Health Facilities Engineering Section

Mission Statement

• The Health Facilities Engineering Section serves to ensure the safe, efficient and effective delivery of healthcare through the review and oversight of healthcare construction and modernization projects; participation in surveys and inspections of healthcare facilities; oversight of private sewage systems at healthcare facilities; and consultation on issues related to the physical plant at healthcare facilities.

Public Health CodeAct 368 of 1978 As Amended

• Part 17 – Facilities & Agencies

– Section 20145 – Construction Permits

– Section 20155 – Visits to Facilities

Types of Facilities

• Hospitals

• Nursing Homes

• Freestanding Surgical Outpatient Facilities

• Homes for the Aged

• Hospices

• End Stage Renal Disease (Dialysis) Facilities

MINIMUM STANDARDS FOR HOSPITALS

• PART 3. OPERATIONAL RULES AND MINIMUM STANDARDS FOR ALL HOSPITAL PHYSICAL PLANT, FACILITIES, EQUIPMENT, AND OPERATIONS

NURSING HOMES AND NURSING CARE FACILITIES

• PART 2. LICENSURE – R 325.20213 Construction and major

alterations of nursing homes.

• PART 13. BUILDINGS AND GROUNDS– R 325.21303 Narrative program; architectural

plans and specifications; construction permit.

New Requirements (2002)

• Larger Room Sizes

• Maximum 2 Beds Per Room

• Increased Accessibility Requirements

• Air Conditioning in Resident Areas

Proposed Requirements (2007)

• Ventilator Dependent Units

• Emergency Power– 72 Hours in Hospitals– 24 Hours in Nursing Homes– Air Conditioning Area of Refuge

• Prohibit Exposed Hot Surfaces

Facility Trends

• Private Rooms in Hospitals (AIA Guidelines)

• Neighborhoods

• Private Rooms in Nursing Homes (80%)

• Bathing Facilities in Resident Toilet Rooms

Surveys & Inspections

• Aging Buildings

• Aging Roofs

• Minimally Sized Emergency Generators

• Low Lighting Levels

• No Make-up Air to Resident Rooms

Heating, Ventilation and Air Conditioning

• Corridor and/or Day/Dining Air Conditioning

• Electrical Baseboard Heating

• Exposed Hot Surfaces

Heating Considerations

• Subzero Weather

• Cold Weather Design

• Building Concerns– Insulation– Single Pane Window– Metal Frames– Leaks and Infiltration

Fire Safety Concerns

• Administered by Bureau of Fire Services

• Suppression Required in New Construction or Major Renovation

• Proposed Requirement to Retrofit all Nursing Homes within 5-10 Years

Responding to Facility Problems

How to Contact HFES

• Phone: (517) 241-3408

• Fax: (517) 241-3423

• Web: www.michigan.gov/hfes