I. Compliance: 25 items (Recall - 10, Application - 15, Analysis - 0)

A. Codes & Standards
1. Ensure compliance with:
i. National Building Code
ii. National Fire Protection Association (NFPA).
iii. Canadian Electrical Code
iv. CSA Standards
v. Underwriters Laboratory (UL)
vi. Occupational Health and Safety Act (OHSA)
vii. Workplace Hazardous Materials Information System (WHMIS)
viii. Canadian Environmental Protection Agency (CEPA)
ix. Environment Canada, Provincial Environmental Ministries
x. Federal Agencies such as Department of Transport
xi. Accreditation Canada
xii. Health Canada
xiii. Centers for Disease Control and Prevention (CDC)
xiv. Infection Prevention and Control (IPAC)
xv. American Institute of Architects (AIA) Construction Standards
xvi. American Society of Heating, Refrigeration and Air Conditioning Engineers (ASHRA E)
xvii. Local Authority Having Jurisdiction (AHJ)


2. Code Requirements
i. Ensure that code-required testing is completed and documented (e.g., weekly generator test, fire protections system test).
ii. Ensure that healthcare facility permits, licenses, and certificates are maintained, recorded, and current (e.g., boilers, elevator, heliport, fuel tanks, communications, licenses).
iii. Ensure that all healthcare facility staff licenses and certificates are maintained, recorded, and current (e.g., boiler operator, electrical, refrigeration, plumbing, pesticide).
iv. Ensure code compliance through inspections of specific areas (e.g., fire system, fire extinguishers, medical gasses).
v. Check work of staff to ensure compliance with applicable safety and building regulations and that workmanship meets quality and quantity standards.
vi. Inspect healthcare facility buildings and grounds to ensure compliance with standards and regulations for a safe environment.

B. Required Facility Operational Practices
1. Environmental Management
i. Evaluate space environmental conditions.
ii. Manage asbestos, lead and mold abatement efforts.
iii. Manage primary and backup fuel storage systems (e.g. oil, propane).
iv. Develop and maintain Spill Prevention, Control and Countermeasure (SPCC) program.

2. Fire Prevention/Protection Management
i. Coordinate corrective action for compliance with fire safety codes.
ii. Review fire events by category (e.g., electrical, smoking, construction).
iii. Conduct fire and safety response training for staff (e.g., fire drills).
iv. Coordinate with the Fire Department for inspections, testing and touring of healthcare facilities.

3. Emergency Management
i. Coordinate emergency management with community (e.g., fire, police, EMS).
ii. Coordinate with physicians, departmental managers, and outside agencies in the development of plans to manage emergencies affecting healthcare facilities.
iii. Participate in Hazard Vulnerability Assessment (HVA) Analyses and development of
Emergency Management plans.

A. Planning
1. Develop Pre-Construction Risk Assessment (PCRA) that includes Infection Control Risk Assessment (ICRA) and Interim Life Safety Measures (ILSM).
2. Determine the appropriate project/construction delivery method.
3. Negotiate contract for professional services (e.g., architects, engineers, contractors, specialty consultants).
4. Develop performance requirements and deliverables.
5. Contribute to the development of the facility master plan.
6. Manage healthcare facility space program and process for allocation of space.
7. Review infrastructure needs for changes in workload, function, services, operational requirements, and capital equipment installations.
8. Develop and maintain institutional design standards (e.g., hardware, plumbing, lights, electrical systems, etc.).
9. Coordinate planning for special maintenance, upgrade, and renovation projects.
10. Manage equipment planning process for new equipment required for expansion or renovation projects.
11. Coordinate building system improvement projects.
12. Review plans for building:
i. Acquisitions. ii. Alterations. iii. Equipment.

B. Design
1. Develop conceptual/feasibility designs and budget estimates.
2. Review design development drawings and specifications for construction and renovation projects.

C. Construction
1. Recommend award for construction or renovation work.
2. Develop project construction schedules.
3. Review submittals and shop drawings for construction and/or renovation projects.
4. Evaluate construction Change Order Request (COR) and Request for Information (RFI) submittals, progress payment, insurance, bond, liens.
5. Conduct construction project status review with administration team.
6. Review as-built drawings.

D. Project Management
1. Manage the project planning processes.
2. Review new projects with bidders (e.g., scope of work for electrical).
3. Coordinate new project activities with:
i. Architects and engineers (e.g., design development plans).
ii. Authorities having jurisdiction.
iii. General contracts and subcontractors.
iv. Closeout and acceptance v. Stakeholders.
4. Perform financial reconciliation.
5. Represent organization with contractors, architects, inspectors and suppliers in matters related to healthcare facilities.
6. Assure that specification requirements are met on system improvement projects.

A. Energy and Utility Management
1. Assess the use of energy saving alternatives and options.
2. Develop energy management program for buildings and healthcare facilities.
3. Evaluate and implement energy management program for buildings and healthcare facilities.
4. Conduct benchmarking for energy utilization of buildings and healthcare facilities.
5. Document energy conservation results to substantiate anticipated savings and payback.
6. Review energy utilization reports and system operating conditions to identify needs for repair, replacements, upgrades, and capacity additions.
7. Manage the utility management program.
8. Monitor energy purchases (e.g. source, price, and availability).
9. Investigate equipment or utility failures, and document steps taken to prevent recurrence.
10. Develop a program to manage utility systems equipment.

B. Maintenance Management
1. Possess an understanding of the operation and maintenance of:
i. HVAC and refrigeration systems and equipment.
ii. Steam and hot water generation and distribution systems.
iii. Medical gas and vacuum systems.
iv. Electrical distribution systems.
v. Emergency power supply systems.
vi. Fire alarm, fire suppression, and life safety protection systems.
vii. Domestic and process water and sanitary systems.
viii. Safety and security systems.
ix. Medical equipment.
x. Building infrastructure and grounds (e.g., roof, windows, exterior walls, roadways, underground utility systems).

2. Manage a maintenance management program for:
i. Buildings
ii. Equipment
iii. Utilities
iv. Grounds.
3. Create deferred maintenance schedules and projects.
4. Develop a program to manage medical equipment.
5. Review service proposals.
6. Manage building maintenance repair parts and supplies inventory.
7. Schedule predictive and reactive work to various trade personnel and outside contractors (e.g., carpenter, electrician, general maintenance, painter, plumber).
8. Develop preventive maintenance strategies and programs for buildings and equipment.
9. Evaluate results of all maintenance and testing activities.
10. Read/interpret blueprints and schematic drawings.

C. Operations Management
1. Manage elevator system (e.g. preventative maintenance, repairs, annual testing, and upgrades).
2. Coordinate utility shutdowns for construction/renovation/maintenance/repair projects or activities.
3. Manage engineering information systems (e.g., fire alarm system, building automation system, work order system, CAD/CAFM).
4. Manage the specification and installation of low voltage systems (e.g., RFID, nurse call, security, CCTV, CATV, patient monitoring).
5. Manage the operations and maintenance of off-site healthcare facilities.
6. Organize moves that take place within the healthcare facility.
7. Manage the medical equipment management program.
8. Coordinate communications and resets after a utility power outage.
9. Coordinate the installation of healthcare facility clinical and non-clinical equipment.
10. Manage departmental goals, objectives, and standards of work performance.
11. Maintain control, function, and distribution of all healthcare facility locking systems and keys.
12. Resolve equipment performance problems and recalls with vendors.

A. Budget Development and Management
1. Manage budgets for:
i. Operations and maintenance.
ii. Construction projects.
iii. Capital.
iv. Utilities.
2. Evaluate bids for equipment and services.
3. Develop bid documents for equipment and services.
4. Manage building, property and equipment leases.

B. Project Finances
1. Engage in system-wide contract management and administration.
2. Negotiate/finalize contracts.
3. Calculate payback potential of possible improvements in existing systems.
4. Perform life cycle cost analyses.

A. Capital Planning and Administration
1. Allocate resources for capital improvement.
2. Approve capital equipment purchases.
3. Develop a long-range capital improvement plan.
4. Evaluate and justify needs and purchases.
5. Evaluate capital equipment and system improvements.
6. Manage actual expenditures to assure that departmental operations fall within budget.
7. Manage a process to prioritize proposed projects on an annual basis.
8. Develop presentations on proposed projects.

B. Operations Administration
1. Review/revise existing policies and procedures.
2. Provide for the identification and resolution of problems with delivery of services.
3. Coordinate department activities with other departments, outside agencies, and contractors.
4. Participate in insurance inspections and claims.
5. Develop departmental strategic management plan.
6. Participate in selecting outside sources (preparing RFPs) for needed services.
7. Establish partnerships with utility companies, city and state inspectors, insurance companies, and local community stakeholders, regarding functional activities.
8. Oversee the functionality of the healthcare facility safety programs including reviewing summaries of deficiencies, problems, failures, and user errors related to:
i Emergency preparedness.
ii Hazardous material and waste.
iii Life/fire safety.
iv Equipment. v Security.
vi Building systems vii Utility systems.
viii Safety officer/committee.
9. Manage and oversee operations of:
i Plant.

ii Maintenance.
iii Healthcare facilities engineering. iv Building and grounds.
v Construction.
vi Fire and life safety.
vii Environmental issues. viii Architecture/design. ix Planning.
x Safety management. xi Waste management.
xii Emergency management. xiii Hazardous materials
10. Provide counsel on available and emerging technologies, infrastructure, human capital, and changes in risks.

C. Human Resources Administration
1. Develop and provide equipment and systems training programs for maintenance staff.
2. Manage labor distribution for projects and operations.
3. Manage various human resource functions (e.g., development of competencies, disciplinary action, hiring, performance appraisals, promotions, recruiting, terminations, transfers, training, and vacations) to ensure effective operations.
4. Promote and foster open and positive communications with staff.
5. Conduct staff in-services on department policies and procedures.

Sample Exam Questions