About the Process

FGI’s Guidelines for Design and Construction documents are updated every four years through a consensus process that includes public input.

Steps in the revision process include:

  1. The public is invited to submit proposed changes to the current Guidelines text.
  2. The Health Guidelines Revision Committee (HGRC) reviews public proposals as well as proposals prepared by HGRC members and subcommittees.
  3. The HGRC votes whether to accept or reject proposals, or accept them with modification.
  4. Drafts of the next edition of the FGI Guidelines are prepared and posted on the FGI website for public review.
  5. The public is invited to submit comments on the recommended changes that have resulted from proposals accepted by the HGRC.
  6. The HGRC considers comments on the draft documents and finalizes the content for the next edition.
  7. A final manuscript is reviewed by the HGRC and submitted to the Steering Committee for final approval.
  8. The next edition of the Guidelines is published.

Find out more details about the 2018 Revision Cycle.


The Residential Guidelines, created with an interdisciplinary volunteer team, is a milestone document created to support the evolution of long-term care environments and to offer consistent guidance for providers, design professionals, and authorities have jurisdiction. The ultimate goal is to provide the framework for environments that support positive resident outcomes.
Jane M. Rohde, AIA, FIIDA, ACHA, AAHID, LEED AP, JSR Associates, Inc.

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