
Types of Construction Drawings. The complete set of construction documents communicates in detail the requirements for the entire construction project.
Civil
Architectural
Mechanical
Plumbing
Landscape
Fire Protection
Structural
Electrical

118. Drawings Finding Details
Information about color and type of paint is found on the finish schedule of the blueprints.
To find fire alarm pull stations – look on the fire protection drawings.

119. Various Types of Costs
Fixed Costs – do not change with variations in production output or volume, i.e. property insurance, real estate taxes, landscape maintenance, housekeeping, and salaries of department managers.
Variable Costs – tend to change with output. Direct material, direct labor, and operating supplies are examples.
Direct Costs—are assigned or can be traced to a specific process, product, or project. Examples are materials or equipment that become part of an installation. Operating and project personnel assigned to a project or service may be considered as direct costs.

120. Types of Costs
Indirect Costs – are not directly assignable or cannot be clearly traced to the end product, project process, or service. Indirect costs may include certain types of insurance, property taxes, mortgages and lease costs, and maintenance.
Sunk Costs – are costs which are committed and cannot be recovered.
Opportunity costs – represent the alternative investment opportunities that are foregone because available funds have been allocated to something else.

121. Risk Assessment
Noise
Utility Disruptions
Dust
Vibrations
Infections

122. Preconstruction Risk Assessment
Effective January , the JCAHO added an additional intent under standard EC.3.2.1
It requires an infection control preconstruction risk assessment be conducted when planning projects that involve demolition, construction, or renovation.

123. Interim Life Safety Check SOC for Existing Life Safety Features
Evaluate which features will be disrupted.
Interior/Exterior Features
Develop Interim Life Safety Plan
Train
Drill

124. ILSM Evaluation Unobstructed Exits
Unobstructed access for emergency vehicles
Ensure fire alarm, detection & suppression systems are in good working order
Temporary construction partitions are smoke tight and built of noncombustible materials
Additional fire extinguishers
Prohibit smoking.
Housekeeping Practice
Hazard Surveillance
Additional Training
Additional fire drills
Organization wide safety education programs to promote awareness of deficiencies, construction hazards, and ILSM.

125. Project Management
“Wherever you see a successful business, someone once made a courageous decision.”
--Peter F. Drucker

126. Begin O&M
References for this section are located on the final slides of this program.
Return

127. Q: In Heating Ventilation and Air Conditioning design, what is know as the “range” and “approach”?

128. A: The range and approach is the temperature difference between entering and leaving water (ECWT and LCWT). In Heating Ventilation and Air Conditioning design the range and approach is usually 10 °F.
Ref: Facilities Operation & Engineering Reference, R.S. Means Chapter 6, © 1999

129. Q: What does HVAC, HEPA, VAV, and AHU stand for?

130. A: - HVAC-Heating Ventilation and Air Conditioning
HEPA-High Efficiency Particulate Air
VAV-Variable Air Volume
AHU-Air Handling Unit
Ref: Facilities Operation & Engineering Reference, R.S. Means Chapter 6, © 1999

131. Q: HVAC systems deliver volumes of air throughout a facility in what unit of measure? PSI, CFM, CLM or MHZ

132. A: HVAC systems deliver volumes of air throughout a facility in CFM-cubic feet per minute
Ref: Facilities Operation & Engineering Reference, R.S. Means Chapter 6, © 1999

133. Mechanical ventilation systems that supply anesthetizing locations shall have the capability of controlling the relative humidity at a level of _________? 10% or less? %? %? 35% or greater?

134. A: Mechanical ventilation systems that supply anesthetizing locations shall have the capability of controlling the relative humidity at a level of 35% or greater
Ref: Facilities Operation & Engineering Reference, R.S. Means Chapter 6, © 1999

135. Q: What are the 2 primary types of chillers used in HVAC systems?

136. A: The two 2 primary types of chillers used in HVAC systems are Compression and Absorption chillers
Ref: Facilities Operation & Engineering Reference, R.S. Means Chapter 6, © 1999

137. Q: Of the basic components of an HVAC system, which device ejects heat from the system into the environment? Chiller, Condenser, Evaporator, Compressor

138. A: The HVAC system, device which ejects heat from the system into the environment is the condenser
Ref: Facilities Operation & Engineering Reference, R.S. Means Chapter 6, © 1999

139. Q: In a typical refrigeration chiller and cooling tower system, what is the typical temperature of the water after it has been processed through the chiller?

140. A: 45 degrees F
Ref: Facilities Operation & Engineering Reference, R.S. Means Chapter 6, Figure 6.44 © 1999

141. Q: Can a medical gas zone valve boxes be installed behind a normally closed door or otherwise hidden from plain view?

142. A: No, medical gas zone valve boxes shall be installed where they are visible and accessible at all times. NFPA 99, 2002 edition, ;

143. Q: NFPA groups essential electrical systems in to three major categories The categories are ________, _________, and ____________.

144. A: NFPA groups essential electrical systems in to three major categories The categories are Type 1, Type 2, and Type 3.
NFPA edition 4.4

145. Q: The emergency system of a Type 1 is further subdivided into two branches. The branches are __________ and _______.

146. A: The emergency system of a Type 1 is further subdivided into two branches. The branches are critical branch and life safety branch.
NFPA 99,

147. Q: Any device connected to the life safety branch must be restored to operation within how many seconds after the interruption of the normal power source?

148. Q: Any device connected to the life safety branch must be restored to operation within how many seconds after the interruption of the normal power source?
A: 10 seconds NFPA 99, (d)

149. Q: A hospital is required to have what type of essential electrical system installed?

150. A: A hospital is required to have a type one essential electrical system installed. NFPA 99, chapter 4.4

151. Begin Finance
References for this section are located on the final slides of this program.
Return

152. Review Financial Skills
Business strategy
Budget savvy
Capital plan
BCA
ROI
There are two types of budgets used in maintenance operations:
The operating budget and the project (or appropriation) budget.
The project budget, is used for a special project or program, such as major construction projects, building additions, CMMS, or major capital equipment purchases.
Two methods for budget preparation: Historical and zero-based.

153. Financial Budget Business Case Analysis Plant Replacement Value
Asset Replacement (Payback period)
Energy Management
Life Cycle Cost Analysis

154. Financial Calculation for Energy Savings
If your hospital saved $500 in utility costs in 4 weeks. At the same rate, much will you save in 8 weeks
Simply Cross Multiply –
$ x N =

155. Financial Simple Payback
Simple Payback requires little data and can be accomplished quickly
Simple Payback=Investment/Annual Net Income or
Simple Payback=Investment/Annual Net Savings

156. Financial Payback Period
One simple method of analyzing an asset replacement is the calculation of the payback period
P=O/I P equals the payback period in years, O equals the original investment to acquire the asset, and I equals average annual income after tax.

157. Financial
Life Cycle Cost Analysis – to find the total LCC of a project, sum the present values of each kind of cost and subtract the present values of any positive cash flows such as a resale value
LLC = first cost + M/R + energy + water + replacement-salvage value

158. Business Case Analysis
Must Include:
Initial Cost
Staffing
Lease Cost
Infrastructure Cost
Permits/Licenses
Maintenance
Utilities
Payback (In $ and Years)

159. “I've got all the money I'll ever need, if I die by four o'clock.”
Henny Youngman

160. Set up:
Dollars = dollars or 500 = x
time time
Cross multiply: 6x = 500 x 6
6x = 3000
x = 750
Q: University Hospital saved $ in utility costs in 4 weeks. At the same rate, how much will UH save in 6 weeks?

161. A: The energy savings for 6 weeks is $750.00
Set up:
Dollars = dollars or 500 = x
time time
Cross multiply: 6x = 500 x 6
6x = 3000
x = 750
A: The energy savings for 6 weeks is $750.00
To get the answer Cross multiply 6 x 500 = 3000; divide 3000 by 4 to get $ To check your answer multiply 750 by 4 and you get 3000, the same answer you get by multiplying 6 x 500.

162. 1 sq ft = 12 x12 = 144 sq in
1 sq yd = 3x3 = 9 sq ft
A acre (A) = 4,840 sq yd
1 sq mi = 640 A
Q: You place an order for a concrete sidewalk, 100 yards long by 1 ½ yards wide. At $4.50 a sq yd, what is the cost of the concrete walk?

163. 1 sq ft = 12 x12 = 144 sq in
1 sq yd = 3x3 = 9 sq ft
A acre (A) = 4,840 sq yd
1 sq mi = 640 A
A: 150 x $4.50 per sq yd = $675.00
Solution: Find the area then the cost
1.5 x 100 = 150 sq yd
150 sq yd x $4.50 = $675

164. Begin Administration Return
References for this section are located on the final slides of this program.
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165. Set up:
Dollars = dollars or 15 = x
time time
Cross multiply: 6x = 15 x 8
6x = 120
x = 20
Q: If worker 1 completes 15 work orders in 6 hours, how many work orders can he complete, at the same rate, in 8 hours?

166. A: Worker A. can complete 20 work orders in 8 hours at the same rate.
Set up:
Dollars = dollars or 15 = x
time time
Cross multiply: 6x = 15 x 8
6x = 120
x = 20
A: Worker A. can complete 20 work orders in 8 hours at the same rate.

167. 1 cu ft = 1,728 cu in (12 x 12 x 12)
1 cu yd = 27 cu ft (3 x 3 x 3)
Q: In excavating a hole, 60 ft long, 52 ft wide, and 12 feet deep, how many loads of dirt has to be moved in dump trucks that hold 5 cubic yards?

168. A: You will need to make 277.3 trips.
Setup: 60 x 52 x 12 = 37,440 cu ft
37,440  27 = cu yd
 5 cu yd truck load = trips
A: You will need to make trips.

169. Q: what is the formula for measuring concrete?

170. A: Measure length x width x thickness

171. Operational Question
If a boiler room must have an FTE present at all times (24 hours a day, 7 days per week) how many FTEs are needed assuming 832 hours for total paid time off per year?

172. Operational Question
One boiler operator position working 24/7s for 52 weeks equal 8,736 hours/year.  Then you add 832 hours to this to amount for coverage needed for vacation, holiday, sick leave, training, etc. and you get 9,568 hours/year.   

173. Operational Answer
One boiler operator position working 24/7s for 52 weeks equal 8,736 hours/year.  Then you add 832 hours to this to amount for coverage needed for vacation, holiday, sick leave, training, etc. and you get 9,568 hours/year.  Dividing this figure by 2,080 hours of work per employee per year (industry respected std.) equals exactly 4.6 FTEs
AHA Certified Healthcare Facility Manager Handbook and Application

174. “Facilities environments are never neutral, they affect the work process of staff positively or negatively.” -Vol 3, Chapter 1, BOMI 1991

175. Facility Manager Practice Test
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176. Q: What is one National Fire Protection Association (NFPA) manual that directly addresses your facility life safety features?
1. NFPA 101
2. NFPA 1
3. NFPA 25
4. NFPA 80

177. A: 1. NFPA 101 Life Safety Code (2000 edition)

178. Q: Which Environment of Care standard states that staff members are to be oriented and educated about the Environment Care?
1. EC.1.1
2. EC.2.8
3. EC.1.7
4. EC

179. A: 2. EC.2.8 states that both users and maintainers of equipment and systems must receive education relevant to the systems within their area of responsibility. JCAHO Hospital Accreditation Standards, 2003 edition.

180. 1. Print, Fine Print, and Spec Print
Q: What are at least three-types Construction Drawings?
1. Print, Fine Print, and Spec Print
2. Structural, Electrical, and Plumbing
3. General, Architectural, and Construction

181. A: 2. Structural; Electrical; Plumbing
Other parts may include: Civil, architectural, mechanical, landscape, fire protection, Heating Ventilation and Air Conditioning as well. Source: Planning, Design and Construction of Healthcare Buildings, Joint Commission Resources, 1997, One Renaissance Boulevard, Oakbrook Terrace, IL 60181

182. Q: Which NFPA manual covers Emergency and Standby Power Systems?

183. A: 2. NFPA 110 Standard for Emergency and Standby Power Systems, 2002 Edition

184. Q: What does NFPA 45 address? 1. Laboratories
2. Chemical spills
3. Waste disposal
4. Electrical Distribution

185. A: 1. NFPA 45 Standard on Fire Protections for Laboratories Using Chemicals, 2000 edition covers Laboratories

186. 1. Municipal Fire Department
Q: Emergency Forces notification required in health care facilities shall be provided to alert one of the following of fire or other emergency:
1. Municipal Fire Department
2. Smoke compartment
3. Area of Refuge

187. A: 1. Municipal Fire Department NFPA 101, 9. 6. 4; 18, 3. 4. 2; and 19
A: 1. Municipal Fire Department NFPA 101, 9.6.4; 18, 3.4.2; and edition

188. Q: What type of device is serviced by the life safety branch?
1. Exit Signs
2. Alarm and alerting devices
3. Hospital communications
4. All of the above

189. A: 4. All of the above
Typically, any or all of these items
are connected to the life safety branch:
NFPA 99,
Illumination for means of egress
Exit signs
Alarm and alerting devices
Fire alarms
Alarms for systems specified for vacuum systems
Hospital communications
Generator set task illumination
Elevator cab lighting, control, communication
Automatic doors
Auxiliary functions of the fire alarm (NFPA 72)

190. Q: Type 1, EES is used to refer to what? 1. Equal evaluation system
2. Essential electrical system
3. Type one equivalency system
4. Emergency electrical system

191. A: 2. Essential Electrical System
The Type 1 EES is the Type 1 Essential Electrical System found in hospitals. It requires an on-site generator set, and design considerations must include dual sources of normal power. NFPA 99, * 2002 edition

192. 1. Initiation, annunciation, notification
Q: According to NFPA 72, what are three components of a fire alarm system?
1. Initiation, annunciation, notification
2. Annunciation, signal, alarm
3. Alarm, notification, notify

193. A: 1. Initiation, Annunciation, Notification
NFPA 72 National Fire Alarm Code, 1999 Edition®

194. Q: What meant by the term “Equivalency” as it pertains to Fire Safety in NFPA 101?
1. Equivalent method of protection
2. Equal or greater level of safety
3. A waiver for fire safety
4. Answers 1 and 2 only

195. A: 4. An equivalency method of protection provides and equal to or greater level of safety. It is not a waiver or deletion of a code requirement. NFPA 101, edition

196. Q: The number of fire drills in health care occupancies classified as a hospital is:
1. One per shift per quarter
2. Two per shift per quarter
3. One per shift every 6 months
4. One per shift every 12 months

197. A. 1. One per shift per quarter
One drill per quarter per shift in any buildings where the organization provides inpatient or outpatient services Hospital Accreditation Standards, EC.2.9.2

198. Q: What are the number of fire drills prescribed by JCAHO when interim life safety measures are implemented?

199. A: In a hospital occupancy, increase the fire drills to a minimum of two per shift per quarter.
Hospital Accreditation Standards, Joint Commission Resources, 2003 edition, EC.1.5 Interim Life Safety Measure, #8 pg. 225.

200. Q: For all JCAHO surveys done using the current edition of the Comprehensive Accreditation Manual for Hospitals (CAMH), which edition of the Life Safety Code is referenced?
, and 2000 edition
edition
edition
4. None of the above

201. A: 2. The 2000 edition of NFPA 101, the Life Safety Code  is used.

202. Q: What manual does the Joint Commission use as a reference for hospital accreditation surveys?
1. Comprehensive Accreditation Manual for Hospitals
2. Joint Commission Manual
3. Survey Checklist
4. Accreditation Survey Management System

203. A: 1. The Joint Commission refers to standards outlined in the Comprehensive Accreditation Manual for Hospitals (CAMH)

204. Q: In externally illuminated signs, what size of lettering is required for exit signs?
1. 8 inches
2. 6 inches
3. 5 inches
4. 2 inches

205. A: 2, Six (6) inches NFPA 101, *
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206. Congratulations

207. Compliance References
NFPA 99 Health Care Facilities, 2002 edition, National Fire Protection Association
NFPA 101 Life Safety Code, 2000 edition, National Fire Protection Association
Handbook for Health Care Facilities Management,
Rose, J.C.
American Institute of Architects, 2001 edition Guidelines for Design and Construction of Hospital and Health Care Facilities,
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208. PDC References
McGraw-Hill's Engineering Companion Author(s): Ejup Ganic  Tyler Hicks  ISBN:
Design That Cares: Planning Health Facilities for Patients and Visitors by Janet R. Carpman, Myron A. Grant
Planning, Design, and Construction of Health Care Environments by Joint Commission Resources, 1997
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209. O&M References
Maintenance Manager’s Standard Manual, Westerkamp, Thomas A. Prentice Hall, 1996, Chapter Two
Maintenance Engineering Handbook, Higgins, Mobley, McGraw-Hill 2002, Chapter 1, Economics of Preventive Maintenance; Cost controls
R.S. Means, Facilities Operations and Engineering Reference, R.S. Means Constructions publishers and consultants
McGraw-Hill's Engineering Companion Author(s): Ejup Ganic  Tyler Hicks  ISBN: Pub date: September 23, Copyright: 2003
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210. Finance References Return
Health Care Finance: Basic Tools for Non-financial Managers by Judith J. Baker, R. W. Baker
Essentials of Health Care Finance by William O., Phd Cleverley, Andrew E., Phd Cameron, William Cleverley
Financial Management of Health Care Organizations: An Introduction to Fundamental Tools, Concepts, and Applications by William N. Zelman, Michael J. McCue, Alan R. Millikan, Alan R. Milikan
The Financial Management of Hospitals and Healthcare Organizations by Michael Nowicki
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211. Administration References
Strategic Management of Health Care Organizations by Peter M. Ginter, Linda E. Swayne, W. Jack Duncan
Management Skills for the New Health Care Supervisor by William Umiker
Moving Up the Organization in Facilities Management,
M.S. Damiani, Scitech Publishing, 1998.
Facilities Engineering and Management Handbook: Commercial, Industrial, and Institutional Buildings by Roger P. Wessel (Editor), Paul R. Smith (Editor), Mark M. Neitlich (Editor), Anand K. Seth, William L. Porter, David L. Stymiest
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212. Where Can You Get Help - National Fire Protection Association
- Joint Commission for the Accreditation of
Healthcare Organizations
- American Society for Healthcare Engineering
American Institute of Architects
FM Datacom/FMLink/FacilitiesNet
- Facilities Management Symposia

213. National Fire Protection Association
Batterymarch Park
Quincy, Massachusetts
(617) ext. 8770
http//:
Provides assistance, education, and
publications concerning NFPA codes
and standards

214. Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181
(630)
Provides assistance, updates, education
and publications about the JCAHO
standards

215. American Society for Healthcare Engineering
One North Franklin
Chicago, Illinois 60606
(312)
Provides technical and managerial information,
education, and professional development for
health care facilities managers

216. American Institute of Architects
1735 New York Ave N.W.
Washington D.C
American Institute of Architects, Guidelines for Design and Construction of Health Care Facilities, 2001 Edition

217. FM Datacom - FM Link - Facilities Net Index
Internet sites with general information
concerning facilities management
issues, not health care specific