Q2 Advocacy Liaison Webinar 6/8/16

ASHE Advocacy Team Chad E. Beebe, AIA, CHFM, CFPS, CBO, SASHE Deputy Executive Director of Advocacy cbeebe@aha.org Tim Adams, FASHE, CHFM, CHC Director of Leadership Development tadams@aha.org Monika Berrier Senior Instructional Designer mberrier@aha.org Jonathan Flannery, CHFM, CHC, FASHE, MHSA Senior Associate Director of Advocacy jflannery@aha.org

Housekeeping Please mute your line to reduce background noise. Do not put us on hold if you have background music on your hold line. We will unmute for the interactive discussion. This session will be recorded. The slides will be distributed after the meeting.

Chapter Attendance Poll Please enter your name and chapter name in the text box Contact Avis Gordon agordon@aha.org with updates or changes to your Chapter’s advocacy liaison appointment

Agenda CMS Adoption of the 2012 editions of NFPA 101 and NFPA 99 Video produced by ASHE regarding apotion of the 2012 editions Adoption video produced by ASHE 2012 Emergency Preparedness Update Focus on Compliance

CMS Adoption of the 2012 Life Safety Code® and Health Facilities Code, Notice of Proposed Rulemaking was announced April 16, 2014 362 public comments were submitted during the public comment period Final rulemaking announced May 3, 2016 Effective date July 5, 2016 Previous renditions of it originated from documents going back over 60 years when what was called the General Standards first appeared in the Federal Register on February 14, 1947, where it was used as the implementing regulations for the Hill-Burton program and were revised from time to time as needed. States over the years used this and later revisions as a basis for their rules for construction. In 1984 when the federal grant and loan programs expired, there was no need for the federal government to retain the construction guidelines in regulation format. Without federal regulation, disparities began to occur all across the country regarding healthcare planning, design, construction and operation. As a result there are conflicts between new and rapidly advancing medical technology and outdated requirements on a massive scale. Without question, this can lead not only to safety issues but the inefficient use of ever dwindling health care resources being spent on outdated or unnecessary requirements that have changed in newer editions. Updated every four years by volunteers representing a multi-disciplinary group of more than 120 doctors, nurses, health care administrators, architects, engineers, and state and federal authorities having jurisdiction which is supported by public input and review.

CMS Adoption of the 2012 Life Safety Code® and Health Facilities Code, Video produced by ASHE Video Previous renditions of it originated from documents going back over 60 years when what was called the General Standards first appeared in the Federal Register on February 14, 1947, where it was used as the implementing regulations for the Hill-Burton program and were revised from time to time as needed. States over the years used this and later revisions as a basis for their rules for construction. In 1984 when the federal grant and loan programs expired, there was no need for the federal government to retain the construction guidelines in regulation format. Without federal regulation, disparities began to occur all across the country regarding healthcare planning, design, construction and operation. As a result there are conflicts between new and rapidly advancing medical technology and outdated requirements on a massive scale. Without question, this can lead not only to safety issues but the inefficient use of ever dwindling health care resources being spent on outdated or unnecessary requirements that have changed in newer editions. Updated every four years by volunteers representing a multi-disciplinary group of more than 120 doctors, nurses, health care administrators, architects, engineers, and state and federal authorities having jurisdiction which is supported by public input and review.

Advocacy Next Steps Regarding Adoption Advocate for states to reference the CMS CoP as state licensure requirements Provides the best opportunity for state and CMS life safety requirements to be in sync

CMS Adoption of the 2012 Life Safety Code® and Health Facilities Code, Previous renditions of it originated from documents going back over 60 years when what was called the General Standards first appeared in the Federal Register on February 14, 1947, where it was used as the implementing regulations for the Hill-Burton program and were revised from time to time as needed. States over the years used this and later revisions as a basis for their rules for construction. In 1984 when the federal grant and loan programs expired, there was no need for the federal government to retain the construction guidelines in regulation format. Without federal regulation, disparities began to occur all across the country regarding healthcare planning, design, construction and operation. As a result there are conflicts between new and rapidly advancing medical technology and outdated requirements on a massive scale. Without question, this can lead not only to safety issues but the inefficient use of ever dwindling health care resources being spent on outdated or unnecessary requirements that have changed in newer editions. Updated every four years by volunteers representing a multi-disciplinary group of more than 120 doctors, nurses, health care administrators, architects, engineers, and state and federal authorities having jurisdiction which is supported by public input and review.

CMS Adoption of the 2012 Life Safety Code® and Health Facilities Code, Upcoming Webinars August 10 Chapter 43 of NFPA 101 and its impact on Health Care Facilities September 15 CMS Adoption of the 2012 Edition of NFPA 99 and What it Means for Health Care Facilities Previous renditions of it originated from documents going back over 60 years when what was called the General Standards first appeared in the Federal Register on February 14, 1947, where it was used as the implementing regulations for the Hill-Burton program and were revised from time to time as needed. States over the years used this and later revisions as a basis for their rules for construction. In 1984 when the federal grant and loan programs expired, there was no need for the federal government to retain the construction guidelines in regulation format. Without federal regulation, disparities began to occur all across the country regarding healthcare planning, design, construction and operation. As a result there are conflicts between new and rapidly advancing medical technology and outdated requirements on a massive scale. Without question, this can lead not only to safety issues but the inefficient use of ever dwindling health care resources being spent on outdated or unnecessary requirements that have changed in newer editions. Updated every four years by volunteers representing a multi-disciplinary group of more than 120 doctors, nurses, health care administrators, architects, engineers, and state and federal authorities having jurisdiction which is supported by public input and review.

Utility systems (EC.02.05.01) (posted on focus site) Means of egress (LS.02.01.20) (posted on focus site) Built environment (EC.02.06.01) (posted on focus site) Fire protection (EC.02.03.05) (posted on focus site) Building and Fire Protection Features (LS.02.01.10) Life safety protection (LS.02.01.30) (June/July) Automated suppression systems (LS.02.01.35) (Aug./Sept.) Hazardous materials and waste management (EC.02.02.01) (Oct./Nov. 2016) The Joint Commission has identified the top eight physical environment standards that are frequently cited during surveys of hospitals and other health care facilities. To help address these issues, ASHE is collaborating with the Joint Commission to provide resources that help facility professionals keep their organizations in compliance. http://www.ashe.org/compliance

Chapter 43 of NFPA 101 and its impact on Health Care Facilities Upcoming Webinars August 10 Chapter 43 of NFPA 101 and its impact on Health Care Facilities September 15 CMS Adoption of the 2012 Edition of NFPA 99 and What it Means for Health Care Facilities The Joint Commission has identified the top eight physical environment standards that are frequently cited during surveys of hospitals and other health care facilities. To help address these issues, ASHE is collaborating with the Joint Commission to provide resources that help facility professionals keep their organizations in compliance. http://www.ashe.org/compliance

Questions

Mark Your Calendars   2016 webinars will be held Wednesdays at 12 CT on the following dates: Q3-9/21 Q4-12/7

Regional Updates