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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

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

Public consultation on Addendum m regarding definition of “room units” and the heating and cooling of such units closes January 27th

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

Children’s Hospital Neonatal Intensive Care

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.

Healthcare Facilities Code

IEEE  Education & Healthcare Facility Electrotechnology

 

Banished Words 2025 (And words that refuse to be banished)

“He who does not know foreign languages knows nothing of his own.”

– Johann Wolfgang von Goethe

Lake Superior State University Michigan

 

Standards January | Language

Birth Tourism

This content is accessible to paid subscribers. To view it please enter your password below or send mike@standardsmichigan.com a request for subscription details.

The Year Ahead 2026

“Chance favors the prepared mind.”
— Louis Pasteur

Today at 16:00 UTC

The Year Ahead 2026

 

Agenda

Technical:

Respond to client queries and retainers

Prepare new proposals for the NFPA 2029 National Electrical Code

Prepare comments on the IEEE 2028 National Electrical Safety Code

Recap of activity in the ISO and IEC catalogs.  We are members of Healthcare Management.  We coordinate our responses to IEC CDV’s with IEEE Education & Healthcare Facilities Committee.

2025 “Wins” and “Losses”

“Wins”: All of the references to IEEE research and recommended practices that appear in electrical related titles in the NFPA catalog are the result of Standards Michigan advocacy in collaboration with the IEEE

“Losses”: Persist in getting Article 210 (Soon to be in Chapter 1) 180 VA per outlet requirement down to 150 VA instead of 120 VA in the ASHRAE suite from an energy conservation perspective.  This will be the most meaningful and transformative code “win” since our 2014 code “win” in 2014 NEC Section 220.12.

Expansion of user-interest advocacy for the 2028 IEEE National Electrical Safety Code.

Follow up driving electrical safety concepts into the ASHRAE and ICC catalog that cannot, or will not, be incorporated into the NFPA catalog

Continue driving IEEE best practice literature into the NFPA, ASHRAE and IEEE catalog

Electric service reliability data gathering for point of common coupling of merchant utilities and schools, colleges, universities with emphasis on large health care systems.  (Bob Arno’s IEEE 493 Gold Book update)

Break out coverage of ASHRAE 90.1 in its entirety in a dedicated content management system now that its scope includes outside/between buildings.

Break out coverage of Chapter 27 (Electrical) of the International Building Code as a “pivot” or “anchor” post for other relevant titles in the ICC catalog.

10-year retrospective on the IEEE Education & Healthcare Facilities Committee at the May Technical Conference in Montreal

Administrative:

Expansion of our unaccredited for-profit educational mission to Michigan school districts, colleges, universities, trade schools.  In the normal course of business we present educational opportunities to faculty and students administered by ANSI, ASME, AWS, ACI, ICC, IEC, IEEE, IEEE, NIST, SAE and others.  List of Faculty & Student Standards Education Resources

New signage at our State Street office

Rollout the platform to at least two more states — we have only one now.

Re-organize web pages to track IEEE, NFPA, ASHRAE, ICC, CSA Group and TIA catalog action more effectively.  ASTM and UL catalogs remain “problematic” because their titles are so deeply embedded in products and less so in systems.

List of ANSI Accredited Standards Developers

List of US TAGS to the ISO

USNA IEC

Other:

Our thanks for the collegiality and wisdom of Larry Spielvogel as he enters retirement

Continued mentorship of electrical engineering students in the IEEE Southeastern Michigan Section.  Introduction to mentorship partner Nathan from private industry.

Social Page Rollout: Engagements, Weddings & Births

A few of the University’s Electrical Engineers

The Year Ahead 2025

The Year Ahead: 2024

Human Resources 100

Office in a Small City 1953 Edward Hopper

 

“Choose a job you love,

and you will never have to work a day in your life.”

Kong Fuzi, Confucius

 

Today we dwell on titles that inform management of the education industry in the United States specifically; but also more generally in global markets where the education industry is classified as a Producer and a User of human resources.  It is an enormous domain; likely the largest.

Human Resources 100 covers skilled trade training in all building construction disciplines.

Vocational Education Act of 1917, or Smith-Hughes Act of 1917

February: Association for Career and Technical Education | #CTEMonth

Human Resources 200 covers the range of skills needed to manage the real assets of educational settings — school district properties, college and university campuses

Human Resources 300 covers higher level management of these settings.  (Representative Organization Charts)

Human Resources 500 covers everything else

Human Resources 500

Use the login credentials at the upper right of our home page.

Engineering a Fair Future: Why we need to train unbiased AI

Recommended Reading:

“The Human Side of Enterprise” 1960 by Douglas McGregor | MIT Management Sloan School

University of Chicago Press: Readings in Managerial Psychology

I've searched all the parks in all the cities - and found no statues of Committees. - Gilbert K. Chesterton

 

More

Lee Webster

Virginia Commonwealth University: “Self Reliance” Ralph Waldo Emerson

Paris Review: The Myth of Self-Reliance

Using ANSI Human Resource Standards to Create Business Advantage in the Workplace

Colleges and Organizational Structure of Universities

Apprenticeships: International Brotherhood of Electrical Workers

Software Engineering Code of Ethics and Professional Practice

“Google’s Ideological Echo Chamber” James Damore

 

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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