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Planning, Design, and Construction of Health Care Facilities, 3rd Ed
U.S. Standards
International Standards

Planning, Design, and Construction of Health Care Facilities, Revised Third Edition

When patient and work safety is at risk, stakes for a successful project are even higher

August 2015; Revised 2017. 156 pages.

  • An individual license is intended for single users only. This ebook cannot be shared, disseminated, downloaded, or posted for widespread or public use. 
  • site license allows this ebook to be shared among unlimited users but only within one facility or site, either by posting to a secure intranet site or by providing other means of secure access. Please contact JCR Customer Service (877.223.6866 option 1) for pricing of a site license.
  • system license allows this ebook to be shared among unlimited users within all facilities or sites within a health care system, either by posting to a secure intranet site or by providing other means of secure access. Please contact JCR Customer Service (877.223.6866 option 1) for pricing of a system license.

$75.00 - $219.00
Product Description

Product Description

Developing and executing a health care facility’s new or improved design establishes the basis for safe and effective care within that structure’s walls. Like any construction or renovation project, it requires resources, education, communication, and collaboration throughout the process, which encompassing planning, design, construction, and commissioning. When patient and worker safety are at risk, the stakes for a successful project are even higher.
This revised third edition of Planning, Design, and Construction of Health Care Facilities, developed in conjunction with the American Institute of Architects Academy of Architecture for Health (AIA-AAH), presents a comprehensive guide for health care organizations around the world looking to build new facilities—or update current structures—in compliance with Joint Commission, Joint Commission International (JCI), and other recognized standards of health care design excellence. It includes a wealth of information, strategies, and experiences that will supply you with core concepts you need for sustained success with your new facility or existing structure.
The revised third edition has been updated to reflect the 2012 Life Safety Code.®
Key Topics:
  • Chapters focused on a specific phase of the project process (planning, design, construction, and commissioning) and how it interacts with the other phases
  • The renovation process – resources, education, communication and collaboration
  • Expanded information on process improvement, risk assessment and commissioning 
Key Features:
  • Project Gallery - highlights projects by domestic and international health care organizations 
  • Standards Sidelight-  reinforces how Joint Commission and JCI standards relate to key concepts
  • Overreaching Issue - addresses issues relevant throughout the entire project
  • Focus Features – covers critical and supplementary related topics, such as designing for safety and reliability, alternate facility delivery models, and more
  • Contributions from the American Institute of Architects Academy of Architecture for Health
Standards: Joint Commission and JCI standards related to the planning, design and construction of health care facilities, including Environment of Care (EC), Infection Prevention and Control (IC), and Life Safety (LS) as well as Facility Management and Safety (FMS); Governance, Leadership, and Direction (GLD); and Prevention and Control of Infections (PCI)
  • Domestic: Ambulatory Health Care, Behavioral Health Care, Critical Access Hospitals, Hospitals, Laboratories, Nursing Care Centers, Office-based Surgery Practices
  • International: Ambulatory Care, Clinical Laboratories, Hospital, Long Term Care, Primary Care
Key Audience: 
  • Hospital leaders
  • Facilities managers
  • Architects
  • Designers
  • Construction firms 

Joint Commission Resources, Inc. (JCR), a wholly controlled, not-for-profit affiliate of The Joint Commission, is the official publisher and educator of The Joint Commission.

JCR is an expert resource for health care organizations, providing advisory services, educational services and publications to assist in improving quality and safety and to help in meeting the accreditation standards of The Joint Commission. JCR provides advisory services independently from The Joint Commission and in a fully confidential manner.

Table of Contents

Table of Contents



Table of Terms

FOUNDATIONS: Standards and Regulations
Joint Commission and Joint Commission International Standards 
The Facility Guidelines Institute 
Other Relevant Standards and Regulations
Chapter 1: The Planning Phase 
Types of Planning 
Step 1: Analyzing Project Needs 
Step 2: Assembling the Project Team 
        STANDARDS SIDELIGHT: Leadership 
        OVERARCHING ISSUE: Project Size 
        PROJECT GALLERY: Community Partnerships 
Step 3: Gathering Project Data 
Step 4: Devising a Project Plan 
Step 5: Determining a Budget 
Step 6: Finalizing the Master Facility Plan 
Step 7: Ensuring Regulatory Compliance 
Step 8: Documenting the Master Facility Plan 
Build or Renovate? 
        PROJECT GALLERY: Major Renovation
Exit Note 
PLANNING FOCUS: RPI and Change Management 
        Robust Process Improvement® (RPI) 
        RPI’s Four Elements of Change Management
PLANNING FOCUS: Alternative Facility Delivery Models
        Integrated Project Delivery Model
        Construction-Manager-at-Risk Model
        Design-Build Model
        Design-Assist Model
        P3 Model
PLANNING FOCUS: Design Outcome Plan™
        Project Vision
        Guiding Principles
        Design Elements
PLANNING FOCUS: Value Engineering (VE)
        Methodology and Approach
Chapter 2: The Design Phase
        OVERARCHING ISSUE: Process Redesign
        PROJECT GALLERY: Lean Design and Construction
Schematic Design
        STANDARDS SIDELIGHT: Patient-Centered Care
Design Development
        PROJECT GALLERY: Building Information Modeling
Construction Documents Preparation
        PROJECT GALLERY: Mock-Ups
Exit Note
DESIGN FOCUS: Forward-Thinking Design
        Patient-Centered Design
        Sustainable Design
        Technology-Supportive Design
        Adaptive Design
DESIGN FOCUS: Specialty Design
        Designing for Laboratories
        Designing for Pharmacies
        Designing for Hybrid Operating Rooms
DESIGN FOCUS: Designing for Safety and Reliability
        Designing for Life Safety
        Designing for Infection Control
        Designing for MEP Infrastructure
        Designing for Security
        Designing for Patient Flow
        Designing for Emergency Management
        Designing for Human Factors
        Designing for Worker Safety
        Designing for Fall Prevention
        Designing for Bariatric Needs
        Evidence-Based Design
        Designing for Technology Safety
        Designing for Facilities in Developing Countries
Chapter 3: The Construction Phase
Construction Bidding
Construction Risk Management
        STANDARDS SIDELIGHT: Infection Control
        PROJECT GALLERY: Cleanliness Levels in Construction
Interim Life Safety Measures (ILSMs)
        STANDARDS SIDELIGHT: Life Safety
Construction Activities
        OVERARCHING ISSUE: Communication
Exit Note
CONSTRUCTION FOCUS: Construction Risks and Measures
        Construction Risks
        Measures to Minimize Risks
Chapter 4: The Commissioning Phase
The Commissioning Process
The Commissioning Team
Standards and Regulations for Commissioning
Facility Commissioning
Facility Orientation
Clinical Operations Commissioning
        STANDARDS SIDELIGHT: Medication Management
Postoccupancy Evaluation
Commissioning Budget
Benefits of Commissioning
Survey Considerations
        OVERARCHING ISSUE: Process Alignment
Exit Note
        Major Move-In Considerations
        Best Practices for Moving Day




About the Foreword Writer

Charles H. Griffin, AIA, FACHA, EDAC, is a member of the College of Fellows of the American Institute of Architects. He is also senior principal and studio leader for WHR Architects. Griffin has close to 40 years of health care architecture experience and was a founding member of the American College of Healthcare Architects.

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