MSHFM 79th Annual Meeting
Tan-Tar-A
November 8, 2001

Speaker: Dan Eckles - Issues to come - next generation

Construction

1. Private rooms - "justification to build semi private room"
2. Minimum size of patient room (min. 20 sq. ft. increase)
3. Minimum size toilet rooms (all rooms)
4. ADA addressed
5. Hand washing facilities (travel distance)
6. OS regulations-total overhaul LDR, Nursery design, etc.
7. Patient mom windows (non-operable)
8. Items in corridors/require storage space on floors 10 sq. ft. per bed?  Is quantity of supplies needed?
9. Isolation rooms - reverse isolation, HEPA filters
10. Required exam rooms - relaxing requirement
11. Neonatal nursery
12. Traffic control - "Build environment to help control"
13. Storage for surgery (requirement) 50 sq. ft./OR
14. Emergency room requirements, triage, fast tracking
15. 23-Hour observation
16. Radiology-catch up with industry
17. Finish inpatient care areas, maintenance, hold up, (Boone, Columbia) nursery Carpet? - test for DOH
18. Noise control, light controls

Fire Safety

1. May require facility to submit plan to sprinkle building.
2. Fire alarm systems - will require addressable system
3. Documentation of testing at time of install
4. Hazardous areas in building in line with model building code, BOCA, etc.
5. Smoke containment (corridor walls/doors) with seal that expands to make smoke tight?  DOH regulations will most likely not change.
6. DOH will most likely give some leeway in ADA regulations, i.e., horn/strobe in ICU/OR, etc.

Environmental HVAC

1. More protection for patient areas (HEPA)
2. MRI, Cath Lab, triage, etc., HVAC regulations.
3. Temp/humidity, PM regulations for equipment
4. Med gas requirements, state number per patient.
5. Identify pressure difference in patient area not just negative or position, also require monitoring equipment-visual
6. Broader requirement for emergency power,
7. Battery back-up in OR in addition to emergency power

Construction Infection Control Requirements

1. DOH will most likely be responsible to address infection control procedures as we see fit, Will outline committee members.
2. Movement of debris
3. Traffic flow
4. Water, utility contingency plans
5. Clean up during construction
6. Protective barriers
7. Address design to minimize water born (Legionnaire's) disease.
8. Access to exits

NOTE: This information comes from AIA 2001 Edition, Hospital/Health Care Facilities Design and Construction.

Dan Eckles was presented with gift from MSHFM for his years of support to the group and industry.