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Prepare for the Certified Healthcare Facility Manager Exam developed by AHA!

March 28th Topic: Compliance

>>> How to prepare for a “Competence” Exam as compared to a “Knowledge” Exam

>>> Compliance

• Ensure Compliance with Codes & Standards
• Assure that code-required testing or inspection is completed and documented (e.g., monthly generator test, fire protections system test)
• Ensure that healthcare facility permits, licenses, and certificates are maintained, recorded, and current (e.g., boilers, elevator, heliport, fuel tanks, communications licenses)
• Ensure that all healthcare facility staff licenses and certificates are maintained, recorded, and current (e.g., boiler operator, electrical, refrigeration, plumbing, pool, pesticide)
• Evaluate space environmental conditions (e.g., pressurization, temperature, and humidity)
• Identify ligature risks
• Review fire events by category (e.g., electrical, construction)
• Conduct fire safety and response training for staff (e.g., fire drills)
• Coordinate corrective action for compliance with fire safety codes
• Coordinate with the Fire Department for inspections, testing, and touring of healthcare facilities
• Ensure code compliance through inspections of specific systems (e.g., fire system, fire extinguishers, medical gasses)
• Develop and maintain Spill Prevention, Control, and Countermeasure (SPCC) program
• Manage primary and backup fuel storage systems (e.g., oil, propane)
• Check work of staff to ensure compliance with applicable safety and building regulations and that workmanship meets quality and quantity standards
• Investigate equipment or utility failures, and document steps taken to prevent recurrence
• Manage asbestos, lead, and mold abatement efforts
• Participate in Hazard Vulnerability Assessment (HVA) Analyses and development of Emergency Management plans
• Manage compliance with the NFPA 99 and NFPA 101
• Coordinate with physicians, departmental managers, and outside agencies in the development of plans to manage emergencies affecting healthcare facilities
• Understand the security program
• Inspect healthcare facility buildings and grounds to ensure compliance with standards and regulations for a safe environment
• Knowledge of the program to manage medical equipment
• Develop a program to manage utility systems equipment
• Participate in safety rounds
• Participate in emergency drills and training
• Develop and maintain a water management program (ASHRAE 188P)

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