Professional Ethics & Legal Compliance Flashcards

A CHC discovers that a subcontractor is using unlicensed workers on a healthcare project. What is the constructor's primary ethical obligation?

Answer: Document the issue and report it to the project owner and relevant licensing board

CHCs bear ethical and legal responsibility for ensuring all workers on their project are properly licensed and must report violations to the appropriate authorities.

Under the Americans with Disabilities Act (ADA), which element is a CHC most responsible for ensuring in new healthcare facility construction?

Answer: Accessible routes, restrooms, and entrances meeting ADA standards

CHCs must ensure the physical built environment complies with ADA accessibility requirements, including accessible routes, parking, restrooms, and entrances.

A hospital project owner pressures the CHC to skip required fire protection system inspections to accelerate the schedule. The ethical response is to:

Answer: Refuse and insist all code-required inspections be completed before occupancy

Fire protection inspections are code-mandated for life safety and cannot be legally or ethically waived by any project party.

Which federal law most directly governs worker exposure to hazardous materials like asbestos during hospital renovation?

Answer: OSHA Hazardous Waste Operations and Emergency Response (HAZWOPER) standard

OSHA's HAZWOPER and asbestos standards directly regulate worker protection during disturbance of hazardous materials in construction and renovation.

A CHC receives a change order request from a subcontractor citing differing site conditions. The most ethical course of action is to:

Answer: Investigate the claim objectively and process a fair adjustment if the conditions differ from contract documents

Ethical contract administration requires objective investigation of differing site condition claims and fair adjustment when conditions genuinely differ from what was represented.

A healthcare constructor learns mid-project that a material specified by the engineer contains a known carcinogen banned under state environmental law. The constructor should:

Answer: Immediately notify the design team and owner, and halt installation pending substitution approval

Discovering that a specified material violates environmental law requires immediate stop-work notification to all parties and coordination on an approved substitution.

The Stark Law (Physician Self-Referral Law) is most relevant to a CHC when:

Answer: Reviewing contracts for financial arrangements between the facility owner and referring physicians that could affect project scope

Stark Law governs financial relationships between healthcare entities and physicians, and CHCs should be aware when project contracts involve such arrangements that could affect facility ownership or use.