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

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

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

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

5. 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)

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

7. 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”

8. 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

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

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

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

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

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

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

15. CMS changes

16. 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?

18. 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

19. 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.

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