Transitioning to the 2012 2016 Life Safety Conference - - PowerPoint PPT Presentation

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Transitioning to the 2012 2016 Life Safety Conference - - PowerPoint PPT Presentation

Feb 27, 2023 149 likes •585 views

Transitioning to the 2012 2016 Life Safety Conference Introductions/ Bios Mitchell S. Elliott, AIA Chief Development Officer Vetter Health Services, Inc. 402.895.3932 Architect Chair NHCA Life Safety Task Force Member AHCA

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SLIDE 1

Transitioning to the 2012

2016 Life Safety Conference

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SLIDE 2

Introductions/ Bios

Mitchell S. Elliott, AIA

Chief Development Officer Vetter Health Services, Inc. 402.895.3932

  • Architect
  • Chair – NHCA Life Safety Task Force
  • Member – AHCA Life Safety Committee
  • 2nd Vice Chair – NFPA Health Care Section Board
  • f Directors
  • President – SAGE (Society for the Advancement
  • f Gerontological Environments)
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SLIDE 3

Introductions/ Bios

Todd M. Aerni

Facilities Management Director Hillcrest Health Services 402.619.7362

  • Certified Building Official
  • Masters of Public Administration
  • Past President – Nebraska Code Officials
  • Member – NHCA Life Safety Task Force
  • Board Member– Sarpy County Swim Club
  • Father of Two and Husband of One…
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SLIDE 4

NHCA Life Safety Taskforce Members

Mitchell S. Elliott Vetter Health Services Todd M. Aerni Hillcrest Health Services Rex Moore Good Samaritan Society Rhonda Distefano Immanuel Communities John Turner Immanuel Fontenelle Chuck Zimmerman Sampson Construction Mark Long NIFCO Mechanical Systems, Inc.

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SLIDE 5

Taskforce Mission

To advocate, on behalf of NHCA members, for life safety within skilled nursing and assisted living facilities that promotes quality life, quality care and quality environments.

taskforce.nehca.org

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SLIDE 6

Today’s Goals

  • To understand the major

differences between the 2000 and the 2012 Life Safety Codes.

  • To discover the process for

transitioning to the 2012 code.

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SLIDE 7

Code Development

  • NFPA – 3-year Code Revision Cycle
  • Participatory Process
  • Technical Committee Driven
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SLIDE 8

CMS & NFPA

1967

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SLIDE 9

CMS & NFPA

  • 2012 Culture Change Components –

Adopted through Categorical Waiver Process in 2014

  • Adoption of 2012 Life Safety Code…
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SLIDE 10

Collaborative Outcomes

Collaborative Development of the 2012 Life Safety Code for Culture Change

  • Pioneer Network
  • Rothschild Foundation
  • AIA
  • SAGE
  • CMS
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SLIDE 11

The Culture Change

Five Pillars of Culture Change

  • Open Kitchens
  • Home-like Décor
  • Furniture & Equipment in the Corridors
  • Fireplaces
  • Security
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SLIDE 12

Kitchens Open to the Corridor

Allows certain types

  • f

alternative cooking arrangements including kitchens, serving lass than 30 residents, to be open to corridors as long as they are contained within smoke compartments with no more than 30 beds.

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Kitchens Open to the Corridor NFPA 101-2012, 18/19.3.2.5.3

  • Cooktop or range is equipped with a range hood
  • Hood systems have a min. airflow of 500 cfm
  • Hood systems that are not ducted to the

exterior additionally have a charcoal filter to remove smoke and odor.

  • The use of solid fuel for cooking is prohibited.
  • Deep-fat frying is prohibited.
  • Portable fire extinguishers in all kitchen areas.
  • No smoke detector is located less than 20 ft

from the cooktop or range.

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Installation of Combustible Decorations

Allows for a certain amount of wall space that may be covered by combustible decorations.

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Installation of Combustible Decorations NFPA 101-2012, 18/19.7.5

  • The decorations, such as photographs, paintings,

and other art, are attached directly to the walls, ceiling, and non-fire-rated doors.

  • Decorations do not exceed 20 percent of the

wall, ceiling, and door areas inside any room or space of a smoke compartment that is not protected throughout by an approved automatic sprinkler system.

  • Decorations do not exceed 30 percent of the

wall, ceiling, and door areas inside any room or space of a smoke compartment that is protected throughout by an approved supervised automatic sprinkler system

  • Decorations do not exceed 50 percent of the

wall, ceiling, and door areas inside patient sleeping rooms having a capacity not exceeding four persons, in a smoke compartment that is protected throughout by an approved, supervised automatic sprinkler system

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Items in the Corridor (Medical Equipment)

Allows emergency medical equipment such a crash carts and patient lift and transportation devices to be placed in the exit corridor without ‘in-use’ restrictions.

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Items in Corridor (Medical Equipment) NFPA 101-2012, 18/19.2.3.4(4)

  • The wheeled equipment does not

reduce the clear unobstructed corridor width to less than 60 in.

  • The health care occupancy fire

safety plan and training program address the relocation

  • f

the wheeled equipment during a fire or similar emergency.

  • The wheeled equipment is limited

to the following:

  • i. Equipment in use and carts in use
  • ii. Medical emergency equipment not in use
  • iii. Patient lift and transport equipment
  • Wheeled equipment and carts in use include:

food service carts, housekeeping carts, medication carts, isolation carts, and similar items.

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Items in the Corridor (Fixed Furniture)

Also permits fixed furniture in the corridor.

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Items in Corridor (Fixed Furniture) NFPA 101-2012, 18/19.2.3.4(5)

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SLIDE 20

Items in Corridor

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SLIDE 21

Door Locking Arrangements

Allows door locking arrangements in areas where there are clinical needs, security risks or specialized protective measures required for safety.

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SLIDE 22

Gas Fireplaces in Common Areas

Allows the installation

  • f

direct vent gas fireplaces in smoke compartments containing sleeping rooms.

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SLIDE 23

Gas Fire Places in Common Areas NFPA 101-2012, 18/19.5.2.3(2)

  • No such device shall be located inside of a

patient sleeping room.

  • Be protected throughout by an approved,

supervised automatic sprinkler system

  • Include a sealed glass front with a wire

mesh panel or screen.

  • Controls for the direct-vent gas fireplace

shall be locked or located in a restricted location.

  • Electrically supervised carbon monoxide

detection shall be provided in the room where the fireplace is located.

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Beyond Culture

  • Major/Minor Rehabilitation 18/19.1.1.4.3.1
  • Major > 50% of smoke compartment or more

than 4,500 sf of area in a smoke compartment.

  • Minor < 50% and not more than 4,500 sf.
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Beyond Culture

  • Corridor Projections 18/19.2.3.4(2)
  • LSC allows 6” projections from a

corridor wall.

  • ADA only allows 4” projections.
  • CMS Published Rule states:

CMS intends to provide technical assistance regarding strategies for how to avoid noncompliance with the ADA's protruding objects requirement, as well as how to modify non-compliant protruding

  • bjects.
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Beyond Culture

  • ABHRD (Alcohol-based hand-rub dispensers)

18/19.3.2.6 – Officially allowed w/ stipulations

  • Dispenser size limitation - .32 gal/each
  • Limit of 10 gal per smoke compartment
  • Defined locations relative to ignition source (outlets) –

1” top/bottom/side

  • Six “operational” criteria,

including: “testing in accordance with manufacturer’s care and use instructions each time a new refill is installed.”

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SLIDE 27

Beyond Culture

  • Extinguishing Requirements 18/19.3.5

Increased down time of a automatic fire suppression system from 4 hours to 10 hours in a 24-hour period before a fire watch, or building evacuation, is required.

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SLIDE 28

Beyond Culture

  • Roller Latches 18/19.3.6.3.9.1
  • Roller latches allowed by LSC – remain closed

with up to 5 pounds of force.

  • CMS will prohibit roller

latches on corridor doors and doors to rooms containing flammable and combustible materials.

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Door Locking Arrangements NFPA 101-2012, 18/19.2.2.2.2 through 18/192.2.2.6

  • Current Code

Requirements & Limitations

  • Waiver Allowances
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Multiple Delayed Egress Locks

Allows more than one delayed- egress lock in the egress path where the clinical needs require specialized security measures or when a patient requires specialized protective measures for safety.

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Multiple Delayed Egress Locks NFPA 101-2012, 18/19.2.2.4

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Beyond Culture

  • Recycling Containers 18/19.7.5.7.2
  • Size limit of 96 gal unless located in a hazardous

area, then unlimited.

  • This is up from the 32 gal limitation in 2000 LSC.
  • Trash receptacles – not required to be fire

resistive 18.7.5.7.3

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SLIDE 33

Beyond Culture

  • Draperies and Curtains 18/19.7.5.1
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Beyond Culture

  • Draperies and Curtains 18/19.7.5.1
  • Must meet flame propagation performance criteria
  • f NFPA 701…
  • Still applies to privacy curtains.
  • Does not apply to curtains at showers and baths.
  • Does not apply to draperies and curtains in

resident rooms.

  • Does not apply to draperies and curtains in other

rooms and areas with size limitations,

  • Each panel does not exceed 48 sf.
  • Total window panels do not exceed 20 percent
  • f wall.
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Beyond 101

  • NFPA 10-2010 Standard for Portable Fire

Extinguishers (1998)

  • NFPA 25-2011 Standard for the ITM of Water-

based Fire Protection Systems (1998)

  • NFPA 70-2011 National Electric Code (1999)
  • NFPA 72-2010 National Fire Alarm and

Signaling Code (1999)

  • NFPA 80-2010 Standard for Fire Doors and

Other Opening Protectives (1999)

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SLIDE 36

Beyond 101

  • NFPA 96-2011 Standard for Ventilation Control

and Fire Protection for Commercial Cooking Operations (2001)

  • NFPA 99-2012 Health Care Facilities Code

(1999), except:

  • Chapter 7- Information Technology and

Communications Systems for Health Care Facilities

  • Chapter 8 – Plumbing
  • Chapter 12 – Emergency Management
  • Chapter 13 – Security Management
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SLIDE 37

Beyond 101

  • NFPA 110-2010 Standard for Emergency and

Standby Power Systems (2002)

  • NFPA 241-2009 Standard for Safeguarding

Construction, Alteration and Demolition Operations (2000)

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SLIDE 38

In Transition…

  • CMS published final rule on May 4, 2016.
  • Regulation is effective 60 days after the

publishing of the final rule…

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In Transition…

  • CMS to issue a S&C Letter to clarify the

coordination of surveyor guidance, training and enforcement…probably by July 5, 2016.

  • CMS and their sub-contractors (fire marshals)

won’t be performing Life Safety surveys based

  • n the 2012 LSC until surveyor guidance and

training have been finalized.

  • AHCA lobbying for public access to CMS

training, which will be online and electronic.

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SLIDE 40

In Transition…

  • Nebraska Concerns…
  • Can the Nebraska State Fire Marshal

enforce a federal regulation that has not been adopted by the State of Nebraska?

  • Can Nebraska quickly adopt the 2012 LSC

administratively versus legislatively?

  • Does a federal regulation supersede a state

regulation?

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SLIDE 41

In Transition…

  • NHCA is well-connected for influencing the

practical adoption and enforcement of the 2012 Life Safety Code.

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RESOURCES

  • Quick Compare, Life Safety Code 2000 & 2012

by NFPA

  • CMS Published Final Rule
  • https://www.federalregister.gov/articles/2016/

05/04/2016-10043/medicare-and-medicaid- programs-fire-safety-requirements-for-certain- health-care-facilities#h-22

  • NHCA Life Safety Task Force
  • AHCA Life Safety Committee
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