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 2017 Meetings
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 Society for Healthcare Engineering encourages hospitals to participate in the Energy to Care program, sponsored by the American Society for Healthcare Engineering (ASHE). Last year, 43 facilities in California committed to saving energy through the program, which helps health facilities measure their energy use using a robust dashboard and offers recognition for efficiency accomplishments. This year, hospitals are encouraged to maximize their energy savings by participating in the program’s Energy Gold Rush Challenge Campaign. More information is available in the attached bulletin.
ASHE also provides a sustainability roadmap for hospitals seeking to reduce energy use, waste and costs. In recognition for its work, ASHE has been named a 2017 ENERGY STAR Partner of the Year – Energy Efficiency Program Delivery Award winner.
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 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 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.