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

Mushroom Coffee

July 16, 2025
mike@standardsmichigan.com

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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?


 

Iced Americano

July 16, 2025
mike@standardsmichigan.com

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University of Michigan Net Position 2024: $22.335 billion

Michigan Central | Michigan West | Michigan Upper Peninsula | Michigan East

Bert Askwith worked his way through college shuttling students to and from Detroit Metropolitan Airport until his graduation in 1931; when two semester tuition cost $300.  With no student debt he founded and grew Campus Coach Lines that still provides the same services at many other US campuses.  He donated part of his fortune to establish a cafe in the Undergraduate Library; which now serves an expanding and bewildering catalog of caffeine-based drinks found in educational settlements worldwide.


When new foreign national students arrive at U.S. colleges and universities, they often enter environments where a left-leaning worldview is prominent and pervasive. Many campuses today emphasize themes of social justice, equity, and systemic critique that align with a preference for larger, more interventionist government. Faculty and administrative messaging can reinforce these ideas, portraying government as the primary instrument for addressing inequality, redistributing resources, and regulating social behavior.

For many international students, this can be both eye-opening and disorienting. They may come from countries with different political traditions, including skepticism of state power due to experiences with corruption or authoritarianism. Yet, in the university setting, they encounter curricula and campus cultures that valorize activist government solutions while often criticizing markets, traditional institutions, or individual responsibility. Programs in the humanities and social sciences in particular tend to frame policy questions through a progressive lens that sees expansive government action as not just beneficial but morally necessary.

This immersion—some might call it a “marination”—shapes perspectives over time. Students adopt the language of social justice, climate policy, and identity politics, often without exposure to robust counterarguments. While this experience can broaden horizons and foster empathy for marginalized groups, it also risks narrowing intellectual diversity and suppressing debate about the limits and costs of government power. For international students, it can mean graduating with a worldview significantly more aligned with the American academic left than with the diverse political traditions of their home countries.

Kitchenettes

Chilled Banana Pudding Overnight Oats

July 15, 2025
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Banana Pudding Overnight Oats is a delicious and nutritious breakfast dish made by combining rolled oats, mashed bananas, milk, and other flavorings, and allowing them to sit and “soak” in the refrigerator overnight. This results in a creamy, flavorful, and satisfying bowl of oats that are ready to eat in the morning without any cooking required. It’s convenient make-ahead breakfast option that can be customized to suit individual tastes and dietary preferences.  Here’s a simple recipe for Banana Pudding Overnight Oats:

Ingredients:

1 ripe banana, mashed
1/2 cup rolled oats
1/2 cup milk (any type of milk, such as dairy milk, almond milk, or coconut milk)
1 tablespoon chia seeds (optional)
1 teaspoon vanilla extract
1/2 teaspoon ground cinnamon
1/4 teaspoon salt
1 tablespoon sweetener of choice (such as honey, maple syrup, or agave nectar)
Additional banana slices, crushed cookies, or whipped cream for garnish (optional)

Instructions:

In a medium-sized bowl, mash the ripe banana with a fork until smooth.  Add the rolled oats, milk, chia seeds (if using), vanilla extract, cinnamon, salt, and sweetener to the bowl with the mashed banana. Stir well to combine. Cover the bowl with plastic wrap or a lid and refrigerate overnight, or for at least 4-6 hours, to allow the oats to absorb the liquid and soften.

In the morning, give the oats a good stir and adjust the sweetness or consistency to taste by adding more sweetener or milk if desired.  Serve the Banana Pudding Overnight Oats in bowls or jars, and garnish with additional banana slices, crushed cookies, or whipped cream if desired.

Enjoy your delicious and creamy Banana Pudding Overnight Oats for a nutritious and convenient breakfast!

More:

Spoon University 

Texas A&M University: Banana Nut Overnight Oats

Harvard University: Oats the Nutrition Source

Colorado University: Overnight Oats

US Food & Drug Administration: Gluten-Free Labeling of Foods

Nourriture d’automne

Campus Electric Transit

July 15, 2025
mike@standardsmichigan.com
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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
mike@standardsmichigan.com
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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
mike@standardsmichigan.com

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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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