THE 2007 MINIMUM DESIGN STANDARDS FOR …

1 Michigan Department of Community health THE 2007 MINIMUM DESIGN STANDARDS FOR health care facilities IN MICHIGAN BHS-HFS-557 (Format Only Rev. 04/05/10) Authority: 368 of 1978, as amended The Michigan Department of Community health will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. You may make your needs known to this agency under the Americans with Disabilities Act if you need assistance with reading, writing, hearing, etc. 1 2 THE 2007 MINIMUM DESIGN STANDARDS FOR health care facilities IN MICHIGAN TABLE OF CONTENTS FOREWORD SIGNIFICANT CHANGES FROM THE 1998 EDITION ACKNOWLEDGEMENTS 1.

2 INTRODUCTION General Renovation DESIGN STANDARDS for the Disabled Provisions for Disasters Codes and STANDARDS health Insurance Portability and Accountability Act Facility Conversions Certificate of Need 2. DEFINITIONS Handwashing facilities New Construction Patient Holding Areas Renovation Equipment Installation Ventilation Requirements for Isolation Rooms Service Areas Surgical Recovery Units Nursing Unit Patient Module Resident Unit Picture Archiving and Communication System (PACS) 3.

3 SITE Location Facility Site DESIGN Environmental Pollution Control 4. EQUIPMENT General Classification Major Technical Equipment Electronic Equipment 3 5. CONSTRUCTION Infection Control in Planning and DESIGN Phasing Commissioning Existing Conditions Occupancy Approval 6. RECORD DRAWINGS AND MANUALS Drawings Equipment Manuals DESIGN Data 7. GENERAL HOSPITAL General Considerations Nursing Unit (Medical and Surgical)

4 Critical care Units Newborn Nurseries Pediatric and Adolescent Unit Psychiatric Nursing Unit Surgical Suites Obstetrical facilities Emergency Service Diagnostic and Therapeutic Radiology Procedure Rooms Laboratory Rehabilitation Therapy Renal Dialysis Unit Respiratory Therapy Service Morgue Pharmacy Dietary facilities Administration and Public Areas Medical Records Central Services General Stores Linen Services Cart Cleaning facilities Staff facilities Housekeeping Rooms Engineering Service and Equipment Areas General STANDARDS for Details and Finishes DESIGN and Construction.

5 Including Fire-Resistant STANDARDS Special Systems Mechanical STANDARDS Electrical STANDARDS 4 Table 1 Sound Transmission Limitations in General Hospitals and Outpatient facilities Table 2A Ventilation Requirements for Areas Affecting Patient care in Hospitals and Outpatient facilities Table 2B Temperature and Humidity Requirements for Areas Affecting Patient care in Hospitals and Outpatient facilities Table 3 Filter Efficiencies for Central Ventilation and Air Conditioning Systems in General Hospitals and Outpatient facilities Table 4 Hot Water DESIGN Table 5 Station Outlets for Oxygen, Vacuum (Suction), and Medical Air Systems 8. NURSING facilities General Conditions Resident Unit Resident Support Areas Activities Rehabilitation Therapy Personal Services (Barber/Beauty)

6 Areas Chronic Ventilator Dependent care Units Alzheimer and Other Dementia Units Dietary facilities Administrative and Public Areas Linen Services Housekeeping Rooms Engineering Service and Equipment Areas Details Finishes Reserved Special Systems Mechanical STANDARDS Electrical STANDARDS Dialysis Services Table 6A Ventilation of Certain Areas of Nursing facilities Table 6B Temperature and Humidity of Certain Areas of Nursing facilities Table 7 Filter Efficiencies for Central Ventilation and Air-Conditioning Systems in Nursing facilities 5 9.

7 FREESTANDING SURGICAL OUTPATIENT facilities General Non-Clinical Support facilities Clinical facilities Details Finishes Elevators Waste Disposal Mechanical STANDARDS Electrical STANDARDS 10. REHABILITATION facilities General Considerations Evaluation Unit Psychological Services Unit Social Services Unit Vocational Services Unit Dining, Recreation, and Day Spaces Dietary Department Personal care Unit For Inpatients Activities for Daily Living Unit Administration and Public Areas Engineering Service and Equipment Areas Linen Services Housekeeping Room(s) Employee facilities Nursing Unit (For Inpatients)

8 Sterilizing facilities Physical Therapy Unit Occupational Therapy Unit Prosthetics and Orthotics Unit Speech and Hearing Unit Dental Unit Imaging Suite Pharmacy Unit Details and Finishes Surgical Suites Laboratory Medical Records General Stores Cart Cleaning Special Systems Mechanical STANDARDS Electrical STANDARDS 6 11. PSYCHIATRIC HOSPITAL General Non-Clinical Support facilities Clinical facilities Details Finishes Elevators Waste Processing Services Mechanical STANDARDS Electrical STANDARDS 12.

9 MOBILE, TRANSPORTABLE, AND RELOCATABLE UNITS General Considerations Definitions General Requirements Site Requirements Support Facility Requirements Magnetic Resonance Imaging Unit Requirements Cardiac Catheterization Unit Requirements General STANDARDS for Details and Finishes Reserved Mechanical STANDARDS Electrical STANDARDS 13. HOME FOR THE AGED 14. HOSPICE Table 8 Illumination of health care facilities Table 9 Electrical Convenience Receptacles Requirements in Clinical Areas Table 10 Nurse Call and Signaling Systems APPENDIX A 7 FOREWORD This document updates and replaces the 1998 MINIMUM DESIGN STANDARDS for health care facilities in Michigan, and Interpretive Bulletins issued in 2003 and 2004.

10 It was produced in light of the efforts of the American Institute of Architects Academy of Architecture for health (AIA/AAH) in their drafting of the 2006 Guidelines for DESIGN and Construction of health care facilities . SIGNIFICANT CHANGES FROM THE 1998 EDITION Overall: Issued only as a PDF file with changes indicated by a vertical line Appendix reformatted to immediately follow the referenced text and highlighted General update to match current trends and technologies Previously issued Interpretive Bulletins incorporated Patient privacy provisions reinforced Commissioning reinforced Expansion/refinement of Infection Control Risk Assessment (ICRA) Clarified definitions and specifications for Handwashing facilities Hospitals.