Certified Healthcare Constructor (CHC) Practice Exam

Does a high FCI number indicate that a facility is in bad shape?

1. No, it indicates good condition

2. Yes, it suggests poor condition

3. It depends on the facility type

4. No, it is an irrelevant metric

The correct answer is: Yes, it suggests poor condition

A high Facility Condition Index (FCI) number indicates that a facility is in poor condition. The FCI is a standardized measure of the physical condition of a building, calculated by dividing the total cost of deferred maintenance by the current replacement value of the facility. When this ratio is high, it suggests that there has been significant neglect in maintaining the facility and that the costs to bring it up to acceptable standards are substantial relative to its overall value. Thus, it serves as a clear signal that the physical condition of the facility is deteriorating and that urgent attention may be needed to address maintenance and repair issues. This understanding is critical for healthcare constructors and facilities managers, as it influences budgeting decisions, prioritization of upgrades, and investment in infrastructure to better serve patient care needs.