Medicinal services Facilities Construction Standards Update

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Social insurance Facilities Construction Standards Update New York State Hospital Review & Planning Council Codes & Regulations Subcommittee Ms. Sandra Haff New York State Department of Health Division of Health Facility Planning Thomas M. Jung, R.A

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New York State Hospital Code Standards of Construction Part 711 : General Standards of Construction Part 712 : New Hospitals Part 713 Nursing Homes 713-1: Nursing Homes somewhere around 1968 and 1990 713-2: Nursing Homes from 1990 to present Part 714 : VACANT Part 715 : Diagnostic & Treatment Centers Part 716 : Rehabilitation Facilities

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New York State Hospital Code Title 10 - Article 28 Part 711 General Standards of Construction Applicable to all Facility Types Adoption by reference of relevant national norms

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Nationally Recognized Standards National Fire Protection Association (NFPA) NFPA 101 Life Safety Code Fire & Life Safety (assurance and leaving) Other NFPA gauges referenced by NFPA 101 Mandated by CMS Guidelines for Design & Construction of Health Care Facilities 1947 General Standards : controls for Hill-Burton program 1984 Guidelines : expelled from direction by DHHS 1987 Guidelines : first amendment & production by others with government bolster 1996-97 Guidelines : chose areas received by NYSDOH Subsequently changed 2001, 2006 and 2010

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State Hospital Code (proceeded with) Part 712 Standards of Construction for Hospitals Applicable to all Acute Care Facilities Originally in light of Hill-Burton Hospital standard (starting point of the Guidelines) NYSDOH composed and reconsidered before 1998

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State Hospital Code (proceeded with) Part 713 Standards of Construction for Nursing Homes Applicable to all Nursing Homes Originally in view of Hospital measures Includes Adult Day Health Care NYSDOH composed and overhauled Part 714 Standards of Construction for Health Related Facilities Deleted because of disposal of office class

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State Hospital Code (proceeded with) Part 715 Standards of Construction for Diagnostic & Treatment Centers Applicable to all Outpatient Facilities Freestanding & In-clinic (no inpatients) NYSDOH composed and reexamined preceding 1998 Part 716 Standards of Construction for Rehabilitation Facilities Applicable to inpatient and outpatient offices with recovery concentrate Originally in light of Hospital benchmarks NYSDOH composed and modified preceding 1998

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1998 State Hospital Code Last Major Revision Largest SHC Update ever First huge upgrade since late 1970's Construction Standards Advisory Group - Comprised of 80+ NYS social insurance plan & development partners Architects (American Institute of Architects) Engineers and Construction Managers NH proprietors and Hospital office delegates NH and Hospital affiliation agents NYSDOH and GORR staff CMS Staff

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1998 State Hospital Code Revision (proceeded with) Part 711: General Standards Adopted 1997 Life Safety Code (once in the past 1985) Limited reception of 1997 Guidelines Updated every single referenced standard Part 712: New Hospitals Adopted 1997 Guidelines in lieu of composing standard Part 713: New Nursing Homes Updated NYSDOH principles

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1998 State Hospital Code Revision (proceeded with) Part 714: Health Related Facilities Deleted - No more extended appropriate Part 715: New D&TC's Complete re-compose of NYSDOH standard to a Performance Based model Part 716: New Rehabilitation Facilities Adopted 1997 Guidelines in lieu of composing standard

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Current Update Proposal Justification NFPA 101 Life Safety Code consistency with Centers for Medicare & Medicaid Services (CMS) Pre-1998: Both CMS and NYSDOH embrace 1985 version of Life Safety Code 1998: NYSDOH embraces 1997 release of Life Safety Code (CMS Delayed) 2003: CMS receives 2000 version of Life Safety Code

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Justification for Update (proceeded with) Guidelines for Design and Construction of Health Care Facilities Status developing as U.S. accord standard for human services plan & development U.S. Bureau of Health & Human Services/CMS HUD contract program JCAHO 42+ states have embraced all or to some degree NYSDOH received in 1998 for Hospitals & Rehabilitation Facilities NYS encounter post-1998 has been certain Effort to reconsider committed NYSDOH directions huge & not opportune

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Proposals Under Review Part 711: General Standards Adopt 2000 Life Safety Code (supercedes 1997) Consistent with CMS and JCAHO Part 712: New Hospitals Update to 2006 2010 Guidelines (supercedes 1997) Part 713: New Nursing Homes Adopt 2006 2010 Guidelines in lieu of composing own standard

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Proposals Under Review (proceeded with) Part 714: Re-initiate for Adult Day Health Care Facilities (Relocate from Part 713) Adopt 2006 2010 Guidelines in lieu of composing standard Part 715: New D&TC's Adopt 2006 2010 Guidelines in lieu of composing standard Part 716: New Rehabilitation Facilities Update to 2006 2010 Guidelines (1997 )

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Summary of Current Proposal

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Format Changes

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Goals of Current Proposal Consistency with CMS (Life Safety Code) 2000 Edition Consistency crosswise over U.S. 42+ States have embraced Guidelines Ease of future overhauls Guidelines are accord archive 140+ national agents (counting NYS) Public Proposals & Comments Design, Construction & Clinical skill 28+ DOH delegates from different states

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Thank you… .Questions ? Thomas M. Jung, R.A. Division of Health Facilities Planning Bureau of Architectural & Engineering Facility Planning (518) 402-0967 tmj02@health.state.ny.us

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