2018 Edition

For the 2018 edition of the Guidelines for Design and Construction documents, the Facility Guidelines Institute developed three books: a volume for hospitals, a new volume for outpatient facilities, and the volume for residential health, care, and support facilities. Each provides basic information on planning, design, construction, and commissioning as well as minimum design requirements for particular facility types. The Guidelines requirements were updated to keep up with changes in health care delivery; to clarify and align requirements, where applicable, between all three Guidelines documents; and to allow flexibility in design to support development of facilities that will meet the needs of owners and their communities over the long term. With the launch of  the 2018 edition, FGI is proud to offer a new resource library that goes beyond the minimum standards: Beyond Fundamentals, free with a subscription to the Guidelines or $25 per year as a standalone subscription.

Guidelines for Design and Construction of Hospitals

Changes to the Hospital Guidelines clarify requirements and allow flexibility in some designs to support development of facilities that will be functional over the long term. Key changes affect requirements and recommendations for clinical telemedicine spaces; accommodations for patients of size; mobile/transportable units; sterile processing; and examination, procedure, operating, and imaging rooms. The document provides minimum design standards for general hospitals, freestanding emergency facilities, critical access hospitals, psychiatric hospitals, rehabilitation hospitals, children’s hospitals, and mobile/transportable medical units.

To learn more about the content, review the Hospital table of contents and the discussion of major additions and revisions, which outlines significant changes from the hospital requirements in the 2014 edition.

Guidelines for Design and Construction of Outpatient Facilities

The 2018 edition introduces the new Outpatient Guidelines document. Flexible enough to address a wide variety of outpatient facility projects, this inaugural publication was conceived to meet the needs of the U.S. health care industry and address the evolving nature of outpatient facilities. The document provides minimum design standards for a variety of outpatient facility types, including general and specialty medical services facilities, outpatient imaging facilities, birth centers, urgent care facilities, infusion centers, outpatient surgery facilities, freestanding emergency facilities, endoscopy facilities, renal dialysis centers, outpatient psychiatric facilities, outpatient rehabilitation facilities, mobile/transportable medical units, and dental facilities. Guidance is provided for applying the Guidelines to outpatient facilities of numerous types, both freestanding and part of existing facilities, including those not specifically addressed in the document.

See the Outpatient table of contents and the essay on major changes from the 2014 requirements.

Guidelines for Design and Construction of Residential Health, Care, and Support Facilities

The 2018 Residential Guidelines refines the 2014 text and—stemming from the needs of the residential long-term care marketplace—provides guidance for two additional facility types: long-term residential substance abuse treatment facilities and settings for individuals with intellectual and/or developmental disabilities. The revision committee made a concerted effort to base changes on evidence-based research, information from subject matter experts, and experience in the field across a broad spectrum of interrelated disciplines.

The facility design requirements and recommendations presented in the Residential Guidelines have moved away from institutional models to foster development of facilities offering person-centered living environments that support a variety of care models and add to the quality of life for residents. The goal is to help care organizations and designers create homelike physical environments that support positive resident outcomes. Design standards are provided for nursing homes, hospice facilities, assisted living facilities, substance abuse treatment facilities, settings for individuals with intellectual and/or developmental disabilities, independent living settings, adult day care facilities, wellness centers, and outpatient rehabilitation facilities.

Review the Residential table of contents and major changes essay.

Beyond Fundamentals – COMING SOON

The Beyond Fundamentals program supports the content of the Guidelines for Design and Construction documents by supplementing and expanding on the minimum design requirements published in the Guidelines. Among the Beyond Fundamentals topics FGI is preparing for 2018 are detailed discussions of Guidelines requirements and how to apply them, research and tools related to Guidelines requirements, draft minimum requirements supported by research or other evidence, and emerging trends in practice that promise to change health care facility design. There also will be reports and articles about what providers, designers, researchers, and regulators are experiencing or planning. Offerings will be presented in various formats, including white papers, videos, reports, advisory opinions, and checklists.


For purchase information for electronic access and print books of the 2018 Guidelines documents and subscriptions to Beyond Fundamentals, please visit fgi.MADCAD.com.

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