Facilities Development Division California’s Building Department for Hospitals Paul A. Coleman, Architect, Deputy Director Chris Tokas, S.E., Deputy Division Chief Gordon Oakley, Fire Marshal, Deputy Division Chief Roy Lobo, Ph.D., S.E., Principal Structural Engineer Gary Dunger, Manager, Electronic Services Glenn Gall, Supervisor, Building Standards Unit Nanci Timmins, Fire Marshal, Chief Fire Life Safety Officer CHA Update November 8, 2016

Relocations Update Sacramento Headquarters Target move date Spring 2017 Lease signed Permit issued and TI construction began October 25, 2016

Relocations Update Sacramento Warehouse Target move date late 2016 or early 2017 Lease signed TI work in progress Electrical and data New warehouse racks Electrical connection for fork lift charger 3 – 16,000 cfm min. evaporative coolers for warehouse 2 – 100,000 btuh min. space heaters for warehouse Supervisor space in office

Relocations Update Los Angeles Office Target move date unknown at this time Most likely location at this time is: Wells Fargo South Tower 355 Grand Ave, Los Angeles floors 19 and 20 Architect currently working on drawings based on plans prepared by: Paul A. Coleman, Architect

Relocations Update

Relocations Update

Relocations Update Employee Break/Lunch Room Location

Plan Review and Field Performance Update Facilities Development Division California’s Building Department for Hospitals Plan Review and Field Performance Update CHA Update November 8, 2016

Workload in Construction Values 2012+ 63%

Workload in Construction Values for projects in Collaborative Plan Review - Custody Status * *Projects Not in Collaborate or phase review

No. of Reviews - October 2016 65.5% 34.5% ≈ 63 reviews/day

No. of Reviews Year 2015 ≈ 64 reviews/day ≈ 61 reviews/day 63% 64.6% 37% 35.4% ≈ 64 reviews/day 2014 Numbers ≈ 61 reviews/day

Project Plan Review Data Analysis – October 2016 63% of the Plan Reviews are completed w/in 21 days or less 93% of the PAD Reviews are completed w/in 21 days or less Or 44% of Office Plan Approval Reviews S=144 or 12% of All Projects

Workload Summary/Performance

Workload in Construction Values for projects in the Plan Review State Meeting with client required

Workload Summary/Performance

Number of Permits – 4th Qtr. 2010 thru 3rd Qtr. 2016 Statewide combined Office and Field Number of Permits Issued by Quarter 724 577 With SB 1838 Permits Without SB 1838 Permits

Workload in Construction Values for projects in Construction - % Completion 58% 32% 10% 50% 36% 14% (1st Qtr. 2016 Numbers)

Number of SB 1838 Projects – 3rd Qtr. 2016 Statewide Number of SB 1838 EXEMPT Projects Approved by Quarter 113 44

Workload in Construction Values for projects in Pending Construction State By Region

Building Standards Update Facilities Development Division California’s Building Department for Hospitals Building Standards Update CHA Update November 8, 2016

2016 California Building Standards Code Intervening Cycle Supplement Part 1 – California Administrative Code Functional Program – Addition of Patient Safety Risk Assessment for Psychiatric services. Maintenance of existing sections Part 2 – California Building Code (CBC) Section 1224.4 – Maintenance of General Construction Items Section 1224.5 Telecommunication Rooms Section 1224.15 – Number of Operating Rooms CONT’D

2016 California Building Standards Code Intervening Cycle Supplement Part 1 – California Administrative Code Section 1224.32 – Clarification of Cesarean Suite Requirements Section 1225 – Maintenance of Skilled Nursing Facility Requirements Section 1228 – New Section “Acute Psychiatric Hospitals” to address specific requirements that differ from General Acute-Care Hospitals. CONT’D

2016 California Building Standards Code Intervening Cycle Supplement Section 1228 – New Section “Acute Psychiatric Hospitals” Proposed supplemental and amended language where specific to acute psychiatric hospitals for definitions and general construction. Basic services include: Psychiatric Rehabilitation Activities Service Space Psychiatric Nursing Service Space Pharmaceutical Service Space Dietetic Service Space Support Services (administrative space, etc.) Maintenance of existing sections CONT’D

2016 California Building Standards Code Intervening Cycle Supplement Part 3 – California Electrical Code Maintenance of existing sections and coordination with new CBC 1224.5 and 1228 Part 4 – California Mechanical Code Adoption of model code for health facility ventilation requirements (ASHRAE 170) sections amended to include California specific amendments Maintenance of existing sections and coordination with new CBC 1224.5 CONT’D

2016 California Building Standards Code Intervening Cycle Supplement Part 5 – California Plumbing Code (CPC) Maintenance and updates to CPC Table 4-2 Minimum Plumbing Facilities [OSHPD 1, 2, 3 and 4] Maintenance of existing sections CONT’D

Building Standards Update HBSB Administrative Processes and Code Changes Committee Meeting November 18, 2016 10:00AM - 4:00PM Sacramento: Office of Statewide Health Planning and Development Los Angeles: Metropolitan Water District Headquarters

Building Standards Update

Building Standards Update 2018 Cycle Public Comment Period September 29 – December 12, 2016 The draft 2018 FGI Guidelines documents are available for public review and comment until December 12. The Health Guidelines Revision Committee counts on public review of the proposed changes, and we hope you will review the documents and submit your comments using the comment system for each book: 2018 FGI Guidelines for Design and Construction of Hospitals, 2018 FGI Guidelines for Design and Construction of Outpatient Facilities, and 2018 FGI Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. To learn more about the drafts and the public comment period, please read this FGI press release. FGI and MADCAD.com have built a relationship in which MADCAD includes the FGI documents in their cloud-based reference library of codes and standards. For the 2018 Guidelines revision cycle, FGI has chosen to distribute our draft documents through the MADCAD website. On MADCAD’s platform, you will be able to review the documents online or download PDFs of the drafts to review offline.

Seismic Compliance Update California Hospital Association 11/7/2016

Structure Performance Categories * Based on 2001 Hospital Survey Results based on hospital “self-report” and then “state-of-the-art” FEMA 178 standards from 1996 ** SPC-5 includes buildings currently under construction For SPC - "Not Assigned" is for non-building structures such as equipment yards, cooling towers etc. that are still under construction

Hospital Seismic Compliance to Date 228 11/3/16 1085 Buildings 82.6%

SPC History ~ 3 years

SPC -1 Buildings = 228 SPC-1 Buildings with Approved SB 90 Extensions 170 SPC-1 Buildings with only SB 1661/AB2557/SB81 Extensions 18 SPC-1 Buildings with only SB 306 Extensions 26 SPC-1 Buildings that currently have an extension 214 SPC-1 Buildings that do not have any extension beyond 2013* 14 Total 228 *No acute care services – some of these building have removal-of-acute-care-services projects – all have been sent a letter urging removing building from inventory.

SPC-1 Buildings with Extensions beyond 1/1/2013 = 214 SPC-1 Buildings with expired SB 90 Extensions 8 SPC-1 Buildings with expired SB 1661 Extensions 18 SPC-1 Buildings that have expired extensions 26 SPC-1 Buildings with expired extensions that have occupancy/construction final - 23 Remaining* 3 * 2 of 3 have active revisions in OSHPD/FDD for extending the SB90 extension.

SB90 Extensions (170 – 19 with CO/CF = 151)

SB 306 Extensions (26 Buildings)  County Facility Nbr Facility Name  SB 306 Extension Status No of SPC-1 Buildings CO/CF ** 01 - Alameda 11288 Highland Hospital 1/1/2020 3 Yes 13 - Imperial 10190 El Centro Regional Medical Center 8   19 - Los Angeles 11976 LAC/Rancho Los Amigos National Rehabilitation Ctr 38 - San Francisco 12463 Priscilla Chan And Mark Zuckerberg San Francisco General Hospital And Trauma Center 2 56 - Ventura 11162 Ventura County Medical Center 5

Nonstructural Performance Categories ***Includes buildings under construction, tunnels and equipment yards For NPC - "Not Assigned" are for buildings and nonbuilding structures either under construction or where the nonstructural performance category has not been verified

NPC History ~ 3 years

All Reports Submitted by 2016 SB499 Report Timeline Building Inventory/SB499 Preparation Letter – 6/29/16 Building Inventory/SB499 Preparation Reminder Letter – 7/25/16 Building Inventory Revisions cutoff deadline – 7/29/16 Release of Online Report with passwords – 8/26/16 Online Report Reminder Letter – 9/26/16 Online Report Warning Letter – 10/17/16 Online Report submittal deadline – Tuesday, 11/01/16 OSHPD Website Final Report posting deadline 2/01/17 All Reports Submitted by COMPLETED November 1, 2016

Number of Reports submitted per SB 499, as of Nov. 7, 2016 Trend line

CDPH Presentation FDD presentation on to the CDPH DADM In-person meeting on 11/2/2016: Update on Seismic Compliance Presentation on available web resources from OSHPD

Data for Hospital Facilities Located at: https://www.oshpd.ca.gov/FDD/Forms/keyplans/index.html Search using any parameter

Example Hospital Links for license information Links to electronic Services Portal

Data for Skilled Nursing Facilities Located at: https://www.oshpd.ca.gov/FDD/Forms/Keyplans/indexSNFs.html Search using any parameter

Example Skilled Nursing Facilities Links to electronic Services Portal Links for license information

Report Center Located at http://report.oshpd.ca.gov/ For FDD, list of reports available

Report Center - Example Additional reports on projects

Phone Applications

IPhone App

SB 499 Update California Hospital Association 11/08/2016

Preliminary 2016 SB 499 Hospital’s Reports Summary

Anticipation Completion Dates, SPC-1 Buildings

Method of Compliance for Facilities as reported from SB 499 reports to comply by Jan 1, 2017; Total = 18

Method of Compliance for Facilities as reported from SB 499 reports to comply between 2017 & 2018; Total = 17

Method of Compliance for Facilities as reported from SB 499 reports to comply between 2018 & 2019; Total = 9

Method of Compliance for Facilities as reported from SB 499 reports to comply between 2019 & 2020; Total = 50

Building Resolution from SB 499 Reports

Anticipated Compliance by, per Hospital Chain

Compliance Method, per Hospital Chain

Service Beds in SPC-1 Buildings

Service Beds in SPC-1 Buildings

Service Beds in SPC-1 Buildings

eServices Portal ePlanCheck Update

eSP Upgrades EPC Integration T&M Fee Invoice Guide Sheet Improvements Task Assignment Simplification Closure Improvements Automatic Notifications Workflow Simplification - Review at Triage Improve Data Validation IOR Performance Tracking Bar Coding Article 10 Functional Program

OCM Committees Activities Communications Collaborating with OSHPD Public Affairs to develop communications campaign, including logo, flyer, signature block, banner for OSHPD and FDD homepages, social media, and video vignettes for internal and external stakeholders. To-be Business Processes Finalized Intake, Office Triage, Office Review, Field Review, and Out-Processing Processes and socialized with key stakeholders.

OCM Committees Activities Manager Talking Points Developed Talking Points presentation for OCM Education Session with Managers regarding the business reasons for change to ePC, the benefits of ePC to OSHPD and its clients, and next steps to communicate with staff. Frequently Asked Questions (FAQs) Developed 95 FAQs for OCM Education Session with Managers, including Client, Plan Review, Field Review, and Health-Related questions.

Detailed Process PROJECT PLAN ASSESS READINESS IMPLEMENT-MONITOR Project Schedule Project Charter Project Management Plan ASSESS READINESS Define OCM Strategy Prepare OCM Team Develop Sponsorship Model Develop OCM Plan Develop Transition Plan IMPLEMENT-MONITOR Implement OCM Plans Implement Transition Plan Collect & Analyze Feedback Diagnose Gaps & Manage Resistance CLOSURE Knowledge Transfer Project Closeout ePC Organizational Change Management Management

ePlanCheck Training Southern California Field Staff – June 16 Southern California Plan Review Staff – June 13 - 17 Northern California Plan Review Staff – June 20 - 24 Northern California Field Staff – July 5 – 7

ePC First 4 Months OFFICE FIELD Central Region 13 Central Region – Field 17 Coastal Region 62 Coastal Region – Field 25 North LA Region 35 North LA Region – Field 10 North Region 59 North Region – Field 50 South LA Region 18 South LA Region – Field 17 South Region 34 South Region – Field 13 Rapid Review Unit             396 Total (plus RRU)            221 (617) Total                 132

ePlanCheck Issues Field staff advising clients application fee must be paid before electronic review will be started Plans in review submitted electronically for backcheck Plans uploaded electronically are then printed and presented to field for approval Clients are being advised plans must be submitted electronically for field review Clients are being advised electronic is not allowed for field review

eSP Next Steps Upgrade to Accela Civic Platform 8.0 Contract with Highlands/Truepoint to program triggers for new fees that go in to effect on 1-1-17 Custom component for eTIO on all projects Custom component for eChecklist Create Document Type for eCPR Create Field Operations process for eRAD

Upcoming Programs/Processes Auto Codes

Upcoming Programs/Processes

Upcoming Programs/Processes eBAR CODES

Upcoming Programs/Processes Auto Codes e

Upcoming Programs/Processes

Upcoming Programs/Processes eRAD

OSHPD FDD Mobile Apps