Washington State Department of Health Architecture for Health Panel Summer meeting 2017

DOH Updates 2018 FGI Guidelines CMS Implementation of 2012 NFPA Codes Electronic Plan Review and Payment

The FGI Guidelines 2018 Three separate books: Guidelines FOR DESIGN AND CONSTRUCTION OF Outpatient Facilities

“Beyond Fundamentals” Inpatient Handbook Outpatient Handbook Residential Handbook Minimum Standards Guidelines FOR DESIGN AND CONSTRUCTION OF Outpatient Facilities

The FGI Guidelines 2018 New Outpatient Book Essentially Part 3 from previous versions “Frankenstein” Approach Stand alone – does not reference Hospital Will have it’s own scope (Chapter 1 & 2)

The FGI Guidelines 2018 Updated Acoustic requirements Expanded sustainability requirements Revised Emergency Preparedness and Management

The FGI Guidelines 2018 Telemedicine “Patient of Size” Procedure, Operating and Imaging rooms New Classifications for imaging based on invasiveness Move towards clearance “kit of parts”

The FGI Guidelines 2018 New mobile/transportable unit chapter New flexibility in Pre/post procedure area Sterile processing Traditional 2 room design Single room with small tabletop sterilizer Ultrasound wand cleaning room New Sexual assault forensic exam room

CMS adoption of 2012 NFPA 2012 NFPA 101 and 99 currently enforced + CMS changes

CMS changes Hospital outpatient surgery is Ambulatory Healthcare Occupancy “Regardless of the number of patients served”

CMS changes Roller Latches Still prohibited Rooms with large fire load Patient rooms Toilet rooms off corridor?

CMS changes ABHR Allowed w/ 2012 provisions 1” Clearance “prohibit inappropriate access”

CMS changes Windows required in all patient sleeping rooms Not fire safety issue Health benefits 36” sill for new Existing rooms? Sleep centers?

NFPA 101 22,500 sf vs 40k smoke compartments Suites Soiled linen or trash (64 gallon = 1 hour) Chapter 43 – Rehabilitation

CMS changes

NFPA 99 -2012 Did not adopt Chapters 7, 8, 12, 13 Download TIA Tentative Interim Amendments Scope and Applicability in every chapter New vs. Existing Risk assessments for existing buildings?

Rumors Fire rating temporary construction walls All freestanding EDs will have to be Healthcare occupancies. 2 hour walls have to be built out of wood. Existing hospitals have to comply with all of NFPA 99. Smoke door testing per NFPA 105

Other stuff Using Box.com. 99% submissions are electronic now. Moving away from paper by the end of the year. Electronic payment pilot happening this summer. Hope to have process in place by fall. Functional Program workgroup.

Questions? Susan Upton susan.upton@doh.wa.gov 360-236-2948 John Williams john.williams@doh.wa.gov 360-236-2950