Due to the complexity of hospital construction, OSHPD serves as the building official for all hospital general acute-care inpatient facilities in California. To determine the clinic buildings under OSHPD’s jurisdiction, see the Clinic CAN. OSHPD is responsible for the plan review and area compliance activities for hospital construction. Once OSHPD’s work has been completed, OSHPD notifies the Department of Public Health Licensing and Certification Program, which provides a certificate of occupancy for the new building/service.
OSHPD receives its authority under the Hospital Facilities Seismic Safety Act (HFSSA), which was enacted in 1973. The HFSSA originally pertained only to new construction or retrofits/renovations that affect the structural integrity of the building. Following the Northridge Earthquake, SB 1953 (Chapter 740, Statutes of 1994) was enacted, which established deadlines hospitals need to meet to remain operational. This is referred to as Seismic Mandate. In carrying out the Hospital Facilities Seismic Safety Act, the OSHPD Director receives advice/consultation from the HBSB as needed.
A quarterly meeting of CHA and OSHPD staff with select hospital representatives. The following hospitals/systems participate: Adventist Health, Cedar Sinai, Children’s Hospital of Orange County, Dignity Health, Frank R. Howard Memorial Hospital, Kaiser Permanente, MemorialCare, Prime Healthcare Services, Providence, Salinas Valley Memorial Hospital, Scripps Health, Sharp, St. Joseph Health System, Stanford Hospitals & Clinics, Sutter Health, and UC (Davis, San Diego, San Francisco).
Workgroup Power Point Presentations for 2016 Meetings
Hospitals that perform sterile compounding must meet new regulatory requirements from the California Board of Pharmacy, including improving or reconfiguring facilities for ventilation, installing new equipment for sterility and ensuring employee protections. CHA will hold a webinar April 21 from 10 a.m. to noon (PT) to explain the new requirements. Representatives from the California Board of Pharmacy will share strategies to manage services while under construction, as well as the waiver application and renewal process; the Office of Statewide Health Planning and Development Facilities Development Division will review its new Sterile Compounding Advisory Guidebook; and the California Department of Public Health Licensing and Certification Program will discuss what to expect from surveyors under the new regulations.
April 21, 2017
10:00 a.m. – 12:00 p.m., Pacific Time
New CA Board of Pharmacy sterile compounding regulations were effective January 2017. Beyond updating processes and procedures, hospitals will be required to improve or reconfigure facilities for ventilation, install new equipment for sterility and ensure employee protections. Learn the necessary steps for compliance from three California entities: the Board of Pharmacy, OSHPD Facilities Development Division and CDPH Licensing and Certification Division.
This month, the federal Architectural and Transportation Barriers Compliance Board issued the attached final rule updating standards for medical diagnostic equipment. The new standards — which would impact examination tables and chairs, weight scales, mammography and other imaging equipment — would allow independent entry to, use of and exit from the equipment by individuals with disabilities, to the maximum extent possible. The federal standards do not impose requirements on health care providers or medical device manufacturers. However, access enforcement authorities, such as the California Division of the State Architect Access Compliance Program, may issue regulations or adopt policies that would require health care providers to acquire accessible medical diagnostic equipment that complies with these standards.
The Office of Statewide Health Planning and Development has issued the attached Policy Intent Notice (PIN) to help providers implement requirements of AB 1732 (Chapter 818, Statutes of 2016). Under the new law, which takes effect March 1, all single-user toilet facilities in any business, place of public accommodation or state or local government agency must be 1) identified as “all-gender” toilet facilities by signage that complies with Title 24 of the California Building Standards Code and 2) designated for use by no more than one occupant at a time or for family or assisted use. More details, including signage requirements, are provided in the attached PIN.
The California Building Standards Commission (CBSC) has issued Information Bulletin 16-03, regarding the 2016 Legislative Changes to state laws related to building and building standards. This information bulletin may be viewed on the CBSC website Publications page. This information bulletin summarizes the 2016 legislative changes to state laws related to buildings and building standards. The statutory changes summarized in this bulletin become effective on January 1, 2017, unless otherwise specified in statute.
The California Society of Healthcare Engineering (CSHE), a CHA affiliate, is holding its 46th Annual Institute for health facility engineers March 29–31 in La Jolla. This year’s theme, Railway to the Future: Cracking the Code, includes presentations on safer buildings through advanced technology; a 2017 environment of care, life safety and emergency management update; and numerous breakout sessions addressing water conservation, onsite generation of hospital energy and other topics. For more information and to register, visit www.cshe.org/Events/AnnualInstitute.aspx.
CSHE membership is open to anyone actively employed in health care facility engineering. To learn more about becoming a CSHE member, visit www.cshe.org/Membership.aspx.
The California Board of Pharmacy released finalized hospital sterile compounding regulations (Title 16, California Code of Regulations, Section 1735) on Sept. 13. The regulations, which go into effect Jan. 1, allow for a construction waiver request to be made by hospitals needing a delay in compliance due to physical construction, alterations or improvements necessary to meet requirements. The waiver is for a delay, not an exemption, from compliance with the new compounding structural requirements. Pharmacies must submit their waiver request in writing. Questions should be emailed directly to the Board of Pharmacy at firstname.lastname@example.org.
The Office of Statewide Health Planning and Development (OSHPD) Facilities Development Division (FDD) has released the FDD App, now available exclusively for Android devices. Through the app, users may search and view information for hospital and skilled-nursing facilities in California including site plans, basic building information and seismic ratings for the buildings. The app includes a database of projects where users may view their current status, as well as web links commonly used by OSHPD/FDD office and field staff. A version of the app for Apple devices is in development.
The Hospital Building Safety Board and the Office of Statewide Health Planning and Development, Facilities Development Division, will host their 2016 educational seminar on Oct. 12 in Anaheim and Oct. 18 in Sacramento. Titled “Lessons Learned During Construction,” the seminar is designed for anyone involved in hospital construction including owners, designers, inspectors and contractors. This year’s program will focus on lessons learned from before construction begins to post-closure of a hospital construction project. CHA encourages all hospitals to plan for at least one representative to attend one of the scheduled seminars. Questions may be directed to email@example.com.
Registration is now open for the “Lessons Learned During Construction” educational seminars hosted by the Hospital Building Safety Board and the Office of Statewide Health Planning and Development (OSHPD). The program is designed for anyone involved in hospital construction including owners, designers, inspectors and contractors. This year’s seminars, to be held Oct. 12 in Anaheim and Oct. 18 in Sacramento, will focus on lessons learned from before construction begins to post-closure of a hospital construction project. CHA encourages all hospitals to plan for at least one representative to attend one of the scheduled seminars. Questions may be directed to OSHPD’s Facilities Development Division at FDD.Seminar@oshpd.ca.gov.
Starting Aug. 1, The Joint Commission (TJC) will no longer accept plans for improvement for its Life Safety requirements. All life safety deficiencies identified by TJC must be corrected within 60 days; hospitals should work to correct these deficiencies as soon as possible because many California building requirements take longer than 60 days to complete. In some cases, hospitals may be eligible for a waiver through the Centers for Medicare & Medicaid Services regional offices. To help expedite the state approval process for hospitals, the Office of Statewide Health Planning and Development (OSHPD) will offer field review or rapid review. If necessary, OSHPD deputy division chiefs — Chris Tokas, Northern California or Gordon Oakley, Southern California —will work to assist hospitals. Hospitals in need of assistance should contact the OSHPD FDD administrative office at (916) 440-8381. For questions related to this change, contact TJC Department of Engineering at (630) 792-5900
The California State Board of Pharmacy (BoP) and United States Pharmacopeia (USP) Convention are planning changes that will significantly impact hospital pharmacy compounding of hazardous and non-hazardous medications and facility structures.
On June 27, the Office of Statewide Health Planning and Development (OSHPD) Facilities Development Division will launch ePlanCheck (ePC) — a program enhancement of their eServices Portal (eSP) — to allow hospital and design teams to submit construction plans online. Hospital construction project teams who use the powerful eSP and ePC software can expect to benefit from faster interaction and response from OSHPD review teams; concurrent plan review by multiple disciplines; customized comment reports tailored to specific task or team member focus; online archiving of plans for easy retrieval and review; and overall reduced cost and faster turnaround of plan review and approvals. CHA will hold a webinar June 23 from 1:30 – 3:00 p.m. (PT) to explain the benefits of the new program and key requirements for using the system effectively. Faculty for the program include Paul Coleman, OSHPD Facilities Development Division deputy director, and Gary Dunger, business process manager and program manager for the eSP. To learn more or to register, visit www.calhospital.org/integrating-oshpds-eportals-web.
New regulations and standards on hospital pharmacy compounding of hazardous and nonhazardous medications will significantly impact pharmacy processes and procedures, as well as facility structures. To help explain the upcoming regulations and standards, CHA will hold a webinar June 28 from 10 a.m. – noon (PT).
The U.S. Food and Drug Administration (FDA) is seeking comments on whether hospital employees, vendors and others should be allowed to perform service and repair activities on medical equipment or whether those activities should be limited to original equipment manufacturers. CHA, the California Society for Healthcare Engineering and the American Society for Healthcare Engineering believe that restricting this work could lead to significant safety and financial issues. Given the varying impact this may have on different types of hospitals, CHA recommends that hospital biomedical experts review and respond directly to the FDA, copying Cheri Hummel. The deadline for comments has been extended from May 3 to June 3.
The Centers for Medicare & Medicaid Services (CMS) has released the attached final rule updating fire safety requirements for certain health care facilities, including hospitals, long-term care facilities, critical access hospitals, inpatient hospice facilities, ambulatory surgical centers and more. The rule adopts updated provisions of the National Fire Protection Association’s 2012 edition of the Life Safety Code, as well as provisions of its 2012 edition of the Health Care Facilities Code. CHA is working with the Office of Statewide Health Planning and Development and the state fire marshal to determine whether or how this may differ from current regulations, and will inform members of the rule’s impact.
The Office of Statewide Health Planning and Development (OSHPD) has developed proposed building standards for a new seismic design category — Structural Performance Category 4D (SPC-4D), which meets the requirements of the Hospital Facilities Seismic Safety Act and acceptable structural engineering practices. The proposed standards are under review by the California Building Standards Commission.
On January 23, 2013, the California Building Standards Commission adopted emergency regulations revising the 2010 California Building Standards Code. One of the key areas impacted was signage. Hospitals have a lot of signs — large hospitals may have up to 80 or more different types. Find out about the emergency regulations and what you need to do to comply.
The California Department of Public Health has updated sections of Title 22 of the California Code of Regulations related to licensing fees and diesel generator testing so they conform to changes previously enacted in statute. Because the changes were enacted through statute, they do not have a “regulatory effect” and are not required to go through the standard regulatory development process. A list of the affected Title 22 sections that have been amended or repealed is attached. Also attached are the updated sections.