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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

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 (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

VIU: FM 98.3 Pamplona

CLICK IMAGE TO ACCESS LIVESTREAM

MORE

History of Radio Regulations

The Year Ahead 2025

“Chance favors the prepared mind.”
— Louis Pasteur

Today at 16:00 UTC

Agenda

Technical:

Respond to client queries and retainers

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.

2024 “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

Looking Ahead: 2024

Accreditation 200

“I have no special talent.
I am only passionately curious”
— Albert Einstein

Early 20th-century fresco depicting guilds in the 13th-century New Tower of Sélestat

Standards are the seed corn for compliance revenue; hence the hegemony of conformance and enforcement enterprises that dominate the global standards system.

Accreditation is a relatively recent breakout topic so we approach it gently; respectful of the business models of the hundreds of education community charitable associations involved in the safety and sustainability of the physical spaces of education communities.

Accreditation 100 tracks facility management credentialing:

Ferris State University | Certificate Program in Facility Management

University of San Diego | Facilities Management Program

Arizona State University | Facility Management Certificate Program

Later in 2024 we will sort through other issues in the credentialing domain:

Accreditation 200: Recent innovations in credentialing

Q. There are about 150 hospitals in the USA with the word “university” in their name.  Are they tax-exempt?  Should they be?  A.  Whether a hospital with “university” in its name is tax-exempt depends on various factors, including its ownership, structure, and purpose. Non-profit hospitals, including those affiliated with universities, may qualify for tax-exempt status under certain conditions. However, the mere presence of “university” in the name does not automatically confer tax-exempt status.  Tax-exempt status, the hospital’s activities, such as providing charity care, medical education, and research, are typically considered.

Accreditation 300: Requirements for baccalaureate, masters and doctoral degrees

Accreditation 400: Advanced Topics

Open to everyone.  Use the login credentials at the top of our home page.

Syllabus: Accreditation 100

Readings:

“Student Retention at the Community College: Meeting Students’ Needs” | University of Delware Fall 2006 | Jill Jacobs-Biden

“Princeton-Educated Black and the Black Community” | Princeton University | Michelle LaVaughn Robinson

“Employment, Output and Capital Accumulation in an Open Economy: A Disequilibrium Approach” | Yale University | Janet Louise Yellen

 

Intelligence is quickness in seeing things as they are. - George Santayana

College students create the ultimate hangover cure

Two Yale University seniors have created a product they believe will cure what ails their peers — and many others: hangovers.

Margaret Morse and Liam McClintock wanted a supplement that would allow them to have fun on a night out, but would not impede on being able to work the next morning.

What causes hangovers to begin with? Morse, a molecular cellular and developmental biology major, told local news outlet WTNH, “There’s an acetaldehyde build up. There is a vitamin and electrolyte loss. There is a glutamine rebound and there are immunological disturbances.”

Their proposed solution is SunUp, a powdered citrus-flavored supplement filled with vitamins and nutrients.

“This is a powder that you take before you start drinking and it helps your liver deal with the stress you’re putting it under when you drink,” McClintock told WTNH. According to the New Haven Register, one would drink SunUp in a glass of water around an hour before they start drinking.  While one might believe dehydration is the cause of hangovers, SunUp’s website explains that it is actually a symptom. “These two phenomena are concurrent because of the diuretic effects of alcohol, but dehydration does not cause the actual hangover feeling,” says the site’s FAQ.  SunUp instead focuses on combating four root causes of a hangover: acetaldehyde building, vitamin and electrolyte loss, glutamine rebound and immunological disturbances.

“It’s intended for productive workers,” McClintock told WTNH. “Like ourselves who like to have a social life, like to go out and have a couple of drinks but also need to be productive the next day and get up and have work to do.”

Morse and McClintock have received positive feedback from fellow students and the Yale community. They’ve brought it to a pharmaceutical company, and it could be available in April. SunUp will retail for $5; if you want to pre-order, you can purchase through the company’s Indiegogo page.

Yale University Office of Facilities

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

Claude

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Top Five Coffee Shops

Standards Wisconsin

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

 


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)

Student-run coffee shop

Standards Ohio

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

CLICK HERE

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

 

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