1. Healthcare Facilities and Regulatory Compliance
As a vendor, how can you help?

2. Park Nicollet Methodist Hospital PN Clinics and Specialty Centers TRIA
426 licensed beds
1.15 Msf
PN Clinics and Specialty Centers
35? Facilities
1.9 Msf
TRIA
Bloomington and Woodbury(!)

3. Who is Chris? Senior Ops Mgr, Engineering and Maintenance
Half operations, half infrastructure capital mgr
EC and LS Chapter Lead for regulatory
Legionella control manager, power system manager, HVAC manager, energy manager, central plant manager, car-ran-into-my-building fixer, controls guy, fire alarm guy…
Guy that relies on trusted partners, both internal and external

4. Critical Moments
MH Flood of 2014
Shorted motor starter bucket

5. Who enforces the regulatory rules?
MDH? MSFM? Sure, and respected with regard to medical practice and facility safety
CMS: Centers for Medicare & Medicaid Srvcs
If hospital care is reimbursed by CMS, CMS regulations must be followed. The consequences of failure to comply can be catastrophic
Who surveys and enforces for CMS?
tJC, DNV, AAAHC
My experience/perspective
Code and standard driven, voluminous, egregious; movement to change focus

6. tJC standards for fire alarm
Code References
NFPA
Chapter 9 for Fire Alarm
Which is NFPA 72 +
Chapters 18/19 for Healthcare occupancies
Chapter 9 +

7. What’s a survey like?
The Life Safety surveyor is stuck to me for 2 days
It is part live survey of the facility and desktop survey of documentation
It is:
Educational
Invasive
Disruptive
Confidence-shaking
It is NOT:
Deferrable
BS-able
Inconsequential
Fun

8. How can you help? “If it isn’t documented, it didn’t happen”
Document the failures, document the fixes
Documenting no failures is not a solution
Per device documentation
Timely testing
Timely documentation – ILSM
The Trusted Partner
No blind spots!
NFPA 72 form?

9. How can you help during a survey?
Know when your Owner is due for a survey
Be ready to respond to requests
Have your files/documents organized/ready
Have appropriate personnel available to support
Document admins
Account managers
System techs