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Health Care 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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Health Care 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 CodeStandards of Construction

  • Part 711: General Standards of Construction

  • Part 712:New Hospitals

  • Part 713 Nursing Homes

    • 713-1: Nursing Homes between 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 CodeTitle 10 - Article 28

  • Part 711 General Standards of Construction

    • Applicable to all Facility Types

    • Adoption by reference of applicable national standards


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Nationally Recognized Standards

  • National Fire Protection Association (NFPA)

    • NFPA 101 Life Safety Code

      • Fire & Life Safety (protection and exiting)

      • Other NFPA standards referenced by NFPA 101

      • Mandated by CMS

  • Guidelines for Design & Construction of Health Care Facilities

    • 1947 General Standards: regulations for Hill-Burton program

    • 1984 Guidelines: removed from regulation by DHHS

    • 1987 Guidelines: first revision & publication by others with federal support

    • 1996-97 Guidelines: selected sections adopted by NYSDOH

      • Subsequently revised 2001, 2006 and 2010


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State Hospital Code(continued)

  • Part 712 Standards of Construction for Hospitals

    • Applicable to all Acute Care Facilities

    • Originally based on Hill-Burton Hospital standard (origin of the Guidelines)

    • NYSDOH written and revised prior to 1998


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State Hospital Code(continued)

  • Part 713 Standards of Construction for Nursing Homes

    • Applicable to all Nursing Homes

    • Originally based on Hospital standards

    • Includes Adult Day Health Care

    • NYSDOH written and revised

  • Part 714 Standards of Construction for Health Related Facilities

    • Deleted due to elimination of facility category


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State Hospital Code(continued)

  • Part 715 Standards of Construction for Diagnostic & Treatment Centers

    • Applicable to all Outpatient Facilities

      • Freestanding & In-hospital (no inpatients)

    • NYSDOH written and revised prior to 1998

  • Part 716 Standards of Construction for Rehabilitation Facilities

    • Applicable to inpatient and outpatient facilities with rehabilitation focus

    • Originally based on Hospital standards

    • NYSDOH written and revised prior to 1998


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1998 State Hospital Code Last Major Revision

  • Largest SHC Update ever

  • First significant update since late 1970’s

  • Construction Standards Advisory Group - Comprised of80+ NYS health care design & construction stakeholders

    • Architects (American Institute of Architects)

    • Engineers and Construction Managers

    • NH owners and Hospital facility representatives

    • NH and Hospital association representatives

    • NYSDOH and GORR staff

    • CMS Staff


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1998 State Hospital Code Revision(continued)

  • Part 711: General Standards

    • Adopted 1997 Life Safety Code (formerly 1985)

    • Limited adoption of 1997 Guidelines

    • Updated all referenced standards

  • Part 712: New Hospitals

    • Adopted 1997 Guidelinesin lieu of writing standard

  • Part 713: New Nursing Homes

    • Updated NYSDOH standards


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1998 State Hospital Code Revision(continued)

  • Part 714: Health Related Facilities

    • Deleted - No longer applicable

  • Part 715: New D&TC’s

    • Complete re-write of NYSDOH standard to a Performance Based model

  • Part 716: New Rehabilitation Facilities

    • Adopted 1997 Guidelines in lieu of writing standard


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Current Update ProposalJustification

  • NFPA 101 Life Safety Code consistency with Centers for Medicare & Medicaid Services (CMS)

    • Pre-1998: Both CMS and NYSDOH adopt 1985 edition of Life Safety Code

    • 1998: NYSDOH adopts 1997 edition of Life Safety Code (CMS Delayed)

    • 2003: CMS adopts 2000 edition of Life Safety Code


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Justification for Update(continued)

  • Guidelines for Design and Construction of Health Care Facilities

    • Status growing as U.S. consensus standard for health care design & construction

      • U.S. Department of Health & Human Services/CMS

      • HUD mortgage program

      • JCAHO

    • 42+ states have adopted all or in part

      • NYSDOH adopted in 1998 for Hospitals & Rehabilitation Facilities

    • NYS experience post-1998 has been positive

    • Effort to revise dedicated NYSDOH regulations significant & not timely


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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 20062010Guidelines (supercedes 1997)

  • Part 713: New Nursing Homes

    • Adopt 20062010Guidelines in lieu of writing own standard


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Proposals Under Review(continued)

  • Part 714: Re-activate for Adult Day Health Care Facilities (Relocate from Part 713)

    • Adopt 20062010Guidelines in lieu of writing standard

  • Part 715: New D&TC’s

    • Adopt 20062010Guidelines in lieu of writing standard

  • Part 716: New Rehabilitation Facilities

    • Update to 20062010Guidelines(1997)




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Goals of Current Proposal

  • Consistency with CMS (Life Safety Code)

    • 2000 Edition

  • Consistency across U.S.

    • 42+ States have adopted Guidelines

  • Ease of future updates

    • Guidelines are consensus document

      • 140+ national representatives (including NYS)

      • Public Proposals & Comments

      • Design, Construction & Clinical expertise

      • 28+ DOH representatives from other 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

[email protected]


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