FGI / HIPAA / LEED / HCAHPS Impact On Acoustically .
FGI / HIPAA / LEED / HCAHPSimpact onAcoustically FriendlyBuildingsSteve Thorburn PE, LEED-APSJT@TA-Inc.com
An Architecture/Engineering Consulting firm specializing inAcoustics, Technology and Lighting Design for the Commercial,Corporate, Leisure, Public, Residential, and Healthcare Industries.Raleigh Durham, North CarolinaCharlotte, North CarolinaSan Francisco, CaliforniaLos Angeles, CaliforniaOrlando, Florida
What do we do?Slide 3
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FGI / HIPAA / LEED / HCAHPSimpact onAcoustically FriendlyBuildings
AIA Registered ProviderThorburn Associates Inc. is a registered provider with theAmerican Institute of Architects Continuing Education Systems.Credit earned on completion of this program will be reported toCES Records for AIA members. Certificates of Completion fornon-AIA members are available on request.This program is registered with AIA/CES for continuingprofessional education. As such, it does not include content thatmay be deemed or construed to be an approval or endorsementby the AIA of any material of construction or any method ormanner of handling, using, distributing, or dealing in any materialor product. Questions related to specific materials, methods, andservices will be addressed at the conclusion of this presentation.
Acoustically Friendly Buildings This session explores how Health care / FGI / HIPAA / LEED / HCAHPScodes, regulations, and design guidelines impact the acousticalcomfort of patients, their families, and building occupants.Participants will learn how acoustics has a positive impact on thedesign of healthcare facilities including hospitals and trauma centers,laboratories, and assistive living facilities. Objectives:- Review the codes, regulations, and design guidelines impacted byacoustical issues.- Learn solutions for making a building friendly for the occupants.- Learn solutions for making a building friendly for the environment.- Explore case studies AIA /CEU one HSW/SD
Housekeeping ADA Issues Questions AIA Credit- give me your card with note on back
So why does it allmatter?Slide 26
A Trip to the Doctor’sOffice is RarelyAssociated with a GoodFeeling!
Top 10 Complaints1.2.3.4.5.It’s To CoolIt’s To HotIt’s DirtyNo Meeting SpaceNo Storage SpaceIFMA: 1991, 1997, 20046. Bad Air Quality7. No Privacy8. Parking Issues9. Computer Issues10. Noise Level / Too Noisy
Top 10 Complaints1. It’s To Cool2. It’s To Hot3. Noise Level / Too NoisyIFMA: 2013
What is The Goal
Who or What is Steering the Ship? HIPAA HCAHPS LEED ASHE/FGISlide 34
Minimum Quality of Care State Medical Inspectors(DHSR / OSPOD / AHCA) Joint Commission on Accreditation ofHealthcare Organizations (JCAHO) American Hospital Association(AHA / ASHE) Health Insurance Portability andAccountability Act (HIPAA) Internal Criteria from Medical Center Building Code (s)Slide 35
HIPAA - HealthInsurance Portabilityand Accountability Act
HIPAA
Lobbies and Patient Check InHIPAA
Patient and Procedure RoomsHIPAA
Signal To NoiseArticulation IndexSpeech PrivacyHIPAA
Did Max have it solved withthe Cone of Silence?HIPAA
HCAHPSHospital Care Quality Informationfrom the Consumer Perspective“two individual items address the cleanliness andquietness of patients’ rooms”The Patient and their Families get to gradethe Hospital!
ASAAcoustical Society of AmericaINCEInstitute ofNoise ControlEngineering
LEED v4 for Healthcare Developed to meet the unique needs of thehealthcare market, including inpatient and outpatientcare facilities and licensed long term care facilities. May also be used for- medical offices- assisted living facilities- medical education & research centers
LEED v4 for Healthcare Based on 2010 FGI Guidelines – Health Care Facilities No Prerequisites for Acoustics 2 Credits possible EQ points– Option 1 Speech Privacy, Sound Isolation and Background Noise– Option 2 Acoustical Finishes, and Exterior Noise Levels– 2010 SV Guidelines for Heath Care Facilities
LEED v4 – FGI / ASHE for Healthcare Reverberation
LEED v4 – FGI / ASHE for Healthcare Cleanable Surfaces vs. NoiseBuild up vs. Speech Privacy
LEED v4 – FGI / ASHE for Healthcare Cleanable Surfaces vs Noise build up vs Speechprivacy
LEED v4 – FGI / ASHE for Healthcare Full Height Party Walls Required Building Systems in Hallways Noise Criteria Sound Transmission Speech Privacy
LEED v4 – FGI / ASHE for Healthcare Walls
LEED v4 – FGI / ASHE for Healthcare
Synergies and Conflicts BetweenSustainable Design and AcousticsRecent research by GSA and theCenter for the Built Environment
DaylightGSA San Francisco Federal Building
DaylightImpact of Hard SurfacesReflectionDiffusion
DaylightImpact of Soft SurfacesAbsorption
Thermal ComfortMechanical Noise Control
CASE STUDIESAcoustical Criteria Room Acoustics- Promote Early Reflections- Eliminate Echoes Sound Isolation- Reduce Intrusion from Exterior Noise- Contain Noise Created in Loud Spaces Mechanical Noise & Vibration Control- Evaluate Mechanical Systems- Control System Noise and Vibration Site Noise- Traffic- Central Plant- Helicopter
The Language: Reverberation Time The length of time it takes sound to decay 60decibels, or to one millionth (1/1,000,000), of itspeak sound level!- Relationship between Volume and Absorption surfacearea.- Higher volume longer reverberation timeRT60 .05V/A
The Language: Sound Transmission Class (STC) Sound is blocked by partitions with mass Sound can also be blocked by twolightweight partitions separated by a largeair space
The Language: Background NoiseNoise Criteria (NC) RatingsSOUND PRESSURE LEVEL, dB80Amount of noise mechanicalsystem makes in a -35NC-30NC-25NC-20NC-15Moderately fair listening conditionsLobbies, Labs, Open Plan OfficesLarge Offices, Reception Areas,-For moderately good listening conditionsPrivate Offices, Classrooms, Libraries-For good listening conditionsAuditoriums, Conference Rooms-For very good listening conditionsConcert Halls, Churches-For excellent listening conditions31 63 125 250 500 1K 2K 4K 8KOCTAVE BAND CENTER FREQUENCIES, Hz
Exterior NoiseSlide 64
How loud is your site?Building CodeDesign Goal45 Ldn / 45 dBA day
Acoustical Site PlanningMajor RoadsER EntranceCUP andLoading DocksParking GarageAcoustical BufferResidential
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Generator Noise Source
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Loading Dock Issues Time of day Size of trucks
ER / Trauma Issues Helipad – Life flights Ambulance Runs
LEED v4 – FGI / ASHE for Healthcare Facility / Process Noise
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Acoustically Integrated aRchitectureis possible!
Questions
THANK YOU!Steve(n) Thorburn PE, LEED APSJT@TA-inc.comRaleigh Durham, North CarolinaCharlotte, North CarolinaSan Francisco, CaliforniaLos Angeles, CaliforniaOrlando, Florida
San Francisco, California Los Angeles, California Orlando, Florida. Slide 3 What do we do? Slide 4. Slide 5. Slide 6. Slide 7. Slide 8. Slide 9. Slide 10. Slide 11. Slide 12. . IFMA: 2013. What is The Goal. Who or What is Steering the Ship? HIPAA HCAHPS LEED ASHE/FGI Slide 34. Slide 35
LEED AP ID C Exam Specifications 22 LEED AP ND Exam Specifications 25 LEED AP O M Exam Specifications 27 REFERENCES & SAMPLE QUESTIONS 30 LEED AP BD C Exam References 30 LEED AP BD C Sample Questions 31 LEED AP HOMES Exam References 32 LEED AP HOMES Sample Questions 33 LEED AP ID C Exam References 34 LEED AP ID C Sample Questions 35
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ENROLLING INTO THE NEW LEED AP WITH SPECIALTY. LEED USER, APRIL 19, 2011 hok.com. LEED USER, APRIL 19, 2011 hok.com. LEED USER, APRIL 19, 2011 hok.com. LEED USER, APRIL 19, 2011 hok.com. hok.com CREDENTIAL MAINTENANCE Two year cycle: LEED APs with specialty -30 hours total (minimum 6 LEED-specific)
LEED 2009 . Minimum Program Requirements . Apply to. LEED 2009 for New Construction and Major Renovations, LEED 2009 for Core & Shell development, LEED 2009 for Schools, LEED 2009 for Commercial Interiors, and LEED 2009 for Existing Buildings: Operations & Maintenance . Do not apply to LEED for Homes, LEED for Neighborhood Development, or any
LEED for Commercial Interiors LEED for Existing Buildings Several other LEED systems are under development or in pilot as well. LEED Rating System Using the LEED rating system, a project can become LEED certified by obtaining points for "green" building processes, systems, and materials. The four levels of LEED certification are
Tel: 515-865-4591 email: Bob@training-hipaa.net HIPAA Compliance Template Suites Covered Entity HIPAA Compliance Tool (Less than 50 employees) . HIPAA SECURITY CONTINGENCY PLAN TEMPLATE SUITE Documents in HIPAA Contingency Plan Template Suite: . Business Impact Analysis Policy includes following sub document (12 pages) Business Impact .
Overview of HIPAA How Does HIPAA Impact EMS? HIPAA regulations affect how EMS person-nel use and transfer patient information HIPAA requires EMS agencies to appoint a “Compliance Officer” and create HIPAA policy for the organization to follow HIPAA mandates training for EMS personnel and administrative support staffFile Size: 229KB
The computational anatomy of psychosis hypothesis that the mean is zero. The sample mean provides evi-dence against the null hypothesis in the form of a prediction error: namely, the sample mean minus the expectation under the null hypothesis. The sample mean provides evidence against the null but how much evidence? This can only be quantified in relation to the precision of the prediction .
