Certified Healthcare Emergency Professional


The CHEP is a real-world healthcare emergency management certification. CHEP credential holders serve in or work with a variety of healthcare organizations including hospitals, clinics, nursing homes, public health, coalitions, and first response agencies. Hospital CHEP holders come from a variety of functions such as emergency management, safety, security, occupational health, nursing, risk management, quality improvement, facility management, infection control, and environmental services. CHEP holders make a difference in helping their organizations maintain proactive, responsive, and flexible emergency management efforts to protect patients, visitors, families, staff, vendors, and practitioners during times of emergencies, disasters, and pandemics.  The CHEP serves as the premiere credential for those serving in vital areas of healthcare emergency management. Earning the CHEP certification signifies a professional commitment to excellence and demonstrates a personal dedication to serving and protecting in areas of emergency management and disaster preparedness.

CHEP Exam Blueprint

Domains 100-150 items
1. Healthcare Emergency Management Concepts39%
2. Healthcare Disaster Preparedness & Response35%
3. Emergency & Safety Compliance Standards26%

Domain 1–Healthcare Emergency Management Principles (39%)

This domain requires exam candidates to demonstrate competency by using recall, recognition, comprehension, and application of knowledge to correctly answer items related to healthcare emergency management concepts to prevent harm, reduce risks, and maintain a safe environment for staff, patients, and visitors. Items are distributed throughout the exam. Design, implement, and maintain comprehensive management systems by defining emergency preparedness requirements including the development of policies, procedures, and plans needed to protect patients, staff, visitors, and property. Implement policies, procedures, and directives in systematic manner to support requirement to provide medical care as needed during declared emergencies or disaster events. Determine the effectiveness of emergency related functions and relevant systems using collaboration and communication, and coordination continuous medical operations. Apply sound management and leadership concepts practices to efficiently use resources to improve all emergency and disaster preparedness functions. Use appropriate methods that will ensure stakeholders understand their roles in formulation, coordination, and implementation of emergency actions. Present and coordinate information to response organizations, government agencies, incident command structures, management, contractors, vendors, and the public about emergency management requirements. Accept responsibility to promote emergency management by providing counsel and advice on issues related to coordinating all emergency actions necessary to provide services and protect people, property, and the environment.

IBFCSM exams 100-150 multiple choice items. Exam results permit the assessment to determine a candidate’s minimum competency for certification. The blueprint reflects specifications published in the JTA Technical Report. Percentages reflect proportion of test items in each domain. Candidates use recall, recognition, comprehension, and application to answer items related to professional practice.

Domain 1 Topics

1.1 Identify appropriate accreditation standards

1.2 Given a scenario identify all-hazards preparedness requirements

1.3 Identify ASPR capabilities and responsibilities

1.4 Identify bioterrorism preparedness issues

1.5 Identify building egress requirements

1.6 Given a scenario identify CMS requirements

1.7 Given a scenario identify coalitions issues and responsibilities

1.8 Identify various emergency management command structures

1.9 Identify concerns, challenges, and resources for communications

1.10 Identify community emergencies and disaster challenges

1.11 Given a scenario identify community involvement issues and objectives

1.12 Identify topics addressed in disaster legislation

1.13 Identify requirements for drills and exercises

1.14 Identify areas addressed in ESF#6, #8, #9, #13

1.15 Given a scenario identify issues and requirements of evacuation planning

1.16 Identify exercise programs and agency responsibilities

1.17 Identify FEMA capabilities and responsibilities

1.18 Identify requirements and issues of health care sector preparedness

1.19 Given a scenario identify hospital response challenges and responsibilities

1.20 Identify elements and characteristics of the hospital HVA and EOP documents

1.21 Identify ICS principles and system methods

1.22 Identify the elements related to incident action planning

1.23 Identify incident command responsibilities

1.24 Identify the importance of information management

1.25 Identify key management functions and concepts

1.26 Given a scenario identify key elements of incident management

1.27 Identify multi-agency coordination efforts

1.28 Identify NIMS and healthcare responsibilities

1.29 Identify organizational fundamentals, cultures, and structures

1.30 Identify actions related to pandemics and other surge events

1.31 Identify planning priorities and emergency policy directives

1.32 Given a scenario identify key recovery related issues and challenges

1.33 Identify resource management concepts and principles

1.34 Identify important issues of emergency management stakeholders

1.35 Identify strategic planning priorities

Domain 2—Disaster Preparedness (35%)

This domain requires exam candidates to demonstrate competency by using recall, recognition, comprehension, and application of knowledge to correctly answer items related to healthcare disaster preparedness to prevent harm, reduce risks, and maintain a safe environment for staff, patients, and visitors. Items are distributed throughout the exam. Evaluate facilities, products, systems, equipment, and processes by applying qualitative techniques to ensure proper planning, protection, response, mitigation, and recovery during emergencies. Recommend actions to minimize hazards and reduce risks posed during emergencies or disasters. Evaluate and coordinate response actions with appropriate agencies, institutions, coalitions, and others to ensure the feasibility, effectiveness, and reliability of healthcare operations to support all types of incidents. Implement strategies by using the results of hazard identification actions, risk analyses, planning, and coordination to reduce the impact of disasters on healthcare operations to provide care. Obtain compliance certifications, listings, approvals, or authorizations by identifying applicable regulations, and standards to ensure facility and community emergency preparedness effectiveness. Communicate emergency and disaster related hazards, risks, and control measures to employees, management, vendors, and the public.

Domain 2 Topics

2.1 Identify the principles related to activity reporting

2.2 Identify biohazards and chemical terrorism risks

2.3 Identify capabilities planning concepts

2.4 Given a scenario identify chemical exposures and threats

2.5 Given a scenario identify key community involvement issues

2.6 Identify comprehensive preparedness guidance documents and concepts

2.7 Identify risks and responses to cyber security threats

2.8 Identify disaster educational resources and medical capabilities

2.9 Given a scenario identify disaster notification and security requirements

2.10 Identify domestic preparedness goals, objectives, and functions

2.11 Given a scenario identify emergency communications and operations

2.12 Given a scenario identify exercises, simulations, and drills

2.13 Identify Federal operational plans and FEMA planning methods

2.14 Identify key fire safety preparedness objectives and methods

2.15 Identify disaster related hazard and risk assessment issues

2.16 Identify healthcare and other public health challenges

2.17 Identify incident action principles

2.18 Identify industrial hazards

2.19 Identify information collection and analysis methods

2.20 Identify integration of information requirements

2.21 Given a scenario identify lessons learned

2.22 Identify mitigation and national disaster response objectives

2.23 Identify threats from natural, weather, and manmade disasters

2.24 Identify key elements of NIMS operations

2.25 Identify nuclear and radiological hazards

2.26 Given a scenario identify issues related to prevention, protection, recovery, and response

2.27 Identify risk assessment, sector capabilities need to support function annexes

2.28 Identify technology emergencies and threats

Domain 3—Safety/Compliance (26%)

This domain requires exam candidates to demonstrate competency by using recall, recognition, comprehension, and application of knowledge to correctly answer items related to healthcare emergency related safety and compliance to prevent harm, reduce risks, and maintain a safe environment for staff, patients, and visitors. Items are distributed throughout the exam. Develop effective emergency related education and training by establishing objectives to impart knowledge and facilitate understanding. Evaluate compliance through performance assessments and various forms of feedback to ensure effectiveness of emergency training, education, exercises, and drills. Maintain recordkeeping and data capture systems acquire, analyze, and distribute accurate data and to meet emergency management and safety compliance requirements. Hold paramount the protection of people, property, and environment by working with management and government agencies to improve all phases of disaster preparedness and emergency management. Adhere to standards of professional conduct by limiting emergency professional practice to areas of competence and avoid all conflicts of interest. Demonstrate a knowledge of codes and standards including CFR Titles 10, 21, 29, 40, 42, 44, 49); Federal Agencies (CDC, DHS, DHHS, DHS, DOT, EPA, FDA, FEMA, NRC, & OSHA); and Voluntary Organizations (ANSI, ASTM, ASHRAE, ASME, CGA, FGI, NFPA, NIOSH).

Domain 3 Topics

3.1 Identify accreditation requirements and standards

3.2 Identify voluntary standards that address emergency management

3.3 Identify emergency standards

3.4 Identify Federal agency safety and emergency related responsibilities

3.5 Identify Federal safety and disaster legislation

3.6 Given a scenario identity fire and safety standards

3.7 Given a scenario identify hazardous materials standards

  • 3.8 Given a scenario identify applicable OSHA standards that apply

    3.9 Given a scenario identified applicable NFPA codes and standards

    3.10 Identify CDC and NIOSH roles and responsibilities during emergencies

    3.11 Identify voluntary and consensus standards

    3.12 Identify requirements published in CFR Titles 10, 21, 29, 40, 42, 44, 49)

    3.13 Identify federal agency responsibilities (DHS, DHHS, DHS, DOT, EPA, FDA, FEMA, NRC)

    3.14 Identify voluntary standards entities (ANSI, ASTM, ASHRAE, ASME, CGA, FGI, NFPA, NIOSH)

CHEP Sample Questions

  1. Which concept relates to the number of individuals an incident supervisor can manage effectively?

a. Delegation of authority

b. Span of control*

c. Form follows function

d. Unity of command


  1. Which Command Staff position monitors conditions and develops measures for protecting the health of all assigned personnel?

a. The Public Information Officer

b. The Liaison Officer

c. The Operations Section Chief

d. The Safety Officer*


  1. What facility serves as the location where equipment is kept while waiting for tactical assignment?

a. Disaster compound

b. Helicopter support base

c. Incident command center

d. Staging area *


  1. An effective span of control during incidents may vary from three to seven, which ratio of supervisor to reporting elements is recommended?

a. One supervisor to four reporting elements

b. One supervisor to five reporting elements*

c. One supervisor to six reporting elements

d. One supervisor to seven reporting elements.

CHEP Study Resources

Studying the resources listed does not guarantee that a candidate will pass the examination. Candidates must personally decide how they can best prepare for the examination. IBFCSM does not require any candidate to purchase study materials, resources, or attend any review session to qualify for certification. Study references include the following resources:

  • Disaster & Emergency Workers Safety & Health, Anne, WSH-1, 2013
  • Emergency Management in Healthcare: All Hazards Approach, 5th Ed, JCR
  • Healthcare Hazard Control and Safety Management, 3rd Edition, CRC Press, Boca Raton, FL, 2014, J.T. Tweedy, ISBN: 978-1-4822-0655-5. Buy It Here!
  • CHEP Self Directed Study Guide, Available in downloadable PDF, and Print Format. Buy it Here! 
  • Emergency/Disaster Support Function (ESF) Annexes 1 through 15, DHS, 2016
  • Federal Agency Websites (CDC, DHHS, DHS, ASPR CMS, EPA, FDA, OSHA & NIOSH)
  • Healthcare Disaster Preparedness & Emergency Management References, www.osha.gov
  • Healthcare Hazard Control and Safety Management, 3rd Edition, CRC Press 2014
  • Hospital/Healthcare Disaster Preparedness & Emergency Management,
  • Introduction to Hazard Control Management, CRC Press, Boca Raton, FL, 2014
  • Mitigation Federal Interagency Operational Plan, 2nd Edition, August 2016, DHS
  • National Disaster Recovery Framework, 2nd Edition, June 2016, DHS
  • National Incident Management System 3rd Edition, October 2017, FEMA
  • National Mitigation Framework, 2nd Edition, June 2016, DHS
  • National Prevention Framework, 2nd Edition, June 2016, DHS
  • National Protection Framework, 2nd Edition, June 2016, DHS
  • National Response Framework, 4th Edition, October 2019, DHS
  • NFPA 101-2012, Life Safety Code Handbook
  • NFPA 1600, 2013 Edition
  • NFPA 99-2012, Health Care Facilities Code Handbook
  • Principles of Emergency Management; Fagel, PhD. CRC Press, 2012