The 5th GUPHA Forum

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Development of Guidelines for the Design and
Construction of Health Care Facilities
The 5th GUPHA Forum Tokyo, Japan November 12,
2007 Presented by Joseph G. Sprague, FAIA,
FACHA, FHFI Principal and Senior Vice
President Director of Healthcare Facilities HKS
Architects, Inc.
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• Guidelines for Design and Construction of Health
  Care Facilities

Facility Guidelines Institute www.fgi-guidelines.o
rg American Institute of Architects Academy of
Architecture for Health www.aia.org/aah
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• Facility Guidelines Institute

Joseph G. Sprague, FAIA, FACHA, FHFI President
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FGI Objective

• Review and revise guidelines on regular cycle
• Consensus process
• Multi-disciplinary
• Develop evidence-based design research

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Health Guidelines Revision Committee

• Properly funded
• Balance of representation
• Consensus process
• Public input
• Review/revise on timely basis
• Operate under formal set of bylaws

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FGI Interpretations

• Answered in timely manner
• Rendered to reflect intent of committee
• Interpretations made public

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2006 Edition

• Funding
• DHHS/Center for Medicare and Medicaid Service
• FGI
• AIA
• Notice was publicized of revision cycle
• Proposals for change considered
• Subcommittee and focused task groups
• Comments on proposed changes
• Changes in format and organization

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Process

• More formal and expeditious
• Proactive
• Practice of health care
• Buildings changed
• Scope of document expanded
• Continue working to support revision process
• Improve with each passing cycle

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Goals for the Future

• More public input
• More committee generated changes
• Research
• Evidence-based decision making
• More time to study
• Improve format
• Improve communication
• Improve process to keep it a dynamic document
• Latest state-of-the-art
• Forward looking to needs of the future
• Credible, reasonable and knowledge-based
• Role model

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Reorganized Table of Contents

• Preface
• Major Additions and Revisions
• Acknowledgments
• Part 1 - General
• (Design Concepts and Considerations)
• 1.1 Introduction
• 1.2 Environment of Care
• 1.3 Site
• 1.4 Equipment
• 1.5 Planning, Design, and Construction
• 1.6 Common Requirements

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Reorganized Table of Contents

• Part 2 Hospitals
• (Inpatient Care)
• 2.1 General Hospitals
• 2.2 Small Inpatient Primary Care Hospitals
• 2.3 Psychiatric Hospitals
• 2.4 Rehabilitation Hospitals

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Reorganized Table of Contents

• Part 3 Ambulatory Care Facilities
• 3.1 Outpatient Facilities
• 3.2 Primary Care Outpatient Centers
• 3.3 Small (Neighborhood) Primary Care Outpatient
  Centers
• 3.4 Freestanding Outpatient D T Centers
• 3.5 Freestanding Urgent Care Facilities
• 3.6 Freestanding Birthing Centers
• (continued)

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Reorganized Table of Contents

• Part 3 Ambulatory Care Facilities, continued
• 3.7 Outpatient Surgical Facilities
• 3.8 Office Surgical Facilities
• 3.9 Gastrointestinal Endoscopy Facilities
• 3.10 Renal Dialysis Centers
• 3.11 Psychiatric Outpatient Centers
• 3.12 Mobile, Transportable, and Relocatable Units

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Reorganized Table of Contents

• Part 4 Other Health Care Facilities
• (Long-Term, Residential, and Other Settings)
• 4.1 Nursing Facilities
• 4.2 Hospice Care
• 4.3 Assisted Living
• 4.4 Adult Day Health Care Facilities
• Glossary
• Index
• Where to Find It Matrix

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Reference List

• Steering Committee
• Judene Bartley, MS, MPH, CIC
• Epidemiology Consulting Services, Inc.
• Alfred S. Buck, M.D., FACS
• Martin, Blanck Associates, Inc.
• Joint Committee on Accreditation of Healthcare
  Organizations
• Roger W. Gehrke
• Idaho Department of Health Welfare
• Thomas M. Jung, R.A.
• New York State Department of Health
• Robert A. Loranger, P.E., CHFM
• New England Medical Center
• James Merrill, P.E.

• Executive Committee
• Chairman
• Joseph G. Sprague, FAIA, FACHA, FHFI
• HKS Architects, Inc.
• Vice Chairman
• Douglas S. Erickson, FASHE
• American Society for
• Healthcare Engineering (of the American Hospital
  Association)
• Vice Chairman
• Martin H. Cohen, FAIA, FACHA
• Design for Aging and Health Care
• Architecture Consultant
• Chairman Emeritus
• J. Armand Burgun, FAIA, FACHA

Juanita M. Mildenberg, FAIA National Institutes
of Health Emilio M. Pucillo, R.A. Health
Resources Services Administration,DHHS Kurt A.
Rockstroh, AIA, ACHA Steffian Bradley
Associates Arthur St. Andre, MD, FCCM Washington
Hospital Center Mayer D. Zimmerman Centers for
Medicare Medicaid Services
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Inquiries or questions about interpretations of
the Guidelines may contact

• The Facility Guidelines Institute
• 1919 McKinney Avenue
• Dallas, Texas 75201
• www.fgi-guidelines.org
• Questions about the Guidelines revision process
  may contact
• The American Institute of Architects
• Knowledge Resources Department
• 1735 New York Avenue, N.W.
• Washington, DC 20006
• 202.626.7367 or 800.242.3837
• healthcareguidelines_at_aia.org
• To order copies of the Guidelines
• Call 202.626.7541 or 1.800.AIA.3837
• (menu option 4) or send an email to
  bookstore_at_aia.org.

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Joseph G. Sprague, FAIA, FACHA, FHFI

• Senior Vice President
• Director of Healthcare Facilities
• HKS, Inc.
• Dallas, Texas
• Email jsprague_at_hksinc.com
• Phone [phone]