A TWO-WAY STREET

• The ASHE advocacy highway is a two-way street of communication between ASHE and chapter advocacy liaisons

• The goal of the advocacy highway is to support communication and improve advocacy efforts at the national, state and local level

A TWO-WAY STREET

• Gives us the opportunity to share national issues at the local level

• Gives us the opportunity to share your local advocacy issues nationally

BARRIER MANAGEMENT SYMPOSIUMS

Coming Soon toAn ASHE Region Near You

Standard/NPSG 2012 2013(1st Six Months)

RC.01.01.01 61% 55%

LS.02.01.20 51% 54%

IC.02.02.01 42% 47%

EC.02.05.01 34% 46%

LS.02.01.10 46% 45%

EC.02.03.05 40% 44%

LS.02.01.30 39% 43%

LS.02.01.35 34% 38%

EC.02.06.01 35% 36%

MM.03.01.01 35% 33%

TOP 10 JOINT COMMISSION CITATIONS

#2 - LS.02.01.20 - The hospital maintains the integrity of the means of egress. (Integrity of Means of Egress , Doors, Suites, Corridor Clutter)

#4 - EC.02.05.01 - The hospital manages risks associated with its utility systems. (Utility Management)

#5 - LS.02.01.10 - Building and fire protection features are designed and maintained to minimize the effects of fire, smoke, and heat. (Barriers, Doors, Penetrations)

3%

12%

1%

LIFE SAFETY AND ENVIRONMENT OF CARE ISSUES

#6 - EC.02.03.05 - The hospital maintains fire safety equipment and fire safety building features.  (Fire Alarm System and Sliding/Rolling Doors)

#7 - LS.02.01.30 - The hospital provides and maintains building features to protect individuals from the hazards of fire and smoke. (Openings, Penetrations, Haz. Areas, Corridor Doors)

#8 - LS.02.01.35 - The hospital provides and maintains systems for extinguishing fires. (Sprinklers, Fire Extinguishers , Hoods)

#9 - EC.02.06.01 - The hospital establishes and maintains a safe, functional environment. (Light, Privacy, Space, Security, Clear access to Doors, Noise)

4%

4%

4%

1%

LS/EOC ISSUES

BARRIER MANAGEMENT SYMPOSIUM

Barrier Management Symposiums

Region 10Feb

2016

Region 6Apr 2015

Region 1

7/12/15Region

58/3/14

Region 25/12-16/14

Region 3Fall

2015Region 4Mar 3-4,

14

Region 8

9/5-6/13Region 7

Feb 2015

Region 99/18-19/14

CMS CATEGORICAL WAIVERS

Category

2012 Reference Issue

LS 18/19.2.1 & 7.1.3.2(9)(c )

Unoccupied spaces open into exit enclosures, i.e. mechanical spaces

LS 18/19.2.5.7.3.1 (B) Sleeping suite exit into exit enclosure

LS 18/19.2.5.7.3.2 (B) Non-sleeping suite exit into exit enclosure

LS 18/19.2.5.7.1.2 Suite separation same as corridor separation

LS 18/19.2.2.2.4 More than one delayed egress in exit path

LS 18/19.2.2.2.6 Remote control of locks for rapid removal

LS 18/19.2.2.2.5.1 & 18/19.2.2.2.5.2

Locking based on clinical & security needs

Category

2012 Reference Issue

LS 18/19.2.5.7.2.2(B) & 18/19.2.5.7.2.3(C)

Sleeping suite up to 10,000sqft

LS 18/19.2.5.7.2.2(C) & 18/19.2.5.7.2.3(C)

Sleeping & non-sleeping suites may exit suite to suite

LS 18/19.7.5.7 96 gal recycle & document destruction bins

LS 18/19.2.3.4 Wheeled equipment (including lifts) expanded

LS 18/19.2.3.4 Fixed furniture in egress corridor

LS 18/19.3.2.5 Cooking open to corridor

LS 18/19.5.2.3(2),(3)&(4) Fireplaces in smoke compartment

CMS Categorical Waivers

Category

2012 Reference Issue

LS 18/19.7.5 Decorations expanded based on protection

LS NFPA 99-20125.1.9.2.2

Centralized computer system for medical gas alarm panel

LS NFPA 110-2010 8.4.2.3 Reduced annual load bank test by removing first 25%, now 90 minute test

EC NFPA 25-2011 8.3.1.2 Weekly electric motor driven churn test changed to monthly

EC NFPA 25-2011 5.3.3.2 Quarterly vane type pressure switch test changed to semiannually

EC ASHRAE 170-2008 addendum ‘d’

Reduced lower range from 35%RH to 20% RH, RH range now 20 – 60%

CMS CATEGORICAL WAIVERS

CATEGORICAL CMS WAIVERS

If the organization decides to adopt any of these categorical waivers they must• Ensure full compliance with the appropriate code

reference• Document the decision to adopt the categorical

waiver• For Life Safety Code items annotate the

“Additional Comments” Section in the Statement of Conditions™ Basic Building Information (BBI)

• For Environment of Care items document by Minutes in discussion at the Environment of Care Committee (or equivalent)

• Declare the decision at the beginning of any survey

ICC UPDATE

Final Code Action Hearings and Public Comments Held Oct 2nd – 4th

• 38 of 40 Proposals Approved• 1 Withdrawn – Replaced by Alternate

Proposal• 1 Disapproved – Emergency

Showers/Eye Washes

Aligns 2015 IFC with NFPA 101 - 2012 and K-tag requirements

ICC UPDATE

• Currently working on IgCC• Proposals due 6 January• Future

• Finalize Alignment of IBC with NFPA 101 – 2012

• Monitor IFC and other ICC Codes• Develop Educational Program for ICC

Members• To Present at Regional ICC Meetings and ICC Annual Conference

CONNECT WITH YOUR LOCAL AHJS AND CHAPTERS

• State Fire Marshal• Department of Health• Building official• ICC Chapter• AIA Chapter• ASHRAE Chapter• Others

CONNECT WITH YOUR LOCAL AHJS AND CHAPTERS

ICC CHAPTERS

ICC Chapters and Board/Staff Liaison Map http://www.iccsafe.org/gr/Pages/gr-map.aspx

THE AMERICAN INSTITUTE OF ARCHITECTS

http://www.aia.org/about/structure/components/AIAS078541

ASHRAE CHAPTERS

https://www.ashrae.org/society-groups/chapters/list-of-ashrae-chapters-and-homepages

ASHE APP FOR IPHONE AND ANDROID• Access ASHE news,

regulatory updates, acronyms, monographs, education events and other resources.

• Go to the iTunes store or Google Play from your mobile device and search “Mobile ASHE” to download

FREE RECORDED EDUCATION WEBINARS• Access the ASHE webinar archives

page for free webinar recordings under the “Learn Tab” at ASHE.org:• Joint Commission Accreditation• Achieving Your Facilities Sustainability

Goals• Completing a Health Care FSES• Others

ASHE REGIONAL UPDATES

Region 1

Region 2

Region 3

Region 4

Region 5

Region 6

Region 7

Region 8

Region 9

Region 10

NEXT ADVOCACY LIAISON WEBINAR

• March 4, 2014 11:00-12:00 CT

DISCLAIMER FOR USE OF WEBINAR POWERPOINT

-These slides are current as of 12/4/2013.  ASHE reserves the right to change the content of the information, as appropriate.

-These slides are only meant to be cue points, which were expounded upon verbally by the original presenter and are not meant to be comprehensive statements or represent all the content of the presentation. Thus, care should be exercised in interpreting the requirements based solely on the content of these slides.

-You have permission to share these slides with your respective chapters in their entirety without modification.