Health Facilities Engineering Section. Mission Statement The Health Facilities Engineering Section...
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Transcript of Health Facilities Engineering Section. Mission Statement The Health Facilities Engineering Section...
Mission Statement
• The Health Facilities Engineering Section serves to ensure the safe, efficient and effective delivery of healthcare through the review and oversight of healthcare construction and modernization projects; participation in surveys and inspections of healthcare facilities; oversight of private sewage systems at healthcare facilities; and consultation on issues related to the physical plant at healthcare facilities.
Public Health CodeAct 368 of 1978 As Amended
• Part 17 – Facilities & Agencies
– Section 20145 – Construction Permits
– Section 20155 – Visits to Facilities
Types of Facilities
• Hospitals
• Nursing Homes
• Freestanding Surgical Outpatient Facilities
• Homes for the Aged
• Hospices
• End Stage Renal Disease (Dialysis) Facilities
MINIMUM STANDARDS FOR HOSPITALS
• PART 3. OPERATIONAL RULES AND MINIMUM STANDARDS FOR ALL HOSPITAL PHYSICAL PLANT, FACILITIES, EQUIPMENT, AND OPERATIONS
NURSING HOMES AND NURSING CARE FACILITIES
• PART 2. LICENSURE – R 325.20213 Construction and major
alterations of nursing homes.
• PART 13. BUILDINGS AND GROUNDS– R 325.21303 Narrative program; architectural
plans and specifications; construction permit.
New Requirements (2002)
• Larger Room Sizes
• Maximum 2 Beds Per Room
• Increased Accessibility Requirements
• Air Conditioning in Resident Areas
Proposed Requirements (2007)
• Ventilator Dependent Units
• Emergency Power– 72 Hours in Hospitals– 24 Hours in Nursing Homes– Air Conditioning Area of Refuge
• Prohibit Exposed Hot Surfaces
Facility Trends
• Private Rooms in Hospitals (AIA Guidelines)
• Neighborhoods
• Private Rooms in Nursing Homes (80%)
• Bathing Facilities in Resident Toilet Rooms
Surveys & Inspections
• Aging Buildings
• Aging Roofs
• Minimally Sized Emergency Generators
• Low Lighting Levels
• No Make-up Air to Resident Rooms
Heating, Ventilation and Air Conditioning
• Corridor and/or Day/Dining Air Conditioning
• Electrical Baseboard Heating
• Exposed Hot Surfaces
Heating Considerations
• Subzero Weather
• Cold Weather Design
• Building Concerns– Insulation– Single Pane Window– Metal Frames– Leaks and Infiltration
Fire Safety Concerns
• Administered by Bureau of Fire Services
• Suppression Required in New Construction or Major Renovation
• Proposed Requirement to Retrofit all Nursing Homes within 5-10 Years
How to Contact HFES
• Phone: (517) 241-3408
• Fax: (517) 241-3423
• Web: www.michigan.gov/hfes