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Healthcare Organization Management

Open consultations:

US TAG is transferred to Association for the Advancement of Medical Instrumentation from InGenesis.  Administrative details in process.  Stay tuned.

ISO FDIS 16473 Healthcare organization pandemic response information management standard | Comments due September 4th

VF_40_2025_-_Re-allocation_of_ISO_TC_304_ | Comments due July 17th

ISO_DIS 20364 Pandemic Response Standard Draft Open for Public Consultation Comments due July 1

ISO Healthcare Management Comments on Smart Hospital Standard due January 15

 Send Mike a message to coordinate comments (maanthon@umich.edu)

“Une leçon clinique à la Salpêtrière” 1887 André Brouillet

ISO Technical Committees | ANSI (U.S. Participation in ISO Activities)

Many large research universities have significant medical research and healthcare delivery enterprises. The leadership of those enterprises discount the effect of standards like this at their peril. It is easy to visualize that this document will have as transformative effect upon the healthcare industry as the ISO 9000 series of management standards in the globalization of manufacturing.

Scope

Standardization in the field of healthcare organization management comprising, terminology, nomenclature, recommendations and requirements for healthcare-specific management practices and metrics (e.g. patient-centered staffing, quality, facility-level infection control, pandemic management, hand hygiene) that comprise the non-clinical operations in healthcare entities.

Excluded are horizontal organizational standards within the scope of:

    • quality management and quality assurance (TC 176);
    • human resource management (TC 260);
    • risk management (TC 262);
    • facility management (TC 267), and;
    • occupational health and safety management (TC 283).

Also excluded are standards relating to clinical equipment and practices, enclosing those within the scope of TC 198 Sterilization of health care products.

This committee is led by the US Technical Advisory Group Administrator —Ingenesis.   The committee is very active at the moment, with new titles drafted, reviewed and published on a near-monthly basis,

 

DPAS ballot for ISO PAS 23617- Healthcare organization management: Pandemic response  (respiratory) —Guidelines for medical support of socially vulnerable groups – Comments due 16 October

ISO-TC 304 Healthcare Organization Management- Pandemic response – Contact tracing – Comments due August 3, 2023

[Issue 14-99]

Contact:  Lee Webster (lswebste@utmb.edu, lwebster@ingenesis.com), Mike Anthony (mike@standardsmichigan.com), Jack Janveja (jjanveja@umich.edu), Richard Robben (rrobben1952@gmail.com), James Harvey (jharvey@umich.edu), Christine Fischer (chrisfis@umich.edu), Dr Veronica Muzquiz Edwards (vedwards@ingenesis.com)

Category: Health, Global

Workspace / ISO 304 Healthcare Administration

More

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

ISO Focus Special Issue on Healthcare

ISO/TC 48 Laboratory equipment

ISO/TC 212 Clinical laboratory testing and in vitro diagnostic test systems

ISO/TC 198 Sterilization of health care products

How do standards contribute to better healthcare?

  • The American National Standards Institute — the Global Secretariat for ISO — does not provide content management systems for its US Technical Advisory Groups.  Because of the nascent committee, inspired by the work of Lee Webster at the University of Texas Medical Branch needed a content management system, we have been managing content on a Google Site facility on a University of Michigan host since 2014.Earlier this spring, the University of Michigan began upgrading its Google Sites facility which requires us to offload existing content onto the new facility before the end of June.  That process is happening now.  Because of this it is unwise for us to open the content library for this committee publicly.  Respecting copyright, confidentiality of ISO and the US Technical Advisory Group we protect most recent content in the link below and invite anyone to click in any day at 15:00 (16:00) UTC.  Our office door is open every day at this hour and has been for the better part of ten years.

Lightning Protection Systems

2026 Public Input Report | 2026 Public Comment Report

FEMA National Risk Index: Lightning

“Benjamin Franklin Drawing Electricity from the Sky” 1816 Benjamin West

 

Benjamin Franklin conducted his famous experiment with lightning on June 10, 1752.

He used a kite and a key to demonstrate that lightning was a form of electricity.

This experiment marked an important milestone in understanding the nature of electricity

and laid the foundation for the development of lightning rods and other lightning protection systems.

 

Seasonal extreme weather patterns in the United States, resulting in damages to education facilities and delays in outdoor athletic events — track meets; lacrosse games, swimming pool closures and the like — inspire a revisit of the relevant standards for the systems that contribute to safety from injury and physical damage to buildings: NFPA 780 Standard for the Installation of Lightning Protection Systems

FREE ACCESS

To paraphrase the NFPA 780 prospectus:

  • This document shall cover traditional lightning protection system installation requirements for the following:
       (1) Ordinary structures

       (2) Miscellaneous structures and special occupancies
       (3) Heavy-duty stacks
       (4) Structures containing flammable vapors, flammable gases, or liquids with flammable vapors
       (5) Structures housing explosive materials
       (6) Wind turbines
       (7) Watercraft
       (8) Airfield lighting circuits
       (9) Solar arrays
  • This document shall address lightning protection of the structure but not the equipment or installation requirements for electric generating, transmission, and distribution systems except as given in Chapter 9 and Chapter 12.

(Electric generating facilities whose primary purpose is to generate electric power are excluded from this standard with regard to generation, transmission, and distribution of power.  Most electrical utilities have standards covering the protection of their facilities and equipment. Installations not directly related to those areas and structures housing such installations can be protected against lightning by the provisions of this standard.)

  • This document shall not cover lightning protection system installation requirements for early streamer emission systems or charge dissipation systems.

“Down conductors” must be at least #2 AWG copper (0 AWG aluminum) for Class I materials in structures less than 75-ft in height

“Down conductors: must be at least 00 AWG copper (0000 AWG aluminum) for Class II Materials in structures greater than 75-ft in height.

Related grounding and bonding  requirements appears in Chapters 2 and Chapter 3 of NFPA 70 National Electrical Code.  This standard does not establish evacuation criteria.  

University of Michigan | Washtenaw County (Photo by Kai Petainen)

The current edition is dated 2023 and, from the transcripts, you can observe concern about solar power and early emission streamer technologies tracking through the committee decision making.  Education communities have significant activity in wide-open spaces; hence our attention to technical specifics.

2023 Public Input Report

2023 Public Comment Report

Public input on the 2026 revision is receivable until 1 June 2023.

We always encourage our colleagues to key in their own ideas into the NFPA public input facility (CLICK HERE).   We maintain NFPA 780 on our Power colloquia which collaborates with IEEE four times monthly in European and American time zones.  See our CALENDAR for the next online meeting; open to everyone.

Lightning flash density – 12 hourly averages over the year (NASA OTD/LIS) This shows that lightning is much more frequent in summer than in winter, and from noon to midnight compared to midnight to noon.

Issue: [14-105]

Category: Electrical, Telecommunication, Public Safety, Risk Management

Colleagues: Mike Anthony, Jim Harvey, Kane Howard


More

Installing lightning protection system for your facility in 3 Steps (Surge Protection)

IEEE Education & Healthcare Facility Electrotechnology

Readings: The “30-30” Rule for Outdoor Athletic Events Lightning Hazard

Churches and chapels are more susceptible to lightning damage due to their height and design. Consider:

Height: Taller structures are more likely to be struck by lightning because they are closer to the cloud base where lightning originates.

Location: If a church or chapel is situated in an area with frequent thunderstorms, it will have a higher likelihood of being struck by lightning.

Construction Materials: The materials used in the construction of the building can affect its vulnerability. Metal structures, for instance, can conduct lightning strikes more readily than non-metallic materials.

Proximity to Other Structures: If the church or chapel is located near other taller structures like trees, utility poles, or buildings, it could increase the chances of lightning seeking a path through these objects before reaching the building.

Lightning Protection Systems: Installing lightning rods and other lightning protection systems can help to divert lightning strikes away from the structure, reducing the risk of damage.

Maintenance: Regular maintenance of lightning protection systems is essential to ensure their effectiveness. Neglecting maintenance could result in increased susceptibility to lightning damage.

Historical Significance: Older buildings might lack modern lightning protection systems, making them more vulnerable to lightning strikes.

The risk can be mitigated by proper design, installation of lightning protection systems, and regular maintenance. 

Virginia Tech

Hegemon Cuyahoga & County Dublin

Financial Presentations & Webcasts

First Quarter 2026 Earnings Release | May 5, 2026

 

Here we shift our perspective 120 degrees to understand the point of view of the Producer interest in the American national standards system (See ANSI Essential Requirements).  The title of this post draws from the location of US and European headquarters.  We list proposals by a successful electrical manufacturer for discussion during today’s colloquium:

2026 National Electrical Code

CMP-1: short circuit current ratings, connections with copper cladded aluminum conductors, maintenance to be provided by OEM, field markings

CMP-2: reconditioned equipment, receptacles in accessory buildings, GFCI & AFCI protection, outlet placement generally, outlets for outdoor HVAC equipment(1)

(1) Here we would argue that if a pad mount HVAC unit needs service with tools that need AC power once every 5-10 years then the dedicated branch circuit is not needed.  Many campuses have on-site, full-time staff that can service outdoor pad mounted HVAC equipment without needing a nearby outlet.  One crew — two electricians — will run about $2500 per day to do anything on campus.

CMP-3: No proposals

CMP-4: solar voltaic systems (1)

(1) Seems reasonable – spillover outdoor night time lighting effect upon solar panel charging should be identified.

CMP-5: Administrative changes only

CMP-6: No proposals

CMP-7: Distinction between “repair” and “servicing”

CMP-8: Reconditioned equipment

CMP-9: Reconditioned equipment

CMP-10: Short circuit ratings, service disconnect, disconnect for meters, transformer secondary conductor, secondary conductor taps, surge protective devices, disconnecting means generally, spliced and tap conductors, more metering safety, 1200 ampere threshold for arc reduction technology, reconditioned surge equipment shall not be permitted, switchboard short circuit ratings

CMP-11: Lorem

CMP-12: Lorem

CMP-13: Lorem

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Joint Use of Electric Power Transmission & Distribution Facilities and Equipment

Telephone, telegraph, and power lines over the streets of New York City 1888

 

Guide for the Joint Use of Electric Power Transmission & Distribution Facilities and Equipment

 

Abstract: This guide identifies the mechanisms and an analytic approach for developing consistent rules, agreements, and/or methodologies for the evaluation and inter-entity cooperation managing pole attachments on utility infrastructure that can contain both electric supply as well as communications wireline and wireless facilities.

The common safety codes and accepted good industry practices for joint use are referenced, including items such as clearances and strength/loading requirements, appropriate work rules during installation, maintenance and restoration, and general guidelines. The considerations within this guide can be used to help perform a detailed assessment of attachment installations where communications antennas and related wireline and wireless equipment are to be co-located on joint use structures.

Scope: This guide provides recommendations for the development of consistent guides, agreements, and/or methodologies for the evaluation and inter-company cooperation on managing pole attachments on Electric Utility infrastructure.

Purpose: The Joint Use Guide documents consistent approaches, methodologies and rules for the sharing and co-location of equipment with electric Transmission & Distribution (T&D) facilities for communications such as antennae and/or cable. With the emergence of new communications networks and emerging technologies which depend on widely distributed communications {e.g. 5G and Internet of Things ( IoT)}, the needs of vertical real-estate for use in communications is expected to dramatically increase in the coming years. While electric T&D facilities provide an excellent platform to help meet these needs, there are significant safety and reliability issues associated with their use.
Related:

2028 National Electrical Safety Code

2026 National Electrical Code Workspace

Communication in the Presence of Noise

Communication in the Presence of Noise

Claude E. Shannon

University of Michigan – Bell Telephone Laboratories – Massachusetts Institute of Technology

Abstract. A method is developed for representing any communication system geometrically. Messages and the corresponding signals are points in two “function spaces,” and the modulation process is a mapping of one space into the other. Using this representation, a number of results in communication theory are deduced concerning expansion and compression of bandwidth and the threshold effect. Formulas are found for the maximum rate of transmission of binary digits over a system when the signal is perturbed by various types of noise. Some of the properties of “ideal” systems which transmit at this maxmum rate are discussed. The equivalent number of binary digits per second for certain information sources is calculated.

CLICK HERE to order complete paper

 

Designing Lighting for People and Buildings

IES Standards Open for Public Review

Standard Practice on Lighting for Educational Facilities

Recommended Practice: Lighting Retail Spaces

IES Method for Determining Correlated Color Temperature

 

Sport Lighting

“Electrical Building World’s Columbian Exposition Chicago 1892

Today we feature the catalog of the Illumination Engineering Society — one of the first names in standards-setting in illumination technology, globally* with particular interest in its leading title IES LP-1 | LIGHT + DESIGN Lighting Practice: Designing Quality Lighting for People and Buildings.

From its prospectus:

“…LIGHT + DESIGN was developed to introduce architects, lighting designers, design engineers, interior designers, and other lighting professionals to the principles of quality lighting design. These principles; related to visual performance, energy, and economics; and aesthetics; can be applied to a wide range of interior and exterior spaces to aid designers in providing high-quality lighting to their projects.

Stakeholders: Architects, interior designers, lighting practitioners, building owners/operators, engineers, the general public, luminaire manufacturers.  This standard focuses on design principles and defines key technical terms and includes technical background to aid understanding for the designer as well as the client about the quality of the lighted environment. Quality lighting enhances our ability to see and interpret the world around us, supporting our sense of well-being, and improving our capability to communicate with each other….”


The entire catalog is linked below:

IES Lighting Library

Illumination technologies run about 30 percent of the energy load in a building and require significant human resources at the workpoint — facility managers, shop foremen, front-line operations and maintenance personnel, design engineers and sustainability specialists.  The IES has one of the easier platforms for user-interest participation:

IES Standards Open for Public Review

Because the number of electrotechnology standards run in the thousands and are in continual motion* we need an estimate of user-interest in any title before we formally request a redline because the cost of obtaining one in time to make meaningful contributions will run into hundreds of US dollars; apart from the cost of obtaining a current copy.

We maintain the IES catalog on the standing agendas of our Electrical, Illumination and Energy colloquia.   Additionally, we collaborate with experts active in the IEEE Education & Healthcare Facilities Committee which meets online 4 times monthly in European and American time zones; all colloquia online and open to everyone.   Use the login credentials at the upper right of our home page to join us.

Issue: [Various}

Category: Electrical, Energy, Illumination, Facility Asset Management

Colleagues: Mike Anthony, Gary Fox, Jim Harvey, Kane Howard, Glenn Keates, Daleep Mohla, Giuseppe Parise, Georges Zissis

Brownian Motion” comes to mind because of the speed and interdependencies.

“Season of Light Illumination”

 


LEARN MORE:

Infotech 400

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File: July 22, 2024

“Though I am not a prophet, nor the son of a prophet,

yet I venture to predict that before the end of the century

many a person who now reads this page will receive a flash of intelligence

from some other mortal thousands of miles distant,”

“The Telegraph and the Press”

—  Charles F. Briggs (New York Herald, 1844)

(c) The New Yorker

 

Today we break down the literature for building, maintaining and supporting the computing infrastructure of education settlements.  We use the term “infotech” gingerly to explain action for a  broad span of technologies that encompass enterprise servers and software, wireless and wired networks, campus phone networks, and desktop computers that provide administrative services and career tech video production.   The private sector has moved at light speed to respond to the circumstances of the pandemic; so have vertical incumbents evolving their business models to seek conformance revenue.  Starting 2023 we break down the topic accordingly:

Infotech 200:  Wired and wireless infrastructure for education and administration related to teaching sciences and supporting fine and lively arts

Infotech 400:  Physical system middleware for research facilities; data center location, power supply, cooling systems, fire suppression, security, monitoring and management.

The literature radiates continually by consortia, open-source, or ad hoc standards-setting domains rather than the private standards system administered by global and standards setting bodies; to wit:

International:

IEC (EN 50600), IET, ISO, ITU

Freely Available ICT Standards

IEEE

Education & Healthcare Facility Electrotechnology Committee

United States:

ASHRAE

Energy Standard for Data Centers

ATIS

BICSI

Data Center Operations and Maintenance Best Practices

INCITS, NFPA, NIST, TIA (942)

Everywhere else:

3GPP & 3GPP2,  Apache Software Foundation,  ISTE,  OneM2M,  Uptime Institute

The ICT domain is huge, replacing physical libraries.  The foregoing is a highly curated sample.

We continue to include teaching and learning media standards on our colloquia however it is likely that will break up this topic into at least two related colloquia as 2022 proceeds; with primary focus on the design, construction and maintenance of the physical ICT infrastructure.  Much depends upon the interest of our clients, colleagues and other stakeholders.  We collaborate closely with the IEEE Education and Healthcare Electrotechnology Committee.

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

"One day ladies will take their computers for walks in the park and tell each other, "My little computer said such a funny thing this morning" - Alan Turing

A Study of Children’s Password Practices

Standing Agenda / Infotech 200

Readings:

“The Proposed Union of the Telegraph and Postal Systems” 1869 | Western Union Telegraph Company

“Systems of Logic Based on Ordinals” 1938 | Alan Turing, Princeton University

 

 

Energy Standard for *Sites* and Buildings

Proposed Addendum bx to Standard 90.1-2022, Energy Standard for Sites and Buildings Except Low-Rise Residential Buildings.  This second independent substantive change draft addendum on laboratory ventilation. Consultation closes December 21.

Addendum av to ANSI/ASHRAE/IES Standard 90.1-2022, Energy Standard for Sites and Buildings Except Low-Rise Residential Buildings. This addendum creates more exacting provisions for envelope alterations. The new format is intended to better communicate the requirements, triggers, and allowances associated with performing an envelope alteration to promote energy efficiency within the impacted area(s).  Consultation closes October 6.

ANSI Standards Action Weekly Edition | Given ASHRAE’s revision redlines are frequently uploaded here

The American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) is an ANSI-accredited continuous-maintenance standards developer (a major contributor to what we call a regulatory product development “stream”).   Continuous maintenance means that changes to its consensus products can change in as little as 30 days so it is wise to keep pace.

Among the leading titles in its catalog is ASHRAE 90.1 Energy Standard for Sites and Buildings Except Low-Rise Residential Buildings.  Standard 90.1 has been a benchmark for commercial building energy codes in the United States and a key basis for codes and standards around the world for more than 35 years.  Free access to ASHRAE 90.1 version is available at the link below:

READ ONLY Version of 2022 ASHRAE 90.1

Redlines are released at a fairly brisk pace — with 30 to 45 day consultation periods.  A related title — ASHRAE 189.1 Standard for the Design of High Performance Green Buildings — first published in 2009 and far more prescriptive in its scope heavily  references parent title 90.1 so we usually them as a pair because 189.1 makes a market for green building conformance enterprises. Note the “extreme prescriptiveness” (our term of art) in 189.1 which has the practical effect of legislating engineering judgement, in our view.

25 January 2023: Newly Released ASHRAE 90.1-2022 Includes Expanded Scope For Building Sites

ASHRAE committees post their redlines at the link below:

Online Standards Actions & Public Review Drafts

Education estate managers, energy conservation workgroups, sustainability officers, electric shop foreman, electricians and front-line maintenance professionals who change lighting fixtures, maintain environmental air systems are encouraged to participate directly in the ASHRAE consensus standard development process.

We also maintain ASHRAE best practice titles as standing items on our Mechanical, Water, Energy and Illumination colloquia.  See our CALENDAR for the next online meeting; open to everyone.

Issue: [Various]

Category: Mechanical, Electrical, Energy Conservation, Facility Asset Management, US Department of Energy, #SmartCampus

Colleagues: Mike Anthony, Larry Spielvogel, Richard Robben

Under Construction:  ASHRAE WORKSPACE


More

The fundamental concept in social science is Power, in the same sense in which Energy is the fundamental concept in physics. - Bertrand Russell

ANSI/ASHRAE/IES 90.1-2019: Energy Standard For Buildings

ARCHIVE 2002-2016 / ASHRAE 90.1 ENERGY STANDARD FOR BUILDINGS

US Department of Energy Building Energy Codes Program

ASHRAE Guideline 0 The Commissioning Process

Why Software is Eating the World


* Many standards-developing organizations aim to broaden their influence by entering the product standard and certification domain. Although our primary focus is on interoperability standards (within a system of interoperable products), we also consider market dynamics when product performance specifications are incorporated by reference into public law.


To paraphrase Marc Andreessen: “Building standards are eating the world and ASHRAE is eating building standards” (– Mike Anthony, University of Michigan). Just when you thought ASHRAE’s claim to energy regulation could not get any larger, it has recently appropriated everything *between* buildings in its scope — that means all above-ground pathway lighting, steam, hot water communication cabling tunnels, water pumps, fire protections systems; among others.

Guide for Animal Deterrents for Electric Power Supply Substations

1264-2022 – IEEE Guide for Animal Mitigation for Electric Power Supply Substations

IEEE Power Engineering Society

Abstract: Documented in this guide are methods and designs to mitigate interruptions, equipment damage, and personnel safety issues resulting from animal intrusions into electric power supply substations, thereby improving reliability and safety, and minimizing the associated revenue loss.
Scope: This guide documents methods and designs to mitigate interruptions, equipment damage, and personnel safety issues resulting from animal intrusions into electric power supply substations, thereby improving reliability and safety, and minimizing the associated revenue loss.
Purpose: Intrusion by animals into electric power supply substations has been a problem experienced by most of the electric utility industry. The costs associated with outages caused by animals continue to escalate. Although animal problems differ in nature geographically, the damage to equipment, interruption of or loss of service to customers, and safety problems encountered by operating personnel result in similar general concerns. This guide identifies various animals, the problems they cause, and mitigation methods. Further, it recommends criteria for applying mitigation methods, documents survey-reported effectiveness of various methods, and recommends factors for evaluating effectiveness of methods once they are applied.

CLICK HERE to order the guide

Related:

IEEE Standards Association

PES General Meeting 16-20 July | Orlando

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