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Healthcare Facilities Code
“The Doctor” 1891 Sir Luke Fildes
The NFPA 99 Healthcare Facilities Code committee develops a distinct consensus document (i.e. “regulatory product”) that is distinct from National Electrical Code Article 517; though there are overlaps and gaps that are the natural consequence of changing technology and regulations. It is worthwhile reviewing the scope of each committee:
NFPA 99 Scope: This Committee shall have primary responsibility for documents that contain criteria for safeguarding patients and health care personnel in the delivery of health care services within health care facilities: a) from fire, explosion, electrical, and related hazards resulting either from the use of anesthetic agents, medical gas equipment, electrical apparatus, and high frequency electricity, or from internal or external incidents that disrupt normal patient care; b) from fire and explosion hazards; c) in connection with the use of hyperbaric and hypobaric facilities for medical purposes; d) through performance, maintenance and testing criteria for electrical systems, both normal and essential; and e) through performance, maintenance and testing, and installation criteria: (1) for vacuum systems for medical or surgical purposes, and (2) for medical gas systems; and f) through performance, maintenance and testing of plumbing, heating, cooling , and ventilating in health care facilities.
NFPA 70 Article 517 Scope: The provisions of this article shall apply to electrical construction and installation criteria in healthcare facilities that provide services to human beings. The requirements in Parts II and III not only apply to single-function buildings but are also intended to be individually applied to their respective forms of occupancy within a multi-function building (e.g. a doctor’s examining room located within a limited care facility would be required to meet the provisions of 517.10) Informational Note: For information concerning performance, maintenance, and testing criteria, refer to the appropriate health care facilities documents.
In short, NFPA 70 Article 517 is intended to focus only on electrical safety issues though electrotechnology complexity and integration in healthcare settings (security, telecommunications, wireless medical devices, fire safety, environmental air control, etc.) usually results in conceptual overlap with other regulatory products such as NFPA 101 (Life Safety Code) and the International Building Code.
Several issues were recently debated by the Article 517 technical committee during the 2023 National Electrical Code Second Draft meetings
- The conditions under which reconditioned electrical equipment be installed in healthcare settings; contingent on listing and re-certification specifics.
- Relaxation of the design rules for feeder and branch circuit sizing through the application of demand factors.
- Application of ground fault circuit interrupters.
- “Rightsizing” feeder and branch circuit power chains (Demand factors in Section 517.22)
- Patient care space categories
- Independence of power sources (517.30)
There are, of course, many others, not the least of which involves emergency management. For over 20 years our concern has been for the interdependency of water and electrical power supply to university hospitals given that many of them are part of district energy systems.
We need to “touch” this code at least once a month because of its interdependence on other consensus products by other standards developing organizations. To do this we refer NFPA 99 standards action to the IEEE Education & Healthcare Facilities Committee which meets online four times monthly in European and American time zones.
The transcript of NEC Article 517 Public Input for the 2023 revision of NFPA 70 is linked below. (You may have to register your interest by setting up a free-access account):
Code-Making Panel 15 (NEC-P15) Public Input Report
Code-Making Panel 15 (NEC-P15) Public Comment Report
Technical committees will meet in June to endorse the 2023 National Electrical Code.
Public consultation on the Second Draft closes May 31st. Landing page for selected sections of the 2024 revision of NFPA 99 are linked below:
Health Care Emergency Management and Security (HEA-HES)
Second Draft Comments are linked below:
Health Care Emergency Management and Security (HEA-HES)
NITMAM closing date: March 28, 2023
We break down NFPA 70 and NFPA 99 together and keep them on the standing agenda of both our Power and Health colloquia; open to everyone. See our CALENDAR for the next online meeting.
Issues: [12-18, [15-97] and [16-101]
Contact: Mike Anthony, Jim Harvey, Robert Arno, Josh Elvove, Joe DeRosier, Larry Spielvogel
NFPA Staff Liaison: Jonathan Hart
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.
IEEE Education & Healthcare Facility Electrotechnology
Pathway Illumination
“Nighthawks” 1942 Edward Hopper
The Illumination Engineering Society is one of the first names in standards-setting organizations with a catalog routinely referenced in design guidelines and construction projects. Because of the money flow into illumination technologies worldwide the IES occupies a domain that is relatively crowded:
- National Electrical Manufacturers and Medical Imaging Association; whose interest lies in leveling the playing field for about 300 electrical equipment manufacturers
- Institute for Electrical and Electronic Engineers; whose interest lies in the research activity in seeing sciences, the luminescence sources and the power chain
- American Society of Heating and Refrigeration Engineers; whose interest lies in energy conservation
- National Fire Protection Association; whose interest lies in fire safety of lighting systems within building premises.
- International Code Council; whose interest lies in pulling together all of the relevant standards for lighting egress paths of the built environment
- International Electrotechnical Commission; whose interest lies in the administration of global electrical and electronic technologies
- International Commission on Illumination; the international authority on light, illumination, colour, and colour spaces
There are others. With illumination power requirement on a downward trajectory where footcandles can be driven at information & communication technology voltage and current levels; we find relatively new entrants into the market with deep pockets and for good reason. In a typical building, the interior lighting load is the major electrical load (on the order of 40 percent) and a major contributor to the functionality of the building. There are a number of other trade associations that are participants in research and open source standards for faster moving parts of the illumination science. We will cover these in future, related posts.
Last year a new standardization project was launched by the IES. From the project prospectus:
IES LP-2-201x, Designing Quality Lighting for People in Outdoor Environments (new standard)
Project Need: This document is not intended to supersede existing IES application RPs, rather it will link the various documents together, augmenting them in subject areas not otherwise covered, including but not limited to sidewalks, bikepaths, pedestrian paths, parks, outdoor malls, pedestrian-only business districts, plazas, amphitheaters, large outdoor gathering areas, campuses, pedestrian bridges, and pedestrian underpasses.
Stakeholders: Lighting practitioners, electrical engineers, civic planners, civil engineers, architects, community-based planning groups, general public. Lighting recommendations for non-vehicular pedestrian applications using recommendations beyond illuminance only, which ultimately fails to provide a complete guideline for the visual experience of pedestrian-based tasks. The RP will be a comprehensive approach for light levels, glare, adaptation, spectrum, and contrast while addressing safety, timing, and perceived security. Application of these recommendations will ultimately enhance the pedestrian’s visual experience while also respecting the environment.
Soon to be released, a related product covering technical specifics of a familiar battleground — lighting controls:
IES LP-12 Lighting Practice: IoT Connected Lighting
The consultation closed May 24th and the agenda of the committee writing this standard is being administered. Very often technical committees are receptive to new ideas after a comment deadline if those ideas are submitted to a committee member directly. We invite anyone with an interest in this topic to click in to any of our daily colloquia to begin that process.
Not far into the future: individually controlled luminaires responsive to the use of campus pathways. There are already some pilot projects on higher education campuses.
A few other technical committees relevant to educational communities should be identified, though we will sort through the standards setting activity in separate posts:
Edu-Lib-Ofc Lighting Committee
Outdoor Environmental Lighting Committee
Outdoor Public Spaces Committee
Roadway Lighting Committee (Many large research universities own miles of roads)
We always encourage direct participation by space planners, workpoint experts and academic unit facility managers in IES standards development process. Contact: Patricia McGillicuddy, (917) 913-0027, pmcgillicuddy@ies.org. 120 Wall Street, Floor 17, New York, NY.
We coordinate most of our electrotechnology standards advocacy with the IEEE Education & Healthcare Facilities Committee which meets 4 times monthly in European and American time zones. Its meeting agendas and login credentials are available on its website. Since illumination technologies are present in all spaces in education communities, IES consensus products will appear on the standing agenda of most disciplines. See our CALENDAR.
Issue: [19-50]
Category: Electrical, Space Planning
Colleagues: Mike Anthony, Jim Harvey, Kane Howard, Glenn Keates, George Reiher
*We find that when the SSO has heavy manufacturer support, its standards development facility lies in the upper-quality tier.
Farm Electrical Power
Many land grant colleges and universities are stewards of agricultural facilities that require reliable electrical power that is safe and sustainable for livestock well off the core campus distribution grid. Today we examine the 2026 National Electrical Code safe electric service rules with an eye toward the close date of April 6th for public input on the 2029 NEC.
Updated: September 3, 2024
Article 547: Agricultural Buildings
Public Input with Responses from CMP-7 (Start at PDF Page 187)
Many land grant colleges and universities are stewards of agricultural facilities that require reliable electrical power that is safe and sustainable for livestock and animal habitat for sporting.
FREE ACCESS: 2023 National Electrical Code
The premise wiring rules for hazardous university owned buildings have been relatively stable. Electrical professionals are guided by:
- Farm Load Calculations of Part V of Article 220,
- Corrosion mitigation with appropriate specification of power chain wiring
- Stray voltage and the equipotential plane
- Interactivity with regulated utility power sources.
Public response to the First Draft of the 2026 National Electrical Code will be received until August 28, 2024. We coordinate our approach to the entire NFPA electrical suite with the IEEE Education & Healthcare Facilities Committee which meets 4 times monthly. We typically refer to previous transcripts of technical committee actions to inform any changes (improvements) that we propose, if any.
We maintain this issue on the standing agenda of our Power and Nourriture (Food) colloquia. Feel free to join us with the login credentials at the upper right of our home page.
More:
Cornell University Agricultural Safety and Health Program
National Safety Council (22 deaths by electrocution on farms per 100,000 in 2017)
National Agricultural Safety Database
Electrical Wiring for Barns, Riding Arenas, Animal Habitat and Feed Storage
Electric Service Metering & Billing
Today at 16:00 UTC we review best practice for engineering and installing the point of common coupling between an electrical service provider its and an purchasing — under the purview of NEC CMP-10.
Committee topical purviews change cycle-to-cycle. Here’s the transcript for today’s session: CMP-10 Second Draft Report (368 pages)
Use the login credentials at the upper right of our home page.
The relevant passages of the National Electrical Code are found in Article 230 and Article 495. We calibrate our attention with the documents linked below. These are only representative guidelines:
University of Michigan Medium Voltage Electrical Distribution
Texas A&M University Medium Voltage Power Systems
University of Florida Medium Voltage Electrical Distribution
Representative standards for regulated utilities for purchased power:
Detroit Edison Primary Service Standards (Green Book)
American Electric Power: Requirements for Electrical Services
Pacific Gas & Electric Primary Service Requirements
The IEEE Education & Healthcare Facilities Committee curates a library of documents similar to those linked above.
Design of Electrical Services for Buildings
We are in the process of preparing new (original, and sometimes recycled) proposals for the 2026 National Electrical Code, with the work of Code Panel 10 of particular relevance to today’s topic:
First Draft Meetings: January 15-26, 2024 in Charleston, South Carolina
Electrical meter billing standards are generally regulated at the state or local level, with guidelines provided by public utility commissions or similar regulatory bodies. These tariff sheets are among the oldest in the world. There are some common standards for billing and metering practices, including:
- Meter Types: There are various types of meters used to measure electricity consumption, including analog (mechanical) meters, digital meters, and smart meters. Smart meters are becoming more common and allow for more accurate and real-time billing.
- Billing Methodology:
- Residential Rates: Most residential customers are billed based on kilowatt-hours (kWh) of electricity used, which is the standard unit of energy.
- Demand Charges: Some commercial and industrial customers are also subject to demand charges, which are based on the peak demand (the highest amount of power drawn at any one point during the billing period).
- Time-of-Use Rates: Some utilities offer time-of-use (TOU) pricing, where electricity costs vary depending on the time of day or season. For example, electricity may be cheaper during off-peak hours and more expensive during peak hours.
- Meter Reading and Billing Cycle:
- Monthly Billing: Typically, customers receive a bill once a month, based on the reading of the electricity meter.
- Estimation: If a meter reading is not available, some utilities may estimate usage based on historical patterns or average usage.
- Smart Meter Readings: With smart meters, some utilities can provide daily or even hourly usage data, leading to more precise billing.
- Meter Standards: The standards for electrical meters, including their accuracy and certification, are set by national organizations like the National Institute of Standards and Technology (NIST) and the American National Standards Institute (ANSI). Meters must meet these standards to ensure they are accurate and reliable.
- Utility Commission Regulations: Each state has a utility commission (such as the California Public Utilities Commission, the Texas Public Utility Commission, etc.) that regulates the rates and billing practices of electricity providers. These commissions ensure that rates are fair and that utilities follow proper procedures for meter readings, billing cycles, and customer service
- Large University “Utilities”. Large colleges and universities that generate and distribute some or all of their electric power consumption have developed practices to distribute the cost of electricity supply to buildings. We will cover comparative utility billing practices in a dedicated colloquium sometime in 2025.
Michigan Public Service Commission | Consumer’s Energy Customer Billing Rules
Electrical installations and Protection Against Electric Shock
IEC 60364-1:2025 (6th edition, published September 5, 2025) replaces the 2005 edition (5th edition). This is a major technical revision with significant changes which we will cover throughout 2026 — after NESC and NEC work
“View of Lake Geneva” 1881 Gustave Courbet
Technical Committee 64 develops the International Electrotechnical Commission consensus product that covers similar territory for the global electrical power industry as NFPA 70 (National Electrical Code). Keep in mind that the safety traditions of the NFPA suite of consensus products are inspired by fire safety considerations. IEC 60363 Electrical installations and protection against electric shock — the parent document that applies to the wiring systems of education and healthcare facilities — was inspired from voltage safety.
The scope of IEC 60364 is reproduced below:
– concerning protection against electric shock arising from equipment, from installations and from systems without limit of voltage,
– for the design, erection foreseeable correct use and verification of all kind of electrical installations at supply voltage up to 1 kV a.c or 1,5 kV d.c., except those installations covered by the following IEC committees: TC 9, TC 18, TC 44, TC 97, TC99
– in co-ordination with TC 99, concerning requirements additional to those of TC 99 for the design, erection and verification of electrical installations of buildings above 1kV up to 35kV.
The object of the standards shall be:
– to lay down requirements for installation and co-ordination of electrical equipment
– to lay down basic safety requirements for protection against electric shock for use by technical committees
– to lay down safety requirements for protection against other hazards arising from the use of electricity
– to give general guidance to IEC member countries that may have need of such requirements
– and to facilitate international exchanges that may be hampered by differences in national regulations.
The standards will not cover individual items of electrical equipment other than their selection for use. Safety Pilot Function: Protection against electric shock.
KUPDF Commentary on 60364 and comparisons with NFPA 70 National Electrical Code
Since neither the USNA National Committee to the IEC (USNA/IEC), nor the US Technical Advisory Administrator (National Electrical Manufacturers Association) has a workspace set up for responding to IEC 60364 calls for public comment, we set one up for ourselves several years ago for education facility and electrical engineering faculty and students:
IEC | USNA IEC Workspace | Updated 12 June 2023
Note that anyone in the world is welcomed to comment upon IEC documents, contingent upon obtaining (free) login credentials. To review the the strike-and-bold you will need login credentials. Alternatively, you may click in to the 4-times monthly teleconferences of the IEEE Education & Healthcare Facilities Committee. See our CALENDAR for the next online meeting.
Colleagues: Mike Anthony, Jim Harvey, Massimo Mittolo, Giuseppe Parise
International Electrotechnical Commission – Central Office – Geneva
Power Management For Data Centers Challenges And Opportunities
Power Management For Data Centers Challenges And Opportunities
Erling Hesla and Robert D. Giese
Abstract: This paper presents a broad view of management of design and implementation of power systems for Data Centers. The paper outlines many challenges that are present because of the demanding requirements of Data Centers both in design and management, then introduces opportunities that recent technological advances have made possible. This paper presents several new approaches of ownership and responsibilities that directly affect financial viability of the Data Center.
IEEE Education & Healthcare Facility Electrotechnology
Energy Standard for Data Centers
2024 Update to ASHRAE Position Statements
List of Titles, Scopes and Purposes of the ASHRAE Catalog
The parent title of this standard is ASHRAE Standard 90.1: Energy Standard for Buildings Except Low-Rise Residential Buildings and is continually under revision; frequently appearing in electrical engineering design guidelines, construction specifications, commissioning and O&M titles in our industry and others.
ASHRAE 90.4 defines an alternate compliance path, specific to data centers, while the compliance requirements for “non-data center” components are contained in ASHRAE 90.1 . The 90.4 structure also streamlines the ongoing maintenance process as well ensures that Standards 90.1 and 90.4 stay in their respective lanes to avoid any overlap and redundancies relating to the technical and administrative boundaries. Updates to ASHRAE 90.1 will still include the alternate compliance path defined in ASHRAE 90.4. Conversely the 2022 Edition of 90.4-2022 refers to ASHRAE 90.1-2022; cross-referencing one another synchronously
Links to noteworthy coverage from expert agencies on the 2022 revisions:
HPC Data Center Cooling Design Considerations
ASHRAE standard 90.4 updates emphasize green energy
ASHRAE updated its standard for data centers
How to Design a Data Center Cooling System for ASHRAE 90.4
Designing a Data Center with Computer Software Modeling
This title resides on the standing agenda of our Infotech 400 colloquium; hosted several times per year and as close coupled with the annual meetings of ASHRAE International as possible. Technical committees generally meet during these meetings make decisions about the ASHRAE catalog. The next all committee conference will be hosted January 20-24, 2024 in Chicago. As always we encourage education industry facility managers, energy conservation workgroups and sustainability professionals to participate directly in the ASHRAE consensus standard development process. It is one of the better facilities out there.
Start at ASHRAE’s public commenting facility:
Online Standards Actions & Public Review Drafts
Update: May 30, 2023
Proposed Addendum g makes changes to definitions were modified in section 3 and mandatory language in Section 6 to support the regulation of process heat and process ventilation was moved in the section for clarity. Other changes are added based on comments from the first public review including changes to informative notes.
Consultation closes June 4th
Update: February 10, 2023
The most actively managed consensus standard for data center energy supply operating in education communities (and most others) is not published by the IEEE but rather by ASHRAE International — ASHRAE 90.4 Energy Standard for Data Centers (2019). It is not required to be a free access title although anyone may participate in its development. It is copyrighted and ready for purchase but, for our purpose here, we need only examine its scope and purpose. A superceded version of 90.4 is available in the link below:
Third ISC Public Review Draft (January 2016)
Noteworthy: The heavy dependence on IEEE power chain standards as seen in the Appendix and Chapter 8. Recent errata are linked below:
We provide the foregoing links for a deeper dive “into the weeds”. Another addendum has been released for consultation; largely administrative:
ASHRAE 90.4 | Pages 60-61 | Consultation closes January 15, 2023.
It is likely that the technical committee charged with updating this standard are already at work preparing an updated version that will supercede the 2019 Edition. CLICK HERE for a listing of Project Committee Interim Meetings.
We maintain many titles from the ASHRAE catalog on the standing agenda of our Mechanical, Energy 200/400, Data and Cloud teleconferences. See our CALENDAR for the next online meeting; open to everyone.
Originally posted Summer 2020.
ASHRAE International has released four new addenda to its energy conservation consensus document ASHRAE 90.4-2016 Energy Standard for Data Centers. This document establishes the minimum energy efficiency requirements of data centers for design and construction, for the creation of a plan for operation and maintenance and for utilization of on-site or off-site renewable energy resources.
It is a relatively new document more fully explained in an article published by ASHRAE in 2016 (Click here). The addenda described briefly:
Addendum a – clarifies existing requirements in Section 6.5 as well as introduce new provisions to encourage heat recovery within data centers.
Addendum b – clarifies existing requirements in Sections 6 and 11 and to provide guidance for taking credit for renewable energy systems.
Addendum d – a response to a Request for Interpretation on the 90.4 consideration of DieselRotary UPS Systems (DRUPS) and the corresponding accounting of these systems in the Electrical Loss Component (ELC). In crafting the IC, the committee also identified several marginal changes to 90.4 definitions and passages in Section 8 that would add further clarity to the issue. This addendum contains the proposed changes for that aim as well as other minor changes to correct spelling or text errors, incorporate the latest ELC values into Section 11, and to refresh information in the Normative Reference.
Addendum e adds language to Section 11 intended to clarify how compliance with Standard 90.4 can be achieved through the use of shared systems.
Comments are due September 6th. Until this deadline you may review the changes and comment upon them by by CLICKING HERE
Universitat de Barcelona
Education facility managers, energy conservation workgroups and sustainability professionals are encouraged to participate directly in the ASHRAE standard development process. Start at ASHRAE’s public commenting facility:
Online Standards Actions & Public Review Drafts
The ASHRAE catalog is a priority title in our practice. This title appears on the standing agenda of our Infotech sessions. See our CALENDAR for the next online meeting; open to everyone.
Issue: [12-54]
Category: Telecommunications, Infotech, Energy
Colleagues: Mike Anthony, Robert G. Arno, Neal Dowling, Jim Harvey, Mike Hiler, Robert Schuerger, Larry Spielvogel
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/njrDAbSpwB pic.twitter.com/GkAXrHoQ9T
— USPTO (@uspto) July 13, 2023
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