1. Health Facilities Engineering Section

2. Mission Statement The Health Facilities Engineering Section serves to ensure the safe, efficient and effective delivery of healthcare through the review and oversight of healthcare construction and modernization projects; participation in surveys and inspections of healthcare facilities; oversight of private sewage systems at healthcare facilities; and consultation on issues related to the physical plant at healthcare facilities.

3. Public Health Code Act 368 of 1978 As Amended Part 17 – Facilities & Agencies –Section 20145 – Construction Permits –Section 20155 – Visits to Facilities

4. Types of Facilities Hospitals Nursing Homes Freestanding Surgical Outpatient Facilities Homes for the Aged Hospices End Stage Renal Disease (Dialysis) Facilities

5. MINIMUM STANDARDS FOR HOSPITALS PART 3. OPERATIONAL RULES AND MINIMUM STANDARDS FOR ALL HOSPITAL PHYSICAL PLANT, FACILITIES, EQUIPMENT, AND OPERATIONS

6. NURSING HOMES AND NURSING CARE FACILITIES PART 2. LICENSURE –R 325.20213 Construction and major alterations of nursing homes. PART 13. BUILDINGS AND GROUNDS –R 325.21303 Narrative program; architectural plans and specifications; construction permit.

8. New Requirements (2002) Larger Room Sizes Maximum 2 Beds Per Room Increased Accessibility Requirements Air Conditioning in Resident Areas

10. Proposed Requirements (2007) Ventilator Dependent Units Emergency Power –72 Hours in Hospitals –24 Hours in Nursing Homes –Air Conditioning Area of Refuge Prohibit Exposed Hot Surfaces

12. Facility Trends Private Rooms in Hospitals (AIA Guidelines) Neighborhoods Private Rooms in Nursing Homes (80%) Bathing Facilities in Resident Toilet Rooms

19. Surveys & Inspections Aging Buildings Aging Roofs Minimally Sized Emergency Generators Low Lighting Levels No Make-up Air to Resident Rooms

21. Heating, Ventilation and Air Conditioning Corridor and/or Day/Dining Air Conditioning Electrical Baseboard Heating Exposed Hot Surfaces

24. Heating Considerations Subzero Weather Cold Weather Design Building Concerns –Insulation –Single Pane Window –Metal Frames –Leaks and Infiltration

25. Fire Safety Concerns Administered by Bureau of Fire Services Suppression Required in New Construction or Major Renovation Proposed Requirement to Retrofit all Nursing Homes within 5-10 Years

26. Responding to Facility Problems

30. How to Contact HFES Phone:(517) 241-3408 Fax:(517) 241-3423 Web:www.michigan.gov/hfeswww.michigan.gov/hfes