Healthcare Organization Management

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Healthcare Organization Management

July 17, 2025
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Open consultations:

VF_40_2025_-_Re-allocation_of_ISO_TC_304_ Comments due July 17th

ISO_DIS 20364 Pandemic Response Standard Draft Open for Public Consultation Comments due July 1

ISO Healthcare Management Comments on Smart Hospital Standard due January 15

 Send Mike a message to coordinate comments

“Une leçon clinique à la Salpêtrière” 1887 André Brouillet

Many large research universities have significant medical research and healthcare delivery enterprises. The leadership of those enterprises discount the effect of standards like this at their peril. It is easy to visualize that this document will have as transformative effect upon the healthcare industry as the ISO 9000 series of management standards in the globalization of manufacturing.

Scope

Standardization in the field of healthcare organization management comprising, terminology, nomenclature, recommendations and requirements for healthcare-specific management practices and metrics (e.g. patient-centered staffing, quality, facility-level infection control, pandemic management, hand hygiene) that comprise the non-clinical operations in healthcare entities.

Excluded are horizontal organizational standards within the scope of:

    • quality management and quality assurance (TC 176);
    • human resource management (TC 260);
    • risk management (TC 262);
    • facility management (TC 267), and;
    • occupational health and safety management (TC 283).

Also excluded are standards relating to clinical equipment and practices, enclosing those within the scope of TC 198 Sterilization of health care products.

This committee is led by the US Technical Advisory Group Administrator —Ingenesis.   The committee is very active at the moment, with new titles drafted, reviewed and published on a near-monthly basis,

 

DPAS ballot for ISO PAS 23617- Healthcare organization management: Pandemic response  (respiratory) —Guidelines for medical support of socially vulnerable groups – Comments due 16 October

ISO-TC 304 Healthcare Organization Management- Pandemic response – Contact tracing – Comments due August 3, 2023

[Issue 14-99]

Contact:  Lee Webster (lswebste@utmb.edu, lwebster@ingenesis.com), Mike Anthony (mike@standardsmichigan.com), Jack Janveja (jjanveja@umich.edu), Richard Robben (rrobben1952@gmail.com), James Harvey (jharvey@umich.edu), Christine Fischer (chrisfis@umich.edu), Dr Veronica Muzquiz Edwards (vedwards@ingenesis.com)

Category: Health, Global

Workspace / ISO 304 Healthcare Administration

More

Journal of Healthcare Management Standards: Operational Resilience of Hospital Power Systems in the Digital Age

ISO Focus Special Issue on Healthcare

ISO/TC 48 Laboratory equipment

ISO/TC 212 Clinical laboratory testing and in vitro diagnostic test systems

ISO/TC 198 Sterilization of health care products

How do standards contribute to better healthcare?

  • The American National Standards Institute — the Global Secretariat for ISO — does not provide content management systems for its US Technical Advisory Groups.  Because of the nascent committee, inspired by the work of Lee Webster at the University of Texas Medical Branch needed a content management system, we have been managing content on a Google Site facility on a University of Michigan host since 2014.Earlier this spring, the University of Michigan began upgrading its Google Sites facility which requires us to offload existing content onto the new facility before the end of June.  That process is happening now.  Because of this it is unwise for us to open the content library for this committee publicly.  Respecting copyright, confidentiality of ISO and the US Technical Advisory Group we protect most recent content in the link below and invite anyone to click in any day at 15:00 (16:00) UTC.  Our office door is open every day at this hour and has been for the better part of ten years.

Reliability Analysis for Power to Fire Pumps

July 17, 2025
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Reliability Analysis for Power to Fire Pump Using Fault Tree and RBD

Robert Schuerger | HP Critical Facilities (Project Lead, Corresponding Author) 

Robert Arno | ITT Excelis Information Systems

Neal Dowling | MTechnology

Michael  A. Anthony | University of Michigan

 

Abstract:  One of the most common questions in the early stages of designing a new facility is whether the normal utility supply to a fire pump is reliable enough to “tap ahead of the main” or whether the fire pump supply is so unreliable that it must have an emergency power source, typically an on-site generator. Apart from the obligation to meet life safety objectives, it is not uncommon that capital on the order of 100000to1 million is at stake for a fire pump backup source. Until now, that decision has only been answered with intuition – using a combination of utility outage history and anecdotes about what has worked before. There are processes for making the decision about whether a facility needs a second source of power using quantitative analysis. Fault tree analysis and reliability block diagram are two quantitative methods used in reliability engineering for assessing risk. This paper will use a simple one line for the power to a fire pump to show how each of these techniques can be used to calculate the reliability of electric power to a fire pump. This paper will also discuss the strengths and weakness of the two methods. The hope is that these methods will begin tracking in the National Fire Protection Association documents that deal with fire pump power sources and can be used as another tool to inform design engineers and authorities having jurisdiction about public safety and property protection. These methods will enlighten decisions about the relative cost of risk control with quantitative information about the incremental cost of additional 9’s of operational availability.

 

 

CLICK HERE to order complete paper

British High Schoolers Try American Fried Chicken, Biscuits & Sausage Gravy

July 16, 2025
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Biscuits and sausage gravy is firmly rooted in Southern American cuisine, which has a rich history influenced by African, Native American, European, and other culinary traditions. The combination of biscuits and sausage gravy reflects the availability of ingredients in the South, where biscuits (similar to a type of British scone) and pork products were common.

The concept of biscuits, similar to what Americans call biscuits, has British origins. Early settlers brought this baking technique with them to the American colonies. However, the American biscuit evolved over time to become lighter and fluffier compared to the denser British biscuit.

Kitchens 300

Mushroom Coffee

July 16, 2025
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University of Miami Net position: 2023 $7.774B  | MapFacilities & Operations

Standards Florida

Mushroom coffee (Michigan State University), a blend of coffee and medicinal mushroom extracts like lion’s mane and chaga, has gained traction on college campuses due to its perceived health benefits and social media buzz. Students, often seeking alternatives to high-caffeine drinks, are drawn to its lower caffeine content—about 40-60 mg per cup compared to 95 mg in regular coffee—reducing jitters while maintaining focus.

Claims of enhanced cognition, immunity, and stress relief resonate with health-conscious Gen Z, fueled by ancient medicinal traditions and trendy marketing. Campus coffee shops and online retailers make it accessible, though its higher cost (often $20-$40 for 30 servings) is a drawback for budget-conscious students.

Despite limited scientific backing for health claims, the earthy taste and functional appeal align with the wellness culture, making mushroom coffee a niche but growing staple among students balancing academics and self-care

Are Mushrooms Magical?


 

archive

print (“Hello World!”)

July 16, 2025
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Data Points (2023 Estimates for 193 countable nations):

Global Gross Domestic Product (GGDP) ~ $106.17T

Anglosphere (United States, United Kingdom, Canada, Australia, New Zealand) ~ $31T (or ~32% of GGDP)

United States GDP $27T (or about 1/3rd of GGDP)

 

“Livres des Merveilles du Monde” 1300 | Marco Polo | Bodleian Libraries, University of Oxford

Today we break down consultations on titles relevant to the technology and management of the real assets of education communities in the United States specifically; but with sensitivity to the global education markets where thousands of like-minded organizations also provide credentialing, instruction, research, a home for local fine arts and sport.

We steer away from broad policy issues and steer toward technical specifics of public consultations presented by national member bodies of the International Electrotechnical Commission, the International Organization for Standardization, the International Telecommunications Union and the American National Standards Institute.  If there is a likelihood that the titles published by these workgroups will be incorporated by reference into public safety or sustainability legislation; or integrated into the cost structure of education communities in any other way, we will listen carefully and contribute meaningfully where we can.

Vienna Convention on Diplomatic Relations | 1961 

 
“Even apart from the instability due to speculation, there is the instability due to the characteristic of human nature that a large proportion of our positive activities depend on spontaneous optimism rather than on a mathematical expectation, whether moral or hedonistic or economic. Most, probably, of our decisions to do something positive, the full consequences of which will be drawn out over many days to come, can only be taken as the result of animal spirits — a spontaneous urge to action rather than inaction, and not as the outcome of a weighted average of quantitative benefits multiplied by quantitative probabilities. Enterprise only pretends to itself to be mainly actuated by the statements in its own prospectus, however candid and sincere that prospectus may be. Only a little more than an expedition to the South Pole is it based on an exact calculation of benefits to come. Thus if the animal spirits are dimmed and the spontaneous optimism falters, leaving us to depend on nothing but a mathematical expectation, enterprise will fade and die; — though fears of loss may have a basis no more reasonable than hopes of profit had before.”

“The General Theory of Employment, Interest, and Money” 

— John Maynard Keynes, 1936

International Standard Classification of Education

American National Standards Institute

World Standards Week 2023

Setting the standard: Grange members can be voice of rural users in standardization system

ISO/IEC/ITU coordination – Listing of New Work Items (New: Passwords Required)

New ANSI Education Initiative Supports the Next Generation of Standardization Leaders

International Code Council

2024/2025/2026 ICC CODE DEVELOPMENT SCHEDULE (3/17/2023)

International Zoning Code

International Electrotechnical Commission

International Electrotechnical Commission | CDV Consultations

IEC Open Consultations: 20 December

USNC/IEC  Current Winter 2023

IEC 87th General Meeting | Cairo, 22 – 26 October

Results from IEC General Assembly 2022 | San Francisco

Going All-Electric

Extended Versions  Certain standards are required to be read in tandem with another standard, which is known as a reference (or parent) document. The extended version (EXV) of an IEC Standard facilitates the user to be able to consult both IEC standards simultaneously in a single, easy-to-use document.

Elettrotecnico Lingua Franca

International Telecommunications Union

The case for standardizing homomorphic encryption

Outcomes of the ITU Plenipotentiary Conference

World Radiocommunication Conference

International Standardization Organization

How ISO codes connect the world

New partnership for ISO and ICC

Must-have skills for the green economy

Building Environment Design

A partial list of projects with which we have been engaged as an active participant; starting with the original University of Michigan enterprise in the late 1990’s and related collaborations with IEEE and others: (In BOLD font we identify committees with open consultations requiring a response from US stakeholders before next month’s Hello World! colloquium)

IEC/TC 8, et al System aspects of electrical energy supply

IEC/TC 22 Power electronic systems and equipment

IEC/TC 34 Lighting

IEC/TC 62 Electrical equipment in medical practice

IEC/TC 64 Electrical installations and protection against electric shock

IEC/TC 82 Solar photovoltaic energy systems

IEC/SYC Electrotechnical Aspects of Smart Cities

SyC Smart Energy


Standards Michigan Workspace for IEC/ITU Consultations


ISO/IEC JTC 1 Information Technology, et. al

ISO/TC 205 Building environmental design

ISO/TC 215 Health Informatics

ISO/TC 229 Nanotechnologies

ISO/TC 232 Education and Learning Services

ISO/TC 251 Asset Management

ISO/TC 260 Human Resource Management

ISO/TC 267 Facility Management

ISO/TC 268 Sustainable cities and communities

ISO/TC 274 Light and Lighting

ISO/TC 276 Biotechnology

ISO/TC 301 Energy management and energy savings

ISO/TC 304 Healthcare organization management

ISO/TC 336 Laboratory Design

We collaborate with the appropriate ANSI US TAG; or others elsewhere in academia.   We have begun tracking ITU titles with special attention to ITU Radio Communication Sector.

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        printf("hello, world\n");
}

We have collaborations with Rijksuniversiteit Groningen, Sapienza – Università di Roma, Universität Zürich, Universität Potsdam, Université de Toulouse. Universidade Federal de Itajubá, University of Windsor, the University of Alberta, to name a few — most of whom collaborate with us on electrotechnology issues.  Standards Michigan and its 50-state affiliates are (obviously) domiciled in the United States.  However, and for most issues, we defer to the International Standards expertise at the American National Standards Institute

ANSI INTERACTIVE MAP: INTERNATIONAL TRADE & DEVELOPMENT

Use the login credentials at the upper right of our home page.

 

 

These three regions make up 50% of world GDP

 

More

Data Point: Global Construction Market is Expected to Reach $11 trillion by 2031

General Public Participation in ANSI ISO Activities

March 2021 edition of the TMB Communiqué.

ISO/IEC Directives, Part 1

ISO/IEC Directives, Part 1, Consolidated ISO Supplement

International Electrotechnical Commission Annual Report 2019

ISO Update  2021-02-09

ANSI Education & Training Overview

ANSI Guide for US Delegates

ITU Digital Technical Standards


* A “Hello, World!” program generally is a computer program that outputs or displays the message “Hello, World!”. Such a program is very simple in most programming languages (such as Python and Javascript) and is often used to illustrate the basic syntax of a programming language. It is often the first program written by people learning to code. It can also be used as a sanity test to make sure that a computer language is correctly installed, and that the operator understands how to use it.

 

Hegemon Essex & Hauts-de-Seine Counties

July 16, 2025
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Square D was founded in 1902 in Detroit, Michigan, by Bryson Dexter Horton and James B. McCarthy as McBride Manufacturing Company, focusing on electrical fuses. By 1908, it became Detroit Fuse and Manufacturing, adopting the iconic “Square D” logo—a “D” in a square—reflecting its Detroit roots.

Renamed Square D in 1917, the company pioneered safety switches and circuit breakers, growing significantly with 18,500 employees and $1.65 billion in sales by 1991. That year, after a competitive 10-week bidding process, French multinational Groupe Schneider S.A. acquired Square D for $2.23 billion, raising its offer from $1.96 billion to $88 per share.

The acquisition, approved by Square D’s board and the U.S. Justice Department, made Schneider Electric the world’s largest electrical distribution equipment manufacturer, integrating Square D’s innovative products into its global energy management portfolio.

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Campus Electric Transit

July 15, 2025
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University of Michigan | Washtenaw County

Widespread use of electric vehicles (EVs) on large university campuses offers significant possibilities but also presents challenges. Possibilities include reduced carbon emissions, aligning with sustainability goals, as EVs produce zero tailpipe emissions compared to gasoline-powered vehicles. Campuses could deploy electric shuttles, maintenance vehicles, or shared EV fleets, decreasing reliance on fossil fuels. EVs could integrate with campus microgrids, leveraging renewable energy sources like solar panels. They also promote quieter environments, reducing noise pollution in academic settings. Universities could foster innovation by integrating EV infrastructure into research, such as smart grid technology or battery development.

Pros include environmental benefits, lower operating costs (electricity is cheaper than fuel), and enhanced campus branding as eco-friendly. EVs require less maintenance, saving long-term costs. Students and staff benefit from cleaner air and modern transportation options.

Cons include high upfront costs for EVs and charging infrastructure, straining budgets. Limited range and charging times may disrupt campus operations, especially for time-sensitive tasks. Charging station availability could lead to congestion or inequitable access. Battery production raises ethical concerns about resource extraction. Retrofitting existing fleets and managing grid demand pose logistical hurdles.

Balancing these factors requires strategic planning, but EVs could transform campus mobility sustainably.

We have followed standards setting action in this domain since 1993.   During todays colloquium at 15:00 UTC we will answer questions about our involvement, guided by our Safer-Simpler-Lower Cost – Longer Lasting advocacy in all relevant standards.  Use the login credentials at the upper right of our home page. 

National Electrical Manufacturers Association

NECA Releases Revised Standard for Installing and Maintaining Electric Vehicle Supply Equipment (EVSE)

Gallery: Campus Transportation and Parking

EV Charging Stations Integration into Public Lighting Infrastructure

Electric Vehicle Charging

Campus Micromobility

Fast & Ultra-Fast Charging for Battery Electric Vehicles

Gallery: Electric Vehicle Fire Risk

(C)onnected & (A)utomated (V)ehicle Code

Drivers and Barriers to Implementation of Connected, Automated, Shared, and Electric Vehicles

Electric Vehicle Charging

Et al.

Wireless EV Charging

July 15, 2025
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Wireless electric vehicle charging on streets uses electromagnetic induction to transfer power without physical connectors. A primary coil, embedded in the road surface, generates an alternating magnetic field when energized by an external power source. A secondary coil, installed on the EV’s underside, captures this field, inducing an electric current that charges the vehicle’s battery. Efficient power transfer requires precise alignment between coils, often aided by sensors or magnetic guidance systems.

Operating typically at frequencies of 20–100 kHz, the system ensures safe, non-contact energy transfer with efficiencies up to 90%. Power levels vary from 3.3 kW for slow charging to 22 kW or higher for faster systems. Infrastructure includes power inverters, communication modules for vehicle-grid interaction, and safety mechanisms to prevent electromagnetic interference or hazards. Dynamic charging, where EVs charge while moving, extends this concept using sequential coil activation along roads.

Indiana

Electric Vehicle Power Transfer System

July 15, 2025
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Updated July 15, 2025

 

2026 National Electrical Code Table of Contents

2026 NEC First Draft: How Did We Get Here?

2026 National Electrical Code

Public Input Transcript: First Draft | Public Comment Transcript: Second Draft

 

2023 National Electrical CodeCurrent Issues and Recent Research

 

2026 National Electrical Code Workspace


August 5, 2021

The 2020 National Electrical Code (NEC) contains significant revisions to Article 625 Electric Vehicle Power Transfer Systems.  Free access to this information is linked below:

2023 National Electrical Code

2020 National Electrical Code

You will need to set up a (free) account to view Article 625 or you may join our colloquium today.

Public input for the 2023 Edition of the NEC has already been received.  The work of the assigned committee — Code Making Panel 12 — is linked below:

NFPA 70_A2022_NEC_P12_FD_PIReport_rev

Mighty spirited debate.   Wireless charging from in-ground facilities employing magnetic resonance are noteworthy.  Other Relevant Articles:

  • Article 240: Overcurrent Protection: This article includes requirements for overcurrent protection devices that could be relevant for EV charging systems.
  • Article 210: Branch Circuits: General requirements for branch circuits, which can include circuits dedicated to EVSE.
  • Article 220: Load Calculations: Guidelines for calculating the electrical load for EVSE installations.
  • Article 230: Services: General requirements for electrical service installations, which can be relevant for EVSE.
  • Article 250: Grounding and Bonding: Requirements for grounding and bonding, which are critical for safety in EVSE installations.

 

Technical committees meet November – January to respond.   In the intervening time it is helpful  break down the ideas that were in play last cycle.  The links below provide the access point:

Public Input Report Panel 12

Public Comment Report Panel 12

Panel 12 Final Ballot

We find a fair amount of administrative and harmonization action; fairly common in any revision cycle.   We have taken an interest in a few specific concepts that track in academic research construction industry literature:

  • Correlation with Underwriters Laboratory product standards
  • Bi-Directional Charging & Demand Response
  • Connection to interactive power sources

As a wiring safety installation code — with a large installer and inspection constituency — the NEC is usually the starting point for designing the power chain to electric vehicles.   There is close coupling between the NEC and product conformance organizations identified by NIST as Nationally Recognized Testing Laboratories; the subject of a separate post.

Edison electric vehicle | National Park Service, US Department of the Interior

After the First Draft is released June 28th public comment is receivable until August 19th.

We typically do not duplicate the work of the 10’s of thousands of National Electrical Code instructors who will be fanning out across the nation to host training sessions for electrical professionals whose license requires mandatory continuing education.  That space has been a crowded space for decades.   Instead we co-host “transcript reading” sessions with the IEEE Education & Healthcare Facilities Committee to sort through specifics of the 2020 NEC and to develop some of the ideas that ran through 2020 proposals but did not make it to final ballot and which we are likely to see on the docket of the 2023 NEC revision.   That committee meets online 4 times monthly.  We also include Article 625 on the standing agenda of our Mobility colloquium; open to everyone.   See our CALENDAR for the next online meeting

Issue: [16-102]

Category: Electrical, Transportation & Parking, Energy

Colleagues: Mike Anthony, Jim Harvey

Workspace / NFPA


More

U.S. NATIONAL ELECTRIC VEHICLE SAFETY STANDARDS SUMMIT | DETROIT, MICHIGAN 2010

Gallery: Electric Vehicle Fire Risk

 

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