What is an AHJ? What s the Plan Review Process?
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1 What is an AHJ? What s the Plan Review Process?
2 AHJ Authorities Having Jurisdiction Who s In Charge?
3 AHJ s Exist at Multiple Levels Federal Level Certification State Level Licensing & Credentials Local Level Zoning & Permits Organization Accreditation & Insurance
4 Federal Levels CMS Centers for Medicare and Medicaid Services Healthcare Certification T18 + T19 (Medicare Medicaid $$$) DOJ Department of Justice ADAAG American s with Disabilities Act Association Guidelines ANSI American National Standards Institute
5 Federal Level FAA Federal Aviation Administration Heliports FCC Federal Communications Commission Communication Systems EPA Environmental Protection Administration Associated with Department of Natural Resources
6 Federal Level FDA Food and Drug Administration What we consume Pharmacy Standards NRC Nuclear Regulatory Commission Nuclear Medicine Program and Gamma Knife OSHA Occupational Safety and Health Administration Employee Safety Asbestos
7 State Level DHS Department of Health Services Office of Plan Review and Inspections Hospitals, Nursing Homes, Hospices, CBRFs All attached buildings Licensing of Health Care Facilities Agent of CMS Radiation Protection Pharmacy Licensing Lead and Asbestos Abatement
8 State Level DSPS Department of Safety and Professional Services Professional Credentials Plan Reviews for freestanding Clinics and ASCs All specialty reviews Plumbing Elevators Pressure Vessels Electrical
9 State Level Pharmacy Review Board DOA Department of Administration State Coordinator Fees and Taxes DNR Department of Natural Resources Air, Water, Land, Discharge Discharge Agent of EPA Asbestos
10 Local Level Local Fire Department (As Required) Fire Alarm Sprinklers Zoning Requirements (As Required) Building Permits (As Required) Vary by Municipality Building, HVAC, Plumbing, Electrical, Etc.
11 Healthcare Regulatory AHJ s Federal Level OSHA FAA EPA FDA CMS DOJ NRC FCC State Level DOT DNR Pharmacy Review Board DHS Licensure DSPS DHS Radiation Protection Local Level (City/County) Zoning Ordinance Building Permits Fire Department
12 Organizational Level HOSPITAL ADMINISTRATION Physicians Physicians Clinical Program Staff Infection Control Safety Management Facilities Engineering
13 Common Accrediting Organizations by Type Hospitals Laboratories Rehabilitation Facilities Nursing Homes Hospices ESRD s End Stage Renal Disease Ambulatory Surgery Centers
14 Accrediting Organizations Joint Commission (JC) American Osteopathic Association (AOA) Community Health Accreditation Program (CHAP) Accreditation Association for Ambulatory Health Care (AAAHC) American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) Accreditation Commission for Health Care, Inc. American Society of Histocompatibility and Immunogenetics (ASHI) DNV Healthcare Hospitals, Home Health Agencies, Hospice ASCs, Critical Access Hospitals Labs Hospitals, Critical Access Hospitals, ASCs Labs Home Health Agencies, Hospice ASCs ASCs Home Health Agencies Labs Hospitals, Critical Access Hospitals Center for Improvement in Healthcare (CHIQ) Updated: 3/11/16
15 Questions?
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17 Plan Review and Construction Process
18 DHS Plan Review Responsibilities Hospitals Nursing Homes Hospice CBRF (Community Based Residential Facilities)
19 DHS / DSPS Plan Review Scope
20 DHS Plan Review Plans to be submitted to DHS: Send 1 full set / with 3 covers (minimum) Digital with 3 cover sheets Plan Delays Biggest Problems: Signatures not complete i.e. Owners & Designers on form All Designers for Specific Parts Supervision for Specific Parts Fees not calculated correctly Addresses not complete
21 DPS Plan Review Plan Review Authority Levels Class 1 Milwaukee Class 2 Madison + many mid size cities Class 3 Small Cities Some may have plan review, others may not Some have local ordinances more restrictive 1 new plumbing fixture in healthcare triggers DSPS plan review.
22 DPS Inspection Checklists Wall Inspection Checklist Ceiling Inspection Checklist Final Occupancy Checklist
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28 DHS Healthcare Construction Building Plan Review Submittal Process Access DHS: (See Appendix Forms Tab 11) review/index.htm Hospital, Nursing Homes Plan Approval Application Form F (Rev. 10/17) Permit to Start Construction F (Rev. 2/16) Documentation Checklist F (Rev. 7/16) Compliance Statement F (Rev. 10/17) CBRF Application Form F (Rev. 2/16) Petition for Variance Form F (Rev. 8/16) Fire Reporting Form F (Rev. 11/14)
29 DHS Forms Web Access Dept of Health Services DHS Forms on Internet: Hospitals, Nursing Homes, Hospice, CBRF, FDD Plan Review Application Form Permit to Start Construction Construction Documentation Checklist Compliance Statement CBRF Plan Review Application Form
30 Plan Review Healthcare Facility Deficiency Plan of Correction DHS Preliminary Plan Review Final Plan Review Construction Inspections State Licensure/ Federal Certification Inspections State Licensure/ Federal Certification Annual Re-inspections I. DHS 124, DHS 132 Licensure and Physical Plant Requirements (Note 1) Room size, furniture & equipment Nurse call system Shower & toilet fixtures Accessibility Heating & ventilation system Hot water system FGI-Guidelines II. NFPA Life Safety Code Requirements Building requirements/fire safety structural design Smoke control system Life support system Electrical & generator system Medical gas system Automated sprinkler system X-Ray Equipment, DPH I. DHS 124, DHS 132 Requirements (Note 1) II. Life Safety Code III. State Building Code I. DHS 124, DHS 132 Requirements (Note 1) II. Life Safety Code III. State Building Code III. State Building Code Requirements (SPS Ch ) Building code Structural design review Heating & envelope design HVAC/AIA Guidelines Lighting & energy ANSI requirements Radiation Protection Plan Review Radiation Shielding DHS 157 Equipment and safety controls I. DHS 124, DHS 132 Requirements (Note 1) II. Life Safety Code State Licensure Inspections I. DHS 124, DHS 132 Requirements (Note 1) II. Life Safety Code State Annual Re-inspections Note 1: DHS 124, DHS 131, DHS 132, DHS 134, DHS 83
31 Plan Review Healthcare Facility Plumbing Review Local or State Plumbing Inspection No Local or State Re-inspections DSPS Boiler Equipment Review Local or State Boiler Inspection Local or State Re-inspections Elevator Equipment Review State or Contracted Elevator Inspection State or Contracted Re-inspections Electrical: Short Circuit & Coordination Studies Erosion Control Review (NOI) Fuel tanks Electrical Inspection Plans & Specifications Load Calculations Coordination Studies SBD10822 No Electrical Re-inspections
32 Questions?
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