CHFM Healthcare Project Management 2 — Questions and Answers
Question 1: Which risk response strategy is most appropriate when a healthcare construction project faces a regulatory uncertainty that cannot be eliminated?
- Avoid the risk by canceling the project
- Mitigate the risk by reducing its probability
- Accept the risk and establish a contingency reserve (Correct answer)
- Transfer the risk to the contractor
Correct answer: Accept the risk and establish a contingency reserve
Accepting the risk with a contingency reserve is appropriate when a risk cannot be eliminated or cost-effectively mitigated.
Question 2: During the closeout phase of a hospital renovation, the facility manager discovers punch list items were not completed. What is the BEST immediate action?
- Release final payment and request corrections later
- Issue a notice of non-conformance and withhold final payment (Correct answer)
- Accept the work and document deficiencies for future reference
- Terminate the contractor agreement
Correct answer: Issue a notice of non-conformance and withhold final payment
Issuing a notice of non-conformance and withholding final payment ensures contractors complete all required work before financial closeout.
Question 3: A healthcare facility project is experiencing scope creep. Which document should the facility manager reference first to evaluate proposed changes?
- Project schedule baseline
- Stakeholder communication plan
- Project scope statement and WBS (Correct answer)
- Risk register
Correct answer: Project scope statement and WBS
The project scope statement and WBS define the authorized work and serve as the baseline for evaluating whether changes are within or outside scope.
Question 4: What is the primary purpose of a project charter in a healthcare facility management project?
- Defines detailed task assignments for each team member
- Formally authorizes the project and grants the PM authority to apply resources (Correct answer)
- Establishes the procurement strategy for vendors
- Specifies the infection control requirements during construction
Correct answer: Formally authorizes the project and grants the PM authority to apply resources
A project charter formally authorizes the project and empowers the project manager to assign resources and make decisions.
Question 5: In healthcare construction, an Interim Life Safety Measure (ILSM) is required when:
- A new wing opens and staff need orientation
- Fire protection systems are temporarily impaired during construction (Correct answer)
- The facility manager changes contractors mid-project
- The project budget exceeds 10% of the original estimate
Correct answer: Fire protection systems are temporarily impaired during construction
ILSMs are compensatory measures required by The Joint Commission when fire protection systems are temporarily impaired during construction or renovation.
Question 6: A critical path activity on a hospital expansion project is delayed by two weeks. What is the MOST LIKELY project impact?
- Only the cost baseline is affected
- The project completion date is delayed by two weeks unless corrective action is taken (Correct answer)
- Float is consumed but the project end date remains unchanged
- Only non-critical activities are affected
Correct answer: The project completion date is delayed by two weeks unless corrective action is taken
Activities on the critical path have zero float, so any delay directly extends the project end date by the same duration unless recovered.
Question 7: Which earned value metric indicates a project is running over budget for work completed?
- SPI < 1.0
- CPI < 1.0 (Correct answer)
- EV > PV
- AC < BAC
Correct answer: CPI < 1.0
A Cost Performance Index (CPI) less than 1.0 means more money is being spent than budgeted for the amount of work completed.
Which risk response strategy is most appropriate when a healthcare construction project faces a regulatory uncertainty that cannot be eliminated?