Transcript Document

Health Facilities Design
An Overview of the Latest
Changes to the Codes &
Standards
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David B. Uhaze, RA
Chief,
Bureau of Construction Project Review
Healthcare Architect
NJ Construction Official
DOH Inspector
Supervisor of Healthcare Plan Review
NJ Codes Advisory Board Member
AIA Guidelines Revision Committee Member
NCPCCI Committee Member
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Introduction
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Process Overview
Bureau of Construction Project Review – Health
Care Unit
The NJ Department of Health and Senior
Services
The NJ Uniform Construction Code
The NJ Uniform Fire Code
Center for Medicare/Medicaid Services
The AIA Guidelines for Design and Construction
of Hospital and Health Care Facilities
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Process Overview
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The pieces of the puzzle
How all of the individual pieces fit
together
DCA
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DCA – Bureau of Construction
Project Review
The Bureau
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Functions as the construction office for all building
types or projects reserved to the State at
NJAC 5:23-3.11
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Includes such projects as:
 Healthcare Facilities
 Casinos
 State Buildings (State colleges, NJTP, NJT, etc.)
 Utility Plants ( Electrical Generating, Solid Waste
Treatment, Incineration Plants)
 Mausoleums ( with Crematories)
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DCA – Bureau of Construction
Project Review
Health Care Plan Review Unit
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Performs both a UCC and Licensing review on all
projects submitted
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Will comment on licensing requirements, but cannot
grant waivers to those requirements
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20 day review cycle for new projects with complete
applications
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7 day review cycle for re-submitted projects
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Permitting and inspections are done at the local level
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Can grant permission for a Local review
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To contact call : Farivar Kiani, Supervisor at
609.633.8151
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NJ Dept. of Health & Senior
Services
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No significant new proposals at this time.
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Looking at adoptions and deletions in the
AIA Guidelines for the first time.
• Small Inpatient Primary Care Hospitals - OUT
• Assisted Living facilities - OUT
• Office Surgical Facilities - OUT
• Hospice Facilities – IN ?
• Medical Daycare Facilities – IN ?
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NJ Uniform Construction Code
Proposed Adoptions – Dec. 2006
 2006 International Building Code
 2006 International Residential Code
 2006 International Mechanical Code
 2006 International Fuel Gas Code
 2006 National Standard Plumbing Code
 2006 International Energy Compliance Code
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NJ Uniform Construction Code
Overview of Amendments
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International Building Code 2006
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Table 503 “Height & Area” would be amended to
reflect 1996 BOCA values in certain use groups and for
certain construction types similar to the 2001 NJ
edition.
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Table 302.2.2 “Separation of Occupancies” has been
heavily revised and is now in Chapter 5 as Table
508.3.3. In many cases separation of certain uses is no
longer required.
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NJ Uniform Construction Code
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International Building Code 2006 (cont.)
 Deletes the Section 707.14.2 option allowing
elevator hoistway pressurization in lieu of enclosed
lobbies.
 Deletes the Section 903.4.1 option for an alarm to
ring to a constantly attended location in lieu of
going to a central station.
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NJ Uniform Construction Code
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New section 903.2.14 adds additional automatic
suppression threshold as follows:
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NJ Uniform Construction Code
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International Building Code 2006
(cont.)
 Section 905.3.2 retains the current requirements for
standpipes based on building floor area and
distance. (>10,000sf & >200’ travel to fire dept.
vehicle access)
 Retains the current Fire Department Connections
language from the 2000 NJIBC
 Deletes Chapter 11 “Accessibility” – refers you to
NJUCC Subchapter 7
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NJ Uniform Construction Code
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2006 Plumbing & Mechanical Codes
 Typical editorial changes (references to other
adopted codes – IBC, NEC, etc.)
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2006 Fuel Gas Code
 Will Amend Sec. 401.2 to prohibit LP gas
containers on roofs of buildings
 Typical editorial changes (references to other
adopted codes – IBC, NEC, etc.)
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NJ Uniform Construction Code
2006 Energy Conservation Code
Amends Chap. 3 “Climate Zones” to insert new table
specific to NJ with 4 climate zones based on true
heating degree days data.
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NJ Uniform Construction Code
& Uniform Fire Code
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Proposal 3377(a)
 Will require the installation of an automatic fire
suppression system throughout all existing
Nursing Homes
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NJ Uniform Fire Code
 Currently being upgraded to match NJUCC
 IFC 2006
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CMS – Center for
Medicare/Medicaid Services
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Have recognized NFPA 101 TIA 00-1 as an amendment
to NFPA 101 – 2000. This deals with alcohol based hand
rubs (ABHR’s) This allows ABHR’s to be placed in
egress corridors with certain limitations. [Federal
Register 9/22/06]
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Corridors must be min. 6’- 0” wide
Max. unit capacity is .3 gallons (1.2 liters)
Min. horizontal spacing of 4ft.
Max. 10 gallons ( 37.8 liters) per smoke compartment
Cannot be installed over or adjacent to an ignition source
Dispensers may be located over carpet only in sprinkered smoke
compartments
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The AIA Guidelines
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Established as a Federal
Standard in 1947
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Published by the
American Institute of
Architects since 1984
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The Facilities Guidelines
Institute formed in 1998
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The AIA Guidelines
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The 2006 edition has been completely reorganized and
renumbered to make it easier to find material in the
document. A relocation matrix for users of earlier
editions can be found in the back of the book.
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The reorganization of the Guidelines is accompanied
by a new numbering system, which places the chapter
number at the top of the page and paragraph numbers
in the text. Thus, each paragraph reference must
include both the chapter number (followed by a
hyphen) and the paragraph number. For instance, the
reference to typical patient rooms in a hospital
medical/surgical unit in Chapter 2.1, General
Hospitals, is 2.1-3.1.1
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The AIA Guidelines
Old Format
New Format
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The AIA Guidelines
New content and major revisions that appear
in the 2006 edition are summarized below:
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Part 1 - General (applicable to all health care
facilities)
 Expansion of the environment of care chapter,
including detailed functional program requirements
and an appendix on green design
 New material on infection control risk assessments
(ICRAs) and infection control risk mitigation
recommendations
 A chapter on common requirements for all health
care facility types
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The AIA Guidelines
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Part 2 - Hospitals
 Single-bed rooms as the minimum standard for
medical/surgical and postpartum nursing units in
general hospitals
 Revised bed clearances and new bedside
documentation areas in critical care units
 New sections on intermediate care units in general
hospitals, observation units in emergency departments,
freestanding emergency facilities, and in-hospital
skilled nursing units
 Revised text for decontamination areas and appendix
language on surge capacity in emergency departments
 Revised section on in-hospital psychiatric nursing
units
 New chapter on small inpatient primary care hospitals
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The AIA Guidelines
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Part 3 - Ambulatory Care Facilities
 A chapter of common elements for outpatient facilities
 Revised chapters on freestanding surgical facilities,
birthing centers, and primary care outpatient facilities
 New chapters on urgent care facilities, office surgical
facilities, gastrointestinal endoscopy facilities, renal
dialysis centers, and psychiatric outpatient centers
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Part 4 - Other Health Care Facilities
 Revised chapter on nursing facilities
 Completely new chapters on assisted living, hospice,
and adult day health care facilities
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The AIA Guidelines 2010
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The revision process involves two opportunities for
public comment.
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During a proposal period, anyone can submit a proposal
to change language in the Guidelines.
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The Facilities Guidelines Revision Committee considers
these proposals and develops a draft manuscript.
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This draft is then posted for public comment, and anyone
can comment on the proposed changes.
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From its review of these comments, the Facilities
Guidelines Revision Committee develops the manuscript
for the next edition of the Guidelines.
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The AIA Guidelines 2010
 New revision cycle will begin in
December of 2006
 First full Committee meeting will be
held in April 2007
 This is a consensus process dependant
on public input and public commentary
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The AIA Guidelines 2010
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The form for Change Proposals
can be found at the back
of the 2006 edition
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Change proposals can
also be submitted on
line
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Where to Get More Information
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AIA Guidelines
AIA Bookstore 1.800.242.3837, press 4
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NJ Uniform Construction Code
609.984.0040
www.nj.gov/dca/codes/forms/pubsandsubs.htm
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International Codes
1.800.214.4321, ext.371
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