Guidelines for Design and Construction of Hospitals and Outpatient Facilities
Guidelines for Design and Construction of Residential Health, Care, and Support Facilities
Learn more about FGI's new standard for nursing homes; hospice, assisted living, and adult day care facilities; independent living settings; wellness centers; and outpatient rehab centers.
- Learn more about ASHE's e-learning program on the 2010 edition of the FGI Guidelines.
- Summary of ASHE-FGI estimate of cost difference between 2010 and 2014 hospital requirements
- Read new guidance on OR and sterile processing ventilation
- Safety risk assessment toolkit from the Center for Health Design posted on the FGI website
- New edition of Hunt/Sine Design Guide for the Built Environment of Behavioral Health Facilities posted on FGI website
- Read about the 2018 Guidelines revision cycle
- Read FGI President Rockstroh's report on recent FGI activities
- FGI hires first full-time staff
- First formal interpetation of 2014 HOP Guidelines posted
- Endoscopy patient toilet room updated on 2014 HOP Guidelines errata sheets
Facility Guidelines Institute's First Pioneer: J. Armand Burgun, FAIA, FACHA
On November 10, 2015, the Facility Guidelines Institute (FGI) bestowed its first Pioneer Award on J. Armand Burgun, FAIA, FACHA. This award honors an organization or individual who has influenced the future of health care facility design and construction through participation in and support of the mission and vision of the Facility Guidelines Institute. The award was presented to Mr. Burgun before 110 of his fellow residents and colleagues at the Galloway Ridge CCRC in Pittsboro, N.C., by members of the FGI Board of Directors.
Armand worked on the Guidelines, and prior to that the PHS Minimum Construction Requirements, for more than half a century and was FGI's first president and the first chair of the Guidelines when it was moved from the federal government to the private sector. His passion for making a difference in how health care facilities are planned, designed, and constructed, focusing on the needs of the patient, continues to be a benchmark many strive to reach. Armand lobbied and fought for more than 30 years to change the regulations from multi-bed patient rooms to single-bed rooms, and in 2006 he saw that change finally adopted as a minimum standard. His other accomplishments within the Guidelines, while not quite as dramatic, were also groundbreaking and instrumental in making health care facilities more welcoming, patient-centered places.
There was much celebration as Armand received FGI's Pioneer Award. However, the joy was short-lived as he passed away on November 18, one day short of his 90th birthday. The FGI Board and everyone who knew him understand that we have lost one of the truly great and compassionate people in our business and the world. Armand lived life to its fullest, even singing in the Galloway Ridge barbershop quartet the day he received his award. We have lost not only a pioneer but a wonderful mentor, colleague, and friend.
Armand Burgun is third from left, with FGI board members (from left) Kurt Rockstroh, Joe Sprague, and Doug Erickson.
2018 FGI Guidelines Proposal Period Now Closed
The proposal period is closed, and we are now preparing the proposals for review by the 2018 Health Guidelines Revision Committee. However, FGI welcomes comments on the content of our documents at any time; please contact us.
Health Care Futures – An Assessment
As part of preparation for the 2018 FGI Guidelines revision cycle, the Facility Guidelines Institute held two colloquiua to consider trends and forces likely to influence the future of health care in the United States as well as how predicted changes in the health care system might affect the design of health care facilities. The results of the first colloquium are now available in this document: The Future of Health Care as Predicted Using Scenario Planning.
Be Sure to Track Errata Sheets and Interpretations for the 2014 Guidelines
As use of the 2014 Guidelines increases, editorial errors in the documents are identified. Please periodically check the Hospital and Outpatient (HOP) and Residential (RES) Web pages to make sure you have the most current version of the errata sheet. Because errata are editorial errors, they are considered part of the official document. There is not yet an errata sheet for the Residential standard, but new errata sheets for the print and e-book versions of the 2014 Hospital and Outpatient standard were posted on January 7, 2015.
As well, the first interpretation of language in the 2014 Guidelines for Design and Construction of Hospitals and Outpatient Facilities was recently issued; it clarifies requirements for sterilization facilities in outpatient facilities.
Read the 2014 FGI Guidelines Update Articles
The Facility Guidelines Institute is producing a series of articles on major changes and new material in the 2014 edition of the FGI Guidelines documents to help users learn more about changes to the content of the standard. So far, five articles are available on topics in the Guidelines for Design and Construction of Hospitals and Outpatient Facilities. Visit this page under the Resources tab to read an introduction to the series and to access PDFs of the articles.
The 2014 FGI Guidelines Published as Two Documents
For its 2014 edition of the FGI Guidelines for Design and Construction of Health Care Facilities, the Facility Guidelines Institute has published two documents: the Guidelines for Design and Construction of Hospitals and Outpatient Facilities and the new Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Both documents are available in print book and e-book versions. See the FGI Store page for details.
To learn more about the Hospital and Outpatient Guidelines, read the publication announcement, the Major Additions and Revisions essay on the 2014 Hospital/Outpatient page, and the essays in the FGI Update series.
For information on the new Residential Guidelines and the reasons behind its development, read a press release announcing its publication, an explanation of how it was developed, or details about its content.
About the FGI Guidelines for Design and Construction Documents
The Guidelines documents began as General Standards published in the Federal Register on February 14, 1947, as part of the implementing regulations for the Hill-Burton program. Updated from time to time, with public participation beginning in 1974, the document covered only design and construction of hospitals until nursing homes were added in the 1980s. The Facility Guidelines Institute was founded in 1998 to formalize the revision process and ensure the Guidelines is reviewed and revised on a regular cycle with a consensus process carried out by a multidisciplinary group of experts from the federal, state, and private sectors. For the 2014 edition of the Guidelines for Design and Construction, FGI published two Guidelines documents: one for hospitals and outpatient facilities and one for residential health, care, and related support facilities. (For more history of the Guidelines process, read the About This Document section from the 2014 Hospital and Outpatient Guidelines document. Also see the About page on the FGI website.)
The FGI Guidelines for Design and Construction of Hospitals and Outpatient Facilities recommends minimum program, space, risk assessment, infection prevention, architectural detail, and surface and furnishing needs for clinical and support areas of hospitals, rehabilitation facilities, and ambulatory care facilities. The document also addresses minimum engineering design criteria for plumbing, electrical, and heating, ventilation, and air-conditioning (HVAC) systems, the latter by incorporating ANSI/ASHRAE/ASHE Standard 170: Ventilation of Health Care Facilities. The Joint Commission, many federal agencies, and authorities in 42 states use the Guidelines either as a code or a reference standard when reviewing, approving, and financing plans; surveying, licensing, certifying, or accrediting newly constructed facilities; or developing their own codes.
The FGI Guidelines for Design and Construction of Residential Health, Care, and Support Facilities recommends minimum program, space, risk assessment, architectural detail, and surface and furnishing needs for nursing homes, hospice facilities, independent and assisted living facilities, and related non-residential support facilities, including wellness centers, day care facilities, and rehabilitation centers. The document also addresses minimum engineering design criteria for plumbing, electrical, and heating, ventilation, and air-conditioning (HVAC) systems. Read about development of this document here.