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New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 1 - General Provisions › Part 709 - Determination Of Public Need For Medical Facility Construction › Section 709.17 - Long-term ventilator beds

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 This methodology will be utilized to evaluate certificate of need applications
					 for the certification of long-term ventilator beds, which are operated in
					 residential health care facilities for individuals experiencing respiratory
					 failure who can be treated through mechanical ventilation. It is the intent of
					 the State Hospital Review and Planning Council that this methodology, when used
					 in conjunction with the planning standards and criteria set forth in section
					 709.1 of this Part, become a
					 statement of planning principles and decision making tools for directing the
					 distribution of long-term ventilator beds. The goals and objectives of the
					 methodology expressed herein are expected to ensure that an adequate number of
					 long-term ventilator beds are available to provide access to care and avoid the
					 unnecessary duplication of resources.
(b) The factors for determining the public
					 need for long-term ventilator beds shall include, but not be limited to, the
					 following:
(1) The planning areas for
					 determining the public need for long-term ventilator beds shall be the
					 designated health systems regions.
(2) The number of long-term ventilator beds
					 in each health systems region required to meet the public need shall be
					 determined by dividing the projected annual patient days for the service by
					 365, and dividing the result by 0.95 to allow for a 95 percent occupancy rate.
					 The projected long-term ventilator patient days used in this calculation shall
					 be determined as follows:
(i) The annual
					 number of potential candidates for long-term ventilator beds shall be
					 determined by calculating the total number of annual general hospital
					 discharges in the planning area for DRG 475 (respiratory system diagnosis with
					 ventilator support), plus an additional 10 percent, and multiplying the
					 resulting figure by 0.32.
(ii) The
					 number of potential candidates for long-term ventilator beds shall be
					 multiplied by a 125-day length-of-stay to project the annual number of patient
					 days for long-term ventilator patients.
(3) The review of certificate of need
					 applications will consider the documented referral patterns in the planning
					 area, the expected length-of-stay based on the case-mix of long-term and
					 short-term patients, the ability of the applicant to successfully wean
					 ventilator patients, and the ability and commitment of the applicant to accept
					 the difficult-to-place ventilator patients (e.g., ventilator patients with
					 hemodialysis needs or patients with bacterial infections).
(4) The long-term ventilator bed need
					 methodology will be reviewed within three years from the effective date of this
					 section.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.1 - General provisions

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Medical
					 facilities shall be planned to achieve efficiency and economy of operation and
					 care of high quality.
(b)
(1) For purposes of this Part,
total
					 project cost(s)
means total costs for construction, including but not
					 limited to costs for demolition work, site preparation, design and construction
					 contingencies, total costs for real property, for fixed and movable equipment,
					 architectural and/or engineering fees, construction manager and/or consultant
					 fees, construction loan interest costs, and other financing, professional and
					 ancillary fees, charges and allowances. Such costs shall include the cost of
					 all capital items associated with an acquisition, lease arrangement and/or
					 construction. If any acquisition is to be financed through a leasing
					 arrangement, the relevant cost shall be the cost of the asset, not the lease
					 amount.
(2) For purposes of this
					 Part,
total basic cost(s) of construction
means total project
					 cost(s) less capitalized amounts of construction loan interest cost(s), and
					 other financing fees and charges.
(3) For purposes of this Part, "general
					 hospital" means a general hospital as defined in subdivision 10 of section
					 2801 of the
					 public health law.
(4) -
					 [
Reserved
]
(5) For
					 purposes of this Part, cardiac catheterization laboratory center, PCI capable
					 cardiac catheterization laboratory center, diagnostic cardiac catheterization
					 service, and cardiac electrophysiology (EP) laboratory program shall have the
					 same meanings as in section
					 405.29(a)(4) of
					 this Title.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.2 - Application; project scope and concept

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
(1) The
					 applicant shall transmit to the project management unit, at the department's
					 central office in Albany, nine copies of the application in a format determined
					 by the commissioner setting forth the scope and concept of the project. A copy
					 of the application shall be transmitted by the department to the health systems
					 agency having geographic jurisdiction over the area in which the applicant's
					 facility is located:
(i) Except as provided
					 for under subparagraph (ii) of this paragraph with respect to facility leases,
					 any expenditure to effect construction and/or commencement of construction,
					 other than those costs directly attributable to the preparation of the
					 application, prior to the issuance of approval of the application pursuant to
					 this Part shall not be considered an allowable cost for reimbursement pursuant
					 to any of the provisions of Part 86 of this Title, even if the application
					 eventually is approved.
(ii)
					 Notwithstanding the provisions of subparagraph (i) of this paragraph, if an
					 applicant, prior to obtaining approval for the application, entered into an
					 arms-length lease with an unrelated party for space in an existing facility or
					 building, which space is the subject of the application and which has an asset
					 value that does not exceed $4,000,000, the capital costs associated with the
					 leased space which are approved under the application and which costs are
					 attributable in accordance with generally accepted accounting principles to the
					 time period subsequent to the approval of the application, shall be eligible
					 for reimbursement in accordance with the applicable provisions of Part 86 of
					 this Title. Any capital costs associated with such leased space which are
					 attributable to the time period prior to the approval of the application shall
					 not be reimbursable pursuant to any of the provisions of Part 86 of this
					 Title.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.3 - Review of application; project scope and concept

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The department may request the applicant
					 in writing to submit additional documentation and information in order to
					 complete the review of the application, project scope and concept. Except as
					 provided for in subdivision (b) of this section, if the applicant does not
					 submit the additional documentation or information to the department within the
					 time specified in the request, or as extended by the department in writing, the
					 application shall be deemed abandoned and withdrawn upon written notice to the
					 applicant.
(b) If an application
					 includes a proposal to correct a violation of any provision of the Public
					 Health Law or this Title, which violation, as determined by the commissioner,
					 directly affects or threatens to directly affect the health, safety or welfare
					 of any patient or resident, the application shall not be deemed abandoned or
					 withdrawn due solely to the failure by the applicant to submit the requested
					 documentation and information within the prescribed time. The provisions of
					 this subdivision shall not affect the authority of the department to institute
					 any action or proceeding with respect to the facility concerning the violation
					 of any provision of the Public Health Law or this Title.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.4 - Additional information to be submitted

Current through Register Vol. 46, No. 28, July 10, 2024
(a) After the issuance of the approval of the
					 application by the commissioner, the applicant shall submit, to the Bureau of
					 Architectural and Engineering Review, with a copy of the transmittal letter to
					 the project management unit for information, the following:
(1) one set of design development drawings
					 which has been reviewed and approved by the applicant's chief executive officer
					 or equivalent person. Such drawings shall be in sufficient detail to ensure
					 consistency with the detailed functional and operational requirements of this
					 Title and the National Fire Protection Association's codes and standards set
					 forth in Part 711 of this Title. The applicant shall advise the department one
					 month in advance of its intent to file such drawings;
(2) an updated functional stack diagram which
					 includes square footages, type of construction and estimated cost of equipment
					 and construction for each functional area displayed and, where appropriate, the
					 relative cost of each area as well as the total construction cost for each
					 discrete physical structure involved; and
(3) draft contracts relating to construction
					 costs included in the total basic cost of construction as defined in section
					 710.1 of this Part.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.5 - Amendments

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 Subsequent to an approval or contingent approval of an application under this
					 Part, any change, as set forth in paragraphs (b)(1) through (3) of this
					 section, shall constitute an amendment to the application, and the applicant
					 shall submit appropriate documentation as may be required by the commissioner
					 pursuant to this Part in support of such amendment. The amended application
					 shall be referred to the health systems agency having jurisdiction and the
					 Public Health and Health Planning Council for their reevaluation and
					 recommendations. The approval of the commissioner shall be obtained for any
					 such amended application.
(b) Any
					 of the following shall constitute an amendment:
(1) a change in the number and/or types of
					 beds and/or services, other than a reduction of service which would be subject
					 to administrative review;
(2) a
					 change in the location of the site of the construction if outside the
					 facility's planning area as identified in Part 709. If the change in site,
					 within the facility's planning area, impacts geographic accessibility in such
					 planning area, the commissioner may before making any finding that such change
					 is in the best interest of the planning area seek the recommendation of the
					 Public Health and Health Planning Council and the health systems agency having
					 geographical jurisdiction. In addition, for applications to establish
					 diagnostic and treatment centers which were not reviewed competitively within a
					 batch, a change of site within a planning area shall not constitute an
					 amendment pursuant to the provisions of this section and shall require only the
					 prior approval of the commissioner; or
(3) any change in the applicant.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.6 - Determination by the commissioner

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 After receipt of all the documentation and recommendations required in sections
					 710.4 and 710.5 of this Part, and the
					 satisfaction of all applicable outstanding contingencies imposed on the
					 approval relating to the project, the commissioner shall make a determination.
					 If the commissioner proposes to disapprove an application or an amendment or
					 issue a determination contrary to the recommendation of the local health
					 systems agency, the opportunity to request a hearing shall be afforded to the
					 applicant or the health systems agency, as appropriate, prior to a final
					 decision. If the application is approved, the applicant may proceed to apply
					 for approval to start construction of the project or specific project phases,
					 if any, pursuant to section
					 710.7 of this Part.
(b) Any project cost incurred which exceeds a
					 cost already approved under this Part shall not be considered an allowable cost
					 for reimbursement pursuant to any of the provisions of Part 86 of this Title
					 unless, prior to incurring such cost or entering into a contract to incur such
					 cost, the applicant has requested, in a format prescribed by the department,
					 and obtained, the written approval of the commissioner for such increased
					 cost.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.7 - Approval to start construction

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 The applicant may seek approval to start construction of the project, or one or
					 more phases thereof, upon the filing with the department completed contract
					 documents consistent with all previous approvals.
(b) If documents are not completed, the
					 applicant may request approval to start construction upon submission of a
					 certification by the applicant, construction manager or contractor, and the
					 architect that completed working drawings and specifications shall be submitted
					 within a time period specified in the applicant's request, that such
					 construction shall be undertaken at the applicant's risk and that approval is
					 understood to be contingent upon submission of the completed documents as a
					 no-cost change order.
(c) A request
					 by the applicant pursuant to subdivision (a) or (b) of this section shall
					 include an affidavit by the applicant's architect or engineer that the
					 drawings:
(1) are consistent with schematic
					 and design development drawings previously approved and, if not, the affidavit
					 shall identify the changes and reasons for such changes; and
(2) are in compliance with the applicable
					 provisions of this Title and all applicable local codes, statutes and
					 regulations. In addition, the applicant shall submit an updated functional
					 stack diagram consistent with section
					 710.2(b)(10)(i)(b)
					 of this Part.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.9 - Onsite inspection

Current through Register Vol. 46, No. 28, July 10, 2024
Upon completion of the project or each phase of a
						mega-project as set forth in the commissioner's letter of approval, an onsite
						inspection of the construction and equipment will be made to assure that such
						are in accordance with the prior approval of the commissioner. The applicant
						shall notify the area administrator requesting such inspection two months prior
						to the anticipated completion date. Based upon the final onsite inspection
						report of the Bureau of Architectural and Engineering Review indicating that
						the construction is acceptable as completed, a preopening survey shall be
						conducted by the area office. After the completion of the preopening survey,
						the area administrator shall, by writing, advise the applicant, if the results
						of the survey are acceptable, that the premises so inspected may be occupied.
						In addition, if applicable, the department shall issue an operating certificate
						consistent with the findings of the preopening survey.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 710 - Approval Of Medical Facility Construction › Section 710.11 - Schedule for construction applications

Current through Register Vol. 46, No. 28, July 10, 2024
The commissioner, after consultation with the health
						systems agencies, shall establish a schedule for the review of project scope
						and concept construction applications by the health systems agencies, the
						department and the council. Such schedule shall require that:
(a) review periods will be established by the
					 commissioner with the agreement of the health systems agencies for the
					 consideration of applications proposing similar types of construction and
					 services; each review period for similar types of construction and services
					 will occur not less than once each year;
(b)
(1)
					 beginning on January 1, 1994, applications received between January 1st and
					 June 30th of each year shall be reviewed by the health systems agencies and the
					 department and presented to the council for its consideration prior to June
					 30th of the following year and applications received between July 1st and
					 December 31st of each year shall be reviewed by the health systems agencies and
					 the department and presented to the council for consideration prior to December
					 31st of the following year; and
(2)
					 applications which the commissioner has determined address high priority health
					 care needs for which there is a demonstrated acute shortage of particular
					 equipment and/or services or as may be indicated by the application of existing
					 need regulations in Part 709 of this Title for specific services and equipment,
					 may be processed more quickly than the six-month batch provided for in
					 paragraph (1) of this subdivision, as an expedited batch; provided, however,
					 that the department shall advise the health care industry, and all specific
					 parties known to be interested or who have requested such notification in
					 writing, at least three months in advance of the date on which it intends to
					 commence a particular expedited batch;
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 711 - General Standards Of Construction › Section 711.1 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This Part sets
					 forth minimum construction and physical environment standards applicable to all
					 health facilities subject to Public Health Law article 28, including but not
					 limited to, general hospitals, nursing homes and ambulatory care
					 facilities.
(b) An applicant
					 seeking approval to construct a new health facility or alter or renovate an
					 existing health facility shall submit to the department a completed application
					 and functional program. The applicant shall ensure that all terms and acronyms
					 are clearly defined and consistently used in the application and functional
					 program. The functional program, which is a detailed architectural and design
					 plan for the health facility, shall include a description of the following:
(1) the scope and purpose of the proposed
					 construction project and other basic information relating to fulfillment of the
					 applicant's objectives;
(2) the
					 services necessary for the complete operation of the health facility, the size
					 and function of each space, any special design features, the projected occupant
					 load, and numbers and types of staff, patients, residents, visitors and
					 vendors;
(3) the types and
					 projected numbers of procedures to be performed in each treatment area and
					 circulation patterns for staff, patients or residents, and the
					 public;
(4) the projected demand or
					 utilization, staffing patterns, departmental relationships, space requirements,
					 and circulation patterns that are a function of infection control requirements
					 and for clean and soiled materials;
(5) equipment requirements, including
					 building service equipment and fixed and moveable equipment; and
(6) potential future expansion that may be
					 needed to accommodate increased demand.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 711 - General Standards Of Construction › Section 711.9 - Waivers and approvals of equivalent or innovative construction standards

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Nothing in this
					 Chapter shall be construed to effect any waivers of construction standards that
					 had been granted by the commissioner and were in effect immediately prior to
					 the effective date of this section, except for subdivision (d) of this
					 section.
(b) Notwithstanding any
					 provision in this Chapter to the contrary, the commissioner may waive
					 compliance with applicable requirements set forth in Parts 712 through 716 of
					 this Title, provided that all of the following conditions are met:
(1) The licensed operator or proposed
					 operator of a health facility submits to the department a written request for a
					 waiver that describes the following:
(i) the
					 regulatory standards for which the waiver is sought;
(ii) the reasons for the request for the
					 waiver;
(iii) a description of the
					 proposed alternative to compliance with the regulatory standards for which the
					 waiver is sought;
(iv) a
					 description of the physical areas that would be affected by the waiver and the
					 impact that the waiver and implementation of an approved alternative would have
					 on the function and safety of the health facility, if approved; and
(v) a description of the financial impact of
					 the proposed waiver alternative, if implemented.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.1 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
This Subpart sets forth minimum construction and
						  physical environment standards applicable to general hospitals built and to
						  portions of general hospitals altered or renovated pursuant to department or
						  commissioner approval granted prior to October 14, 1998 and to general hospital
						  construction projects not requiring such approvals that were completed prior to
						  October 14, 1998.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.2 - General standards

Current through Register Vol. 46, No. 28, July 10, 2024
(a) General
						hospitals shall be constructed to maintain a safe and functional physical
						environment for all services that the licensed operator of the general hospital
						provides. When pediatric, psychiatric, obstetric or other services are not
						provided in the general hospital, the licensed operator shall inform patients
						needing such services of the name and location of health providers that provide
						such services. The department may approve modifications or deletions in space
						requirements when services are permitted to be shared. General hospital
						facilities shall comply with all pertinent requirements, technical standards
						and codes set forth or incorporated by reference into Part 711 of this
						Title.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.4 - Maternity nursing units

Current through Register Vol. 46, No. 28, July 10, 2024
Hospitals that provide perinatal services shall have a
						  maternity patient nursing unit, an obstetrical suite, and a newborn nursery
						  unit so located as to prevent traffic through them to any other part of the
						  hospital. These units shall be completely separate from all other clinical
						  services, including the gynecological service. The maternity unit shall comply
						  with the minimum requirements for other nursing units as required by this
						  Subpart.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.5 - Newborn nursery units

Current through Register Vol. 46, No. 28, July 10, 2024
The newborn nursery unit, if provided, shall be
						  separate from other units except the obstetrical suite and the maternity
						  patient nursing unit and so located as to prevent through traffic. The newborn
						  nursery unit shall comply with the following:
(a) No room used as a nursery shall
						communicate directly with any other nursery or room except an accessory
						room.
(b) Cubicles are prohibited,
						other than in facilities that were granted a waiver for cubicles prior to
						September 1, 1955.
(c) Pass through
						windows between nurseries and accessory rooms and nurseries and corridors are
						prohibited.
(d) There shall be a
						minimum of one well-infant nursery bassinet for each maternity bed, exclusive
						of the provisions made for the housing of premature infants.
(e) Space for one observation bassinet shall
						be provided for every 10 well-infant bassinets or major fraction
						thereof.
(f) Where newborn infants
						are cared for in a rooming-in program, a nursery shall be provided for these
						infants.
(g) Each nursery unit
						shall include the following:
(1) An accessory
						room directly communicating with one or more well-infant nurseries or directly
						communicating with one or more observation nurseries. One accessory room may
						serve up to 24 bassinets. No accessory room shall serve both a well-infant
						nursery and an observation nursery.
(2) In the case of well-infant nurseries, an
						accessory room with space to carry out the required activities including work,
						examination and treatment of infants, charting, handwashing and gowning. In the
						case of the observation nursery, the accessory room shall provide space for
						work, handwashing and gowning. Storage space for supplies shall be
						enclosed.
(3) Each nursery and
						nursery accessory room shall have a lavatory with hot and cold running water
						that is dispensed through a mixing outlet, controlled by valves other than
						hand, wrist or elbow.
(4) Emergency
						nurses' call, which cannot be cancelled except by turning off the signal at the
						initiating station.
(5) Equipment
						or fixtures that supply oxygen.
(6)
						Glass panels between the nursery and accessory room and the nursery and
						corridor, or other methods for observation of newborn.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.6 - Pediatric units

Current through Register Vol. 46, No. 28, July 10, 2024
The pediatric unit, if provided, shall contain the
						  following:
(a) Pediatric patient
						rooms, which shall conform to the requirements set forth in section
						712-1.3 of this Subpart. Pediatric
						beds shall be physically arranged and located to ensure the intensive care and
						supervision of children are constantly visible from the nurses' station.
						Partitions between individual rooms and corridors shall be constructed to
						permit adequate inspection of infant patients by nursing personnel.
(b) Pediatric unit service areas shall
						conform to applicable requirements of this Subpart and shall include:
(1) A treatment room with lavatory.
(2) A dining and playroom as a multi-use area
						for the patients.
(3) Toilet and
						bathing facilities especially designed for use by children.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.7 - Psychiatric units

Current through Register Vol. 46, No. 28, July 10, 2024
The psychiatric unit, if included in a hospital as a
						  separate nursing unit, shall have its program requirements approved by the
						  Commissioner of the Department of Mental Hygiene.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.8 - Inpatient surgical suites

Current through Register Vol. 46, No. 28, July 10, 2024
Each inpatient surgical suite shall be located to
						  prevent through traffic and shall comply with the following:
(a) The total number of operating rooms shall
						be determined by the surgical workload. The minimum size of each operating room
						shall be 15 feet by 18 feet, and there shall be at least one operating room in
						any facility of 75 or fewer certified beds.
(b) A cystoscopy room is required in a
						facility of over one 150 beds. There shall be a toilet with a lavatory
						immediately adjacent to the cystoscopy room.
(c) A separate recovery room, with charting
						space, medication storage and preparation space, and a clinical sink is
						required.
(1) The recovery room shall contain
						at least one bed per operating room plus an additional bed.
(2) The location of the recovery room shall
						provide convenient access to elevators, nursing units and the operating
						rooms.
(3) The floor area of the
						recovery room shall provide adequate space around each bed for circulation and
						equipment.
(4) One blood pressure
						machine or portable blood pressure equipment shall be provided for each
						bed.
(5) An audible signal device
						for summoning additional personnel from the operating room supervisors' office,
						anesthesiologist's office and nurses workrooms or areas within the surgical
						suite shall be provided.
(6) Oxygen
						and suction facilities shall be provided for each bed.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.9 - Obstetrical suites

Current through Register Vol. 46, No. 28, July 10, 2024
Where there is an approved maternity nursing unit, the
						  obstetrical suite shall be located to prevent through traffic, shall be
						  completely separated from the surgical suite, shall be operated as a closed
						  unit, and shall include:
(a) At least
						one delivery room for each 20 maternity beds or major fraction
						thereof.
(b) At least one labor
						room for each 10 maternity beds or major fraction thereof, which shall include:
(1) a lavatory in each labor room equipped
						with valves other than hand, wrist or elbow control; and
(2) a patients' toilet room adjoining each
						labor room or conveniently accessible.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.10 - Emergency departments

Current through Register Vol. 46, No. 28, July 10, 2024
The emergency service area shall be in close proximity
						  to the emergency entrance, and easily accessible from within the hospital. It
						  shall be located so as to prevent outpatients from traversing in patient areas
						  and shall have adequate space for reception, examination, observation and
						  treatment to ensure effective care of emergency patients.
(a) Service areas shall include, but not be
						limited to the following:
(1) A well-marked
						and sheltered entry with nearby emergency parking and convenient access for
						ambulances.
(2) A reception area
						and adjacent waiting area with telephone, drinking fountain, and toilet rooms
						for each sex. The waiting area may used by other departments.
(3) An admissions and patients' records
						area.
(4) Examination and treatment
						room(s) with lavatory.
(5)
						Emergency room with the appropriate equipment for rendering emergency patient
						care, including but not limited to:
(i) an
						examining table;
(ii) a wheeled
						stretcher;
(iii) a
						wheelchair;
(iv) resuscitation
						devices with oxygen supply;
(v)
						inhalator attachments or accessories, including masks;
(vi) mechanical suction devices, including
						stomach pumps;
(vii) an examining
						light;
(viii) irrigation
						stands;
(ix) pressure sterilizers,
						unless this procedure is performed elsewhere;
(x) a nourishment station, and/or
						refrigerator;
(xi) complete trays
						for catheterizations, cutdown, lavage, intubations and tracheotomies, blood
						pressure sets, ophthalmoscopes, percussion hammers, surgical instruments,
						needles, syringes, drains, assorted splints and miscellaneous equipment, as
						specified by the medical board and the physician-in-charge;
(xii) a medication preparation
						area;
(xiii) storage area for
						sterile supplies;
(xiv) a
						wheelchair and stretcher alcove;
(xv) a janitor's closet; and
(xvi) adequate utility areas.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.11 - Outpatient facilities

Current through Register Vol. 46, No. 28, July 10, 2024
Where provided, hospital outpatient facilities shall be
						  constructed to provide a safe, functional and comfortable environment for
						  patients, visitors and staff.
(a)
						Outpatient service areas shall include, but not be limited to, the following:
(1) A reception area and adjacent waiting
						area(s) with telephone, drinking fountain and toilet rooms for each sex.
						Waiting areas shall be located in close proximity to outpatient diagnostic and
						treatment rooms. Other departments may use waiting areas if it is not feasible
						for a waiting room to serve only one department.
(2) An admissions and patients' records
						area.
(3) Examination and treatment
						rooms, with lavatory. The design of such spaces shall be such as to ensure the
						patient's privacy and confidentiality of disclosures.
(4) Storage area for sterile
						supplies.
(5) Janitor's
						closet.
(6) Separate clean and
						soiled utility rooms.
(7) Stretcher
						and wheelchair storage space.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.12 - Radiology facilities

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
						Radiology suites shall include:
(1)
						Radiographic room or rooms, with the number of diagnostic x-ray units dependent
						on the size of the hospital.
(2) A
						film processing room. Provision shall be made for film storage, either within
						the processing room or in a separate film storage room.
(3) A minimum of one toilet room for each
						sex.
(4) A dressing area for
						ambulatory patients.
(5) A holding
						area for stretcher patients.
(6) A
						waiting area for ambulatory patients.
(7) Office space with film-viewing facilities
						as required by the workload.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.13 - Clinical laboratory, tissue bank and blood bank facilities

Current through Register Vol. 46, No. 28, July 10, 2024
Clinical laboratory, tissue bank and blood bank
						  facilities and services shall be provided as needed by hospital's functional
						  requirements. The clinical laboratory shall include:
(a) Adequately located bench space for the
						efficient handling of specimens, and for the housing of equipment and
						reagents.
(b) Glass washing and
						sterilizing facilities, unless provided elsewhere in the hospital.
(c) Recording and filing
						facilities.
(d) An
						office.
(e) A blood storage room,
						which may be located in an area other than the laboratory suite.
(f) An emergency shower, if required by
						workload and operational functions.
(g) A specimen collection area located near
						the laboratory and including a toilet room with water closet and
						lavatory.
(h) A morgue and autopsy
						area, unless other outside facilities are available containing:
(1) refrigerated facilities for body
						holding;
(2) a convenient access to
						a service exit;
(3) autopsy room
						with work counter with sink and autopsy table; and
(4) a toilet room, lockers, dressing rooms
						and showers adjacent thereto.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.14 - Pharmacy services

Current through Register Vol. 46, No. 28, July 10, 2024
A central pharmacy, located so that it is accessible to
						  receiving and distribution stations, shall be provided. Adequate space shall be
						  provided for the following:
(a)
						dispensing and compounding;
(b)
						active storeroom;
(c) office and
						library, as required by workload; and
(d) parenteral solution, where
						provided.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.16 - Nuclear medicine departments

Current through Register Vol. 46, No. 28, July 10, 2024
The nuclear medicine department, where provided, shall
						  be equipped for furnishing nuclear medicine services. Adequate space shall be
						  provided to meet the diagnostic, therapeutic and safety needs of the patients.
						  Space and facilities for nuclear medicine service shall include the
						  following:
(a) A reception area, which
						may be a part of an outpatient service department.
(b) Examination and treatment room or rooms,
						dependent on scope of service.
(c)
						Toilets for each sex, which may be shared with other departments.
(d) Office space, as required by workload,
						for related clerical work.
(e) A
						conference room or office shall be available for discussion and diagnostic
						study of patients, which may be utilized with other departments, and centrally
						located.
(f) Work and storage room,
						for the safe preparation, storage and disposal of radioactive
						materials.
(g) The nuclear medicine
						service area shall be separated from sources of interfering
						radiation.
(h) Equipment for the
						nuclear medicine service shall be adequate to conduct reliable diagnostic
						studies.
(i) Nuclear medicine
						facilities located outside of New York City shall comply with Part 16 of this
						Title (State Sanitary Code). Nuclear medicine facilities located in New York
						City shall comply with article 175 of the New York City Health Code.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.17 - Rehabilitation therapy services departments

Current through Register Vol. 46, No. 28, July 10, 2024
When rehabilitation therapy services are provided
						  within a hospital, adequate space and equipment to fulfill the approved scope
						  of services shall be provided. The service area shall have level access or an
						  elevator for both inpatients and outpatients needing such services. Space shall
						  be provided for the following functions, which may be part of an outpatient
						  service department:
(a) a reception
						and waiting area;
(b) office space,
						as required by workload;
(c)
						examination rooms, as required by the number or patients served;
(d) exercise and treatment areas, which may
						be subdivided by cubicle curtains to permit individual treatment and training
						in ambulation, stair-climbing and activities of daily living and shall include
						a lavatory;
(e) a hydrotherapy area
						with cubicle curtains;
(f) toilet
						rooms for patient use;
(g) storage
						space for physical therapy supplies and equipment; and
(h) conference space for staff meetings and
						staff teaching sessions which may be shared with other departments, and
						centrally located within the hospital.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 712 - Standards Of Construction For General Hospital Facilities › Subpart 712-1 - Standards For General Hospital Construction Projects Approved Or Completed Prior To October 14, 1998 › Section 712-1.18 - Respiratory care departments

Current through Register Vol. 46, No. 28, July 10, 2024
When respiratory care services are provided within a
						  hospital, facilities and equipment for the service shall be appropriate for the
						  effective and timely use of the patients and shall include the
						  following:
(a) storage room for
						necessary equipment;
(b) facilities
						for cleaning, sterilizing and repairing equipment;
(c) an office for recordkeeping and other
						related clerical functions;
(d) an
						examination or treatment room equipped for pulmonary function diagnosis and
						treatment;
(e) laboratory space for
						blood gas analysis; and
(f) a
						conference or classroom, for educational activities, shall be available, which
						may be utilized with other departments, and centrally located within the
						hospital.