Giovanni Paolo Panini, An architectural capriccio with figures among Roman ruins
The post-pandemic #WiseCampus transformation requires significant capital to meet the sustainability goals of its leadership. Campuses are cities-within-cities and are, to a fair degree, financed in a similar fashion. Tax-free bonds are an effective instrument for school districts, colleges and universities — and the host community in which they are nested — for raising capital for infrastructure projects while also providing investors with, say $10,000 to $100,000, to allocate toward a tax-free dividend income stream that produces a return in the range of 2 to 8 percent annually.
An aging population may be receptive to investment opportunities that protect their retirement savings from taxation.
Once a month, we walk through the prospectuses of one or two bond offerings of school districts, colleges and universities and examine offering specifics regarding infrastructure construction, operations and maintenance. We pay particular attention to details regarding “continuing operations”. Somehow the education industry has to pay for its green agenda. See our CALENDAR for the next Finance colloquium; open to everyone.
The interactive map provided by Electronic Municipal Market Access identifies state-by-state listings of tax-free bonds that contribute to the construction and operation of education facilities; some of which involved university-affiliated medical research and healthcare delivery enterprises.
CLICK ON IMAGE FOR INTERACTIVE MAP
If you need help cutting through this list please feel free to click in any day at 11 AM Eastern time. Use the login credentials at the upper right of our hope page. We collaborate with subject matter experts at Municipal Analytics and UBS.
*We see the pandemic as a driver for a step-reduction in cost in all dimensions of education communities. We coined the term with a hashtag about two years ago.
*College and university infrastructure projects are classified with public school districts under the rubric “municipal bonds” at the moment. CLICK HERE for more information.
Accreditation and certification are relatively modern concepts that have evolved over time as formalized methods of establishing and maintaining standards in various fields. The concept of accreditation or certification, as it is understood today, may not have existed in the same form in the distant past. However, there were likely individuals or groups who played roles similar to that of accreditation or certification specialists in history, although the formalized systems of accreditation or certification that exist today were not present.
For example, in ancient times, there were guilds and associations in various professions that set standards for their members, oversaw training and apprenticeship programs, and ensured the quality of their work. These guilds and associations, which existed in various civilizations such as ancient Egypt, Greece, and Rome, could be seen as early forms of accreditation or certification bodies.
Similarly, in religious contexts, there were individuals who held authority to certify or accredit others. For instance, in medieval Europe, there were religious orders, such as the Knights Templar, who were known for their specialized skills and were often called upon to certify the expertise of others in their areas of knowledge, such as architecture or finance.
In the field of education, ancient universities and centers of learning, such as the ancient Indian Nalanda University or the Islamic madrasas, could also be seen as early forms of accreditation or certification bodies, where scholars were recognized and certified based on their knowledge and expertise.
However, it’s important to note that the formalized systems of accreditation or certification that we are familiar with today, with standardized processes, documentation, and oversight, have developed over time and are relatively modern phenomena. The history of accreditation or certification is complex and multifaceted, with various practices and traditions that have evolved and influenced the modern systems we have today.
Disagree with someone and cannot persuade them? Do you need to hide your intransigence or ulterior motive? Then change the basis of discussion by changing the subject with a different definition.
This happens routinely in political discourse and rather frequently in best practice discovery and promulgation in building construction and settlement infrastructure standards[1]. Assuming all parties are negotiating in good faith resolution may lie in agreement on a common understanding of what a satisfying agreement might look like.
Admittedly, a subtle and challenging topic outside our wheelhouse[2] hence the need to improve our organization of this topic starting with today’s colloquium; with follow on sessions every month.
Starting 2025 we will organize our approach to this topic, thus:
Language 100. Survey of linguistic basics for developing codes, standards and regulations. Many vertical incumbents have developed their own style manuals
Language 200. Electrotechnical vocabulary
Language 300. Architectural and Allied trade vocabulary
Language 400. The language of government regulations; the euphemisms of politicians with influence over the built environment
Language 500. Advanced topics such as large language models or spoken dialects such as “High Michigan” — arguably, the standard American dialect where it applies to the standards listed above.
It may not be obvious how profound the choice of words and phrases have on leading practice discovery and promulgation. For example, “What is Gender” determines the number, placement and functionality of sanitary technologies in housing, hospitals and sporting. The United States has a Supreme Court justice that cannot define “woman”
As always, we will respond to public consultation opportunities wherever we can find them. Some organizations are better than this than others.
Today we limit our discussion to language changes in the catalogs of ANSI-accredited standards developers whose titles have the most influence over the interoperability of safety and sustainability technologies that create and sustain the built environment of education communities
Every building construction discipline has its own parlance and terms of art.
This is enough for a one-hour session and, depending upon interest, we will schedule a breakout session outside of our normal “daily” office hours. Use the login credentials at the upper right of our home page.
ΒΙΒΛΙΟΘΗΚΕΣ
Starting 2024 and running into 2025 we will break down this topic further, starting with construction contract language — Lingua Franca 300:
Asset management applies to any organization. As such, understanding its terminology, principles, and outcomes is key to an organization’s success. ISO 55000:2024 provides an overview of #AssetManagement and its expected benefits. @isostandardshttps://t.co/XZsWvJJ8r4
(1) The United States government defines a “Green Building” as a building that has been designed, constructed, and operated in a way that reduces or eliminates negative impacts on the environment and occupants. The government has established various standards and certifications that buildings can achieve to be considered “green.”
The most widely recognized green building certification in the United States is the Leadership in Energy and Environmental Design (LEED) certification, which is administered by the U.S. Green Building Council (USGBC). To achieve LEED certification, a building must meet certain standards related to sustainable site development, water efficiency, energy efficiency, materials selection, and indoor environmental quality.
In addition to the LEED certification, there are other programs and standards that can be used to measure and certify the sustainability of buildings, such as the Green Globes rating system and the Living Building Challenge.
Overall, the goal of green building is to create buildings that are not only environmentally sustainable but also healthier, more comfortable, and more efficient for occupants, while reducing energy consumption and greenhouse gas emissions. By promoting green building practices, the U.S. government aims to reduce the environmental impact of the built environment and move towards a more sustainable future.
(2) The U.S. Green Building Council is a conformance organization. See the discussion our ABOUT for background on incumbent stakeholders.
Since so much of what we do in standards setting is built upon a foundation of a shared understanding and agreement of the meaning of words (no less so than in technical standard setting) that time is well spent reflecting upon the origin of the nouns and verbs of that we use every day. Best practice cannot be discovered, much less promulgated, without its understanding secured with common language.
Because electrotechnology changes continually, definitions (vocabulary) in its best practice literature changes continually; not unlike any language on earth that adapts to the moment and place.
The changes reflect changes in technology or changes in how the technology works in practice; even how the manufacturers create adaptations to field conditions by combining functions. Any smart electrical component has a digital language embedded in it, for example.
Consider the 2023 National Electrical Code. Apart from many others the NEC will contain a major change to Article 100 (Definitions); the subject of elevated debate over the past three years.
When we refer “language” we must distinguish between formal language, informal language, colloquial language and dialect which may differ the language spoken, language written at the office and language used on the job site. “Terms of art”
Are these terms (or, “terms of art”) best understood in context (upstream articles in Chapters 4 through 8) — or should they be adjudicated by the 14 Principals of Code Making Panel 1? The answer will arrive in the fullness of time. Many changes to the National Electrical Code require more than one cycle to stabilize.
Code Making Panel 1 has always been the heaviest of all NEC panels. As explained n our ABOUT, the University of Michigan held a vote in CMP-1 for 20+ years (11 revision cycles) before moving to the healthcare facilities committee for the IEEE Education & Healthcare Facilities Committee. Standards Michigan continues its involvement on behalf of the US education facility industry — the second largest building construction market. There is no other pure user-interest voice on any technical committee; although in some cases consulting companies are retained for special purposes.
To serve the purpose of making NFPA 70 more “useable” we respect the Standards Council decision to make this change if it contributes to the viability of the NFPA business model. We get to say this because no other trade association comes close to having as enduring and as strong a voice: NFPA stands above all other US-based SDO’s in fairness and consideration of its constituency. The electrical safety community in the United States is a mighty tough crowd.
If the change does not work, or work well enough, nothing should prohibit reversing the trend toward “re-centralizing” — or “de-centralizing” the definitions.
Public comment on the First Draft of the 2026 Edition will be received until August 28, 2024.
Technical Committees meet during the last half of October to respond to public comment on the First Draft of the 2026 National Electrical Code.
Today we break down regulations, codes, standards and open-source literature governing the safety and sustainability of university-affiliated medical research and healthcare delivery facilities. Because of the complexity of the topic we break down our coverage:
Health 200. Survey of all relevant codes, standards, guidelines and recommended practices for healthcare settings.
Health 400. All of the above with special consideration needed for obstetrics, gynecological and neonatal clinical practice and research.
Today we confine our interest to systems — water, power, telecommunication and security; for example — that are unique to campus-configured, city-within-city risk aggregations. Electrotechnologies (voltage stability, static electricity control, radio-interference, etc.) in these enterprises are subtle, complex and high risk. Sample titles from legacy best practice literature in this domain are listed below:
Since our interest lies in the habitable spaces for these enterprises we usually start with a scan of the following titles:
International Building Code Section 407 (Institutional Group I-2) identifies requirements specific to healthcare settings, covering aspects such as fire safety, means of egress, and smoke compartments. Maternity and obstetric facilities within hospitals fall under this classification.
A relatively new publisher of related standards is the Facility Guidelines Institute. We are monitoring its catalog and its processes. The healthcare facility industry is likely large enough for another non-profit but we have yet to see meaningful leading practice discovery and promulgation that is unrelated to the literature that is already out there.
International Conference on Harmonization: The ICH guidelines provide guidance on the development of pharmaceuticals and related substances, including clinical trials, drug safety, and efficacy.
Good Laboratory Practice: GLP is a set of principles that ensure the quality and integrity of non-clinical laboratory studies. It ensures that data generated from non-clinical laboratory studies are reliable, valid, and accurate.
👩⚕️👩🎓 Warmest congratulations to UCD School of Nursing, Midwifery and Health Systems’ Higher Diploma in Midwifery group (2022-2024), who have officially completed their 18-month programme to become registered midwives 👏👏👏 pic.twitter.com/hixD1gT1no
— University College Dublin (@ucddublin) March 7, 2024
Some of the common electro-technologies used in a neonatal care unit include:
Incubators: These temperature-controlled units create a controlled environment to keep premature or sick infants warm and protected.
Ventilators: Mechanical ventilators assist newborns with respiratory distress by delivering oxygen and helping them breathe.
Monitors: These devices track vital signs such as heart rate, oxygen levels, blood pressure, and temperature to ensure the baby’s health and detect any abnormalities.
Phototherapy Lights: Special lights are used to treat jaundice in newborns, helping to break down excess bilirubin in the blood.
Intravenous Pumps: These pumps are used to deliver medications, fluids, and nutrients directly into the baby’s bloodstream.
Feeding Tubes: For infants who are unable to feed orally, feeding tubes are used to deliver breast milk or formula directly into their stomach.
Blood Gas Analyzers: These machines measure the levels of oxygen, carbon dioxide, and other gases in a baby’s blood to monitor respiratory status and acid-base balance.
Infusion Pumps: Used to administer controlled amounts of fluids, medications, or nutrients to newborns.
CPAP/BiPAP Machines: Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) machines help newborns with breathing difficulties by providing a continuous flow of air pressure.
Neonatal Resuscitation Equipment: This includes equipment such as resuscitation bags, endotracheal tubes, laryngoscopes, and suction devices used during emergency situations to assist with newborn resuscitation.
It’s important to note that specific tools and equipment may vary depending on the level of neonatal care provided by the unit, the needs of the infants, and the policies of the healthcare facility.
Neonatal care, as a specialized field, has been shaped by the contributions of several pioneers in medicine. Here are a few notable figures who have made significant advancements in neonatal care:
Dr. Virginia Apgar was an American obstetrical anesthesiologist who developed the Apgar score in 1952. The Apgar score is a quick assessment tool used to evaluate the overall health of newborns immediately after birth. It assesses the baby’s heart rate, respiratory effort, muscle tone, reflex irritability, and color, providing valuable information for prompt intervention and monitoring.
Dr. Martin Couney, a pioneering physician, established incubator exhibits at world fairs and amusement parks in the early 20th century. He promoted the use of incubators to care for premature infants and played a significant role in popularizing the concept of neonatal intensive care.
Dr. Virginia A. Apgar, an American pediatrician and neonatologist, made significant contributions to the field of neonatology. She specialized in the care of premature infants and conducted extensive research on neonatal resuscitation and newborn health. She also developed the Apgar scoring system, although unrelated to Dr. Virginia Apgar mentioned earlier.
Dr. Lula O. Lubchenco was an influential researcher and neonatologist who made important contributions to the understanding of newborn growth and development. She developed the Lubchenco Growth Chart, which provides a standardized assessment of a newborn’s size and gestational age, aiding in the identification and monitoring of growth abnormalities.
Dr. Mary Ellen Avery was a renowned American pediatrician and researcher whose work focused on understanding and treating respiratory distress syndrome (RDS) in premature infants. She identified the importance of surfactant deficiency in RDS and contributed to the development of surfactant replacement therapy, revolutionizing the care of preterm infants.
These individuals, among many others, have played pivotal roles in advancing the field of neonatal care, improving the understanding, diagnosis, treatment, and overall outcomes for newborn infants.
The pandemic provides background for the importance of ventilation systems in healthcare settings and reminder that there is plenty of work to do. The scope of ASHRAE 189.3 – Design, Construction and Operation of Sustainable High Performance Health Care Facilities — lies in this domain:
Purpose. The purpose of this standard is to prescribe the procedures, methods and documentation requirements for the design, construction and operation of high-performance sustainable health care facilities.
Scope.This standard applies to patient care areas and related support areas within health care facilities, including hospitals, nursing facilities, outpatient facilities, and their site. It applies to new buildings, additions to existing buildings, and those alterations to existing buildings that are identified within the standard. It provides procedures for the integration of sustainable principles into the health care facility design, construction and operation process including:
We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia. See our CALENDAR for the online meeting; open to everyone.
October 9 Update
As of the date of this post, two redlines have been released for public consultation
Because this title is administered on ASHRAE’s continuous maintenance platform, public consultations run 30 to 45 days. You may also submit an original idea to the ASHRAE standards development enterprise. CLICK HERE to get started.
We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia. See our CALENDAR for the online meeting; open to everyone.
Safety and sustainability for any facility, not just university-affiliated healthcare facilities, usually begin with an understanding of who, and how, shall occupy the built environment. University settings, with mixed-use occupancy arising spontaneously and temporarily, often present challenges and they are generally well managed.
First principles regarding occupancy classifications for healthcare facilities appear in Section 308 of the International Building Code, Institutional Group I; linked below:
There are thousands of healthcare code compliance functionaries and instructors; most of them supported by trade associations and most of them authoritative. Hewing to our market discipline to track only the concepts that will affect university-affiliated healthcare enterprises only. There are a few noteworthy differences between corporate healthcare businesses and university affiliated healthcare enterprises (usually combined with teaching and research activity) that we identify on this collaboration platform.
We collaborate closely with the IEEE Education & Healthcare Facilities Committee which takes a far more global view of the healthcare industry. That committee meets online 4 times monthly in European and American time zones.
Finally, we encourage our colleagues to participate directly in the ICC Code Development process. Contact Kimberly Paarlberg ([email protected]) for more information about its healthcare committees and how to participate in the ICC code development process generally. Tranches of ICC titles are developed according to the schedule below:
New update alert! The 2022 update to the Trademark Assignment Dataset is now available online. Find 1.29 million trademark assignments, involving 2.28 million unique trademark properties issued by the USPTO between March 1952 and January 2023: https://t.co/njrDAbSpwBpic.twitter.com/GkAXrHoQ9T
