Healthcare Organization Management

Loading
loading...

Healthcare Organization Management

June 18, 2025
mike@standardsmichigan.com
,
No Comments

Open consultations:

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.

Canadian Parliament Debate on Standards Incorporated by Reference

June 18, 2025
mike@standardsmichigan.com
, , , ,
No Comments

“The Jack Pine” | Tom Thomson (1916) | National Gallery of Canada

 

Originally posted January 2014

In these clips — selected from Canadian Parliamentary debate in 2013 — we observe three points of view about Incorporation by reference (IBR); a legislative drafting technique that is the act of including a second document within a main document by referencing the second document.

This technique makes an entire second (or referenced) document a part of the main document.  The consensus documents in which we advocate #TotalCostofOwnership concepts are incorporated by reference into legislation dealing with safety and sustainability at all levels of government.  This practice — which many consider a public-private partnership — is a more effective way of driving best practices for technology, and the management of technology, into regulated industries.

Parent legislation — such as the Higher Education Act of 1965, the Clean Air Act and the Energy Policy Act – almost always require intermediary bureaucracies to administer the specifics required to accomplish the broad goals of the legislation.  With the gathering pace of governments everywhere expanding their influence over larger parts of the technologies at the foundation of national economies; business and technology standards are needed to secure that influence.  These standards require competency in the application of political, technical and financial concepts; competencies that can only be afforded by incumbent interests who build the cost of their advocacy into the price of the product or service they sell to our industry.  Arguably, the expansion of government is a reflection of the success of incumbents in business and technical standards; particularly in the compliance and conformity industries.

About two years ago, the US debate on incorporation by reference has been taken to a new level with the recent statement released by the American Bar Association (ABA):

16-164-Incorporation-by-Reference-ABA-Resolution-and-Report

The American National Standards Institute responded to the ABA with a statement of its own.

16-164-ANSI-Response-to-ABA-IBR-06-16 (1)

The incorporation by reference policy dilemma has profound implications for how we safely and economically design, operate and maintain our “cities-within-cities” in a sustainable manner but, admittedly, the results are only visible in hindsight over a time horizon that often exceed the tenure of a typical college or university president.

A recent development — supporting the claims of ANSI and its accredited standards developers — is noteworthy:

The National Institute for Standards and Technology (NIST) manages a website — Standards.GOV — that is a single access point for consensus standards incorporated by reference into the Code of Federal Regulations: Standards Incorporated by Reference Database.   Note that this database does not include specific reference to safety and sustainability codes which are developed by standards setting organizations (such as NFPA, ICC, IEEE, ASHRAE and others) and usually incorporated by reference into individual state public safety and technology legislation.


LEARN MORE:

 

Design Standard Readability

June 18, 2025
mike@standardsmichigan.com
, ,
No Comments

Fry readability formula

How Consistent Are the Best-Known Readability Equations in Estimating the Readability of Design Standards?

Shixiang Zhou & Heejin Jeong
Industrial and Operations Engineering Department, University of Michigan, Ann Arbor, MI, USA
Transportation Research Institute Driver Interface Group
Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI, USA

 

Abstract.  Research problem: Readability equations are widely used to compute how well readers will be able to understand written materials. Those equations were usually developed for nontechnical materials, namely, textbooks for elementary, middle, and high schools. This study examines to what extent computerized readability predictions are consistent for highly technical material – selected Society of Automotive Engineers (SAE) and International Standards Organization (ISO) Recommended Practices and Standards relating to driver interfaces. Literature review: A review of original sources of readability equations revealed a lack of specific criteria in counting various punctuation and text elements, leading to inconsistent readability scores. Few studies on the reliability of readability equations have identified this problem, and even fewer have systematically investigated the extent of the problem and the reasons why it occurs.  Research questions:

(1) Do the most commonly used equations give identical readability scores?
(2) How do the scores for each readability equation vary with readability tools?
(3) If there are differences between readability tools, why do they occur?
(4) How does the score vary with the length of passage examined?

Method: Passages of varying lengths from 12 selected SAE and ISO Recommended Practices and Standards were examined using five readability equations (Flesch-Kincaid Grade Level, Gunning Fog Index, SMOG Index, Coleman-Liau Index, and Automated Readability Index) implemented five ways (four online readability tools and Microsoft Word 2013 for Windows). In addition, short test passages of text were used to understand how different readability tools counted text elements, such as words and sentences. Results and conclusions: The mean readability scores of the passages from those 12 SAE and ISO Recommended Practices and Standards ranged from the 10th grade reading level to about 15th. The mean grade reading levels computed across the websites were: Flesch-Kincaid 12.8, Gunning Fog 15.1 SMOG 12.6, Coleman-Liau 13.7, and Automated Readability Index 12.3. Readability score estimates became more consistent as the length of the passage examined increased, with no noteworthy improvements beyond 900 words. Among the five readability tools, scores typically differed by two grade levels, but the scores should have been the same. These differences were due to how compound and hyphenated words, slashes, numbers, abbreviations and acronyms, and URLs were counted, as well other punctuation and text elements. These differences occurred because the sources for these equations often did not specify how to score various punctuation and text elements. Of the tools examined, the authors recommend Microsoft Word 2013 for Windows if the Flesch-Kincaid Grade Level is required.

 

Data Centers

June 17, 2025
mike@standardsmichigan.com
No Comments

"One day ladies will take their computers for walks in the park and tell each other, "My little computer said such a funny thing this morning" - Alan Turing

Data centers in colleges and universities are crucial for supporting the extensive technological infrastructure required for modern education and research. These centers house critical servers and storage systems that manage vast amounts of data, ensuring reliable access to academic resources, administrative applications, and communication networks. They enable the secure storage and processing of sensitive information, including student records, faculty research, and institutional data.

Uptime Institute Tier Classification

Moreover, data centers facilitate advanced research by providing the computational power needed for data-intensive studies in fields like bioinformatics, climate science, and artificial intelligence. They support virtual learning environments and online course management systems, essential for the increasingly prevalent hybrid and online education models. Efficient data centers also contribute to campus sustainability goals by optimizing energy use through modern, eco-friendly technologies.

ANSI/TIA 942 Data Center Infrastructure Standard

Additionally, robust data center infrastructure enhances the university’s ability to attract top-tier faculty and students by demonstrating a commitment to cutting-edge technology and resources. They also play a vital role in disaster recovery and business continuity, ensuring that educational and administrative functions can resume quickly after disruptions. Overall, data centers are integral to the academic mission, operational efficiency, and strategic growth of colleges and universities.

We have followed development of the technical standards that govern the success of these “installations” since 1993; sometimes nudging technical committees — NFPA, IEEE, ASHRAE, BICSI and UL.   The topic is vast and runs fast so today we will review, and perhaps respond to, the public consultations that are posted on a near-daily basis.  Use the login credentials at the upper right of our home page.

Related:

Ernst & Young LLP: Why there is no silver bullet for data center financing

Data Center Growth

Gallery: Supercomputers & Data Centers

Data Center Wiring

Datacenter Architecture

Power Management For Data Centers Challenges And Opportunities

Data Center Operations & Maintenance

Inauguration of New Supercomputer

Big Data Applications in Edge-Cloud Systems

Supercomputer Tour

Data Center Metrics

Electrical Resource Adequacy

June 17, 2025
mike@standardsmichigan.com
, ,
No Comments

 “When buying and selling are controlled by legislation,
the first things to be bought and sold are legislators.”
— P.J. O’Rourke

 

“Federal Power Act” | June 10, 1920, Chapter 285 of the 66th Congress] 

Comment on FERC Action

The Federal Energy Regulatory Commission is an independent agency within the U.S. federal government that regulates interstate transmission of electricity, natural gas, and oil. It oversees wholesale energy markets, pipeline infrastructure, and hydroelectric projects, ensuring fair rates and reliability. While independent, FERC operates under the Department of Energy’s umbrella but does not take direct orders from the executive branch.

FERC enforces energy laws, approves infrastructure projects, and regulates market competition. FERC plays a crucial role in balancing economic, environmental, and energy security concerns, aiming to maintain a stable and efficient energy system across the United States.  Since the U.S. shares interconnected electricity grids with Canada and Mexico, FERC’s decisions on transmission rules and pricing affect energy flows and grid reliability in both countries.

Our interest lies in closing a technical gap that exists upstream from the building service point and downstream from the utility supply point. Some, not all of it, can be accomplished with titles in the IEEE catalog.

Given the dominance of vertical incumbents in the electric power domain, we have submitted a tranche of reliability concepts into the ASHRAE, NFPA and ICC catalogs — not so much with the expectation that they will be gratefully received — but that our proposals will unleash competitive energies among developers of voluntary consensus standards.

One of our proposals was heard at the April-May meetings of the International Code Council.  We are happy to discuss the outcome of that proposal any day at the usual hour.



Commissioner-Led Reliability Technical Conference Agenda: October 16, 2024, 10:00 AM

 


Nothing happened in August

Technical Conference RE: Large Loads Co-Located at Generating Facilities: November 1, 10AM EDT

Echo Chamber Synonyms: mutual admiration society, self congratulatory club,

back patting session, congratulatory loop, closed loop of praise, reciprocal praise fest,

feedback bubble, endless validation cycle, compliment carousel.

Predictive Reliability Analysis of Power Distribution Systems Considering the Effects of Seasonal Factors on Outage Data Using Weibull Analysis Combined With Polynomial Regression


February 2024 Highlights 

Failure Rate Prediction Model of Substation Equipment Based on Weibull Distribution and Time Series Analysis

January 2024 Highlights



Transmission Planning Using a Reliability Criterion

Readings / The Administrative State

In power system engineering, availability and reliability are two important concepts, but they refer to different aspects of the system’s performance.

Reliability:

  • Reliability refers to the ability of a power system to perform its intended function without failure for a specified period under given operating conditions. It is essentially a measure of how dependable the system is.
  • Reliability metrics often include indices such as the frequency and duration of outages, failure rates, mean time between failures (MTBF), and similar measures.
  • Reliability analysis focuses on identifying potential failure modes, predicting failure probabilities, and implementing measures to mitigate risks and improve system resilience.Availability:
  • Availability, on the other hand, refers to the proportion of time that a power system is operational and able to deliver power when needed, considering both scheduled and unscheduled downtime.
  • Availability is influenced by factors such as maintenance schedules, repair times, and system design redundancies.
  • Availability is typically expressed as a percentage and can be calculated using the ratio of the uptime to the total time (uptime plus downtime).
  • Availability analysis aims to maximize the operational readiness of the system by minimizing downtime and optimizing maintenance strategies.

Reliability focuses on the likelihood of failure and the ability of the system to sustain operations over time, while availability concerns the actual uptime and downtime of the system, reflecting its readiness to deliver power when required. Both concepts are crucial for assessing and improving the performance of power systems, but they address different aspects of system behavior.

 

November 2023 Highlights | FERC insight | Volume 10

Determining System and Subsystem Availability Requirements: Resource Planning and Evaluation

Comment: These 1-hour sessions tend to be administrative in substance, meeting the minimum requirements of the Sunshine Act. This meeting was no exception. Access to the substance of the docket is linked here.

Noteworthy: Research into the natural gas supply following Winter Storm Elliot.

 


August 14, 2003


 UPDATED POLICIES ON U.S. DECARBONIZATION AND TECHNOLOGY TRANSITIONS


June 15:FERC Finalizes Plans to Boost Grid Reliability in Extreme Weather Conditions

On Monday June 13th, Federal Energy Regulatory Commission commissioners informed the House Committee on Energy and Commerce that the “environmental justice” agenda prohibits reliable dispatchable electric power needed for national power security. One megawatt of natural gas generation does not equal one megawatt of renewable generation. The minority party on the committee — the oldest standing legislative committee in the House of Representatives (established 1795) — appears indifferent to the reliability consequences of its policy.

Joint Federal-State Task Force on Electric Transmission

“Our nation’s continued energy transition requires the efficient development of new transmission infrastructure. Federal and state regulators must address numerous transmission-related issues, including how to plan and pay for new transmission infrastructure and how to navigate shared federal-state regulatory authority and processes. As a result, the time is ripe for greater federal-state coordination and cooperation.”












 

Bibliography:

Natural Gas Act of 1938

Natural Gas Policy Act of 1978

Glossary of Terms Used in NERC Reliability Standards

The Major Questions Doctrine and Transmission Planning Reform

As utilities spend billions on transmission, support builds for independent monitoring

States press FERC for independent monitors on transmission planning, spending as Southern Co. balks

Related:

Homeland Power Security

At the July 20th meeting of the Federal Energy Regulatory Commission Tristan Kessler explained the technical basis for a Draft Final Rule for Improvements to Generator Interconnection Procedures and Agreements, On August 16th the Commission posted a video reflecting changes in national energy policy since August 14, 2003; the largest blackout in American history.

Data Center Wiring

June 17, 2025
mike@standardsmichigan.com
,
No Comments

The bookwheel, also known as a revolving bookcase, was invented by an Italian scholar and polymath named Agostino Ramelli. Ramelli was born in 1531 in Ponte Tresa, a town in present-day Italy, and he lived during the Renaissance period.

Ramelli’s invention, described in his work titled “Le diverse et artificiose machine del capitano Agostino Ramelli” (The Various and Ingenious Machines of Captain Agostino Ramelli), was published in 1588. This book showcased a collection of 195 mechanical devices.  

Ramelli’s work contributed to the growing interest in mechanical inventions during the Renaissance period. His bookwheel design remains a fascinating example of early engineering and ingenuity, highlighting the desire for knowledge and practical solutions in the pursuit of learning and scholarly endeavors.

2026 NEC Articles 645-646-647 Information Technology Equipment, et. al First Draft Report

2026 NEC Articles 645-646-647 Information Technology Equipment, et. al Second Draft Report

“Bookwheel” Early Data Center

The standard of care for wiring safety for data centers —  a continually expanding presence in education communities even before the pandemic  — is established in National Electrical Code Articles 645 (Information Technology Equipment), Article 646 (Modular Data Centers) and Article 647 (Sensitive Electronic Equipment).   You will notice that these articles cover the topic comprehensively and bear the imprint of competing Producer-Interest groups.  There are no User-Interest representatives on Code-Making Panel 12 that represent the final fiduciary in education communities even though education communities are one of the largest markets for information and communication technology systems.

The current version of NFPA 70 is linked below:

2023 National Electrical Code

Transcripts  of technical committee action during the 2026 revision (CMP-16) are linked below because they will inform our recommendations for the 2026 National Electrical Code.  Keep in mind that the Technical Correlating Committee is moving content around the Code in order to make the NEC easier to use by experts.

CMP-16 First Draft Report | Public Input with Committee Response 

CMP-16 Second Draft Report

The transcripts of technical committee action during the 2023 revision are linked below because they will inform our recommendations for the 2026 National Electrical Code.

Code‐Making Panel 12 Public Input Report

Code-Making Panel 12 Public Comment Report

National Electrical Code CMP-12

We will use these in our exploration of what we might propose for improvements in the 2026 revision.  Public comment on the First Draft of the 2026 Edition will be received until August 28th.

The issues that have been in play in these articles of the NEC are familiar to veterans of the “food fight” – occupancy classification, cable specifications, fire protection, ventilation, energy consumption, surge protection, licensing of engineers. etc.  We look for market-making excesses by opposing stakeholders that seek to limit their risk while raising the (financial) risk to education communities.

We encourage our colleagues to participate in the NFPA code development process directly.  We also encourage stakeholders in education communities — students, faculty and staff  to join us during any of the teleconferences we co-host with the IEEE Education & Healthcare Facilities Committee 4 times monthly in both European and American time zones.   See our CALENDAR for the next online meeting.

"One day ladies will take their computers for walks in the park and tell each other, "My little computer said such a funny thing this morning" - Alan Turing

 

Related standards:

NFPA 75: Standard for the Fire Protection of Information Technology Equipment

2024 International Building Code: Special Detailed Requirements Based on Occupancy and Use

2024 International Building Code: Section 304.1 Business Group B

Power Management For Data Centers Challenges And Opportunities

June 17, 2025
mike@standardsmichigan.com
No Comments

Power Management For Data Centers Challenges And Opportunities

Erling Hesla and Robert D. Giese

Abstract:  This paper presents a broad view of management of design and implementation of power systems for Data Centers. The paper outlines many challenges that are present because of the demanding requirements of Data Centers both in design and management, then introduces opportunities that recent technological advances have made possible. This paper presents several new approaches of ownership and responsibilities that directly affect financial viability of the Data Center.

IEEE Education & Healthcare Facility Electrotechnology 

IEEE Awards: Erling Hesla

Design of a gateway for ubiquitous classroom

Electrical Resource Adequacy

Layout mode
Predefined Skins
Custom Colors
Choose your skin color
Patterns Background
Images Background
error: Content is protected !!
Skip to content