Health-care design evolves constantly, reflecting improvements and advancements in surgical techniques, equipment (such as MRIs and robotic surgical equipment), clinical practices, hospital design trends, energy efficiency, sustainable design, and other factors. Ventilation for health-care facilities must change to be aligned with the changing needs of health-care facilities design, patients, surgeons, clinical staff, and visitors. more

ANSI/ASHRAE/ASHE Standard 170-2008, Ventilation of Health Care Facilities, can be adopted by authorities for health care facility construction and private national organizations such as the Facilities Guidelines Institute (FGI). In 2010, FGI incorporated Standard 170- 2008 as Part Six of its Guidelines for Design and Construction of Health Care Facilities.1 This includes all addenda, present and future, issued by ASHRAE. The Joint Commission, federal agencies and authorities in 42 states use the Guidelines either as a code or a reference standard when reviewing, approving, and financing projects or when surveying, licensing, certifying or accrediting newly constructed facilities, according to FGI.  more

The furor over compliance with United States Pharmacopoeia (USP) General Chapter 797, Pharmaceutical Compounding—Sterile Preparations,1 has somewhat subsided with the Joint Commission for Accreditation of Healthcare Organizations’ decision not to enforce its requirements. As of this writing, at least 10 states require compliance (in whole or in part). However, many facilities may desire to comply now to prepare for future federal, state or industry regulations. Operational modifications are the primary means of compliance, but the pharmacy’s HVAC system also must be evaluated. USP 797 offers some confusing requirements for HVAC system designers, but compliance in an existing facility is not as difficult as it may seem. more

The latest edition of the Guidelines for Design and Construction of Hospital and Health Care Facilities1 will be published this month. With assistance from the U.S. Department of Health and Human Services, the Guidelines is revised periodically and published by the American Institute of Architects Academy of Architecture for Health, and Facility Guidelines Institute (FGI). The Guidelines provide minimum ventilation for health-care facilities. The Guidelines also are adopted or adapted and enforced by 42 states and the Joint Commission on the Accreditation of Healthcare Organizations. The 2006 edition has some notable changes to the ventilation and ventilation-related recommendations. more