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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

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:

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

Healthcare Occupancies


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 ([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:

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

International Standard Classification of Education

“Etudes Graphiques” | Vincent van Gogh 1853-1890

“I am not an Athenian or a Greek,

but a citizen of the world.”

— (Plato quoting Socrates, Phaedo 64a)

 

ISCED 2011 is an updated version of the previous classification, ISCED 1997, and provides a framework for organizing education programs according to their level of complexity and content. The classification is designed to facilitate the comparison of education systems across countries and regions, and to improve the collection, reporting, and analysis of education statistics.

ISCED 2011 introduces several changes and updates, such as the introduction of a new level of education called “early childhood education,” the expansion of the tertiary education level to include short-cycle tertiary education, and the inclusion of a separate category for vocational education at the secondary level. The classification also includes detailed descriptions of the content and characteristics of each education level, as well as guidelines for classifying educational programs that do not fit neatly into the existing categories.

ISCED 2011 is widely used by national and international organizations, including UNESCO, to collect and report education data, and it provides a common language for discussing education across borders.



Intellectual Property in the Age of Open Source

Innovation management

Readings / FRAND licensing in an Unwired world

Protection of Intellectual Property in the Supply Chain

Intellectual Property 101

 

 

 

Lingua Franca

“The English genius is essentially eclectic;

it borrows from everywhere and from every time.”

— Peter Ackroyd | 2004  Albion: the origins of the English imagination

“The Tower of Babel” 1563 | Pieter Bruegel the Elder

 

“Wer von Fremdsprachen nichts versteht, kennt seine eigenen nichts.”

– Johann Wolfgang von Goethe

 

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.

Large Language Models

Glossary: Education

Examples of Variations in Translations of Homer’s Odyssey

Banished Words 2024

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

American Institute of Architects: Definitions for Building Performance 

ASHRAE International

Language Proficiency

International Code Council

Institute of Electrical and Electronic Engineers

National Fire Protection Association

Qu’est-ce qu’une nation?

Using tasks in language teaching

print(“Python”)

Love and Mathematics

The Guy Who Over-Pronounces Foreign Words

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:

“Standard” History

History of the English Speaking Peoples

Language Proficiency

Geomatics

Large Language Models

Travels with the Sundry Folk

Reflections on the verb “to be”

Banished Words 2024

Forbidden Words

Using tasks in language teaching

William Tyndale: The Father of Modern English

“Music does an end run around language” — James Taylor

Electropedia: The World’s Online Electrotechnical Vocabulary

Standard Definition: “Developing” Country

The Guy Who Over-Pronounces Foreign Words

ANSI Acronymn Dictionary

Footnotes:

(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.

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

International Property Maintenance Code

In most jurisdictions the standard of care for operation and maintenance of education facilities is discovered and promulgated by a “fabric” of consensus products developed by a kind of “shadow government” created by a network of non-profit publishers; among them the International Code Council.  The ICC has one of the most dynamic catalogs in the construction industry and today we drill into the the International Property Maintenance Code which completed another revision cycle in 2021.   Operation and maintenance of education facilities is the (much larger) part of #TotalCostofOwnership of the real assets of a school district, college or university.  Public access to most recent revision to the IPMC is linked below:

 2021 International Property Maintenance Code

The transcript of public comment on the 2021 revision provides insight into the back-and-forth among the technical committee experts:

2021 IPMC Group A Public Comment Agenda

Note the concern for swimming pools, radon, light, ventilation and occupancy limits.

The ICC Group A tranche of titles will undergo another cyclic revision starting in 2023.  Since so much of the ICC catalog underlies occupancy safety for education, healthcare and nearly all other aspects of the built environment we track the action on a near-daily basis.  You may join any of our daily colloquia, shown on our CALENDAR, or interact directly with the ICC with the link below:

 cdpACCESS

2024/2025/2026 ICC CODE DEVELOPMENT SCHEDULE

The ICC catalog is regarded as the most authoritative for education facility management.  We maintain the IPMC on the standing agenda of our Hammurabi and Interiors colloquia.  See our CALENDAR for the next colloquium; open to everyone.

 

Meeting Point

Issue: [Various]

Category: Architectural, Facility Asset Management, Space Planning

Colleagues: Mike Anthony, Jack Janveja, Richard Robben, Jerry Schulte

More

 

Design & Operation of Health Care Facilities

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:

    1. integrated design
    2. conservation of water
    3. conservation of energy
    4. indoor environmental quality
    5. construction practices
    6. commissioning
    7. operations and maintenance

Noteworthy: Related title ASHRAE/ASHE Standard 170 Ventilation of Healthcare Facilities

No redlines have been released for public consultation at this time.

 

Public consultation on Standard 189.3-2021, Design, Construction, and Operation of Sustainable High-Performance Health Care Facilities closes November 11.

 

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

Proposed Addendum L to Standard 170-2021, Ventilation of Health Care Facilities

Proposed Addendum i to Standard 170-2021, Ventilation of Health Care Facilities

The consultation closes October 29th.

Other redlines are released and posted at the link below:

Public Review Draft Standards / Online Comment Database

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.

"The trained nurse has become one of the great blessings of humanity, taking a place beside the physician and the priest" - William Osler"While we try to teach our children all about life, our children teach us what life is all about" - Angela Schwindt "The true art of pediatrics lies not only in curing diseases but also in preventing them" - Abraham JacobiGermany

 

Issue: [Various]

Category: Mechanical, Electrical, Energy, Facility Asset Management

Colleagues:  David Conrad, Richard Robben, Larry Spielvogel

Workspace / ASHRAE

Educational Settlement Finance

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.

Issue: [Various]

Category: Administration & Management, Finance, #SmartCampus

Colleagues: Mike Anthony, John Kaczor, Liberty Ziegahn

*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.

 

More:

Duke Law Review:  Don’t ‘Screw Joe the Plummer’: The Sausage-Making of Financial Reform

An Expanded Study of School Bond Elections in Michigan

 

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