NCHEA Winter Conference 2005NCHEA Winter Conference 2005

Presented byThe North Carolina Department of

Health and Human Services/Division of Facility Services/

Construction Sectionfor

The NC Hospital Engineers Assn.

PRESENTERPRESENTER

William L. Warren, Chief DFS Construction Section

SESSION FORMATSESSION FORMAT

DFS OverviewArchitectural IssuesPlumbing/Mechanical Issues Electrical IssuesMiscellaneous Issues

GOALS AND OBJECTIVESGOALS AND OBJECTIVES

To explain our role in the process of designing, building and licensing medical facilities in the state of North Carolina

To provide each of you the information you need to manage your projects from concept through design and construction to completion and licensure

DFS MISSION STATEMENTDFS MISSION STATEMENT

The mission of the Division of Facility Services is to provide for the enhanced health, safety and well-being of the citizens of the state through regulation of medical, domiciliary care and mental health facilities, emergency medical services, jails and other programs and create a climate to promote continuous overall improvement by providers through consultation and education; to finance and to plan for the development of cost-effective health care facilities and services to assure geographical and economical access to those services by residents of the state.

DFS MISSION STATEMENT DFS MISSION STATEMENT (CONT.)(CONT.)

Activities and services provided by the Division will be done responsively, responsibly, reasonably, and respectfully with emphasis on leadership, commitment, collaboration and communication among organizational units throughout the Division and Department and with other public or private state, regional or local entities or members of the general public toward the end of achieving total quality objectives.

SECTION GOALSSECTION GOALS

Reduce the Review Turnaround Time

Combine Architectural & Engineering Reviews

Complete Reviews within Acknowledged

Timeframe

SECTION OVERVIEWSECTION OVERVIEW

Division ProgramsState LicensureTitle 18/19 Reimbursement

(Medicare/Medicaid)Health Care Facilities Finance Act

SECTION OVERVIEWSECTION OVERVIEW

Construction Section Staff and Contact Information

Telephone Numbers (Handout)

E-mail Addresses (Handout)

OrganizationDFS Web Site

Department of Health and Human Services Division of Facility Services

Construction Section Medical Facilities Construction Section Chief

William L. Warren .......801

Program Assistant V Architectural Supervisor II Building Systems Engineer III Construction Section Chief Facility Architectural Supervisor II

Cindy Pearce ................810 Denis T. White............. 802 Steven C. Lewis 813 Charles T. Cocks ..........893

William L. Warren ....... 801 Fran Pedrigi..................835

Processing Assistant IV Building Systems Engineer II Building Systems Engineer II Facility Architect II Building Systems Engineer II

Open Position ...............805 Life Safety - Federal Thad Ferree.................. 804 Bob Strother ................837 Celia Keator .................811 Robert E. Dew ............. 812 G. Reggie Foster...........815 Anderson Hensley 807 Lorraine Spekczynski ...816 Jim L. Turner ............... 814 Ronald W. Gales ..........817 Marjorie L. Acker ........ 808 Facility Engineering Specialist Jeff L. Waddell ............ 819 Carl E. Taylor, Jr. ........818 Edward Williams ......... 827 Anthony Brinson .........838 Curtis W. Daniel, Sr. ... 822 C. Keith Dickinson .......820 Medhat Metry .............. 828 Gordon Washburn .......839 Vacant Position ............ 823 Jeff Harms…………….830 David Demus ............... 829 Chris Sluder ................. 824 Bill Earwood ................831

D. Woollen ................. 825 Tammy Sylvester..........832 Construction & Renovation Rex Williams................834 Technician II Paula Nichols ............... 826

Facility Engineering Specialist

Mental Health Program – Licensure: Plan review & facility inspections

Dennis Harrell.............. 833

Life safety inspection for federally certified facilities.

State Licensure plan review and facility inspections for all programs H:\const\word6:OChart: March 2005 Current.doc

SECTION OVERVIEWSECTION OVERVIEW

Helpful Web Links Related to Regulated Facilities

DFS Home Page– Link to Rules– Project “Work Flow”

DHHS Home Page

Click here For

Rules

Click here for “Work Flow” Information

Click here for DHHS Web Site

Click here for Hospital Rules

SECTION OVERVIEWSECTION OVERVIEW

Additional Links (Handout)

The additional links provided in the materials you received today may have been modified and should be verified for accuracy.

SECTION OVERVIEWSECTION OVERVIEW

Codes and Standards (Handout)

HospitalsNursing HomesAmbulatory SurgeryHospice Facilities

SECTION OVERVIEWSECTION OVERVIEWNOTES FOR INFORMATION ONLY

(1) On April 1, 1992, The Department of Labor, OSHA Division, adopted the 1991 NFPA 101 Life Safety Code for all places of employment under T13: 07F .0102 as follows:All places of employment shall be designed, constructed, maintained, and occupied in accordance with the standards set out in the 1991 edition of the Code for Safety to Life from Fire in Buildings and Structures, ANSI/NFPA 101, which is hereby incorporated by reference. This incorporation shall not include any subsequent editions or amendments to this code. Copies of this code may be obtained from the National Fire Protection Association, 1 Batterymarch Park, Quincy, Massachusetts 02269, for sixty two dollars ($62.00). This rule supersedes any standards based on earlier editions of the Life Safety Code.

(2) Compliance with the “Americans With Disabilities Act” is the responsibility of the Owner and/or Architect.

SECTION OVERVIEWSECTION OVERVIEW

Other Section Functions Consultation w/ other DHHS Units Consultation w/ Department of Insurance,

Engineering Division Consulting w/ Local Officials Consulting w/ other Division Sections Uniform Code/Regulation Enforcement Educate - Owners, Designers, Local Officials,

Contractors and other interested parties Encouraging a team approach to projects

SECTION OVERVIEWSECTION OVERVIEW

New Fee Schedules

GENERAL ASSEMBLY OF NORTH CAROLINASESSION 2003HOUSE BILL 397RATIFIED BILL

AN ACT TO APPROPRIATE FUNDS FOR CURRENT OPERATIONS AND CAPITAL IMPROVEMENTS FOR STATE DEPARTMENTS, INSTITUTIONS, AND AGENCIES, AND FOR OTHER PURPOSES, AND TO IMPLEMENT A STATE BUDGET THAT ENABLES THE STATE TO PROVIDE A SUSTAINABLE RECOVERY THROUGH STRONG EDUCATIONAL AND ECONOMIC TOOLS.

SECTION OVERVIEWSECTION OVERVIEW

The General Assembly of North Carolina enacts:

SECTION 34.11.(a) Article 16 of Chapter 131E of the General Statutes is amended by adding the following new section to read:

§131E-267. Fees for departmental review of health care facility construction projects.The Department of Health and Human Services shall charge a fee for the review of each health care facility construction project to ensure that project plans and construction are in compliance with State law. The fee shall be charged on a one-time, per-project basis, as follows, and shall not exceed twelve thousand five hundred dollars ($12,500) for any single project:

SECTION OVERVIEWSECTION OVERVIEW

Fees for Institutional Projects Hospitals: $150.00 + $0.10/sf of project space Nursing Homes: $125.00 + $0.08/sf of project space Ambulatory Surgical Facility: $100.00 + $0.08/sf of project

space Psychiatric Hospital: $100.00 + $0.08/sf of project space Adult Care Home > than 7 beds: $87.00 + $0.05/sf of

project space

SECTION OVERVIEWSECTION OVERVIEW

SECTION 34.11.(b) This section becomes effective October 1, 2003.

On the Web see http://www.ncleg.net/html2003/bills/AllVersions/House/H397vr.html

SECTION OVERVIEWSECTION OVERVIEW

PLAN REVIEW GUIDELINES (Handout)

Schematic Design– Architectural– Engineering

Design Development & Final Working Drawings– Architectural– Engineering

DFS Color Code System

SPECIAL TOPICSSPECIAL TOPICS

Special Locking ArrangementsDelayed EgressSprinkler Maintenance & TestingLinear Accelerator DoorsWaterless Hand CleanersElectrosurgery & Operating Room

Fires

GENERALGENERAL

Closeout Document ListsNursing Home Project

Guidelines

PLUMBINGPLUMBING

Medical Gas Piping– Certification– Testing– Designer Involvement

Hot Water Systems (Handout)

MECHANICALMECHANICAL Major Changes in Codes Fire & Smoke Dampers, Duct Mounted Smoke

Detectors & Access Doors Smoke Control & Smoke Evacuation – See Volume I,

Section 909 Conflicts Between:

– NFPA 90A & NCSBC Mechanical Code– ASHRAE & Licensure for Air Changes

MECHANICALMECHANICAL

Variable Volume vs. Fixed Exhaust Electric Operators Equipment Serviceability

ELECTRICALELECTRICAL Fire Alarm Systems

– Sound Pressure Levels

– Devices & Locations

Essential Electrical Systems Identification of Circuits Safety Testing Data NEC 517-30(b)(4) – New Diagrams in FPN’s Isolated from Ground Power

ELECTRICALELECTRICAL

Miscellaneous– Ventilator Beds in Nursing Homes

– Improper Use of Special Receptacles

– Improper Use & Installation of Cable

– Improper Grounding

Generator Fuel Capacity– Remember Hugo, Fran, Floyd & Isabelle?

MISCELLANEOUS ITEMSMISCELLANEOUS ITEMS

Sale of Electrical Goods Regulated Mobile Diagnostic Units (Handout)

Sprinkler Certification (Handout)

Neonatal Services Organization (Handout)

Common Problems (Handout)

– During Plan Review

– During Inspections

IFFEN YOU NEED HELPIFFEN YOU NEED HELP

Junior says, “Give us a call at 919-855-3893”

BR549

VIOLATION EXAMPLESVIOLATION EXAMPLES

Good examples of bad things to do

Handicapped Ramp?

Handicapped Ramps or Skateboard Ramp?

Dust Wall

Rated Wall?

Rated?

Rated Corridor wall?

Penetrations & open boxes

Rated shaft wall

Penetration at

combustible roof

Combustible roof structure

Patriotic flag lightingsystem

Hole in top

Non-WP receptaclew/ open cover

Broken connection

No independentsupport of tanks

Combustible constructionw/ no separation

Unprotected combustibleconstruction

Unprotected constructionw/ no separation

Flammables outsidepatient room

Patient room window

Patient room window

Portable electric heaterw/ made connecting cord

Unprotected combustible construction

Water heaters w/ all accesspanels open to hot elements

Electrical wiring

Electrical issues

Window unitin patient room

Trip Hazard

Patient room wiring

Open wiring

Fixture Support?

Wall penetrations

Not just bad,real bad

Plastic raceway serving critical branch - Hospital

No GFI – Wet Location, Romex wire w/ plug for ER Sign; non WP box or cover

O2 tank farm 10’ from combustible roof - 50’ required