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, Chinese Hospital, Dignity Health, Frank R. Howard Memorial Hospital, Kaiser Permanente, Kindred, Mad River Hospital, MemorialCare, Prime Healthcare Services, Providence, Salinas Valley Memorial Hospital, Scripps Health, Sharp, St. Joseph Health System, Stanford Hospitals & Clinics, Sutter Health, Tenet Health, UC (Davis, San Diego, San Francisco), and Verity.
Work Group Power Point Presentations for 2018 Meetings
The Hospital Building Safety Board (HBSB) met last month in a special session to consider changes to Title 24 of the building code, with the goal of decreasing hospitals’ cost and burden as they plan for and comply with seismic requirements that must be met by 2030. The revisions were established by the HBSB Structural and Non-structural Regulations Committee, with participation from a number of hospital representatives, CHA, a structural engineer contracted by CHA and experts from other disciplines. Attached are a high-level summary of the final draft requirements, and a table from the Office of Statewide Health Planning and Development (OSHPD) listing compliance deadlines.
CHA will continue to work with RAND Corporation to conduct an updated study on evaluating the requirements and the projected cost to meet them.
Other proposed 2019 building code amendments are specific to intensive care units, outpatient observation units, OSHPD 3/clinics and hospital outpatient clinical services. A new delineation of hospital buildings under OSHPD jurisdiction will be OSHPD 5, assigned to acute psychiatric hospitals. If adopted by the California Building Standards Commission, these proposed requirements will take effect Jan. 1, 2020.
The Hospital Building Safety Board Subcommittee on Structural and Non-Structural Regulations met on Jan. 31 to discuss proposed changes to the 2019 California Building Code, effective Jan. 1, 2020. The Office of Statewide Health Planning and Development (OSHPD) presented proposed revisions to the Non-Structural Performance Category (NPC) requirements effective in 2030, which would essentially adjust the NPC-4 requirements for 2030 to NPC-3. OSHPD also proposed revisiting the specific requirements for NPC-3. The CHA/OSHPD work group will meet Feb. 13 to review the changes.
The subcommittee will meet again on Feb. 22 and March 6 before submitting the proposal to the board for adoption.
The California Department of Public Health has released the attached All Facilities Letter 18-02, informing facilities that AB 1014 (Chapter 145, Statutes of 2017) took effect Jan. 1. The new law continues to clarify that facilities are required to test and maintain each of their diesel backup generators and standby systems in conformance with the National Fire Protection Association 110: Standard for Emergency and Standby Power Systems, which is an extension of a current requirement. The bill does not change the regulation of diesel backup generator testing by the state’s Air Resources Board or local air quality districts.
The Office of Statewide Health Planning and Development Hospital Building Safety Board has released its meeting schedule for 2018. Dates for Education and Outreach, Structural and Nonstructural Regulations, and Energy Conservation and Management committee meetings are among those included in the schedule. The agency’s next full board meeting is June 21 in Sacramento. For more information, including a complete list of committees and a board roster, visit www.oshpd.ca.gov/Boards/HBSB/.
At the recent Structural and Nonstructural Committee meeting of the Hospital Building Safety Board, the Office of Statewide Health Planning and Development (OSHPD) proposed changes to structural and nonstructural code requirements for the 2019 California Building Standards Code, which will become effective Jan. 1, 2020. OSHPD seeks input from the hospital industry on its proposals, including:
The Hospital Facilities Seismic Safety Act requires hospitals to be capable of continuing operations after a seismic event, insofar as practical. What nonstructural anchorage, bracing of equipment and systems are practical in hospital buildings constructed prior to 1983?
What physical plant building standards should OSHPD adopt for outpatient observation units as created by Senate Bill 1076, such as room sizes, support spaces, etc.?
What changes, if any, should be incorporated into the building code to ensure elevator operation is maintained post-earthquake?
OSHPD must submit its proposed code changes to the Building Standards Commission by March 2018. OSHPD also presented on this activity at the recent CHA OSHPD Workgroup meeting. The OSHPD PowerPoint slides from these meetings are available at www.calhospital.org/construction-renovation.
CHA hosted a member forum on Oct. 11 — presented by Gabriel Taylor from the California Energy Commission (CEC) and Diana Scaturro from the Office of Statewide Health Planning and Development (OSHPD) Facilities Development Division — on new proposed energy regulations. Effective Jan. 1, 2020, all new health care facility construction will be subject to California Energy Code regulations that may affect an array of features, including the building envelope, lighting and controls, energy efficiency ratings, commissioning and performance modeling. The two state departments have been collaborating on the development of these regulations, given OSHPD’s role as the state building official for hospitals. In addition, OSHPD established a Hospital Building Safety Board energy subcommittee, with industry and other key stakeholders, as a forum for the development process. The CEC also presented the proposed regulations to the California Society of Healthcare Engineering Executive Committee and other hospital engineers for feedback. In this pre-rulemaking phase, the proposed regulations are open for public comment through Oct. 20; comments may be submitted online.
The Centers for Medicare and Medicaid Services (CMS) has issued the attached memo reminding health care providers of requirements for fire and smoke door annual testing. Under the 2012 edition of the National Fire Protection Association (NFPA) Life Safety Code, facilities must meet certain requirements for the maintenance, inspection and testing of fire doors and smoke doors in certain certified health care facilities. In health care occupancies, annual inspection and testing in accordance with the 2010 NFPA 80 is required for all fire door assemblies. Although non-rated doors, including corridor doors to patient care rooms and smoke barrier doors, are not subject to those requirements, they should still be routinely inspected as part of the facility maintenance program. Facilities were originally required to comply prior to July 6, 2017. However, due to reported misunderstanding of the requirements, CMS has extended the deadline for full compliance to Jan. 1, 2018.
Last month, the Office of Statewide Health Planning and Development moved to a new location. Its headquarters are now at 2020 West El Camino Ave., Sacramento, CA 95833. Email addresses and phone numbers remain the same. Effective immediately, Hospital Building Safety Board (HBSB) meetings have also moved to the same location; details are available on the OSHPD website.
Effective January 2017, hospitals that perform sterile compounding must meet new regulatory requirements from the California State Board of Pharmacy. 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.
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 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.
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.