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Health 400 | OB-GYN

National Center for Health Statistics: Birth Data Files

From Cheerleader & Footballer To Pregnant at 15

Jordan Peterson: Accidental Childlessness, The Epidemic That Dare Not Speak Its Name

REDDIT: An estimated 1/3 of all GenZ were aborted

MOMS.GOV

Today we break down the stack of 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.

We limit 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:

American College of Obstetricians and Gynecologists: Levels of Maternal Care

Provision of Care, Treatment, and Services standards for maternal safety

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.

K-TAG Matrix for Healthcare Facilities

NFPA 70 National Electrical Code Article 517

NFPA 99 Healthcare Facilities Code

NFPA 101 Life Safety Code Chapters 18 & 19

ASHRAE 170 Ventilation of Healthcare Facilities

ASHRAE 189.3: Design, Construction and Operation of Sustainable High Performance Health Care Facilities

Relevant Institute of Electrical and Electronic Engineers research

Towards Deeper Neural Networks for Neonatal Seizure Detection

A System to Provide Primary Maternity Healthcare Services in Developing Countries

Deep Learning for Continuous Electronic Fetal Monitoring in Labor

Reorganizing of University Hospital of Oran’s operating theatre: Simulation approach

Finally, we collaborate with the IEEE E&H Committee on the following IEC committee projects from IEC/TC 62 Electrical equipment in medical practice:

– Common aspects of electrical equipment used in diagnostic imaging equipment

– Equipment for radiotherapy, nuclear medicine and radiation dosimetry

– Electromedical equipment for neonatal care

 

More

Doula International

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.

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

Health Insurance Portability and Accountability Act (HIPAA)

Health care cost as percentage of Gross Domestic Product for six representative nations.

Association of Academic Health Centers

International Conference on Harmonization: The ICH guidelines provide guidance on the development of pharmaceuticals and related substances, including clinical trials, drug safety, and efficacy.

Animal Welfare Act and the Institutional Animal Care and Use Committee

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.

International Code Council Representation of Interests

University of Chicago

Neonatal Care Units

History of the English Speaking Peoples

Michigan Central

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.

Word Counts

2024 Alumni Awards

Cambridge: English language education in the era of generative AI

Student-run coffee shop

Standards Ohio | Ohio 937

Artist: Bob Dylan (featuring Leonard Cohen)

John Marshall students to run coffee shop

“There’s a new coffee shop in Cleveland, and it’s in John Marshall High School. The “Lawyers Café” serves lattes, healthy fruit smoothies, and Rising Star coffee, and it’s completely student-run. While they brew up the drinks as baristas and handle the budgets on the finance team, all of the scholars are getting hands-on job skills and learning what it takes to run their own small business.”

American Enterprise Institute: One Nation, Under Lawyers

“In those vernal seasons of the year, when the air is calm and pleasant, it were an injury and sullenness against Nature not to go out, and see her riches, and partake in her rejoicing with heaven and earth.”

— John Milton, Tractate of Education

President George H. Bush’s prescient warning to graduates about the destabilizing dangers of “political correctness” to the American experiment in a constitutional republic.  Escalated by the presidencies of Barack Obama and Joseph Biden; accelerated by multinational social media conglomerates, free speech — globally — remains challenged and threatens the return to the tribalism that doomed ancient civilizations.  Higher education in America will have the heaviest hand in this transformation.

“Ironically, on the 200th anniversary of our Bill of Rights, we find free speech under assault throughout the United States, including on some college campuses. The notion of political correctness has ignited controversy across the land. And although the movement arises from the laudable desire to sweep away the debris of racism and sexism and hatred, it replaces old prejudice with new ones. It declares certain topics off-limits, certain expression off-limits, even certain gestures off-limits.”

Engineering Research: Coffee Science

Coffee

Readings

Wealth of Nations, Adam Smith

Capitalism and Freedom, Milton Friedman

Schumpter’s Theory of Creative Destruction

“American” as the Global Standard Language

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National Electrical Definitions

NFPA Glossary of Terms

International Building Code Chapter 2: Definitions

International Electrotechnical Commission: Electropedia

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”

2026 National Electrical Code | CMP-1 Second Draft Report 

FREE ACCESS: 2020 National Electrical Code (NFPA 70)

2023 NEC Public Input Report CMP-1 (868 pages)

2023 NEC Second Draft Public Comment Report (914 pages)

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. 

Electrical Contractor: Round 1 of the 2023 NEC: A summary of proposed changes (Mark Earley, July 15, 2021)

Electrical Contractor: 2023 Code Article and Definition Revisions: Accepting (NEC) change, part 2 (Mark Earley, March 15, 2022)

Latte Macchiato

2019 ProPublica Non-Profit Explorer | IRS 990 Net Assets $90.194M

Standards Tennessee

Trevecca Dining

Tennessee

“Tea, Earl Grey, Hot”

The command issued by the character Captain Jean-Luc Picard in the television series “Star Trek: The Next Generation” finds its way into the archive of photographs of Nobel Laureates consorting with politicians at the University of Michigan and elsewhere.

Attendees of the Theoretical Physics Colloquium at the University of Michigan in 1929.

American Institute of Physics Archive

Ex Libris Universum

…”There’s not good math explaining forget the physics of it.  Math explaining the behavior of complex systems yeah and that to me is both exciting and paralyzing like we’re at very early days of understanding you know how complicated and fascinating things emerge from simple rules…” — Peter Woit [1:16:00]

Coffee & Tea Standards

Since 1936 the Brown Jug has been the ancestral trough of generations of University of Michigan students and faculty — notably. Donald Glaser (inventor of the bubble chamber) and Samuel C. C. Ting (Nobel Laureate) whose offices at Randall Laboratory were a 2-minute walk around the corner from The Brown Jug.  As the lore goes, the inspiration happened whilst watching beer bubbles one ordinary TGIF Friday.

The Brown Jug is named after the Michigan vs Minnesota football trophy, which is the oldest in college football.

Top Five Coffee Shops in Madison

Standards Wisconsin

University of Wisconsin System Financial Report | $6.4B (2023)

University of Wisconsin | Dane County


Democrat Wisconsin Secretary of State refuses to remove RFK from ballot

“Liberal woman WILL NOT date conservatives” – Bombshells

Coffee

Heather McDonald: The feminization of the American university is all but complete

Heather McDonald: Why have young women been so prominent in the recent campus chaos?

Facilities Planning & Management

 


The Breakdown of Higher Education: How It Happened, the Damage It Does, and What Can Be Done (John Ellis 2020)

 

KI und der Beitrag von Standards

Westfälische Wilhelms-Universität Münster

Managing and Understanding Artificial Intelligence Solutions

The AI-Methods, Capabilities and Criticality Grid and its Value for Decision Makers, Developers and Regulators

Healthcare Occupancies

DECEMBER 2025 ICC COMMITTEE ON HEALTHCARE Minutes

2025 REPORT OF THE COMMITTEE ACTION HEARINGS


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:

2021 International Building Code Section 308 Institutional Group I

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 (kpaarlberg@iccsafe.org) 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:

2024/2025/2026 ICC CODE DEVELOPMENT SCHEDULE

LIVE: I-Code Group B Public Comment Hearings

 

Issue: [18-166]

Category: Architectural, Healthcare Facilities, Facility Asset Management

Colleagues: Mike Anthony, Jim Harvey, Richard Robben

More

The ICC Code Development Process

K-TAG Matrix for Healthcare Facilities

American Society of Healthcare Engineers

 

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