Infection Prevention and Health Care Design | 2018 PDC Summit 2018 PDC Summit: March 25-28, 2018 | Nashville, TN

CODE COMPLIANCE TIPS FOR HEALTH CARE PLANNING, DESIGN, AND CONSTRUCTION PROFESSIONALS

Monday, February 5, 2018
Image: hand with a pencil marking a list

With the ever-changing and expanding number of health care codes coming into focus, it is more important than ever to make sure your facilities are ready to adapt. Chad Beebe, AIA, CHFM, CFPS, CBO, FASHE, and Deputy Executive Director at the American Society for Healthcare Engineering, outlines how to prepare for compliance in each phase of facility planning, design, and construction.

Planning
When planning a health care facility, special attention should be given to departmental square footage. Calculation of the physical area within health care spaces has long been important for planning and design, construction estimating, engineering analysis, capital budgeting, facility management, space allocation, and financial reimbursement. Unfortunately, calculating the department square footage hasn’t been standardized until recently with the development of ASHE’s Area Calculation Method for Health Care monograph. With this consistency in calculating departmental gross square footage, reports are now being developed to provide benchmarks to help assist planners when developing the program for new hospitals.

Design
Designing for code compliance is one of the top issues for hospital executives. Yet, many hospitals executives are reporting difficulties in obtaining initial licensure or Medicare certification because of code deficiencies. It is important to understand your state licensure requirements, which may include compliance with the FGI Guidelines for Design and Construction of Healthcare Facilities. More importantly, compliance with the 2012 edition of NFPA 101 Life Safety Code® is required for hospitals to receive reimbursement for Medicare/Medicaid services. The majority of patients treated by hospitals are covered by the Medicare/Medicaid programs (an average of 57% of patients), making the Medicare/Medicaid Conditions of Participation extremely important for compliance.

Construction
Health care construction provides a number of unique challenges. Work scheduling can get very tricky with facilities that must remain open and required to maintain 24/7 operations. In an environment that revolves around patient satisfaction, it is now even more important to minimize impacts of construction work. Code compliance is also important during construction. Careful collaboration between the design team and the contractor may be necessary to provide enough information to the Authority Having Jurisdiction for approval of any remodel that may impact the flow of patients or the exiting from the building. The construction area also needs to be isolated from the patients, both by physical barriers and by controlling airflow, so that dust and debris doesn’t enter the patient care areas.

Join us at the 2018 PDC Summit
This year’s conference theme, “Adapting to the Shifting Tempo of Health Care,” will allow you and your team to gain knowledge and discover strategies to increase flexibility in your organization. Attend the following sessions to brush up on the latest news in health care compliance.


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