CHPA QUESTIONS AND ANSWERS 2023

CHPA QUESTIONS AND ANSWERS 2023 The standard is divided into two parts: Design Concerns compliance issues Involves creating a plan for patient care from assessment through treatment Implementation Putting the plan into action Performance measures must be checked starting immediately after implementation Design Concerns compliance issues Involves creating a plan for patient care from assessment through treatment Has done more to improve healthcare safety and security than anything else in the last 15 years The Joint Commission Implementation Putting the plan into action Performance measures must be checked starting immediately after implementation The Joint Commission Survey Conducts multi-disciplinary on-site surveys Utilizes a patient tracer methodology What are the three elements of CPTED? 1) Natural access control 2) Natural surveillance 3) Territorial reinforcement What are the two types of signage? 1) Command Signs 2) Informational Signs What does the text mean by "Control and Uniform Signage?" Enforce a basic sign standard regarding design, size, colors and placement. No handwritten signs! Describe the growth rate of a typical master key system. - It will grow 300% over 10 years - a practical life-span is 10-12 years What are the four levels of a master key system? 1- the change key 2- the sub-master key 3- the master key 4- the grand master key Incandescent Lighting...how many lumens per watt? 20 lumens per watt-- Excellent color discrimination What is the minimum recommended height for security fencing? 7 feet Mercury vapor..how many lumens per watt? 63 lumens per watt Good color discrimination Minimum recommended height for a mini-mesh security fence is: 8 feet Describe a Type 1 workplace violence event. It is a criminal event The perpetrator has no legitimate relationship to the healthcare facility. Describe a Type 2 workplace violence event. Perpetrated by a patient-- A Type 2 is committed by someone who is a recipient of a service provided by the HCF or victim. Describe a Type 3 workplace violence event. A Type 3 event is committed by someone who has an employment-related involvement with the HCF, such as an employee, or former employee. Describe a Type 4 workplace violence event. A Type 4 (domestic) event relates to interpersonal violence at the Healthcare Facility (HCF). This can include spouses, lovers, relatives, friends, etc. It may involve visitors who have a dispute between patients, visitors, employees, physicians, contractors... Metal Halide...How many lumens per watt? 115 lumens per watt-- Excellent color discrimination Sodium Lighting...How many lumens per watt? Sodium is 130 lumens per watt--- with FAIR color discrimination Fluorescent Lighting...How many lumens per watt? Fluorescent provides 83 lumens per watt....excellent color discrimination. What two distinct purposes does lighting serve? Safety and Security Demands on today's healthcare protection administrator... Facing more diverse challenges Increased financial pressures Forced to be more efficient and effective Must justify programs to a greater degree Meeting performance goals Measuring the department return on investment Creating long term 3-5 year security master plans Describe the Joint Commission Survey... Conducts multi-disciplinary on-site surveys Utilizes a patient tracer methodology Select a sample of patients who have been through the health system Traces the path the patient had taken through the health care system ensuring compliance How are elements of performance measured? Elements of performance are measured on the following scale 0 = insufficient compliance 1 = partial compliance 2 = satisfactory compliance What are Elements of Performance categories? Elements of performance (EP) categories A - Structural requirements, policies and plans B - Based on the organization meeting requirements C - Based on the number of times an organization does not meet an EP The centralized organizational model is... Centralization One budget with the right to operate one program Each facility receives services as a one-campus approach, even when sites are miles apart Describe the quasi-centralized organizational model... Quasi-centralization Most popular, operates within a given area with a central budget Central office offers support functions and training Staff for the individual facilities is hired by that facilities manager and paid by that facilities budget Manager of the facility would report to the central director and be paid through a corporate fund What is the decentralized model? Decentralization Each facility is in control of their own security operation with no outside authority There may be centralized corporate support Two basic laws impacting background checks... Two basic federal laws affecting hiring and demotion are: Equal Employment Opportunity Commission (EEOC) Fair Credit Reporting Act (FCRA) Top five lies told by job applicants... Top five lies told by job applicants: Exaggerating dates of past employment Falsifying the degree or credential earned Inflating salaries or title Concealing a criminal record Hiding a drug habit What are the key elements of a protection system? Key elements of a protection system include: educating...stimulating...motivating What is the first line of protection? First-line protection is the front-line employee Requires employee participation Two major changes affecting security in the 2009 TJC Standards are... 1) Combining of Security and Safety into a single standard 2) Removed the Emergency Management Standard from the Environment of Care (EOC) Chapter....this made Emergency Management its own chapter. Describe the security management process/cycle. - Risk Assessment -Design -Teach/Orient -Implement -Measure/Evaluate -Change/Modify..........Then back to risk assessment... What is the "crime triangle?" Crime triangle requires three basic elements: Desire Ability Opportunity What employees cause HR problems? It is estimated 20% of any given workforce are responsible for 80% of personnel problems. What are the lumens per watt for a light emitting diode (LED)? 131 lumens per watt-- it has excellent color definition Incandescent Lighting... 20 lumens per watt-- with EXCELLENT color definition. Examples of employee education... Employee education programs can overtly and covertly reduce crime and loss through: security presentations brown bag lunch presentations in-service presentations new employee orientation Departments that can perform investigative activities for specific needs: Risk Management Security HR Legal / Compliance How often should you change locks? Recommendation is to change all locks every 5-7 years. Cost can be a planned capital budget expense Describe good and fair lighting types... Excellent light sources: incandescent, fluorescent, metal halide, light-emitting diode (LED) Good light sources: mercury vapor Fair light sources: sodium Most frequently integrated electronic control systems include: Most frequently integrated electronic control systems include: intrusion detection access control video surveillance Three types of healthcare entrances Three categories of healthcare entrances: employee entry life safety egress doors patient doors Two basic alarm applications in healthcare are: Two basic alarm applications used in healthcare: 1. intrusion 2. holdup or panic Why are floods important? Floods are the most frequent and widespread disaster in many countries When is hurricane season? Hurricanes season runs from June 1 to November 30 August & September are peak months during the hurricane season How are hurricanes measured? Hurricanes are commonly described using the Saffir-Simpson Scale Scale rates the intensity on a Roman Numeral Scale ranging from I-XII Define a Risk Assessment... Risk assessment is defined as: The probability and frequency of a hazard occurring The level of exposure of people and property to the hazard The effects or costs, both direct and indirect, of this exposure. Describe two methodologies that can be applied to a risk assessment... Risk matrix approach - qualitative & designed to support risk management planning & decision making Composite Exposure Indicator (CEI) approach - based on the effects of a single or multiple hazard on a series of indicators Community Response Plans should include: Procedures for first responders Response protocols Statutory authorities Contact lists Guidelines for handling patient property Patient valuable envelope should be tamper proof, numbered and sealed All information should be on a separate sheet placed inside the envelope Minimum of two witnesses when securing valuables An accountability log should be kept Lockbox should have double lock and key mechanism When a patient requests the partial withdrawal of property a new envelope and receipt should be prepared Nursing staff should encourage patients to send property home or to permit the hospital to hold the property for safe keeping What did the Homeland Security Act do? - Established National Honeland Security Council within the executive office of the President --Moved ATF from Treasury to Dept. of Justice --Prohibited national ID card -- Re-affirmed Posse Comitatus Act -- Armed pilots against terrorism Describe Homeland Security Presidential Directive- 3 HSPD 3 stated...we needed a homeland security advisory system...it would provide graduated THREAT CONDITIONS...was intended to create a common vocabulary. When did President Bush sign the Homeland Security Act? He signed it into law on November 25, 2002. It created the new Department of Homeland Security. What was the impact of the Homeland Security Act on federal agencies? Joined together 179,000 federal employees from 22 agencies Employee weapons... The possession of weapons on facility property should be prohibited Policy should define which weapons are specifically prohibited Employee Lockers... Two supervisory staff members, one from security and one from a relevant department should conduct the inspections per policy Personal locks should not be permitted if facility provides locks If staff must provide their own, they should furnish duplicate key to management The Drug-Free Workplace Act contained in the Anti Drug Abuse Act of 1989 spurred ... The Drug-Free Workplace Act contained in the Anti Drug Abuse Act of 1989 spurred many organizations to action, even though the act does not require a drug testing program Applies to any contractor who has federal contracts for the procurement of goods or services valued at $25,000 or more or who receive federal grants Establish an education program on drug abuse to provide policy statements to each employee and to require employees to report any conviction for a criminal drug violation How are tornados measured? *The Fujita-Pearson Tornadoe Scale * The Old Fujita Pearson Tornadoe Scale The New Fujita-Pearson Tornadoe Scale.... - Began in 2007 -Expanded on old system -18 new indicators, like trees, mobile homes, etc.- -So, total of 28 indicators now... Using the enhanced Fujita-Pearson Tornado scale, how many tornado categories are there? Six....F-0 to F-5 How fast are the winds in an F-0 category tornado? An F-0 tornado has winds from 65-85 mph