From the President

Rockstroh2014 was a very productive year for FGI. To begin with, we launched the 2014 edition of the Guidelines for Design and Construction of Hospitals and Outpatient Facilities and the new 2014 Guidelines for Design and Construction of Residential Health, Care, and Support Facilitie35s. The latter is the first time FGI has published guidelines for nursing homes, hospice facilities, assisted living facilities, and other long-term care settings as a stand-alone document. The concept of creating a separate document came in response to an overwhelming number of requests from users of the Guidelines and from professional and trade associations.

FGI also organized two colloquiums focused on discussing the future of health care delivery—where is it headed in the United States and what types of facilities will be needed to support health care services in the future. We gained significant direction from the discussions at the colloquiums that will assist us in setting the strategic direction and corresponding initiatives for FGI. Some of the recommendations included:

Split the guidelines for inpatient and outpatient facilities into two documents.

Develop a more nimble guidelines development process to keep up with the rapid changes in U.S. health care delivery.

Publish the fundamental, adoptable standards, which have been the focus of the FGI revision process to date, separately from alternative and best practice concepts. Although the latter do not belong in a fundamental document, they are sufficiently relevant to many health care organizations that it is important to transmit them to the public.

As a result of these recommendations as well as suggestions from the 2014 Health Guidelines Revision Committee members, we have undertaken the following:

Publication of the 2018 hospital and outpatient content in individual volumes

Revision of our process for guidelines development

Division of the 2018 content into fundamental standards and “beyond fundamental” recommendations

The 2018 revision cycle has officially begun with the appointment of our 2018 Steering Committee, whose members have met and identified 2018 Health Guidelines Revision Committee participants. The public proposal period will open in May and run through October 15, 2015. For those who participate in the Guidelines revision cycle by participating in the public proposal and comment periods, the process will be very similar to how it has been in the past, with the opportunity to submit proposals, comment on the proposed draft, and offer opinions on the proposals and comments of others.


Kurt A. Rockstroh, FAIA, FACHA
Facility Guidelines Institute
March 2015

With so much uncertainty in the health care world, our diverse team of owners, designers, and regulators made every effort to balance cost with patient accessibility, safety, and the quality of care.

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