Guidelines for Design and Construction of Hospitals and Outpatient Facilities
Read the preface, review the table of contents, download errata and ASHRAE 170 addenda, and learn how to acquire the document.
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.
- Interpretation on size of hand-washing station sink in 2010 edition has been corrected; see file dated 11/8/13.
- Interpretation added for PE rooms in oncology nursing units (2010 ed.)
- Errata sheet for 2010 edition updated
- Read the article in Long-Term Living on the new Residential Guidelines.
Second Draft of Sustainable Design Guidelines Posted for Public Comment
Download the FGI white paper on sustainable design for hospitals and outpatient facilities, and send us your comments and suggestions by January 2, 2014.
2014 FGI Guidelines Update Series Publicizes Material New in 2014
To help users of the FGI Guidelines learn more about the next edition of the standard, the Facility Guidelines Institute is producing a series of articles on major changes and new material in the 2014 edition of the Guidelines for Design and Construction of Hospitals and Outpatient Facilities as well as the new Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Most of the articles will be written by members of the Health Guidelines Revision Committee who participated in the 2014 revision cycle. Visit this page under the Resources tab to read an introduction to the series and to access PDFs of the articles.
New FGI GUIDELINES Standard for Residential Care
The Facility Guidelines Institute (FGI) has developed a new standard for residential facilities. Titled Guidelines for Design and Construction of Residential Health, Care, and Support Facilities, the document provides minimum recommendations for new construction and renovation of nursing homes, hospice facilities, assisted living facilities, independent living settings, adult day care facilities, wellness centers, and outpatient rehabilitation centers. To learn more about the new document, read the FGI press release announcing Health Guidelines Revision Committee approval of the manuscript and visit the homepage for residential care facilities on the FGI website.
The entire new document was open for comment by the public in the first quarter of 2013. Residential care providers, gerontology experts, architects, consulting engineers, administrators, facility managers, interior designers, residents of facility types included in the book, and other interested parties were invited to review the content and submit their suggestions for revision. All comments were reviewed by the Focus Group on Residential Facilities of the 2014 Health Guidelines Revision Committee. Publication of the final document is planned for early in 2014.
About the FGI Guidelines for Design and Construction of Health Care Facilities
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. Beginning with the 2014 edition of the Guidelines for Design and Construction, FGI will publish two standards: 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 preface to the 2010 edition. 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.