Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.030 - Construction Standards for New Hospitals

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes up-to-date
				  construction standards for new hospitals to help ensure accessible, functional,
				  fire-safe, and sanitary facilities.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) New Hospital General Requirements.
(A) A new hospital is one for which plans are
				submitted to the Department of Health and Senior Services for review and
				approval after January 1, 2018, for the construction of a new facility,
				expansion or renovation of an existing hospital or the conversion of an
				existing facility not previously and continuously licensed as a hospital under
				Chapter 197, RSMo. A new hospital shall be designed to provide all of the
				facilities required by this rule and arranged to accommodate all of the
				functions required by this rule and to provide comfortable, sanitary,
				fire-safe, secure and durable facilities for the patients. In major alteration
				projects and additions to an existing licensed hospital, only that part of the
				total hospital affected by the project is subject to this rule.
(B) These minimum requirements are not
				intended in any way to restrict innovations and improvements in design,
				construction or operating techniques. Plans and specifications and operational
				procedures which contain deviations from these requirements may be approved if
				it is determined that the purposes of the minimum requirements have been
				fulfilled. Some facilities may be subject to the requirements of more than one
				(1) regulatory agency. While every effort has been made to ensure coordination,
				facilities making requests for changes in services and request for new
				construction or renovations are cautioned to verify requirements of other
				agencies involved.
(C) Requests for
				deviations from the requirements of this rule shall be in writing to the
				Department of Health and Senior Services. Approvals for deviations shall be in
				writing and both requests and approvals shall become a part of the permanent
				Department of Health and Senior Services records for the facility.
(D) Alterations or additions to existing
				hospitals shall be programmed so construction will minimize disruptions of
				existing functions. Access to exits and fire protections shall be maintained so
				the safety of the occupants will not be jeopardized during
				construction.
(E) The owner of each
				new facility or the owner of an existing facility being added to or undergoing
				major alterations shall provide a program scope of services which describes
				space requirements, staffing patterns, departmental relationships and other
				basic information relating to the objectives of the facility. The program may
				be general but it shall include a description of each function to be performed,
				approximate space needed for these functions and the interrelationship of
				various functions and spaces. The program also shall describe how essential
				services can be expanded in the future as the demand increases. Appropriate
				modifications or deletions in space requirements may be made when services are
				shared or purchased, provided the program indicates where the services are
				available and how they are to be provided.