Transcript AGC Seminar

NCHEA Winter Conference 2005
Presented by
The North Carolina Department of
Health and Human Services/
Division of Facility Services/
Construction Section
for
The NC Hospital Engineers Assn.
PRESENTER
William L. Warren, Chief
DFS Construction Section
SESSION FORMAT
 DFS Overview
 Architectural Issues
 Plumbing/Mechanical
 Electrical Issues
 Miscellaneous Issues
Issues
GOALS AND OBJECTIVES
 To
explain our role in the process of
designing, building and licensing medical
facilities in the state of North Carolina
 To provide each of you the information
you need to manage your projects from
concept through design and construction
to completion and licensure
DFS MISSION STATEMENT
The mission of the Division of Facility Services is to provide
for the enhanced health, safety and well-being of the citizens
of the state through regulation of medical, domiciliary care
and mental health facilities, emergency medical services,
jails and other programs and create a climate to promote
continuous overall improvement by providers through
consultation and education; to finance and to plan for the
development of cost-effective health care facilities and
services to assure geographical and economical access to
those services by residents of the state.
DFS MISSION STATEMENT (CONT.)
Activities and services provided by the Division will be
done responsively, responsibly, reasonably, and
respectfully with emphasis on leadership, commitment,
collaboration and communication among organizational
units throughout the Division and Department and with
other public or private state, regional or local entities or
members of the general public toward the end of
achieving total quality objectives.
SECTION GOALS

Reduce the Review Turnaround Time

Combine Architectural & Engineering
Reviews

Complete Reviews within Acknowledged
Timeframe
SECTION OVERVIEW
Division Programs
 State Licensure
 Title 18/19 Reimbursement
(Medicare/Medicaid)
 Health Care Facilities Finance Act
SECTION OVERVIEW
Construction Section Staff and Contact
Information
 Telephone Numbers
 E-mail Addresses
 Organization
 DFS Web Site
(Handout)
(Handout)
Department of Health and Human Services
Division of Facility Services
Construction Section
Medical Facilities
Construction Section Chief
William L. Warren .......801
Program Assistant V
Architectural Supervisor II
Building Systems Engineer III
Construction Section Chief
Cindy Pearce ................810
Denis T. White............. 802
Steven C. Lewis
813
Charles T. Cocks ..........893
William L. Warren ....... 801
Processing Assistant IV
Open Position ...............805
Celia Keator .................811
Lorraine Spekczynski ...816
Building Systems Engineer II
Life Safety - Federal
Robert E. Dew ............. 812
Jim L. Turner ............... 814
Jeff L. Waddell ............ 819
Curtis W. Daniel, Sr. ... 822
Vacant Position ............ 823
Chris Sluder ................. 824
D. Woollen ................. 825
Building Systems Engineer II
Facility Architect II
Thad Ferree.................. 804
Anderson Hensley
807
Marjorie L. Acker ........ 808
Edward Williams ......... 827
Medhat Metry .............. 828
David Demus ............... 829
Life safety inspection for
federally certified facilities.
G. Reggie Foster...........815
Ronald W. Gales ..........817
Carl E. Taylor, Jr. ........818
C. Keith Dickinson .......820
Jeff Harms…………….830
Bill Earwood ................831
Tammy Sylvester..........832
Rex Williams................834
Construction & Renovation
Technician II
Paula Nichols............... 826
Facility Engineering Specialist
Dennis Harrell.............. 833
State Licensure plan review and facility inspections for all programs
H:\const\word6:OChart: March 2005 Current.doc
Facility Architectural
Supervisor II
Fran Pedrigi..................835
Building Systems Engineer II
Bob Strother ................837
Facility Engineering Specialist
Anthony Brinson .........838
Gordon Washburn .......839
Mental Health Program –
Licensure: Plan review &
facility inspections
SECTION OVERVIEW
Helpful Web Links Related to
Regulated Facilities
 DFS Home Page
– Link to Rules
– Project “Work Flow”
 DHHS
Home Page
Click here for “Work Flow”
Information
Click here For Rules
Click here for DHHS Web Site
Click here for Hospital Rules
SECTION OVERVIEW
Additional Links
The additional links provided in the
materials you received today may
have been modified and should be
verified for accuracy.
(Handout)
SECTION OVERVIEW
Codes and Standards

Hospitals
 Nursing Homes
 Ambulatory Surgery
 Hospice Facilities
(Handout)
SECTION OVERVIEW
NOTES FOR INFORMATION ONLY
(1) On April 1, 1992, The Department of Labor, OSHA Division, adopted the 1991 NFPA
101 Life Safety Code for all places of employment under T13: 07F .0102 as follows:
All places of employment shall be designed, constructed, maintained, and occupied in
accordance with the standards set out in the 1991 edition of the Code for Safety to Life
from Fire in Buildings and Structures, ANSI/NFPA 101, which is hereby incorporated
by reference. This incorporation shall not include any subsequent editions or
amendments to this code. Copies of this code may be obtained from the National Fire
Protection Association, 1 Batterymarch Park, Quincy, Massachusetts 02269, for sixty
two dollars ($62.00). This rule supersedes any standards based on earlier editions of the
Life Safety Code.
(2) Compliance with the “Americans With Disabilities Act” is the responsibility of the
Owner and/or Architect.
SECTION OVERVIEW
Other Section Functions







Consultation w/ other DHHS Units
Consultation w/ Department of Insurance,
Engineering Division
Consulting w/ Local Officials
Consulting w/ other Division Sections
Uniform Code/Regulation Enforcement
Educate - Owners, Designers, Local Officials,
Contractors and other interested parties
Encouraging a team approach to projects
SECTION OVERVIEW
New Fee Schedules
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2003
HOUSE BILL 397
RATIFIED BILL
AN ACT TO APPROPRIATE FUNDS FOR CURRENT OPERATIONS AND
CAPITAL IMPROVEMENTS FOR STATE DEPARTMENTS, INSTITUTIONS,
AND AGENCIES, AND FOR OTHER PURPOSES, AND TO IMPLEMENT A
STATE BUDGET THAT ENABLES THE STATE TO PROVIDE A SUSTAINABLE
RECOVERY THROUGH STRONG EDUCATIONAL AND ECONOMIC TOOLS.
SECTION OVERVIEW
The General Assembly of North Carolina enacts:
SECTION 34.11.(a) Article 16 of Chapter 131E of the General Statutes
is amended by adding the following new section to read:
§131E-267. Fees for departmental review of health care facility
construction projects.
The Department of Health and Human Services shall charge a fee for the
review of each health care facility construction project to ensure that
project plans and construction are in compliance with State law. The fee
shall be charged on a one-time, per-project basis, as follows, and shall not
exceed twelve thousand five hundred dollars ($12,500) for any single
project:
SECTION OVERVIEW
Fees for Institutional Projects





Hospitals: $150.00 + $0.10/sf of project space
Nursing Homes: $125.00 + $0.08/sf of project space
Ambulatory Surgical Facility: $100.00 + $0.08/sf of project
space
Psychiatric Hospital: $100.00 + $0.08/sf of project space
Adult Care Home > than 7 beds: $87.00 + $0.05/sf of project
space
SECTION OVERVIEW
SECTION 34.11.(b) This section becomes effective October
1, 2003.
On the Web see
http://www.ncleg.net/html2003/bills/AllVersions/House/H3
97vr.html
SECTION OVERVIEW
PLAN REVIEW GUIDELINES (Handout)

Schematic Design
– Architectural
– Engineering
 Design Development & Final Working Drawings
– Architectural
– Engineering
 DFS Color Code System
SPECIAL TOPICS
 Special
Locking Arrangements
 Delayed Egress
 Sprinkler Maintenance & Testing
 Linear Accelerator Doors
 Waterless Hand Cleaners
 Electrosurgery & Operating Room
Fires
GENERAL
 Closeout
Document Lists
 Nursing Home Project
Guidelines
PLUMBING
 Medical Gas Piping
– Certification
– Testing
– Designer Involvement
 Hot Water Systems
(Handout)
MECHANICAL




Major Changes in Codes
Fire & Smoke Dampers, Duct Mounted Smoke
Detectors & Access Doors
Smoke Control & Smoke Evacuation – See Volume I,
Section 909
Conflicts Between:
– NFPA 90A & NCSBC Mechanical Code
– ASHRAE & Licensure for Air Changes
MECHANICAL

Variable Volume vs. Fixed Exhaust
 Electric Operators
 Equipment Serviceability
ELECTRICAL

Fire Alarm Systems
– Sound Pressure Levels
– Devices & Locations





Essential Electrical Systems
Identification of Circuits
Safety Testing Data
NEC 517-30(b)(4) – New Diagrams in FPN’s
Isolated from Ground Power
ELECTRICAL

Miscellaneous
–
–
–
–

Ventilator Beds in Nursing Homes
Improper Use of Special Receptacles
Improper Use & Installation of Cable
Improper Grounding
Generator Fuel Capacity
– Remember Hugo, Fran, Floyd & Isabelle?
MISCELLANEOUS ITEMS





Sale of Electrical Goods Regulated
Mobile Diagnostic Units (Handout)
Sprinkler Certification (Handout)
Neonatal Services Organization (Handout)
Common Problems (Handout)
– During Plan Review
– During Inspections
IFFEN YOU NEED HELP
Junior says,
“Give us a call at
919-855-3893”
BR549
VIOLATION EXAMPLES

Good examples of bad things to do
Handicapped Ramp?
Handicapped Ramps or Skateboard Ramp?
Dust Wall
Rated Wall?
Rated?
Rated Corridor wall?
Penetrations & open boxes
Rated shaft wall
Penetration at
combustible roof
Combustible roof
structure
Patriotic flag lighting
system
Hole in top
Non-WP receptacle
w/ open cover
Broken connection
No independent
support of tanks
Combustible construction
w/ no separation
Unprotected combustible
construction
Unprotected construction
w/ no separation
Flammables outside
patient room
Patient room window
Patient room window
Portable electric heater
w/ made connecting cord
Unprotected combustible construction
Water heaters w/ all access
panels open to hot elements
Electrical wiring
Electrical issues
Window unit
in patient room
Trip Hazard
Patient room wiring
Open wiring
Fixture Support?
Wall penetrations
Not just bad,
real bad
Plastic raceway serving
critical branch - Hospital
No GFI – Wet Location, Romex wire w/ plug
for ER Sign; non WP box or cover
O2 tank farm 10’ from
combustible roof 50’ required