1. AIA Iowa Complying with the 2014 FGI Acoustical Guidelines #A203 Jon W. Mooney PE September 26, 2014

2. Credit(s) earned on completion of this course will be reported to AIA CES for AIA members. Certificates of Completion for both AIA members and non-AIA members are available upon request. This course is registered with AIA CES for continuing professional education. As such, it does not include content that may be deemed or construed to be an approval or endorsement by the AIA of any material of construction or any method or manner of handling, using, distributing, or dealing in any material or product. _______________________________________ ____ Questions related to specific materials, methods, and services will be addressed at the conclusion of this presentation.

3. This presentation is protected by US and International Copyright laws. Reproduction, distribution, display and use of the presentation without written permission of the speaker is prohibited. © KJWW Engineering 2014 Copyright Materials

4. The 2010 FGI Guidelines included a revolutionary -- and much needed -- change in the acoustical requirements. However, this change also generated some significant feedback. The acoustical committee of FGI has listened to the feedback and has modified some of the requirements. This presentation will assist participants in understanding the 2014 FGI acoustical guidelines. Course Description

5. Learning Objectives 1.Explain how compliance with FGI acoustical requirements can increase the HCAHPS scores used to evaluate their facilities. 2.Determine if their facility is FGI-compliant in the acoustical categories. 3.Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities. 4.Plan the steps to be taken to ensure FGI acoustical compliance for a new facility, addition, or remodeling project. At the end of this course, participants will be able to:

6. EXPLAIN HOW COMPLIANCE WITH FGI ACOUSTICAL REQUIREMENTS CAN INCREASE THE HCAHPS SCORES USED TO EVALUATE YOUR FACILITIES. Learning Objective #1

7. Explain how compliance with FGI acoustical requirements can increase the HCAHPS scores used to evaluate your facilities. http://www.medicare.gov/hospitalcompare/search.html

8. Explain how compliance with FGI acoustical requirements can increase the HCAHPS scores used to evaluate your facilities.

11. Heart Transplant: 22.4776 x $10,973 = $246,647 DRG 1.5% holdback to fund VBP program = $3700

12. Explain how compliance with FGI acoustical requirements can increase the HCAHPS scores used to evaluate your facilities.

13. DETERMINE IF YOUR FACILITY IS FGI-COMPLIANT IN THE ACOUSTICAL CATEGORIES. Learning Objective #2

14. Determine if your facility is FGI-compliant in the acoustical categories. Sound & Vibration: Design Guidelines for Health Care Facilities The Acoustics Research Council first prepared this document in association with the 2010 FGI Guidelines. Those using the 2010 edition should reference the 2010 edition of Sound & Vibration. A 2014 edition will be published to accompany the 2014 FGI documents. The ARC plans to update "Sound & Vibration" in the fall of 2014 with a new chapter on acoustics for residential health, care, and support facilities.

15. Determine if your facility is FGI-compliant in the acoustical categories. Site Exterior Noise (Planes, Trains and Automobiles)

16. Determine if your facility is FGI-compliant in the acoustical categories. Property Line Noise (generators, chillers and cooling towers)

17. Determine if your facility is FGI-compliant in the acoustical categories. Room Finishes

18. Determine if your facility is FGI-compliant in the acoustical categories. Room Background Noise Levels

19. Determine if your facility is FGI-compliant in the acoustical categories. Demising Components (walls, floor/ceilings, doors, windows)

20. Determine if your facility is FGI-compliant in the acoustical categories. Speech Privacy

21. Determine if your facility is FGI-compliant in the acoustical categories. Vibration isolation

22. Determine if your facility is FGI-compliant in the acoustical categories. Miscellaneous

23. SHOW HOW THE ACOUSTICAL REQUIREMENTS OF THE FGI GUIDELINES CHANGED IN VERSION 2014, AND HOW THOSE CHANGES WILL AFFECT FACILITIES. Learning Objective #3

24. Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities.

26. Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities. Site Exterior Noise (Planes, Trains and Automobiles) Changed recommended exterior shell ratings from STCc to OITC

27. Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities. Property Line Noise (generators, chillers and cooling towers) Removed general recommendations for noise reduction through siting, silencers and barriers. Added new sections specific to outdoor mechanical equipment (2.1-8.2.1.1 (5)) and emergency generators (2.1-8.3.3.1 (3)).

28. Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities. Room Finishes Changed “Design Room Sound Absorption Coefficients” to “Minimum Design Room Sound Absorption Coefficients”

29. Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities. Room Background Noise Levels Changed “Minimum-Maximum Design Criteria for Noise in Interior Spaces” to “Maximum Design Criteria for Noise in Interior Spaces Caused by Building Systems” Added/modified Medication safety zones NICU sleep areas NICU staff and family areas Operating rooms

30. Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities. Demising Components (walls, floor/ceilings, doors, windows) NICU removed from list of “Design Criteria for Minimum Sound Isolation Performance Between Enclosed Rooms”

31. Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities. Speech Privacy Replaced STI metric with SPC. Added defining standards. Updated ranges for Normal, Confidential and Secure speech

32. Show how the acoustical requirements of the FGI Guidelines changed in version 2014, and how those changes will affect facilities. Vibration isolation Raised acceptable level for patient rooms and areas.

33. PLAN THE STEPS TO BE TAKEN TO ENSURE FGI ACOUSTICAL COMPLIANCE FOR A NEW FACILITY, ADDITION, OR REMODELING PROJECT. Learning Objective #4

34. Plan the steps to be taken to ensure FGI acoustical compliance for a new facility, addition, or remodeling project. 1)Include 2014 FGI Guidelines in all design specifications and budget design and construction premiums to pay for it. 2) Include an experienced acoustics consultant on the design team starting with the design narrative/schematic design phase. 3) Require acoustics analyses during DD and CD phases to show engineering and architectural designs comply with FGI Guidelines. 4) Require construction submittals to show compliance with acoustical specifications in the engineering and architectural design. 5) Include job site observations and acceptance testing by the acoustics consultant.

35. Summary 1.Good acoustics can raise HCAHPS scores up to 15% and VBP scores up to 5%. 2.FGI’s Sound & Vibration: Design Guidelines for Health Care Facilities (V 3.0) is scheduled to be released this fall. Use this as a quick reference for determining compliance. 3.The biggest change for 2014 is the separation of Hospitals and Residential Facilities into separate guidelines. ebooks! 4.Achieving FGI compliance doesn’t happen unless everyone on the design and construction team works together.

36. This concludes The American Institute of Architects Continuing Education Systems Course AIA IowaContact Information Jon W. Mooney PE KJWW Engineering mooneyjw@kjww.com acoustics@jwmooney.com