CHFM CHFM - Certified Healthcare Facility Manager Administration and Human Resources 2 — Questions and Answers
Question 1: Under OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030), which item must be included in an exposure control plan?
- A schedule for how the plan will be implemented (Correct answer)
- The annual salary of all exposed employees
- The vendor contracts for PPE
- A list of all hospital patients
Correct answer: A schedule for how the plan will be implemented
OSHA's Bloodborne Pathogens Standard requires the exposure control plan to include a schedule and method for implementation of all required provisions, along with identification of job classifications with occupational exposure.
An exposure control plan must include identification of employees with occupational exposure, a schedule and method for implementation of required provisions, and procedures for evaluating exposure incidents. It must be reviewed and updated at least annually and be accessible to employees.
Question 2: Which federal law requires healthcare facilities to provide reasonable accommodations for employees with disabilities?
- Americans with Disabilities Act (ADA) (Correct answer)
- Family and Medical Leave Act (FMLA)
- Fair Labor Standards Act (FLSA)
- Occupational Safety and Health Act (OSHA)
Correct answer: Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) requires covered employers to provide reasonable accommodations to qualified employees with disabilities, unless doing so would cause undue hardship.
The ADA prohibits discrimination against qualified individuals with disabilities in all employment practices. Reasonable accommodations may include modified schedules, reassignment, or physical modifications to the workplace. Healthcare facility managers must coordinate with HR to ensure the facility is ADA compliant in both employment practices and physical accessibility.
Question 3: In healthcare facility management, what is the primary purpose of an organizational chart?
- To visually depict reporting relationships and lines of authority (Correct answer)
- To document employee salary ranges
- To track employee attendance
- To schedule preventive maintenance tasks
Correct answer: To visually depict reporting relationships and lines of authority
An organizational chart visually depicts the hierarchy of positions, reporting relationships, and lines of authority within a department or organization, helping employees understand the chain of command.
Organizational charts are essential management tools that show the formal structure of an organization including positions, departments, and the lines of authority and communication between them. For a facilities department, this helps clarify who is responsible for which systems and who reports to whom, facilitating effective communication and accountability.
Question 4: Which performance appraisal method compares each employee against every other employee to create a ranked list?
- Paired comparison method (Correct answer)
- 360-degree feedback
- Management by objectives
- Critical incident method
Correct answer: Paired comparison method
The paired comparison method involves comparing each employee with every other employee one pair at a time, then ranking them based on the total number of times each was rated superior.
In the paired comparison method, a rater compares each employee to every other employee in the group and selects the better performer in each pair. The employee who wins the most comparisons is ranked highest. While it provides a clear ranking, it becomes cumbersome with large groups and does not provide developmental feedback.
Question 5: A healthcare facility manager needs to discipline an employee for repeated policy violations. Which approach follows progressive discipline?
- Verbal warning, written warning, suspension, termination (Correct answer)
- Immediate termination for the first serious infraction
- Written warning followed by immediate termination
- Suspension without a prior verbal or written warning
Correct answer: Verbal warning, written warning, suspension, termination
Progressive discipline follows a graduated sequence of corrective actions: verbal warning, written warning, suspension, and finally termination, giving the employee opportunities to correct their behavior at each step.
Progressive discipline is a process designed to address employee misconduct through increasingly severe disciplinary measures. Each step should be documented and the employee informed of expected improvements. This approach protects the organization legally and gives employees a fair opportunity to correct behavior before termination.
Question 6: What does the term 'span of control' refer to in healthcare facility management?
- The number of direct reports a supervisor effectively manages (Correct answer)
- The geographic area covered by a facility manager's responsibilities
- The budget authority granted to a department head
- The range of systems a technician is certified to maintain
Correct answer: The number of direct reports a supervisor effectively manages
Span of control refers to the number of subordinates that a manager or supervisor directly oversees. An appropriate span depends on task complexity, employee experience, and the manager's ability to supervise effectively.
The span of control determines the organizational structure's width vs. height. A narrow span means fewer direct reports and a taller hierarchy; a wide span means more direct reports and a flatter structure. In healthcare facilities, the appropriate span varies by department based on the complexity and independence of the work performed.
Under OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030), which item must be included in an exposure control plan?