Health Facilities Engineering Section

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Health Facilities Engineering Section
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Mission Statement

• The Health Facilities Engineering Section serves
  to ensure the safe, efficient and effective
  delivery of healthcare through the review and
  oversight of healthcare construction and
  modernization projects participation in surveys
  and inspections of healthcare facilities
  oversight of private sewage systems at healthcare
  facilities and consultation on issues related to
  the physical plant at healthcare facilities.

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Public Health CodeAct 368 of 1978 As Amended

• Part 17 Facilities Agencies
• Section 20145 Construction Permits
• Section 20155 Visits to Facilities

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Types of Facilities

• Hospitals
• Nursing Homes
• Freestanding Surgical Outpatient Facilities
• Homes for the Aged
• Hospices
• End Stage Renal Disease (Dialysis) Facilities

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MINIMUM STANDARDS FOR HOSPITALS

• PART 3. OPERATIONAL RULES AND MINIMUM STANDARDS
  FOR ALL HOSPITAL PHYSICAL PLANT, FACILITIES,
  EQUIPMENT, AND OPERATIONS

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NURSING HOMES AND NURSING CARE FACILITIES

• PART 2. LICENSURE
• R 325.20213 Construction and major alterations of
  nursing homes.
• PART 13. BUILDINGS AND GROUNDS
• R 325.21303 Narrative program architectural
  plans and specifications construction permit.

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New Requirements (2002)

• Larger Room Sizes
• Maximum 2 Beds Per Room
• Increased Accessibility Requirements
• Air Conditioning in Resident Areas

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Proposed Requirements (2007)

• Ventilator Dependent Units
• Emergency Power
• 72 Hours in Hospitals
• 24 Hours in Nursing Homes
• Air Conditioning Area of Refuge
• Prohibit Exposed Hot Surfaces

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Facility Trends

• Private Rooms in Hospitals (AIA Guidelines)
• Neighborhoods
• Private Rooms in Nursing Homes (80)
• Bathing Facilities in Resident Toilet Rooms

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Surveys Inspections

• Aging Buildings
• Aging Roofs
• Minimally Sized Emergency Generators
• Low Lighting Levels
• No Make-up Air to Resident Rooms

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Heating, Ventilation and Air Conditioning

• Corridor and/or Day/Dining Air Conditioning
• Electrical Baseboard Heating
• Exposed Hot Surfaces

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Heating Considerations

• Subzero Weather
• Cold Weather Design
• Building Concerns
• Insulation
• Single Pane Window
• Metal Frames
• Leaks and Infiltration

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Fire Safety Concerns

• Administered by Bureau of Fire Services
• Suppression Required in New Construction or Major
  Renovation
• Proposed Requirement to Retrofit all Nursing
  Homes within 5-10 Years

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Responding to Facility Problems
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How to Contact HFES

• Phone [phone]
• Fax [phone]
• Web www.michigan.gov/hfes