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Assignment Content

  1. After working in facility design for many years, you have become well-known in the industry. Your manager has asked you to create either a paper or short handout that new employees can refer to as they receive training through the company. This paper or handout should guide new employees through the process of facility planning.

    Create a 350- to 525-word paper or handout summarizing the process of addressing facility planning needs in which you:

    • Describe the steps of facility planning.
    • Consider listing the steps involved in facility planning as part of your description.
    • Explain the importance of pre-design planning.
    • Explain the rationale (or decision process) when determining whether to renovate or replace a health care facility.
    • Note: A handout can be a flyer, brochure, poster, etc.

      Cite at least 2 peer-reviewed, scholarly, or similar references.

      Format your assignment according to APA guidelines.

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Facilities Planning and Safety
Public Health Division

” ! Public Health Division ! Provider and Partner Resources ! Health Care Facilities and Providers ! Facilities Planning and Safety

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Facilities Planning and Safety

On this page:

Information about FPS

How the Plan Review Process Works
Join Our Listserv
FPS Adoption of 2018 FGI
Workload Updates

Information for Project Designers

Codes and Guides
Plan Review Fees
Waivers

Who We Serve and the Rules that Govern Them

Ambulatory Surgery Centers
Assisted Living Facilities
Birthing Centers
End-Stage Renal Disease Treatment Facilities
Extended Stay Centers
Hospitals
Memory Care Communities
Nursing Homes / Skilled Nursing Facilities
Residential Care Facilities
Special Inpatient Care Facilities

Information about FPS

How the Plan Review Process Works

Facilities Planning and Safety performs plan reviews to ensure compliance with the Oregon Administrative
Rules physical requirements at both acute and long-term care facilities. In addition to plan reviews, Facilities
Planning and Safety also conducts on-site inspections for rule compliance at the completion of each project.

Acute care facilities are regulated by the Oregon Health Authority Health Facility Licensing and Certification
Program. Before the plan review, the healthcare provider must follow the letter of intent and application process
of the Certificate of Need Program. After the plan review, facilities should contact the Health Facility Licensing &
Certification Program for licensing of the acute care facility.

Assisted Living Facilities, Residential Care Facilities, and Memory Care Communities are regulated by the
Department of Human Services Safety, Oversite and Quality Unit. Before the plan review, the healthcare
provider must follow the market study process used by the Department of Human Services. After the plan
review, facilities should contact the Safety, Oversight and Quality Unit for licensing of the long-term care facility.

Nursing Homes / Skilled Nursing Facilities are also regulated by the Department of Human Services Safety,
Oversite and Quality Unit. Before the plan review, the healthcare provider must follow the letter of intent and
application process of the Certificate of Need Program. After the plan review, facilities should contact the
Safety, Oversight and Quality Unit for licensing of the long-term care facility.

Join Our Listserv

Join the FPS Listserv. The Facilities Planning and Safety Listserv sends announcements,
information and critical program updates regarding new construction and remodel of
health facilities within the jurisdiction of the Health Facility Licensing and Certification
Program.

FPS Adoption of 2018 FGI

Facilities Planning and Safety (FPS) is adopting the 2018 Facilities Guidelines Institute (FGI) design standard
generally effective January 1, 2020. As of the October 1, 2019 filing with the Oregon Secretary of State,
facilities may choose to comply with these revised standards or utilize the existing built environment Oregon
Administrative Rules (OARs) until the end of the 2019 calendar year. As noted below, FGI has already gone into
effect for several facility types.

The 2018 edition of FGI is offered in a three-book series in addition to digital content hosted online. The three
books are categorized and commonly titled: Hospital, Outpatient, and Residential Health. These categories
reflect and respect the differing levels of care as they relate to the varying levels of patient acuity in each facility
type. Further information can be found on the FGI website.

The adoption of FGI will impact the OARs the Oregon Health Authority uses to regulate acute care facilities
including:

Ambulatory Surgery Centers (FGI effective January 7, 2019, additional updates effective January 1,
2020)
Birthing Centers
End-Stage Renal Disease Treatment Facilities
Extended Stay Centers (FGI effective January 7, 2019, additional updates effective January 1, 2020)
Hospitals (including psychiatric hospitals, hospital outpatient clinics, and hospital outpatient surgery)
Special Inpatient Care Facilities (including rehabilitation hospitals, substance abuse treatment, religious
nonmedical health care institutions, and freestanding hospice facilities) (FGI effective February 21,
2019)

The adoption of FGI will not impact the long-term care facilities regulated by DHS for which FPS performs built
environment plan review and inspection services. The DHS long-term care facilities unaffected by FGI adoption
include:

Assisted Living Facilities
Memory Care Communities
Nursing Homes / Skilled Nursing Facilities
Residential Care Facilities

The adoption of FGI also will not affect the CMS regulatory enforcement of NFPA 101 Fire Life Safety Code.

Additional documents regarding FGI adoption:

OHA FGI Adoption Workgroup Process Explanation (pdf)
Oregon Adoption of 2018 FGI Frequently Asked Questions (FAQ) (pdf)
Slipsheets of Oregon amendments to 2018 FGI are linked in individual facility types

FPS Workload Updates

Facilities Planning and Safety sends weekly workload updates to the Listserv and also archives those updates
on this page to increase program transparency and improve performance.

Projects listed on updates are reviewed according to submission date with consideration of the skill sets of
current contractors and plans review staff. Our normal practice is, and continues to be, to review projects in the
order in which they are received.

Updates from this Month

January 07, 2022

2021 Archived Workload Updates

January
February
March
April
May
June
July
August
September
October
November
December

Information for Project Designers

Codes and Guides

Facilities Planning and Safety publishes Health Facility Plan Review Guidebook (pdf). The guidebook contains a
detailed outline of the plan review process, fee schedule and site review process. This guidebook also
describes facility licensing classifications and provides contact information for OHA and DHS licensing
programs.

Review requirements originate in Oregon Revised Statute 441.060. Specific submission requirements for all
projects are listed in Oregon Administrative Rule Chapter 333, Division 675.

In addition to the facility-specific codes listed below, acute and long-term care facilities are subject to:

The Oregon Structural Specialty Code from the State of Oregon Building Codes Division governs the
construction, reconstruction, alteration and repair of buildings and other structures and the installation of
mechanical devices or equipment in those structures, and requires correction of unsafe conditions
caused by earthquakes in existing buildings to establish uniform performance standards to safeguard the
health, safety, welfare, comfort and security of individuals who occupy or use those buildings and also
encourages maximum energy conservation.
The National Fire Protection (NFPA) 101 Life Safety Code (LSC) 2012 Edition which are a set of fire
protection requirements designed to provide a reasonable degree of safety from fire. It covers
construction, protection, and operational features designed to provide safety from fire, smoke, and panic.
The Centers for Medicare & Medicaid Services adopted this code effective July 5, 2016 and will begin
surveying for compliance based on this standard on November 1, 2016.
Additional information about the implementation of the NFPA 101 LSC 2012 Edition (pdf)
The NFPA 99 Health Care Facilities Code (HCFC) 2012 Edition which is a set of requirements to minimize
the hazards of fire, explosion and electricity associated with health facilities, material, equipment and
appliances including medical gas and vacuum systems. The Centers for Medicare & Medicaid Services
adopted this code effective July 5, 2016 and will begin surveying for compliance based on this standard
on November 1, 2016.
Additional information about the implementation of the NFPA 99 HCFC 2012 Edition (pdf)
The Policy & Memos to States and Regions from the Center for Medicare & Medicaid Services provide
guidance, clarification and instructions regarding CMS regulations.
Facility-specific operational regulations found on the acute-care Survey and Certification page and the
long-term care g Safety, Oversight and Quality Unit page.

Plan Review Fees

Fee Schedule (pdf)
PR-1 Form (pdf)

Waivers

If you would like to request an exception to an Oregon Administrative Rule requirement please complete and
submit:

Acute Care Facility Waiver Request (pdf)
Assisted Living Facility & Residential Care Facility Waiver Request (pdf)
Nursing Home / Skilled Nursing Facility Waiver Request (pdf)

Who We Serve and the Rules that Govern Them

OHA Regulated Acute Care Facilities

AMBULATORY SURGICAL CENTERS (ASC)

Specialize in providing surgery, pain management, and some diagnostic services in an outpatient setting.

Rules Governing ASC Design and
Construction

Oregon
Administrative Rules
Chapter 333

Division 76, Rule 0185

Oregon FGI
Amendments
Slipsheets

Outpatient Amendments Slipsheets (pdf)

OAR Tables Table 1 (OAR 333-076-0185) (pdf)
Ventilation requirements for ASCs
Table 2 (OAR 333-076-0185) (pdf)
Filter efficiencies for ventilation systems
in ASCs
Table 3 (OAR 333-076-0185) (pdf)
Station outlet/inlets for oxygen, vacuum
and
medical air systems in ASCs
Table 4 (OAR 333-076-0185) (pdf)
Receptacle requirements per area
Table 5 (OAR 333-076-0185) (pdf)
Location of nurse call devices

Information for ASCs Inspection Checklist (pdf)
Rule Template (pdf)

Please Note: FPS is in the process of adopting the 2018 edition of FGI, with Oregon amendments. As of
February 2019, ASC, ESC, and SICF built environment rules have adopted FGI. Once updated content is
available for release, these resource documents will be replaced.

ASC operations are licensed and regulated by the Oregon Health Authority.
For further information or to request a project license call (971) 673-0540 or email
[email protected]

BIRTHING CENTERS (BC)

Non-hospital settings where childbirth is planned and occurs away from a private residence. These facilities
must be licensed and approved by the State to provide care.

Rules Governing BC Design and
Construction

Oregon
Administrative
Rules Chapter 333

Division 76

Information for BCs Inspection Checklist (pdf)
Rule Template (pdf)

BC operations are licensed and regulated by the Oregon Health Authority.
For further information or to request a project license call (971) 673-0540 or email
[email protected]

END-STAGE RENAL DISEASE TREATMENT FACILITIES (ESRD) / OUTPATIENT
RENAL DIALYSIS FACILITIES (ORDF)

Provide outpatient renal dialysis services using machines that act as artificial kidneys by removing waste from
blood and removing excess fluids from the body when kidney failure or disease prevents the kidneys from
doing so.

Rules Governing ESRD / ORDF Design
and Construction

Oregon
Administrative
Rules Chapter 333

Division 700, Rule 120

Oregon FGI
Amendments
Slipsheets

Outpatient Amendments Slipsheets (pdf)

Information for ESRDs / ORDFs Inspection Checklist (pdf)
Rule Template (pdf)

ESRD / ORDF operations are licensed and regulated by the Oregon Health Authority.
For further information or to request a project license call (971) 673-0540 or email
[email protected]

EXTENDED STAY CENTERS (ESC)

Provide post-surgical and post-diagnostic medical and nursing services to patients recovering from surgical
procedures performed in an affiliated Ambulatory Surgical Center (ASC).

Rules Governing ESC / Design
and Construction

Oregon
Administrative Rules
Chapter 333

Division 76, Rule 1050, and
Division 675

Oregon FGI
Amendments
Slipsheets

Inpatient Amendments Slipsheets (pdf)
Outpatient Amendments Slipsheets (pdf)

OAR Appendix Appendix 1 (OAR 333-076-1050)
Physical Environment Requirements for Extended Stay Centers

Information for ESRDs / ORDFs Coming Soon!

Please Note: FPS is in the process of adopting the 2018 edition of FGI, with Oregon amendments. As of
February 2019, ASC, ESC, and SICF built environment rules have adopted FGI. Once updated content is
available for release, these resource documents will be replaced.

ESC operations are licensed and regulated by the Oregon Health Authority.
For further information or to request a project license call (971) 673-0540 or email
[email protected]

HOSPITALS

Provide medical and surgical treatment and nursing care for sick or injured people. Within this category are
several types of hospitals (pdf).

Rules Governing Hospital Design and
Construction

Oregon
Administrative Rules
Chapter 333

Division 535

Oregon FGI
Amendments
Slipsheets

Inpatient Amendments Slipsheets (pdf)
Outpatient Amendments Slipsheets (pdf)
Residential Care Amendments Slipsheets
(pdf)

OAR Tables Table 1 (OAR 333-535-0270) (pdf)
Sound transmission limitations in General
Hospitals
Table 2 (OAR 333-535-0300) (pdf)
Ventilation requirements for Hospital
areas affecting
patient care
Table 3 (OAR 333-535-0300) (pdf)
Filter efficiencies for ventilation and air
condition
systems in General Hospitals
Table 4 (OAR 333-535-0300) (pdf)
Hot water use (design temperature)
Table 5 (OAR 333-535-0300) (pdf)
Station outlets for oxygen, vacuum and
medical air systems
Table 6 (OAR 333-535-0310) (pdf)
Electrical requirements

Pre-2018 FGI Standards for Hospitals

Hospital operations are licensed and regulated by the Oregon Health Authority.
For further information or to request a project license call (971) 673-0540 or email
[email protected]

SPECIAL INPATIENT CARE FACILITIES (SICF)

Provide inpatient care in specialized settings such as rehabilitation centers, college infirmaries, chiropractic
facilities, freestanding hospice facilities and others.

Rules Governing SICF Design and
Construction

Oregon
Administrative
Rules Chapter 333

Division 71, Rule 0105

Oregon FGI
Amendments
Slipsheets

Inpatient Amendments Slipsheets (pdf)
Residential Care Amendments Slipsheets
(pdf)

Information for SICFs Inspection Checklist (pdf)
Rule Template (pdf)

Please Note: FPS is in the process of adopting the 2018 edition of FGI, with Oregon amendments. As of
February 2019, ASC, ESC, and SICF built environment rules have adopted FGI. Once updated content is
available for release, these resource documents will be replaced.
SICF operations are licensed and regulated by the Oregon Health Authority.
For further information or to request a project license call (971) 673-0540 or email
[email protected]

DHS Regulated Long-Term Care Facilities

ASSISTED LIVING FACILITIES (ALF)

Offer housing in private units or apartments to individuals who need assistance with daily living activities.
Facilities provide personal care services, 24-hour supervision and assistance, health-related services and social
activities.

Rules Governing ALF Design and
Construction

Oregon
Administrative
Rules Chapter 411

Division 54, Rule 0300

Information for ALFs Inspection Checklist (pdf)
Rule Template (pdf)

ALF operations are licensed and regulated by the Department of Human Services.
For further information or to request a project license call (503) 373-2130 or email [email protected]

MEMORY CARE COMMUNITIES (MCC)

Assisted Living Facilities or Residential Care Facilities with an endorsement to offer short and long-term
housing and nursing care to individuals with Alzheimer’s disease, dementia and other types of memory
problems. Residents may also have other chronic illnesses and disabilities.

Rules Governing MCC Design and
Construction

Oregon
Administrative
Rules Chapter 411

Division 57, Rule 0170

OAR Tables Table 2 (OAR 411-057-0170) (pdf)
Light Levels for Memory Care
Communities

Information for MCCs Inspection Checklist – Assisted Living Facility Memory Care
Community (pdf)
Inspection Checklist – Residential Care Facility Memory Care
Community (pdf)

Inspection Checklist – Memory Care Community (pdf)
Rule Template – Memory Care Community (pdf)

MCC operations are licensed and regulated by the Department of Human Services.
For further information or to request a project license call (503) 373-2130 or email [email protected]

NURSING HOMES (NH) / SKILLED NURSING FACILITIES (SNF)

Offer short and long-term housing and nursing care to individuals with chronic illnesses or disabilities.

Rules Governing NH / SNF Design and
Construction

Oregon
Administrative
Rules Chapter 411

Division 87

OAR Tables Table 87-1 (pdf)
Sound transmission limitations in nursing
facilities
Table 87-2 (pdf)
Pressure relationships and ventilation in
nursing facilities
Table 87-3 (pdf)
Filter efficiencies for central ventilation
and air condition systems in nursing
facilities
Table 87-4 (pdf)
Nursing facility lighting intensity

Information for NHs / SNFs Inspection Checklist (pdf)
Rule Template (pdf)

NH / SNF operations are licensed and regulated by the Department of Human Services.
For further information or to request a project license call (503) 373-2185 or email [email protected]

RESIDENTIAL CARE FACILITIES (RCF)

Offer housing in shared or private rooms to individuals who need assistance with daily living activities. Facilities
provide personal care services, 24-hour supervision and assistance, health-related services and social
activities.

Rules Governing RCF Design and
Construction

Oregon
Administrative
Rules Chapter 411

Division 54, Rule 0200

Information for RCFs Inspection Checklist (pdf)
Rule Template (pdf)

RCF operations are licensed and regulated by the Department of Human Services.
For further information or to request a project license call (503) 373-2130 or email [email protected]

Please contact [email protected] if you would like additional information.

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