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welcome to the American College of healthcare architects exam prep seminar the american college of healthcare architects referred to as acha provides board certification for architects who practice as healthcare specialists and is the only specialty recognized by the American Institute of Architects referred to as the AIA this highly regarded certification provides owners agencies and peers with proven expertise and a body of knowledge necessary to excel in this competitive changing and specialized field of healthcare architecture this seminar will provide you with insight and guidance in the process and value in achieving this highly regarded board certification this course is an AIA proof course 41.0 learning unit the learning objectives of today's session are going to be education on unique building code requirements the uniqueness of programming and planning requirements in health care projects and the education and value of a specialty certification to owners on architects in the field of health care architecture the agenda will cover the vision mission and value proposition of the college the history of the college and how it was established to where it is today in addition we will cover the three steps to certification and lastly we will go through a sample exam to brief you on some of the types of questions and knowledge required for the exam the goal of the american college of healthcare architects the acha or referred to as the college is to transform healthcare through better built environments to that end acha provides board certification to architects in the United States and Canada who specialized in healthcare the certification process is rigorous and overseen by an independent testing agency in order to establish a professionally sound legally defensible standard by which people can identify themselves as healthcare architects while there are many highly qualified and experienced healthcare architects in the industry some discerning industry leaders are more comfortable engaging with an acha architect who has been through the rigorous certification process the college encourages professionals with this specialty to do the same whether emerging professionals or icons in the field the entire certification process is designed to recognize the expertise of architects who have substantial experience in all aspects of healthcare architecture projects architects who earn the acha credential have had their healthcare experience and knowledge independently evaluated and approved through the application portfolio and testing process it's a stamp of approval that differentiates architects with specialized healthcare skills for their clients employers and colleagues the college also is a conduit for advanced learning speaking and teaching opportunities as well as a better way to network with other acha certified architects in the healthcare community acha offers health care providers independently board certified specialist kerning trends and regulatory requirements inform team members that speak their language access to educational opportunities and best practices acha offers prospective certificate holders with clear differentiation Speirs enhanced career opportunities access to high-level educational resources and a network of experts mentorship speaking and writing engagements and a resourceful professional community the college was founded in 1999 and continues to expand on offer programs and resources most notably joint academy of architecture for health and acha conferences with over 440 five members in North America certification is offered to US and Canadian architects as mentioned acha is the only specialty certification offered by the AIA as you can see in the map certificates cover most states and territories the first step in the certification process begins with licensure you have to be a licensed practicing u.s. or Canadian architect in good standing for at least three years the next prerequisite is experience demonstrating that you've had 6,000 hours of healthcare experience in the last five years for those who have not yet met that criteria but are on the pathway to certification you can join as an ACH a candidate which cost twenty five US dollars per year the candidate program consists of networking opportunities mailings participation and committees and mentoring there is a five-year limit to pass the test we encourage you to take advantage of the opportunities offered by the candidate program your application submission needs to include copies of your license confirmation of experience and narrative of previous practice those on the non-traditional practice track are encouraged to apply and to contact the college with any questions with respect to that process references include three letters of recommendation from architects not within your firm and three letters of reference from health care clients these can be from different individuals of the same client or provider if you send an example letter to the persons providing your references please ensure they understand that the reference letters need to be unique and contain distinct information regarding their experiences with you relative to your healthcare experience and acha candidacy as part of your application you will need to include a portfolio of your work we would like to go over the application in portfolio submission on the acha website navigate to certification and look for the application and study material tab be aware that the college provides mentorship throughout this process and we encourage you to contact us to pair you with a mentor to Shepherd you through the certification process the examination is given during the month of July in over 200 psi testing centers across North America the fee is $400 which includes the application and examination fees in our opinion the application process in itself is as difficult as the exam an application could contain as many as 50 pages yet no application is the same as each of us has different levels of experience a project experience table similar to that in this presentation is recommended as well as sample reference letters to May get easier and timely for those providing you with references a very important point is that the letter must include specific language as to why you're referring architect or client believes you are qualified for ACH a board certification the portfolio needs to clearly illustrate and demonstrate your knowledge and healthcare facility competence include three to nine projects from the past five years it is acceptable to use marketing project images and photos however be sure to clearly articulate your role in the project this is your portfolio not your marketing teams so you will need to review and personalize it is required that your client or referring architect signs attesting to the specific stats and role you had for the project the submission has to be electronic and in portrait mode we encourage you to submit the application in portfolio by February 1st so that if any clarifications and additions are needed they can be received by the April 1st deadline and in advance of the July testing window a certification committee carefully evaluates each application and applies point criteria specifically the relevant experience and diversity of project types in addition the quality of the prepared material and credibility of your experience level follow the application checklist shown here and again we encourage submission by February 1st in advance of the April 1st deadline allowed two to four months for the preparation of the portfolio and similar for the gathering of letters of reference plan ahead to prepare for the exam take advantage of the mentorship program and invest in the practice exam the candidate handbook will give you detailed information on content and format every question is based on the detailed content outline which can be found in the handbook on on the website the exam is offered each year in July at 200 testing centers throughout North America the 50 question practice exam will give you a very good idea on your strengths and the format for the exam you will find it very useful this exam is on like most tests a certification based testing meaning it evaluates experience and understanding broadly over an entire industry there is not a single study source however current editions of NFPA 101 lie safety code and facility guidelines institute guidelines for design and construction of hospital and healthcare facilities as well as the Department of Justice 88 guidelines and the Joint Commission planning design and construction of healthcare facilities serve as a study base for the exam as we have mentioned the main difference in this test from others is a broader body of knowledge and not a narrowly defined content but an integrated multidisciplinary approach of the healthcare architecture career for me I found a publication by thin SIA Hayward call it space med useful in planning and programming an area study that was challenging for me specifically through populations and square-footage grossing factors the exam format is 120 multiple-choice questions 100 scored and 20 not scored on some questions for options are presented and you must choose the correct or combination of most correct or appropriate answers read the questions carefully and only answer what is asked do not assume or read into the question more than what is asked in some instances more information is given and you must parse that which is not relevant to the question the exam has a two-and-a-half-hour limit do not leave questions unanswered the score will be available within 60 days of the exam date the question types consist of three types of questions recall application and analysis recalling specific factual information application comprehension interpretation or manipulation of concepts or data performing basic calculations or finding relationship between concepts and analysis integration of a variety of concepts and understanding of variables the exam is divided into four sections and your scores will be broken down and rated by sections you will note that the pre design and design sections carry the most weight would focus on programming planning and design of facilities the forces that drive the business of health care include questions about the impact of how to reform and CMS as an acha certificate you're expected to have a good understanding of the most relevant and current issues affecting the healthcare architecture and be able to assist your clients accordingly the delivery and implementation section covers contracts construction documents equipment regulatory and post-occupancy with every item linked specifically to a healthcare setting remember the exam tips we mentioned read the questions carefully answer what the question is asking without over analyzing the question utilize all the available time and take the time to recall aspects of your study materials as helpful reflection while you try to answer more challenging questions the candidate handbook should be able to answer all of your questions about the detailed content outline and exam process it is posted on the website and be sure to watch for updated versions that will match your testing window 2018 handbook for the July 2018 testing period as an example feel free to call the executive office with any questions at 9 1 3 2 2 2 8 6 5 3 and visit the webpage at WWF architects org now let's go over a sample of exam questions to give you an idea of the type of questions and format we will read the question and pause then give you the answer and some rationale for the selections question number one when considering the design for information systems in an inpatient or outpatient healthcare project the acronym e M R refers to a equipment management roster B electronic medical record C emergency medical response or D electrical maintenance report the correct answer is B electronic medical record question number two which of the following design criteria is least important in planning a pediatric critical care unit a visibility of the patient B ability to accommodate patient families C access to patient toilets the ability to accommodate crisis interventions here the consideration is what is the least important although access to patient toilets is important for the planning our pediatric critical care unit visibility of the patient and ability to accommodate patient families in crisis interventions are more important so the answer is C question number three the frozen section component of a laboratory is often located in close proximity to which of the following a blood bank B surgery C imaging D emergency the answer is surgery be as looking at samples during surgery is essential during the exam you will be asked about adjacencies and spatial relationships question number four according to the lie safety code which of the following conditions is not required to allow occupancy of a new construction or an existing building that is in violation of the life safety code a a plan of Correction has been approved be a fire watch has been instituted C the occupancy classification remains the same the no serious life safety hazard exists as judged by the ahj the answer is B here the question being asked is what condition is not required according to chapter 4 section four point six point nine point one spells out the three conditions for occupancy question number five the emergency department staff have stated that they do not have sufficient space as evidenced by patients and equipment located in the corridor the architect should first a review volume and capacity data B study expansion options C proposed fast-track care unit D access clinical decision unit length of stay the answer is a one should always look at existing data prior to providing options in this case volume and capacity data would provide more relevant information than assessing the CD use length of stay question number six in the programming analysis of spaces in a hospital which of the following conditions present the most significant operational challenges one surgery separated from si see you two c-sections separated from OB unit three pathology separated from surgery for emergency separated from imaging the choices are a one two and three only be one two and four only see one three and four only D two three and four only again in evaluating adjacency the pathology department being separated from surgery would not present significant challenges as surgery separated from the s ICU OB from the c-section or IDI from imaging the answer is B question number seven a common departmental adjacency relationship would be to locate a clinical decision unit CDU adjacent to which of the following departments a surgery B medical records C emergency D nursing units the answer is C the CDU is typically a component of the emergency department question number eight which is one of the most dynamic components for staffing of a hundred and twenty five bed suburban community hospital due to cyclical demand a intensive care B emergency C ambulatory surgery D imaging the answer is B emergency as staffing of the IDI with its unscheduled visits is the most dynamic of the choices provided question number nine when designing a rural critical access hospital which of the following is the most important aspect of the plan a efficient use of professional staff be lower maintenance costs see outpatient access D helipad location on-site again for a small hospital staffing and planning for efficiency in use is the most important aspect the answer is a efficient use of professional staff question number 10 for the guidelines negative air pressure is found in which of the following rooms one emergency triage room two emergency waiting room three operating rooms for patient toilet room here by process of elimination and knowing that operating rooms must have positive pressure to provide for infection control the answer is be looking to ASHRAE a she standard 170 - 2008 table 7 - one including the appendix of the fgi guidelines for pressure relationships question number 11 nuclear imaging scans typically allow observations of which of the following a brain activity through electronic physiological monitoring be ambulat ry EKG recorded over a 24-hour period see EEG and EKG monitoring via both video and audio monitoring D cardiovascular performance through monitoring and single proton emission computed tomography the answer is D a spectrographic provides 3d information in imaging scans EKG electronic physiological monitoring is not image based question number 12 vibration considerations must be usually considered in the ceiling mounted equipment for which types of surgery one neurological two ophthalmic 'el three oral for cardiovascular answers a three and four only be two and four only see one and two only D one and three only the answer is C here while vibration is important it is more important consideration in neurological and AB thalmic venues question number 13 what is the maximum allowable area for a smoked compartment in a hospital a 21,500 B 20 mm C 22,500 D 23,000 the answer is C 22,500 / NFPA 101 chapter 18 section three point seven point one buildings containing health care facilities shall be subdivided by smoke compartments question number fourteen an existing two-story hospital is adding more patient beds when preparing an analysis to determine whether to expand vertically or horizontally which of the following should be done first a evaluate potential disruptions B confirm the existing structural capacity C determine exiting requirements D analyze sharing of utility services the answer is B confirm the existing structural capacity as without knowledge on structural capacity the option to expand vertically would not be viable question number 15 at the completion of a large project to provide inpatient beds all the final project documents have been collected the air balance for bone marrow transplant patient rooms is neutral with 12 air changes per hour the architect should construct the contractor to a decrease air changes B adjusts for positive air Balance C adjust for negative air balance D increase air changes the answer is be adjust for positive air balance as a bone marrow transplant patient is immunocompromised and the pressure relationship needs to be positive for this reason information and other air balance relationships see the ASHRAE Ashi standard 170 - 2008 table 7 - 1 included in the appendix of the fgi guidelines the acha has additional continuing education and annual certification requirements of the required 18 CEUs 12 have to be related to healthcare passing the exam grants you 20 hsw CEUs the annual recertification dues are five hundred and fifty dollars currently I highly recommend attending the annual joint acha and a 8h summer Leadership Conference in Chicago which is known for the best value and most up-to-date content in the healthcare architecture field thank you for taking the time to listen to this presentation and remember that acha is not a membership organization that you simply join and please checked out the candidate program at Health architects that Oh RG you