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.
The California Department of Public Health (CDPH) will host a stakeholder meeting on Jan. 22 from 2-3:30 p.m. in Sacramento to solicit hospitals’ feedback on updating infection control and physical plant regulations.
The California Building Standards Commission has announced proposed code changes to Title 24, intended for the 2019 California Building Standards Code. The changes were developed by the Office of Statewide Health Planning and Development in collaboration with the Hospital Building Safety Board, industry representatives and other stakeholders. The changes are consistent with the draft terms reviewed during the pre-regulatory phase, detailed in the attached memo. CHA has been engaged throughout this process and is currently reviewing the proposed changes with a workgroup to determine whether it will submit comments. Comments are due Oct. 29.
Today, CHA submitted comments to the California Department of Public Health (CDPH) regarding several areas of Title 22 regulations that CDPH plans to revise. CDPH issued seven All Facilities Letters (AFLs) earlier this month, requesting stakeholder input to inform its regulation development process. CHA commented on the following:
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.
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.