The FGI 2022 guidelines are here! The Guidelines for Design and Construction documents are updated every four years. For the 2022 edition of its Guidelines for Design and Construction, the Facility Guidelines Institute (FGI) will offer three Guidelines publications for:
Each of the publications are crucial resources for facility planning and design and include program, space, risk assessment, infection prevention, architectural detail, and surface and building system requirements. Although the documents are called “guidelines,” they are written as fundamental standards and become enforceable when adopted by federal agencies or states or referenced in state laws, codes, rules, or regulations.
Throughout the issuance of the changes for the 2022 guidelines, the repeating theme was person-centered care. Due to the discussion and developments within FGI topic groups requirements and appendices have been added in the Hospital, Outpatient and Residential documents that reflect the role design plays in providing comfort to patients and residents receiving palliative and end-of-life care. Additional requirements within the guidelines provide support for the health spaces to be inclusive for patients, residents, staff, and visitors with low or declining vision, hearing, mobility, balance, or other physical difficulty. The 2022 Guidelines also updated requirements for multipurpose patient care settings, lighting, nurse call systems, telecommunication systems, and ligature resistance in areas in behavioral health settings.
The Guidelines encourage design flexibility and innovation of patient care and staff welfare are not compromised.
Health care facilities are often at the forefront of practice and technology, with new spaces continually added and old spaces reconfigured often. To accommodate the ever-changing nature of hospitals, implementing the Guidelines does not always align with the scope of a particular project. To address this misalignment, the common chapter of the 2022 Hospital Guidelines now provides an alternate method of applying requirements: For hospitals where there is a single location with a variety of services provided at a single location, designers are permitted and encouraged to include elements from one or more facility chapters without having to apply the entire chapter. To use this alternate method, designers must identify early in the design which sections of the guidelines are being applied to the project.
(2022 Hospital | 2.1-1.1.3 Non-Traditional Application)
Newborn intensive care unit (NICU) room sizes have increased. Multiple-infant rooms increased from 120 to 150 square feet per patient and single-infant rooms increased from 155 to 180 square feet. A neonatal couplet care room has been added to provide an integrated space where a hospitalized mother and NICU patient can both receive care. As NICU spaces are designed, the design team should coordinate closely with the Architect and Owner to confirm the number of bassinets and locations within each room.
(2022 Hospital | 2.2-2.9 Neonatal Intensive Care Unit)
The free-standing emergency care facilities chapter has been removed from the Hospital guidelines and will only appear in the Outpatient guidelines.
Emergency facilities are required to have video surveillance at public entrances and a duress alarm system where ED entrances may be locked. This change was proposed due to an effort in Massachusetts to pass “Laura’s Law.” Signed in law in January 2021, the law is named after Laura Levis, a 34-year-old woman who suffered an asthma attack and died outside an ED because she could not find an unlocked entrance.
A substantial impact on the plumbing systems is the reduction of permissible nonrecirculated fixture branch piping in hospitals from a maximum of 25 to 10 feet. This will impact the domestic water design requirements especially in patient care spaces.
(2022 Hospital | 2.1-8.42.5 Heated potable water distribution)
The 2022 Outpatient guidelines encourage space use flexibility.
The 2022 Residential guidelines were reorganized to align with the Hospital and Outpatient guidelines.
Overall, the 2022 guidelines have been updated to provide for flexible space use. For example, the emergency department (ED) section in the Hospital guideline and free-standing emergency facility chapter in the Outpatient guideline include requirements for a flexible secure treatment room, capable of serving as either a secure holding room or a single-patient treatment room. The Hospital and Outpatient guidelines include innovative design guidance for behavioral and mental health spaces for facilities where an intensive outpatient/partial hospitalization program (IOP/PHP) will be provided.
Have questions on how these latest FGI 2022 changes will affect renovations or new projects at your facility? Please feel free to reach out to Meagan Gibbs at firstname.lastname@example.org
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