WELCOME

Thank you for joining us for

today’s webinar
Healthcare 101 - FGI Primer
Wednesday, July 29, 2015
2:30 pm – 4:00 pm EDT
1:30 pm – 3:00 pm CDT
12:30 pm – 2:00 pm MDT
11:30 am – 1:00 am PDT

Presenter
Douglas Erickson, FASHE, CHFM, HFDP, CHC
CEO, Facility Guidelines Institute
 Emerging Professionals
Education Series – HC 101

Visit www.aia.org/aah for more information

Click on “Upcoming Events” then “View upcoming webinars”

Emerging Professionals Education Series – HC 101
The Academy of Architecture for Health wants to cultivate interest
and career development in this specialized field. HC 101 Series
sessions are web-based 90 minute seminars by nationally recognized
experts tailored to provide budding healthcare design professionals
with conceptual and practical primer-level knowledge.
The HC 101 Series is a cost effective option for those lacking the time
and money to attend a conference or other Academy event.
Series topics include: Master planning; Programming; Ambulatory
care; Clinical support services; Emergency; ICI-acute care; Imaging;
Long-term care; Maternal care; Mental health; Surgery.
Compliance Statement
“AIA Knowledge” is a Registered Provider with The American Institute
of Architects Continuing Education Systems (AIA/CES). Credit(s)
earned on completion of this program 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 program 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.
Copyright Materials

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.

©2015 The American Institute of Architects

Course Description
This is a primer on how to use the FGI Guidelines in the course of
planning and design of healthcare facilities. We will quickly
review the background of the “Guidelines” and its raison d'être.
We will review the essential elements of the Guidelines, available
formats and how to best go about retrieving information. We will
cover definitions of Acute, Ambulatory and Residential Care as
well as other terms commonly used throughout the Guidelines.
In closing we will cover opportunities this year to participate in
the next edition’s revision process.
Learning Objectives
1. Communicate with healthcare planning, design and
construction professionals using common Guidelines Terms
and Acronyms.
2. Check your work for Critical Factors to Guidelines
compliance.
3. Access and incorporate Basic Requirements and Processes
from the Guidelines into your work.
4. Further expand your expertise on this topic by knowing
where to Learn More.
AIA/CES Reporting Details
All attendees will be eligible to receive:
1.5 HSW LU (AIA continuing education)
All attendees at your site will submit for credit by completing the
webinar survey/report form at the conclusion of the
presentation.
In order to receive credit, you will need to follow the link
provided:
• in the Chat box at the conclusion of the live presentation;
• in the follow-up email you will receive one hour after the
webinar.

Presenter
Douglas Erickson
FASHE, CHFM, HFDP, CHC
CEO
Facility Guidelines Institute
Douglas Erickson, FASHE, CHFM,
HFDP, CHC
CEO, Facility Guidelines Institute.
Having served as deputy executive director of
the American Society for Healthcare
Engineering; director of planning, design &
construction for the American Hospital
Association & director of engineering for the
Joint Commission.
Mr. Erickson is a founding member (since 1978)
of the Facility Guidelines Institute (FGI), the not-
for-profit organization responsible for producing
the Guidelines for Design and Construction
documents.
Questions?

Submit a question to the

moderator via the chat
box.

Content related questions

will be answered during
the Q&A portion as time
allows.
Healthcare 101 - FGI Primer

Presenter
Douglas Erickson, FASHE, CHFM, HFDP, CHC

CEO, Facility Guidelines Institute

2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Healthcare  101  –  FGI  Primer  
Health, Care,
and Support Academy  of  Architecture  for  Health  
Facilities   July  29,  2015  
 Introduc?on  

2014 Edition Outline  

•  Introduc?on  to  the  Facility    
Guidelines
Guidelines  Ins?tute’s  Guidelines  
for Design
and  for  Design  and  Construc3on  documents  
Construction •  How  the  documents  are  used  
of Hospitals
and •  How  the  documents  are  organized  
Outpatient •  Public  proposal  process  and  geGng  involved  
Facilities
Presenters  
Guidelines •  Douglas  Erickson,  CEO,  Facility  Guidelines  Ins?tute  and  chair  
for Design of  the  2018  revision  cycle  
and
Construction •  Pamela  James  Blumgart,  Managing  Editor,    
of Facility  Guidelines  Ins?tute  
Residential
Health, Care,
and Support
Facilities  
2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and The  views  and  opinions  expressed  in  this  
Construction
of presenta?on  are  the  opinions  of  the  speaker  
Residential
Health, Care,
and  not  the  official  posi?on  of  the  Health  
and Support Guidelines  Revision  CommiUee.  
Facilities  
 Background:  FGI  Guidelines  for  Design  and  Construc3on  
 
2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 History  

2014 Edition •  Minimum  construc?on  requirements,  1947  –  84  

–  First  published  in  1947  to  support  the  Hill-­‐Burton  Act  
Guidelines
for Design •  Turned  over  to  the  public  sector  in  1985  and  called  
and
Construction the  Guidelines  ever  since  
of Hospitals
and
•  Published  by  the  AIA:  1987  –  2006  
Outpatient •  Published  by  ASHE:  2010  –  2014  
Facilities
•  Since  2001:  
Guidelines –  The  Facility  Guidelines  Ins?tute  (FGI)  holds  the  copyright  
for Design
in  the  Guidelines  documents.  
and
Construction –  FGI  is  responsible  for    
of development  of  the    
Residential
content  of  the  Guidelines    
Health, Care,
and Support documents.  
Facilities  
 Guidelines  Purpose  and  Use  

2014 Edition •  Sets  minimum  standards  for  program,  space,  and  

Guidelines
equipment  for  hospitals,  nursing  homes,  
for Design outpa?ent,  rehabilita?on,  psychiatric,  mobile  and  
and
Construction
LTC  facili?es  
of Hospitals •  Referenced  by  TJC,  PHS,  IHS,  HUD  242  Hospital  
and
Outpatient Mortgages  more  than  40  states  for  licensure  or  
Facilities accredita?on  of  health  care  facili?es  requiring  
clinic  licensure  
Guidelines
for Design •  Referenced  in  more    
and
Construction than  60  countries  
of
Residential
Health, Care,
and Support
Facilities  
 Current  Use  

2014 Edition How  the  Guidelines  documents  are  used:  

Guidelines •  Used  by  the  design  industry  as  a  reference  for  
for Design planning  and  design  of  health  care  and  residen?al  
and health,  care,  and  support  facility  projects  
Construction
of Hospitals  
and •  Adopted  or  referred  to  by  authori?es  having  
Outpatient
Facilities jurisdic?on  that  regulate  facility  construc?on:  
–  State  departments  of  health    
Guidelines –  The  Joint  Commission  
for Design
–  Federal  agencies  such  as  the  Bureau  of  Indian  Affairs,  the  
and
Construction Veterans  Administra?on,  the  Army  Corps  of  Engineers,  
of the  Public  Health  Service  
Residential
Health, Care,
and Support
Facilities  
 Use  of  the  Guidelines  Varies    

2014 Edition •  Used  by  public  and  private  en??es  

Guidelines •  Adopted  by  reference  or  used  as  a  reference  
for Design document  without  adop?on  
and
Construction •  Adopted  as  a  regulatory  requirement                                                            
of Hospitals
and
(in  full  or  in  part)  
Outpatient •  States  can/do  modify  in  state  generated  
Facilities
document(s)  
Guidelines •  Some?mes  a  requirement  of  lending  ins?tu?ons  
for Design
and •  Helps  to  strengthen  and  standardize  the  
Construction
of
fundamentals  of  pa?ent-­‐centered  healthcare  
Residential facility  design  and  construc?on  worldwide  
Health, Care,
and Support
Facilities  
 Guidelines  Limita?ons  

2014 Edition •  The  Guidelines  recommenda?ons  do  not  become  a  

Guidelines
regulatory  document  un?l  formally  adopted  as  law  
for Design by  a  governing  en?ty.  
and
Construction
of Hospitals •  Compliance  with  the  Guidelines  recommenda?ons  
and
Outpatient
does  not  guarantee  that  a  project  will  meet  all  the  
Facilities addi?onal  needs  of  a  health  care  organiza?on.  

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Legal  Opinion…  

2014 Edition

Guidelines
for Design The  Guidelines  are  considered  the  na?onal    
and
Construction
“standard  of  care”  and  must  be  addressed  in    
of Hospitals all  designs  of  health  care  facili?es.    If  a  por?on    
and
Outpatient of  the  Guidelines  is  not  used  or  deviated  from,    
Facilities
a  record  of  the  ra?onale  behind  the  change    
Guidelines should  be  recorded  for  later  use.  
for Design
and Prominent  Healthcare  Construc?on  AUorney  
Construction
of
Residential
Health, Care,
and Support
Facilities  
 State  Adop?on  Map  

2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Why  the  Guidelines  are  Special  

2014 Edition Why  do  people  use  the  Guidelines?  

Guidelines •  Guidelines  requirements  are  considered:  
for Design –  Baseline  (reflect  the  “standard  of  care”)  
and
Construction –  Non-­‐biased  (mul?disciplinary  development)  
of Hospitals
and
•  Vendors  and  manufacturers  have  no  direct  
Outpatient influence  on  the  final  vote.  
Facilities
•  FGI  is  a  credible  source  of  up-­‐to-­‐date  informa?on.  
Guidelines •  The  Guidelines  revision  process  is  increasingly  
for Design
and research-­‐informed,  striving  for  the  most  objec?ve  
Construction and  universal  standards.  
of
Residential
Health, Care,
and Support
Facilities  
 Consumer  Reports  

2014 Edition •  We  view  ourselves  as  the  Consumer  Reports  of  the  
Guidelines
health  care  physical  environment.  
for Design •  We  have  a  similar  view  and  mission…  
and
Construction
of Hospitals
and
Outpatient Consumer  Reports  is  an  
Facilities
expert,  independent,  
Guidelines nonprofit  organiza?on  
for Design whose  mission  is  to  work  for  
and
Construction a  fair,  just  marketplace  for  all    
of consumers  and  to  empower  
Residential
Health, Care, consumers  to  protect  
and Support themselves.  
Facilities  
 Overview  of  the  FGI  Revision  Process  

2014 Edition •  Consensus  based  process  for  Guidelines  

Guidelines
development  u?lizing:    
for Design –  Collec?ve  mul?-­‐disciplinary  experience    
and
–  Professional  stakeholder  consensus  including  many  AHJs    
Construction
of Hospitals (no  manufacturers)  
and –  Public  review  process  
Outpatient
Facilities –  Clinical  &  evidence-­‐based  research  
–  Con?nual  Improvement  Process    
Guidelines –  Every  new  edi?on  of  the  FGI  Guidelines  is  different,  and  
for Design
and
an  “evolu?on”  from  previous  edi?ons  
Construction •  Mul?ple  edi?ons  of  the  Guidelines  are  currently  in  
of
Residential use  
Health, Care,
and Support
Facilities  
 Revision  Process  Chart  

2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 2018  HGRC  Makeup  

2014 Edition •  20%  -­‐  Architects  

Guidelines •  18%  -­‐  Medical  professionals  
for Design
and
•  16%  -­‐  State  AHJs  
Construction •  13%  -­‐  Engineers  
of Hospitals
and •  10%  -­‐  HC  administrators/HC  org.  reps  
Outpatient
Facilities •     8%  -­‐  Federal  AHJs  (IHS,  CMS,  HUD,  VA,  ACE)  
•     7%  -­‐  Infec?on  control  experts  +  NIH/CDC  
Guidelines
for Design •     4%  -­‐  Construc?on  professionals  
and
Construction •     4%  -­‐  Interior  designers  
of
Residential
Health, Care,
and Support
Facilities  
  FGI  and  HGRC  Par?cipants    

2014 Edition •  Health  Guidelines  Revision  CommiUee  (HGRC)  

Guidelines
 (100-­‐member  mul?disciplinary  commiUee)    
for Design •  HGRC  Steering  CommiUee      
and
Construction  (16  members  of  the  HGRC)  
of Hospitals
and
•  3  document  groups  
Outpatient •  8  topic  groups  
Facilities
 (include  non-­‐HGRC  par?cipants)  
Guidelines •  Facility  Guidelines  Ins?tute      
for Design
and
 (8-­‐person  Board  of  Directors  +  CEO)  
Construction
of
Residential
Health, Care,
and Support
Facilities  
 The  Role  of  the  Guidelines    

2014 Edition

Guidelines
•  As  a  consensus-­‐based  minimum  standard,  the  
for Design Guidelines  documents  promote  a  level  of  
and performance  of  buildings  that,  when  operated  as  
Construction
of Hospitals
designed,  will  not  detrimentally  affect  the  health  
and and  safety  of  pa?ents  and  staff.  
Outpatient
Facilities
•  The  FGI  Guidelines  provides  baseline  design  and  
Guidelines construc?on  recommenda?ons  for  health  care  
for Design
and
facili?es  that  (1)  recognize  the    mission  of  health  
Construction care,  including  “first,  do  no  harm,”  and  (2)  consider  
of how  the  built  environment  supports  safe,  effec?ve,  
Residential
Health, Care,
and  efficient  health  care  delivery.  
and Support
Facilities  
 Minimum  is  Difficult  to  Define  

2014 Edition •  Minimum  standard:  The  Guidelines  is  considered  

Guidelines
to  be  a  series  of  minimum  consensus  requirements  
for Design for  the  design  and  construc?on  of  new  or  
and
Construction
renovated  health  care  facili?es.    
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Minimum  is  Difficult  to  Define  

2014 Edition •  In  many  instances,  health  care  organiza?ons  will  

Guidelines
need  to  exceed  Guidelines  requirements  to  meet  
for Design clinical  or  staff  needs  for  a  safe  and  effec?ve  
and
Construction
environment  based  on  their  model  of  care  and  the  
of Hospitals acuity  levels  of  their  pa?ents.  A  health  care  
and
Outpatient
organiza?on’s  func?onal  program  must  address  
Facilities when  there  is  a  need  to  exceed  the  Guidelines  
minimums.  
Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Minimum  is  Difficult  to  Define  

2014 Edition •  Risk  of  being  too  minimal  (create  opportunity  for  harm)  
Guidelines
•  Consider  risk/benefit  for  new  minimum  
for Design •  The  minimum  benchmark  changes  over  ?me  
and
Construction •  Cost  is  a  reality  in  determining  minimum  standards  
of Hospitals
and The  HGRC  has  a  Cost/Benefit  CommiUee  that  reviews  the  
Outpatient
Facilities financial  impact  of  every  proposed  change.  

Guidelines ASHE  u?lized  the  Cost/Benefit  CommiUee  to  help  conduct  

for Design an  analysis  of  impact  on  FIRST  COST  of  construc?on  of  the  
and
Construction 2010  and  2014  Guidelines  and  previous  edi?ons.  
of
Residential
Health, Care,
and Support
Facilities  
2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction

General  Layout  of  the  Guidelines  

of
Residential
Health, Care,
and Support
Facilities  
 Parts  and  Pieces  

2014 Edition 2014  Hospital/Outpa?ent  Guidelines  

•  Opening  Sec?on  
Guidelines
for Design –  Acknowledgments  
and
–  Major  Addi?ons  and  Revisions  
Construction
of Hospitals –  Glossary  of  Terms  
and
•  Part  1:    General  
Outpatient
Facilities –  Chapter  1.1,  Introduc?on  
•  Use  of  the  Guidelines  
Guidelines •  Government  Regula?ons  
for Design
and •  Building  Codes  and  Standards  
Construction •  Equivalency  Concepts  
of
Residential
Health, Care,
and Support
Facilities  
 Parts  and  Pieces  

2014 Edition 2014  Hospital/Outpa?ent  Guidelines  

Guidelines
•  Part  1:  General  
for Design –  Chapter  1.2,  Planning,  Design,  Construc?on  (PDC)  and  
and Commissioning  
Construction
of Hospitals •  Func?onal  Program  
and –  Owner-­‐driven  
Outpatient –  Completed  during  planning  stage  
Facilities –  Updated  as  the  project  is  designed  and  constructed  
•  Safety  Risk  Assessment  
Guidelines
–  Infec?on  Control  
for Design
and –  Pa?ent  Handling  and  Movement  
Construction –  Pa?ent  Fall  Preven?on  
of –  Medica?on  Safety  
Residential –  Behavioral  Health  
Health, Care,
–  Pa?ent  Immobility  
and Support
Facilities   –  Security  
 Parts  and  Pieces  

2014 Edition 2014  Hospital/Outpa?ent  Guidelines  

Guidelines •  Part  1:  General  
for Design –  Chapter  1.2,  PDC  and  Commissioning,  con3nued  
and
Construction •  Environment  of  Care  Requirements  
of Hospitals –  Delivery  of  Care  Model  Concepts  
and –  Physical  Environmental  Elements  
Outpatient •  Planning  and  Design  Considera?ons  
Facilities
–  Acous?cs  
–  Sustainable  Design  
Guidelines
–  Wayfinding  
for Design
and –  Bariatric-­‐Specific  Design    
Construction Considera?ons  
of –  Provisions  for  Disasters  
Residential
Health, Care,
and Support
Facilities  
 Parts  and  Pieces  

2014 Edition 2014  Hospital/Outpa?ent  Guidelines  

Guidelines •  Part  1:  General  
for Design –  Chapter  1.2,  PDC  and    
and
Construction
Commissioning,  con3nued  
of Hospitals •  Renova?on  
and •  Commissioning  
Outpatient
Facilities –  Chapter  1.3,  Site  
•  Loca?on  
Guidelines •  Site  Features  
for Design
–  Chapter  1.4,  Equipment  Requirements  
and
Construction •  Classifica?on  
of •  Space  
Residential
Health, Care,
and Support
Facilities  
 Parts  and  Pieces  

2014 Edition 2014  Hospital/Outpa?ent  Guidelines  

Guidelines •  Part  2:    General  Hospitals  
for Design –  Chapter  2.1,    Common  Elements  for  Hospitals    
and
Construction
(This  sec?on  needs  to  be  reviewed  prior  to  going  to  the  
of Hospitals specific  requirements.)  
and –  Chapter  2.x,    Specific  Requirements  for:  
Outpatient
Facilities •   2.2    General  Hospitals  
•   2.3    Freestanding  Emergency  Departments  
Guidelines •   2.4    Cri?cal  Access  Hospitals  
for Design •   2.5    Psychiatric  Hospitals  
and
Construction •   2.6    Rehabilita?on  Hospitals  
of •   2.7    Children’s  Hospitals  
Residential
Health, Care,
and Support
Facilities  
 Parts  and  Pieces  

2014 Edition 2014  Hospital/Outpa?ent  Guidelines  

Guidelines •  Part  3    Outpa?ent  Facili?es  
for Design –  Chapter  3.1,    Common  Elements      
and
Construction
(This  sec?on  needs  to  be  reviewed  prior  to  going  to  the  
of Hospitals specific  requirements.)  
and –  Chapter  3.x,    Specific  Requirements  for:  
Outpatient
Facilities •   3.2    Primary  Care  
•   3.3    Outpa?ent  Diagnos?c  and  Treatment  
Guidelines •   3.4    Birth  Centers  
for Design •   3.5    Urgent  Care  
and
Construction •   3.6    Cancer  Treatment  
of •   3.7    Surgical  Facili?es  
Residential
Health, Care,
and Support
Facilities  
 Parts  and  Pieces  

2014 Edition 2014  Hospital/Outpa?ent  Guidelines  

Guidelines •  Part  3:  Outpa?ent  Facili?es  
for Design –  Chapter3.x,    Specific  Requirements  for:  
and
Construction •   3.8        Office-­‐Based  Procedure  and  Opera?ng  Rooms  
of Hospitals •   3.9        Endoscopy  
and •   3.10    Renal  Dialysis  
Outpatient
Facilities •   3.11    Psychiatric  Centers  
•   3.12    Rehabilita?on  Therapy  
Guidelines •   3.13    Mobile,  Transportable,  and  Relocatable  Units  
for Design •   3.14    Dental  
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Parts  and  Pieces  

2014 Edition 2014  Hospital/Outpa?ent  Guidelines  

Guidelines
for Design •  Part  4:    Ven?la?on  of  Health  Care  Facili?es  
and –  This  sec?on  is  a  reprint  of  the  2013  edi?on  of  ASHRAE  
Construction Standard  170:  Ven3la3on  of  Health  Care  Facili3es.    FGI  
of Hospitals
and and  ASHRAE  have  a  partnership  to  work  on  the  content  
Outpatient together  and  to  publish  Standard  170  as  a  part  of  the  
Facilities Guidelines.  

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Appendix  Oren  References  Other  Documents  
 
2014 Edition

Guidelines
for Design
and
Construction The  appendix  is  located  at  
of Hospitals the  boUom  of  each  page  in  a  
and shaded  box.  
Outpatient    
Facilities The  appendix  is  not  
considered  part  of  the  
Guidelines document  that  is  adopted  as  
for Design code.    
and  
Construction
It  func?ons  as  a  reference  
of
Residential and  educa?onal  tool  that  
Health, Care, discusses  concepts  that  are    
and Support “beyond  minimum”  
Facilities   standards  and  also  provides  
clarifica?on  informa?on.  
 Ques-ons?  
2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and Submit  a  ques?on  to  the  
Outpatient moderator  via  the  chat  box.  
Facilities
 
Guidelines Content-­‐related  ques?ons  will  
for Design be  answered  during  the  Q&A  
and
Construction
por?on  as  ?me  allows.    
of
Residential
Health, Care,
and Support
Facilities  
 Past  Major  Issues…Innova?ons  

2014 Edition •  Func?onal  program  

Guidelines •  Safety  risk  assessment  
for Design
and
•  Single-­‐bed  room  
Construction •  Infec?on  control  (hand-­‐washing,  surfaces,  etc.)  
of Hospitals
and •  Acous?cs  
Outpatient
Facilities •  Medica?on  safety  zones  
•  Pa?ent  handling  and  movement  
Guidelines
for Design •  Cri?cal  access  hospitals  
and
Construction •  Person-­‐centered  care  
of
Residential
Health, Care,
and Support
Facilities  
 Formal  Interpreta?ons  

2014 Edition

Guidelines
for Design
and Requests need to be
Construction
of Hospitals submitted using the
and electronic form on the
Outpatient
Facilities FGI website.
Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Interpreta?ons  

2014 Edition •  New  interpreta?ons  submiUed  to:  

–  interpreta?ons@fgi-­‐guidelines.org  
Guidelines
for Design –  advisoryopinions@fgiguidelines.org  
and
Construction
of Hospitals
and
Insanity: doing the same
Outpatient thing over and over again
Facilities and expecting different
Guidelines
results.
for Design
and
Construction We cannot solve our !
of
Residential
problems with the same !
Health, Care, thinking we used when !
and Support
Facilities   we created them.
Albert Einstein
2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
2018  Revision  Cycle:  
Health, Care, Overview  of  Process  
and Support
Facilities  
 Planned  Final  Products  for  2018  Cycle  

2014 Edition Un?l  2014  

•  Guidelines  developed  and  published  as  a  single  book  
Guidelines
for Design
and 2014  edi?on  
Construction
of Hospitals
•  Guidelines  developed  and  published  as  two  books:  
and –  Hospitals  and  Outpa?ent  Facili?es  
Outpatient –  Residen?al  Health,  Care,  and  Support  Facili?es  
Facilities
2018  edi?on  
Guidelines •  Guidelines  to  be  developed  and  published  separately  
for Design for:  
and –  Hospitals  
Construction
of –  Outpa?ent  Facili?es  
Residential –  Residen?al  Health,  Care,  and  Support  Facili?es  
Health, Care,
and Support
Facilities  
 Planned  Final  Products  for  2018  Cycle  

2014 Edition Fundamental  requirements  and  companion  informa?on  

Guidelines
for Design •  Fundamental  design  requirements  
and –  Primary  purpose:  
Construction •  To  provide  the  minimum  or  baseline  requirements  necessary  
of Hospitals to  design  and  build  safe,  efficient,  and  effec?ve  care  
and environments  
Outpatient
–  WriUen  to  facilitate  adop?on  and  enforcement  by  state  and  
Facilities
federal  agencies  
Guidelines
for Design •  Companion  informa?on  
and –  “Beyond  fundamentals”  
Construction •  Exceed  fundamental  requirements  
of
•  Not  intended  for  adop?on  or  enforcement  
Residential
Health, Care,
and Support
Facilities  
 New  Organiza?on  for  2018  Guidelines  

2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Revision  Process  

2014 Edition HGRC  mission:  To  create  documents,  using  a  

Guidelines
mul?disciplinary  consensus  process  advised  by  
for Design research,  for  design  and  construc?on  of  the  health  
and
Construction
care  built  environment.    
of Hospitals  
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Revision  Process  

2014 Edition HGRC  vision:  Applica?on  of  the  HGRC  documents  

Guidelines
published  by  the  Facility  Guidelines  Ins?tute  results  in  
for Design health  care  facili?es  that  are  safe,  are  versa?le,  
and
Construction
support  the  delivery  of  quality  care,  and  op?mize  
of Hospitals costs  and  benefits.  
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Revision  Process  

2014 Edition Health  Guidelines  Revision  CommiUee  (HGRC)  

Guidelines •  HGRC  makeup  
for Design –  Clinicians  
and
Construction –  Designers  (architects,  engineers,  interior  designers)  
of Hospitals –  Health  care  administrators,  including  facility  managers  
and
Outpatient –  Authori?es  having  jurisdic?on  (federal,  state)  who  
Facilities regulate  health  care  and  residen?al  health,  care,  and  
support  facility  construc?on    
Guidelines
for Design
•  Topic  groups  repor?ng  back  to  the  HGRC  
and
Construction
•  HGRC  and  topic  groups  may  assign  task  groups  for  
of a  specific  assignment  
Residential
Health, Care,
and Support
Facilities  
 Revision  Process  

2014 Edition HGRC  topic  groups  

Guidelines •  Working  groups  to  review  topics  iden?fied  by  the  
for Design Steering  CommiUee  –  include  outside  subject  
and
Construction maUer  experts  
of Hospitals
and
Outpatient •  The  goal  is  to  determine  how  each  topic  is  
Facilities
addressed  across  all  the  FGI  Guidelines  documents  
Guidelines –  Hospitals  
for Design –  Outpa?ent  facili?es  
and
Construction –  Residen?al  health,  care,  and  support  facili?es  
of
Residential
Health, Care,
and Support
Facilities  
 Topic  Groups  

2014 Edition •  Acous?cs  

–  Already  in  place:  the  Acous?cs  Working  Group  (AWG)  
Guidelines
for Design
–  Publish  a  white  paper  to  accompany  the  FGI  Guidelines  
and (began  with  the  2010  edi?on).  
Construction –  Determine  physical  environment  response  to  alarm  
of Hospitals fa?gue  (this  effort  has  been  under  way  for  a  year).  
and
Outpatient •  Bariatric  Accommoda?ons  
Facilities –  Review  Guidelines  requirements  to  support  building  
features  that  accommodate  the  obese  popula?on  and  
Guidelines storage  and  space  for  oversize  equipment.  
for Design –  Determine  what  propor?on  of  the  popula?on  must  be  
and
Construction obese  to  jus?fy  modifica?ons  to  CT  or  MRI  or  similar  
of large  equipment.  
Residential
Health, Care,
and Support
Facilities  
 Topic  Groups  

2014 Edition •  Emergency  Preparedness  

–  Iden?fy  physical  environment  features  to  support  a  
Guidelines health  care  organiza?on’s  ability  to  respond  in  an  
for Design emergency  or  disaster.  
and
Construction –  Iden?fy  other  industry  guidance  on  emergency  
of Hospitals preparedness  to  determine  if  Guidelines  requirements  
and are  consistent  and  complimentary.  
Outpatient
Facilities •  “Geriatric”  Accommoda?ons  
–  Consider  what  “residen?al”  features  would  be  
Guidelines appropriate  for  inclusion  in  all  facility  types  to  
for Design accommodate  the  aging  popula?on  and  others  with  
and similar  mobility  and  vision  issues.  (The  concept  could  be  
Construction described  as  universal  design  to  support  health,  wellness,  
of and  preven?ve  care.)  
Residential
Health, Care,
and Support
Facilities  
 Topic  Groups  

2014 Edition •  Infec?on  Preven?on  

–  Consider  physical  environment  responses  to  address  current  
Guidelines and  developing  IP  challenges:  
for Design •  Clean  and  soiled  workflows  
and
•  Airborne  infec?on  isola?on  needs  in  outpa?ent  facili?es  
Construction
of Hospitals •  Novel  and  emerging  pathogens  
and •  Security  
Outpatient –  Determine  minimum  physical  environment  features  to  
Facilities
address  violence  in  the  workplace.  
–  Iden?fy  security  design  measures  that  support  safety  in  
Guidelines
outpa?ent  facili?es  without  security  staff.  
for Design
and –  Review  Guidelines  text  re:  equipment  and  pharmacy  
Construction security  and  balance  between  security  and  pa?ent/resident  
of experience.  
Residential
Health, Care,
and Support
Facilities  
 Topic  Groups  

2014 Edition •  Sustainability    

(Reduce  waste;  conserve  energy  and  water;  provide  safe,  
Guidelines
healthy  environment  for  staff,  residents,  pa?ents,  families)  
for Design
and –  Evaluate  opportuni?es  for  sustainable  prac?ces  that  can  be  
Construction facilitated  and  promoted  by  physical  environment  features.  
of Hospitals
and
–  Evaluate  emerging  technologies  for  inclusion  in  the  
Outpatient Guidelines.  
Facilities •  Technology  
(Medical  and  diagnos?c  equipment,  communica?on  systems)  
Guidelines
for Design –  Evaluate  current  and  emerging  technology  to  iden?fy  future  
and needs  to  be  accommodated  in  facili?es.  
Construction –  Iden?fy  changes  needed  in  the  Guidelines  to  support  
of
Residential
flexibility  of  facili?es  to  accommodate  new  tech.  
Health, Care,
and Support
Facilities  
 Overview  of  the  Revision  Process  

2014 Edition •  Public  proposal  period  –  June  to  October  15,  2015  
Guidelines
for Design
and
•  Sugges?ons  are  accepted  to  change  the  language  
Construction in  any  part  of  the  current  FGI  Guidelines  
of Hospitals
and
documents:  
Outpatient –  2014  Guidelines  for  Design  and  Construc3on  of  Hospitals  
Facilities and  Outpa3ent  Facili3es  
–  2014  Guidelines  for  Design  and  Construc3on  of  
Guidelines
for Design Residen3al  Health,  Care,  and  Support  Facili3es  
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Overview  of  the  Revision  Process  

2014 Edition
Enter  proposals  in  the  FGI  electronic  proposal  system  for  the  
appropriate  2018  book:  
Guidelines
for Design
–  Hospital:  www.fgiguidelines.net/proposals_H  
and –  Outpa?ent:  www.fgiguidelines.net/proposals_OP    
Construction –  Residen?al:  www.fgiguidelines.net/proposals_RES    
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Overview  of  the  Revision  Process  

2014 Edition
Enter  your  opinion  on  proposals  submiUed  by  others.  
Guidelines –  Use  the  window  below,  which  appears  at  the  boUom  of  each  
for Design
and submiUed  proposal  when  you  open  
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Overview  of  the  Revision  Process  

2014 Edition •  Public  comment  period  –  September  to  November  

2016  
Guidelines
for Design
•  Drar  manuscripts  are  published  showing  changes  to  
and the  2014  documents  accepted  by  the  HGRC.  
Construction •  Comments  are  accepted  only  on  proposed  changes  as  
of Hospitals
and
shown  in  the  drars.  
Outpatient •  Enter  comments  in  the  FGI  electronic  system  for  the  
Facilities appropriate  2018  book:  
–  Hospital:  www.fgiguidelines.net/comments_H    
Guidelines
–  Outpa?ent:  www.fgiguidelines.net/comments_OP    
for Design
and –  Residen?al:  www.fgiguidelines.net/comments_RES    
Construction •  Submit  your  opinions  on  comments  submiUed  by  
of others.  
Residential
Health, Care,
and Support
Facilities  
 Cost/Benefit  Analysis  

2014 Edition •  FGI  encourages  considera?on  of  costs/benefits.  

Guidelines •  HGRC  commiUees  will  consider  cost/benefit  
for Design informa?on  in  their  review  of  proposals  and  
and
Construction comments.  
of Hospitals
and
•  SubmiUers  must  fill  out  a  cost/benefit  matrix  in  
Outpatient the  FGI  electronic  proposal  system.  
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Cost/Benefit  Analysis  

2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
 Overview  of  the  Revision  Process  

2014 Edition Publica?on  of  2018  edi?on  fundamentals  documents  

Guidelines •  Manuscripts  approved  by  the  HGRC  and  the  
for Design Steering  CommiUee  are  published  in  electronic  
and
Construction and  print  formats.  
of Hospitals
and
Development  of  “beyond  fundamentals”  
Outpatient •  Items  iden?fied  during  the  revision  process  as  
Facilities
“beyond  fundamental”  will  be  developed  and  
Guidelines published  (new  for  2018  cycle  –  process  to  be  
for Design developed)  
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
2014 Edition

Guidelines
for Design
and
Construction
of Hospitals
and
Outpatient
Facilities

Guidelines
for Design
and
Construction
of
Residential
Health, Care,
and Support
Facilities  
Q&A
If you have questions for
today’s presenter, please
type them into the chat box.
The moderator and
presenter will address
questions as time allows.
Thank you for joining us for today’s webinar.

Healthcare 101 - FGI Primer

AIA CES Course # AAH1502

Presenter
Douglas Erickson, FASHE, CHFM, HFDP, CHC
CEO, Facility Guidelines Institute

doug@fgiguidelines.org
You deserve credit – here is how to get it
This concludes the AIA/CES Course #AAH1502. The webinar
survey/report form URL is listed in the chat box and will be included in
the follow-up email sent to you in the next hour.
Survey Link: https://www.research.net/s/AAH1502
Report credit for all attendees at your site by completing
the webinar survey/report form within the next 3 business days. You
will be prompted to download a certificate of completion at the end of
the survey.
Tablet and smartphone users must copy down the above survey link.
Learn about other AIA webinar offerings at
http://network.aia.org/events/webinars/.
 Emerging Professionals
Education Series – HC 101

Visit www.aia.org/aah for more information

Click on “Upcoming Events” then “View upcoming webinars”

Emerging Professionals Education Series – HC 101
The Academy of Architecture for Health wants to cultivate interest
and career development in this specialized field. HC 101 Series
sessions are web-based 90 minute seminars by nationally recognized
experts tailored to provide budding healthcare design professionals
with conceptual and practical primer-level knowledge.
The HC 101 Series is a cost effective option for those lacking the time
and money to attend a conference or other Academy event.
Series topics include: Master planning; Programming; Ambulatory
care; Clinical support services; Emergency; ICI-acute care; Imaging;
Long-term care; Maternal care; Mental health; Surgery.
Compliance Statement
“AIA Knowledge” is a Registered Provider with The American Institute
of Architects Continuing Education Systems (AIA/CES). Credit(s)
earned on completion of this program 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 program 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.
For AIA/CES Credit
The webinar survey/report form URL will be included in the follow-up
email sent to you in the next hour.
Survey Link: https://www.research.net/s/AAH1502
Report credit for all attendees at your site by completing
the webinar survey/report form within the next 3 business days. You
will be prompted to download a certificate of completion at the end
of the survey.
Tablet and smartphone users must copy down the above survey link.
Learn about other AIA webinar offerings at
http://network.aia.org/events/webinars/.