Q16-2022 IHS ArchitectEngineerDesignGuide.pdf

2 0 2 2 Architect / Engineer

DESIGN GUIDE

The Department of Health & Human Services

Indian Health Service Office of Environmental Health & Engineering

Division of Engineering Services

Issued 08/2022

2 0 2 2 Architect / Engineer

DESIGN GUIDE

The Department of Health & Human Services

Indian Health Service Office of Environmental Health & Engineering

Division of Engineering Services

Issued 08/2022

2022 Architect / Engineer Design Guide

PREFACE

Changes in this Edition The 2022 Indian Health Service (IHS) Architect/ Engineer (A/E) Design Guide updates IHS minimum design requirements regarding Codes and Standards, Sustainability Requirements and Construction Contract Administration.

The 2022 edition of the A/E Design guide includes:

1. Additional clarification to the user and/or reader in the A/E Design Guide Chapter 1 Introduction section related to Tribal and Small-Scale Projects.

2. Additional clarification to the user and/or reader with instructions added to Appendix 2 Submittal Guidance for Projects Administered by Tribal or Others for IHS Review to assist in determining which requirements of the A/E Design Guide should be incorporated for these projects.

3. Additional clarification to the user and/or reader with instructions added to Appendix 3 Housing Submittals to assist in determining which requirements of the A/E Design Guide should be incorporated for these projects.

4. The IHS establishes for new Health Care Facilities Construction (HCFC) capital improvement projects, to include incorporating Biophilic Design supporting Evidence-Based Design principles scientific research demonstrating healthy outcomes for building occupants (see Chapter 5 Sustainability for requirements).

5. In December 2020, the Council on Environmental Quality (CEQ) publishes updates to the Guiding Principles for Sustainable Federal Buildings related to high-performance sustainable buildings, as well as energy and environmental goals and requirements. Chapter 5 Sustainability has been updated to reflect CEQ’s updates meeting statutory and regulatory requirements.

6. Box 7a NEPA, updates provided clarifying responsibilities.

7. New table inserted related to Bandwidth options listed from the Federal Communications Commission (FCC), Health Care Broadband in America, Early Analysis and a Path Forward.

8. Box 8a, Program and Space Accounting, all proposed changes to the POR shall be submitted to the DFPC Project Manager.

9. 12.1.2.1 For HQ DES Dallas, Seattle, DFPC:

Rockville, and IHS Area.

10. 12.1.2.1 HFPM definition deleted.

11. 12.1.2.1 PORQ is no longer DFPC planning document.

12. 4.3.4 Mechanical, dental air and vacuum, dental vacuum piping shall be installed below the floor level of the patient chair.

13. 9.1.1.4 Mechanical, medical and dental gas piping and equipment details, dental vacuum piping shall be installed below the floor level of the patient chair.

14. 2.1.4 and 2.4 Duplicated information deleted from section.

15. 3.2.5 The A/E shall coordinate all items on the price schedule with the CO prior to finalizing the design documents.

16. 3.2.7(2) The A/E shall define project requirements using salient characteristics or minimum functional requirements whenever possible. When the use of a brand name is necessary to define the Government’s requirements, it shall be qualified by the words ‘or equal’.

17. 6.1.10 Delete proposed ‘cost estimate’ text.

18. Appendix 1 Provide a pre-design schedule.

19. 2.9 The A/E shall use US Customary Units in the design of new construction projects.

20. 4.3.3 Text relocated to after paragraph 3.1.11(1) and the title block should identify the following:

(a) The Firm’s name and contact information, Designer of Record’s name and signature. (b) Drawings shall be signed and sealed by the Designer of Record. (c) Contract Number and Contract Award Date. (d) CO and COR’s name initials, DES AE Division Chief’s initials, and building end user’s initials. (e) Project Name and locations. (f) Submittal Date.

21. 4.3.3 Delete ‘provide a separate drawing for each of the following when the drawing scale is 1/8”=1’-0” or less’ text.

22. 4.4 Add ‘as applicable’ reference to section.

23. Chapter 5 Sustainability added text, “greenhouse gases, and disposal of construction material, pursue cost-effective waste minimization during the construction and renovation phase of the building.

24. 5.5.2 Deleted code years indicated. All codes shall be most recent edition.

25. 14.1 Deleted COR reference, Architect is not a

COR.

26. 14.3.1 Revised ‘change order’ text. Change order is a specific type of mod as prescribed by the FAR.

27. 14.3.3 Retitled text to ‘CCA Internet Site’ or similar.

28. 14.3.5 Replaced ‘Change Order’ references with ‘Modification’ and Paragraph 3, update reference for CCA to ‘conduct’ initial cost negotiations to assist the Contracting Officer.

29. Appendix 1 6.1.6 ‘BIM Management/Execution Plan’ and 6.1.10 ‘Schedule and Cost Estimate’.

30. 5.5.1(3) Infrastructure utilization and optimization, projects at minimum are to evaluate/consider equipping a project with a set of features that make the installation of electrical vehicle (EV) charging stations after a project’s completion easier and less expensive.

31. 2.3.2 Inserted new text, the design shall conform to the latest published edition, at the time of signing of the design contract, (unless explicitly stated otherwise) of the following nationally recognized codes, standards, and guidelines.

32. Appendix 1 and 4.9.5 Replace ‘A/E Contracting Officer’s Representative’ reference on each checklist with ‘A/E’.

33. Appendix 4 Updated references.

34. 2.7 VE not applicable for DB and reference ‘if applicable’ in other sections that reference VE (4.8.8.2).

35. 2.3.2 Codes, Standards, and Guidelines item number (36) has been replaced with the U.S. Department of Energy-Federal Energy Management Program (FEMP) Water Efficiency in Federal Buildings and Campuses-Best Management Practice #4: Water-Efficient Landscaping and/or #5: Water-Efficient Irrigation.

History The Design Guide is a living document with a broad user base that will continue to build on the efforts in place to address current policy, practice, and lessons learned through design and construction activities throughout the IHS that strive to expand and enhance the availability of healthcare services through facilities construction projects.

Organization This Design Guide is organized to follow the anticipated progression of design. Each of the specific design submittal sections are standalone chapters; definitions and abbreviations sections are provided at the end of the document. Submittal sections are organized to highlight specific requirements with drawings and other documents broken out by engineering discipline.

Layout The document is formatted in a code style layout similar to current healthcare and life safety codes.

Throughout the document there are highlighted blue box sections providing additional explanatory detail requirements.

Use of Guide The document is presented in anticipation of direct federal construction managed by the IHS, and includes requirements and nomenclature that are generally familiar throughout the Indian Health Service.

Definitions that have a specific organizational meaning are included along with a comprehensive list of abbreviations.

New minimum submittal requirements have been incorporated in this Guide for project design work which is to be administered directly by others (for the benefit of the Government).

Electronic Distribution This document, along with any electronic attachments or supplemental information, is available through the DES Document Access Portal at https://www.ihs.gov/des/publications

Error and Change Submittal Notification of errors or proposed changes should be forwarded to AEDesignGuide@ihs.gov for consideration.

2022 A/E Design Guide Workgroup

Alex D. Gamble, AIA LEED AP® BD+C Architecture and Engineering Branch

James Aberle, AIA Architecture and Engineering Branch

Paul Ninomura PE, ASHRAE Health Facility Design Professional Architecture and Engineering Branch

Nick Lu, PE Architecture and Engineering Branch

Robert McClain, RA Project Management Branch

CDR Matt Mergenthaler, MCE, PE Project Management Branch

Andy Hart Acquisitions Branch

Erik Lundstorm Acquisitions Branch

Michelle Gettsy, MJIL Division of Engineering Services

CDR Omobogie Amadasu, PE Division of Facilities Planning and Construction

CDR Greg Ault, PE Billings Area Office

Mitchell Thornbrugh Office of Information Technology https://www.ihs.gov/des/publications mailto:AEDesignGuide@ihs.gov

Contents 1 Introduction 9 2 Responsibilities of the Architect/Engineer 11

2.1 General Responsibilities 11

2.2 Design Record 12

2.3 General Design Requirements 12

2.4 Building Information Modeling (BIM) 15

2.5 Sustainability 16

2.6 Life Cycle Cost Analysis 16

2.7 Value Engineering 16

2.8 Commissioning 16

2.9 Measurements 16

2.10 Mechanical Design 16

2.11 Fire Pump Installation 17

2.12 Domestic Water Supply 17

2.13 Amalgam Separators 17

2.14 HVAC Terminal Unit Clearances 17

2.15 Landscaping 17

3 Submittals Preparation 19

3.1 Drawings 19

3.2 Specifications 22

3.4 Sustainability Reports 25

3.5 BIM Reports 26

4 General Requirements for Submittals 29

4.1 General Requirements 29

4.2 Design Record 30

4.3 Documents and Drawings 32

4.4 Medical Equipment and Furnishings Planning 37

4.5 Special Systems 37

4.6 Calculations 38

4.7 Life Cycle Cost (LCC) Analysis 39

4.8 Value Engineering 41

4.9 Commissioning 42

5 Sustainability 47

5.1 General Requirements 47

5.2 Guiding Principles 47

5.3 Documentation 47

5.4 Sustainable Design Certification 48

5.5 Implementing Guiding Principles 49

5.6 Supplementary Sustainability Measures 58

6 Pre-Design Submittal 63

6.1 Requirements 63

7 Concepts Submittal 67

7.1 Requirements 67

8 Schematic Design Submittal 71

8.1 Requirements 71

8.2 Value Engineering Study 75

9 Design Development Submittal 77

9.1 Requirements 77

9.1.1 Drawings 78

10 Construction Documents Overview 85

10.1 Requirements 85

11 CD Submittal 65 Percent 89

11.1 Requirements 89

12 CD Submittal 95 Percent 97

12.1 Requirements 97

13 Final CD Submittal 101

13.1 Requirements 101

14 Construction Contract Administration 103

14.1 General Requirements 103

14.2 Pre-construction Phase Services 103

14.3 Construction Phase Services 103

14.4 Project Close-Out Services 106

14.5 Post-Occupancy Services 107

Definitions 109 Abbreviations 113 Appendix 1 Submittal Checklists 121 Appendix 2 Submittal Guidance for Projects

Administered by Tribal or Others for IHS Review 131

Appendix 3 Housing Submittals 137 Appendix 4 Program and Space Accounting 145 Appendix 5 Design Record Owner’s Project

Requirements Basis of Design 155 Appendix 6 Commissioning 161 Appendix 7 Supplemental and Example

Material 167 Appendix 8 Selected IHS Technical

Handbook Index 173 Appendix 9 List of Electronic Attachments 177 Appendix 10 Figures and Tables 181

2022 Architect / Engineer Design Guide INTRODUCTION

1 Introduction Use of 2022 Architect/Engineer (A/E) Design Guide is a requirement for the design of Indian Health Service (IHS) health care facility construction projects. The intent of the design guide is to capture current federal, departmental and IHS requirements, policies and best-practice. This A/E Design Guide provides guidance for the development of design documents, specifications, and other contract documents, architectural and engineering design features, submittals, and supplemental information. Modifications to the A/E Design Guide requirements for specific projects will be addressed in their respective Statement of Work and other contract documents as appropriate.

The A/E Design Guide defines the minimum requirements for each submittal in the production of pre- design, concept design, schematic design, design development, and construction documents for IHS construction projects. The design requirements are defined by the scope of work, the design criteria, and the program of requirements, including templates developed under the IHS Health System Planning (HSP) program. This guideline is designed to give the A/E an understanding of what is required and what must be completed before the final construction documents are approved. This guideline does not relieve the A/E firm from their professional responsibility to produce a correct, complete, and fully coordinated set of construction documents in accordance with the standard industry practices and Government criteria.

Tribal and Small-Scale Projects

The A/E Design Guide is applicable to projects that include, but not be limited to, the following: Hospitals, Ambulatory Out Patient Care Facilities, Rehabilitation Facilities and Staff Quarters. However, it is not advisable to apply all the guidelines and principles in the A/E Design Guide for the design and construction of small-scale projects Maintenance and Improvement (M&I) projects, small clinics and medical builds.

Tribes using this guide should incorporate it in its entirety or consider developing and preparing an addenda list to highlight any proposed changes to the A/E Design Guide when referenced as a contract requirement for Public Law 93-638 agreements with the IHS. For small-scale projects, this guide provides a benchmark that can be utilized directly by reference or a basis for good management practices for the administration of A/E services for health care and housing design projects. Refer to Appendix A2 Submittal Guidance for Projects Administered by Tribal or Others for the IHS Review, and Appendix A3 Housing Submittals for guidance, including a requirement list and basis of decision table, to assist in determining which requirements of the A/E Design Guide should be incorporated for these projects.

2022 Architect / Engineer Design Guide RESPONSIBILITIES OF THE A/E

2 Responsibilities of the Architect/Engineer

2.1 General Responsibilities

2.1.1 Quality

The Architect/Engineer (A/E) is responsible for the professional quality, technical accuracy, and coordination of all designs, drawings, specifications, and other contracted services.

2.1.2 Reviews and Approvals

(1) The A/E’s work shall be subject to the Government’s oversight, direction, control, review and approval.

(2) Government reviews are to assure all programs, statutory and regulatory provisions are included or met. The review is not intended to indicate complete or detailed check of all documents, calculations, codes, etc. It does not relieve the A/E of any responsibility for checking its own work; verifying existing conditions; complying with the codes, standards, and the Program Of Requirements (POR); and producing a complete coordinated set of documents.

(3) Reviews and approvals will be provided by Governmental Agencies on a standardized comment form provided by the Contracting Officer’s Representative (COR). All review comments will be coordinated through the COR for submission to the A/E. The review comment form, with the A/E’s responses, will be incorporated in the design documents before work on the next design phase submittal begins.

2.1.3 A/E Project Manager

The A/E shall designate a Project Manager who shall be familiar with the requirements in the A/E contract, performance schedule, Statement Of Work (SOW), and this A/E guide.

The Project Manager will provide necessary design guidance for the successful completion of this work and coordinate with the Government.

2.1.4 Building Information Modeling (BIM)

It is the A/E’s responsibility to coordinate the BIM process and the BIM design model throughout the design team including clash detection and drawing generation.

The BIM design model will be the principal construction document delivery tool. Design information from all disciplines such as architectural, civil, structural, HVAC, plumbing, electrical, fire protection, special systems design, medical equipment information, and all system specifications will be integrated within the BIM design model.

The A/E shall create a spreadsheet based on the same provided in Table 1 in Appendix 10, which will include all maintainable equipment, a general requirement description and the location in the building. The A/E shall require the contractor to enter all specific equipment information, maintenance requirements, model numbers, etc. as needed to ensure information provided meets the needs of the maintenance system used by IHS.

2.1.5 Document Distribution

The A/E shall distribute documents as required in the contract.

Box 2a - Design Within Funding Limitations

The contract clause FAR 52.236-22 Design Within Funding Limitations is, with limited exceptions, required in all Federal design contracts and requires the A/E to accomplish the design so that a construction contract can be awarded at or below the estimated construction cost listed in the clause.

The clause also requires prompt notice to the Government if the A/E determines that the design requirements cannot be met within the budget. Such notices should be made as soon as the problem is identified and not wait for the next design submittal. Otherwise, the A/E is expected to continuously monitor the budget and adjust the design as necessary so that accurate construction cost estimates submitted for each design phase do not exceed the limit stated in the contract or task order.

2.1.6 Scope Changes

Any proposed deviation from the project SOW must be reviewed with the COR and approved by the Contracting Officer (CO) before any action can take

2022 Architect / Engineer Design GuideRESPONSIBILITIES OF THE A/E place. When major changes in the SOW are required, the CO according to the changes clause of the contract will negotiate appropriate contract modifications with the A/E. During the progress of the work, if minor changes within the general project scope are required, the A/E will make the adjustments when directed by the CO.

2.1.7 Document Ownership

All drawings, designs, specifications, cost estimates, notes, computer-aided design (CAD) files, BIM design model files and data, design calculations, and other related work shall become Government property.

2.1.8 Errors and Negligent Performance

The A/E shall correct or revise any errors, omissions, or deficiencies in designs, drawings, specifications, estimates, and other services without additional compensation. The A/E shall remain liable in accordance with applicable laws for all damage caused by the A/E or its consultants, negligent performance of any of the services furnished under the A/E’s contract, or failure to comply with any applicable legal or contractual obligations. Reference FAR Clause 52.236-23, Responsibility of the Architect-Engineer Contractor (April 1984).

Design errors or omissions or other failures that constitute negligent performance or breach of a contractual obligation, resulting in damages or extra cost to the Government will be evaluated for potential A/E financial liability. If the Government determines the A/E is liable for any such deficiency, the CO will notify the A/E. Any damages or extra costs incurred by the Government resulting from any such deficiency will be actively pursued.

2.1.9 Public Disclosure

The A/E shall make no public disclosure of pending construction contracts without written consent of the

CO.

2.2 Design Record

During the design phase the owner and the A/E shall develop and update two separate documents, which constitute the Design Record, the Owner’s Project Requirements (OPR) and the corresponding Basis of Design (BOD). Both the OPR and the BOD are reviewed and evaluated during the development of commissioning requirements, and together, drive the critical design decisions and priorities for the project.

OPR and BOD documentation provide the parties involved with the building, at each respective stage, an improved understanding of the building systems and assemblies to better perform their respective responsibilities regarding the design, construction, or operation of the building.

Specifically, the OPR and BOD:

• Help ensure that all participants involved in project planning are clear in communicating their requirements and needs to designers and contractors.

• Help the designer and contractor understand what they are tasked with achieving.

• Provide identification and evaluation mechanisms that can help resolve design issues.

• Provide criteria from which each design submittal can be validated.

• Provide clear acceptance criteria allowing performance to be verified during construction.

• Empower facility staff and maintenance contractors to make more informed decisions regarding equipment operations, maintenance, and replacement by retaining the original intent of systems and assemblies, until requirements change.

• Give designers and constructors access to complete original design and performance information facilitating more efficient and properly integrated planning and construction of renovations and additions.

2.3 General Design Requirements

In all design projects, the primary sources of design criteria for health care facilities shall be the following:

FGI Guidelines for Design and Construction of Hospitals

FGI Guidelines for Design and Construction of Outpatient Facilities

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

NFPA 101: Life Safety Code, shall be used for determining and maintaining life safety requirements for all occupancies in new and existing buildings.

Also, for design projects, reference the IHS Technical

Handbook, which can be found at:

https://www.ihs.gov/oehe/handbook/.

Please refer to Volume III https://www.ihs.gov/ oehe/handbook/volume3/ for specific design topics.

Chapters that are not hyperlinked are available upon request.

2.3.1 Site Investigation

It is the A/E’s responsibility to visit the site, inspect the location of the work, become acquainted with all local conditions, verify and identify existing conditions, review existing drawings, and consult with the Contracting Officer’s Representative (COR) and facility personnel.

The A/E shall conduct a detailed geotechnical investigation. The geotechnical investigation shall explore, analyze, and document subsurface conditions at the project site to provide the A/E with conclusions and recommendations for the design and construction of the facility.

2.3.1.1 Landscaping Considerations

To the extent feasible, plant material, particularly pollinator friendly plant material should be procured free of pesticide concentrations that negatively impact pollinator health. Many insecticides (and a handful of fungicides and herbicides) are present in nursery stock.

These chemicals can kill or have sub-lethal effects on insect pollinators that reduce the number of offspring a female can produce.

The general maintenance plan shall identify areas that are intended to be specially managed to promote pollinator nesting and foraging health. These areas shall be identified on the plan as “pollinator sensitive zones” that shall be pesticide free to the maximum extent feasible. The maintenance plan shall also identify when mechanical removal of old growth is most appropriate to provide overwintering/nesting habitats for pollinators.

• Site Soils Management Plan

Critical pollinator-specific no-cut no-fill lines, if required, shall be folded into the requisite soils management plan identifying areas to be preserved and or protect for habitat nesting.

• Site Maintenance

Facilities shall employ Integrated Pest Management (IPM) standards, to ensure that special purpose plants and environs are managed effectively.

2.3.2 Codes, Standards, and Guidelines

The design shall conform to the latest published edition (unless explicitly stated otherwise) of the following nationally recognized codes, standards and guidelines:

(1) National Fire Codes (with the exception of NFPA 5000 – Building Construction and Safety Code), as published by the National Fire Protection Association shall be used exclusively for determining and maintaining life safety requirements for all occupancies in the new and existing facilities. If a conflict should arise between the National Fire Codes (NFC) and any other model codes on an issue of life safety, the NFC shall take precedence.

(2) International Building Code (IBC) as published by the International Code Council unless another model building code is specified in the contract.

The International Residential Code (IRC) will be used as it applies to staff quarters.

(3) International Residential Code (IRC) as published by the International Code Council is applicable for the construction of single-family houses, two-family houses (duplexes) and buildings consisting of three or more townhome units. All buildings within the scope of the IRC are limited to three stories above grade plane.

(4) Guidelines for Design and Construction documents as published by the Facility Guidelines Institute:

• Guidelines for Design and Construction of Hospitals

• Guidelines for Design and Construction of Outpatient Facilities

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

(5) Guidance from the Center for Medicare and Medicaid Service (CMMS) and organizations with “deemed” status to act on their behalf, specifically, the Comprehensive Accreditation Manuals, as published by The Joint Commission for the following, as appropriate for the project occupancy:

https://www.ihs.gov/oehe/handbook/ https://www.ihs.gov/oehe/handbook/volume3/ https://www.ihs.gov/oehe/handbook/volume3/

• Hospitals: the Official Handbook (CAMH)

• Critical Access Hospitals (CAMCAH)

• Ambulatory Care (CAMAC)

(6) Architectural Barriers Act (ABA) Standards as published by the United States Access Board.

(ADA does not apply to Federal facilities).

(7) National Historic Preservation Act, 36 CFR 68.

(8) The Clean Water Act, section 402, National Pollutant Discharge Elimination System (NPDES) General Permit for Stormwater Discharges from Construction Activities.

(9) EPAct, Energy Policy Act of 2005

(10) Energy Independence and Security Act (EISA) of

(11) Technical Guidance on Implementing the Stormwater Runoff Requirements for Federal Projects under Section 438 of the Energy Independence and Security Act - EPA 841-B-09-

(12) Radon Gas – Indoor Radon Abatement Act (IRAA) and/or state/local indoor radon requirements, including the Technical Handbook for Environmental Health and Engineering, Volume III, Part 21-2.4 - Radon Control and Mitigation, whichever is more stringent.

(13) Energy Conservation Standards for New Federal Commercial and Multi-Family High-Rise Residential Buildings and New Federal Low-Rise Residential Buildings - 10 CFR Parts 433 subpart A, 4, and 435 subpart A.

(14) ASHRAE/IESNA 90.1 Energy Standard for Buildings Except Low-Rise Residential Buildings.

(15) International Green Construction Code (IgCC).

(16) International Energy Conservation Code (IECC) as published by the International Code Council.

(17) ASME Boiler and Pressure Vessel Code, Section

II.

(18) ASHRAE 62.1 - Ventilation & Acceptable Indoor Air Quality.

(19) ANSI/ASHRAE/ASHE 170 Ventilation of Health Care Facilities.

(20) ASHRAE 62.2 - Ventilation & Acceptable Indoor Air Quality in Low-Rise Residential Buildings.

(21) Referenced IHS Technical Handbook reference sections.

(22) National Council for Radiation Protection and Measurement (NCRP) Reports #145 (Radiation Protection in Dentistry) and #147 (Structural Shielding Design for Medical X-Ray Imaging Facilities).

(23) ASCE 41 Seismic Evaluation and Retrofit of Existing Buildings

(24) ASCE 7 Minimum Design Loads for Buildings and Other Structures.

(25) ICSSC RP-8 Standards of Seismic Safety for Existing Federally Owned or Leased Buildings, 2011.

(26) ASHRAE Standard 111 ``Practices for Measurement, Testing, Adjusting, and Balancing of Building Heating, Ventilation, Air-Conditioning, and Refrigeration Systems.

(27) All applicable IEEE Standards. (27) All applicable UL Standards.

(28) All applicable Telecommunications Industry Association/Electrical Industries Alliance (TIA/ ETA) Standards.

(29) American National Standards Institute (ANSI) / American Society of Mechanical Engineers(ASME) A17.1 -, Safety Code for Elevators and Escalators.

(30) ASHRAE Guideline 0, The Commissioning Process.

(31) ASHRAE Guideline 12- Minimizing the Risk of Legionellosis Associated with Building Water Systems.

(32) Guidance for Protecting Building Environments from Airborne Chemical Biological or Radiological Attacks (CDC).

(33) International Plumbing Code (IPC) as published by the International Code Council unless another model code is specified in the contract.

(34) Security Design Guidelines for Healthcare Facilities as published by the International Association for Healthcare Security and Safety

(IAHSS).

(35) Whole Building Design Guide (WBDG)

(36) U.S. Department of Energy-Federal Energy Management Program (FEMP) Water Efficiency in Federal Buildings and Campuses-Best Management Practice #4: Water-Efficient Landscaping and/or #5: Water-Efficient Irrigation.

(37) U.S. Consumer Product Safety Commission, Public Playground Safety Handbook

(38) International Existing Building Code (IEBC) as published by the International Code Council.

These requirements are considered the minimum necessary to comply with PL 100-678. More restrictive requirements may be established should they be required by a state and/or local Authority Having Jurisdiction (AHJ) or by IHS. It is the practice of IHS to comply with state, local, or tribal codes and ordinances whenever feasible.

2.3.2.1 BIM Related Standards.

These standards are highlighted for review and general reference rather than to add specific requirements not otherwise identified within this Guide.

(1) NBIMS-US: National BIM standard

(2) IFC: Industry Foundation Class

(3) NCS: National CAD Standard

2.3.3 Code Conflicts

When more than one code, standard, or guideline covers the same field, the jurisdiction for the project will determine the code, standard, or guideline to be utilized. Where there is a conflict between the required NFPA codes and another code, standard, or guideline, NFPA Codes shall govern unless determined otherwise by the AHJ. Conflicts between code requirements shall be documented and copies submitted to the AHJ for consideration.

2.3.4 Unique Conditions

Problems arising from unique project conditions shall be resolved through sound design practices and recognized standards and submitted for the record to the AHJ.

The Centers for Medicare and Medicaid Services (CMS) adopts a specific edition of the NFPA 101, Life Safety Code for healthcare accreditation compliance.

CMS allows for deviations from the adopted edition of NFPA 101 provided that all of the requirements of that edition are met. Designers shall give due consideration for the specific edition of NFPA 101 adopted by CMS and provide narrative of any specific conflicts within the design from the use of the most current edition of NFPA 101.

2.3.5 Deviations

When deviations from the criteria and standards are required to meet special conditions or concerns, determinations shall be the responsibility of and approval contingent by the AHJ.

2.4 Building Information Modeling (BIM)

It is the A/E’s responsibility to coordinate the BIM process and the BIM design model throughout the design team including clash detection and drawing generation.

The BIM design model will be the principal construction document delivery tool. Design information from all disciplines such as architectural, civil, structural, HVAC, plumbing, electrical, fire protection, special systems design, medical equipment information, and all system specifications will be integrated within the BIM design model.

The A/E shall utilize BIM throughout the design process, and shall integrate all disciplines into the central BIM documents and design model.

(1) The design team shall assign an individual to the role of design team BIM manager. This individual shall have sufficient BIM experience for the size and complexity of the project and shall have relevant proficiency in the proposed BIM authoring and coordination software. The BIM manager can be the A/E Representative or other identified individual with designated responsibility on the A/E team. This individual shall serve as the main point of contact with the owner and the design team for BIM related issues.

(2) All major design technical disciplines/trades (architecture, civil, structural, MEP, cost estimator, etc.) shall assign an individual to the role of lead BIM coordinator for their work with the entire design team.

(3) All BIM documents shall be drafted, edited and shared using Autodesk Revit. If the A/E does not utilize Autodesk Revit, an exemption request should be sent to the CO for review.

(4) BIM shall be used for the development of the design model, for clash detection and coordination, energy modeling, generation of material and equipment schedules, along with the creation of a data base integrating the model and schedules.

(5) The A/E shall create a spreadsheet based on the same provided in Table 1 in Appendix 10, which will include all maintainable equipment, a general requirement description and the location in the building. The A/E shall require the contractor to enter all specific equipment information, maintenance requirements, model numbers, etc. as needed to ensure information provided meets the needs of the maintenance system used by IHS.

(6) Extended use of the design model is encouraged for the development of the design, presentation, and management of data.

• Design visualizations for communication, functional analysis, and constructability

• Daylighting evaluation

• Medical equipment planning

• Communication of construction scheduling and sequencing

2.5 Sustainability

The A/E shall employ integrated design principles, optimize energy performance, protect and conserve water, enhance the indoor environment , and reduce environmental impact of materials, and assess and consider building resilience.

The A/E is responsible for evaluating energy consumption benchmarks and designing to meet reduction requirements.

2.6 Life Cycle Cost Analysis

The A/E shall utilize Life Cycle Cost analysis where called for in the scope of work, where needed to justify critical decisions regarding capital expenditures, and to demonstrate long-term savings in operation and maintenance costs.

The A/E shall follow standard procedures for preparing and presenting this information, as outlined in this A/E Design Guide.

The A/E is responsible for the technical accuracy of all life cycle cost estimates, and shall not be compensated for additional work as a result of insufficient effort in conducting previous life cycle cost analyses.

2.7 Value Engineering

The A/E shall use value engineering principles throughout the design phase of the project, thereby making efficient and effective use of the construction and operational budgets (value engineering tasks/ activities at this time not required for Design Build contracts).

Depending on the size of a project, DES may require a formal value engineering (VE) study. This determination shall be made prior to award of the A/E contract.

Critical decisions regarding mechanical systems and components, architectural elements, site configuration, etc. shall be made through a comprehensive VE evaluation, and shall include life cycle cost principles as part of the analysis. Consideration shall be made so as to make efficient and effective use of the construction and operational budgets.

2.8 Commissioning

Commissioning of building systems shall be incorporated into the design and construction of new health care facilities.

Commissioning is the process of ensuring that systems are designed, installed, functionally tested, and capable of being operated and maintained to perform in conformity with the design intent.

Commissioning should be performed in accordance with the Building Commissioning Association’s standards or ASHRAE Guideline 0.

The commissioning process shall begin no later than the Pre-Design phase and continue through the one-year warranty period.

See Chapter 5 Sustainability for residential building commissioning requirements.

2.9 Measurements

The A/E shall use U.S. Customary Units in the design of new construction projects.

2.10 Mechanical Design

Mechanical related engineering criteria of special note are:

(1) Fire flow requirement. The fire flow requirements for health care facilities in urban settings (with reliable municipal water supplies) shall be in accordance with NFPA 1. The fire flow requirements refer to the water flow characteristics of the water supply serving the health care facility.

The fire flow capability is usually measured at the fire hydrants near the health care facility.

(2) Fire flow requirement. The fire flow requirements for health care facilities in rural settings shall be in accordance with applicable NFPA codes.

(3) Fire sprinkler requirements. The water supply for fire sprinkler systems shall be in accordance with

NFPA 13.

2.11 Fire Pump Installation

Fire Pumps shall only serve water based fire protection systems. When the fire protection system and the domestic water system share a common source, the fire pump shall be separated from the domestic (potable) water system via approved backflow prevention devices placed between the fire pump and the water source that comply with the International Plumbing Code. The fire pump discharge shall not be connected to the domestic water system.

2.12 Domestic Water Supply

When the domestic water supply for an IHS hospital or health center is not adequate to provide the fire flow for fire protection in accordance with NFPA 1 – Fire Code, e.g., 18.3 Water Supplies, in terms of water pressure, flow, and volume (gallons) then:

The domestic water supply shall be designed with one of the following:

(1) Elevated tank. An elevated tank that provides adequate water supply (gallons), water pressure and water flow for the fire flow requirements in accordance with NFPA 1, e.g., 18.4 Fire Flow Requirements for Buildings. An elevated tank is preferred over a two tank system as described in

2.12.2 because it eliminates the need for a fire pump and the associated long term maintenance.

(2) Two tanks. One tank for domestic water purposes.

One tank for the fire flow - water supply as stipulated in NFPA 1, e.g., 18.3.1.1 “Where no adequate or reliable water….”.

a. The design of the fire water supply tank shall provide an engineering assessment of the maintenance of the fire water in the fire water tank with regards to water quality and flow ability within the fire sprinkler protection system

Exceptions to this requirement may be authorized only by the IHS Authority Having Jurisdiction for the Agency.

• References NFPA 1- 2018.

• NFPA 1 – 2018. 18.3 Water Supplies.

2.13 Amalgam Separators

Amalgam separator or similar devices, to capture mercury and similar hazardous materials, shall be included in the design of the dental vacuum system. The inclusion of the amalgam separator device (or similar device) shall be in accordance with recommendations from the dental vacuum equipment manufacturer. The amalgam separator (or similar device) shall be included to minimize the introduction of hazardous materials, evacuated by the saliva ejectors, into the sewer system.

2.14 HVAC Terminal Unit Clearances

The design for HVAC systems shall address clearance for HVAC terminal units, fan coil units and similar HVAC components that are installed above suspended ceilings. The design shall stipulate clearance to access these HVAC components for the purposes of testing and balancing, routine inspection and routine maintenance. The clearance shall be as described in Figure 1 in Appendix A10.

2.15 Landscaping

The A/E shall reference the U.S. Department of Energy-Federal Energy Management Program (FEMP) Water Efficiency in Federal Buildings and Campuses- Best Management Practice #4: Water-Efficient Landscaping and/or #5: Water-Efficient Irrigation.

The A/E should strive to balance natural resources management priorities with development needs (energy, security, infrastructure) while considering cultural, recreational, and environmental resources inherent in the landscape.

The development and maintenance of a comprehensive sustainable landscape plan that encompasses at least the following elements:

• Site selection and planning,

• Soils,

• Water,

• Vegetation,

• Materials selection,

• Human health and well-being,

• Existing/historic facilities and cultural landscapes,

• Construction, and

• Operations and management

2022 Architect / Engineer Design Guide SUBMITTALS PREPARATION

3 Submittals Preparation

3.1 Drawings

3.1.1 Format

(1) Sheet size: Within a single project, all contract drawings shall be uniform in size. Standard sheet size is 24” x 36” or 30” x 42” or appropriate for

SOW.

(2) Match Lines. Plans requiring division onto more than one sheet shall be provided with match lines.

These shall be cross-referenced on each sheet.

(3) Key Plan. Projects requiring more than one sheet for each plan shall include a key plan on each plan sheet. The key plan shall show the location of the partial plan in relation to the whole plan. The key plan shall be located near the title block and oriented to match the plan. All partial plans shall be oriented the same direction on the sheets.

(4) Standard Details. Standard details shall be included in the construction documents as required to convey design intent. All details must be applicable to the project.

3.1.2 Quality of Drawings

All drawings submitted for review shall represent the best professional quality of graphic presentation.

Drawings shall be legible, accurate, and properly coordinated. If, in the Government’s opinion, the quality of the drawings does not meet these requirements, the drawings will not be accepted.

3.1.3 Placement of Drawings on Sheets

Drawings shall be arranged on sheets with economical use of space, without crowding or overlapping, and shall be legible at half size.

3.1.4 Floor Plans

One or more floor plans may be placed on a single sheet depending on the size of the project. If the entire project is shown on one sheet or if the plans and elevations are drawn on the same sheet, the plans should be placed at the bottom of the sheet.

3.1.5 Elevations and Sections

Several elevations and sections may be placed on one sheet as long as they remain legible. When more than one sheet is used, the elevation showing the main entrance should be placed on the first sheet. All details, elevations and sections shall be identified including the drawing number where the detail, elevation or section is taken along with the drawing number where the section, detail or elevation is drawn.

3.1.6 Scales

Scales shall be appropriately selected to clearly depict all aspects of the required work. Conventional Scales shall be placed under the title of each Plan, Elevation Detail, etc. Graphic scales including every scale used on the sheet shall be located at the lower right hand corner of each sheet.

3.1.7 Names and Numbers of Spaces

The Room Name (as identified in the POR) and Room Number for all interior spaces shown on the Floor Plans shall be shown in the center of that respective space and be underlined. If the space is too small for Room Name and Number, they both should be placed in a clear area outside the space with an arrow pointing to that room. Exterior spaces shall be labeled with the appropriate Name (and Number, if so identified in the

POR).

Departmental Names shall be shown in larger type face on Floor Plans.

On mechanical and electrical floor plans, Room Names may be omitted from the spaces to allow clarity of utility systems. Room Names should then be placed in schedules located adjacent to the plans.

3.1.8 Room/Space Identification Numbers

Unique identification numbers shall be assigned in the schematic design phase. All design spaces shall be identified with a departmental identifier and sequential POR number.

No Room/Space number shall be duplicated (i.e., PC-01 where 11 is for the Primary Care Nursing department and 01 is the first Room/Space in the POR space allocation list for the Primary Care Nursing department. Also, PH-01 where PH is the Pharmacy department and 01 is the first Room/Space listed in the POR space allocation list for the Pharmacy department.)

This numbering system will be replaced with “the

2022 Architect / Engineer Design GuideSUBMITTALS PREPARATION

Facility Room Numbers” after the design development phase documents are approved.

On the project record drawings provide a conversion sheet that labels the facility final room numbers as reflected on the General Contractor’s or Construction Manager’s “as-built” drawings.

3.1.9 Facility Room Numbers

(1) All Room/Spaces shall be numbered with a floor identifier, a corridor/departmental identifier, and a sequential room number, or other approved numbering system. The first digit or letter indicates the floor level (B10l, 1101, 2101, P101, etc.), the second digit indicating the corridor or department, and the third indicating a sequential Room Number.

(2) All rooms with access to a building or departmental corridor shall only have a numerical identifier. Rooms accessed through another room shall have an alpha character appended to the main room number (for a patient bedroom numbered 1101 the interior bathroom would be 1101a.)

(3) Room Numbers shall follow a logical progression promoting wayfinding on each floor. Space numbers shall be assigned to stairs, elevators, dumbwaiters, escalators, and major duct shafts.

The same space number shall be repeated on each floor (Stair No. 1, Elevator No. 1, etc.).

(4) Room Numbers shall not be assigned until after the floor plan is fixed (after the design development phase is approved).

(5) No Room Number shall be duplicated.

3.1.10 Drawing Media

(1) Working drawings shall be printed in both full and half-size in the quantity identified in the SOW and submitted in PDF together with required paper submittals.

3.1.11 Title Blocks and Borders

(1) Title Block: A title block (DES or area specific, as applicable) shall be used and submitted for review and acceptance. Provide last name in the “Drawn by” and “Checked by” lines, rather than initials.

(a) The Firm’s name and contact information, Designer of Record’s name and signature,

(b) Drawings shall be signed and sealed by the Designer of Record,

(c) Contract Number and Contract Award Date;

(d) CO and COR’s name initials, DES AE Division Chief ’s initials, and building end users’ initials

(e) Project Name and locations, and

(f) Submittal Date

(2) Signature Block: A signature block (DES or area specific, as applicable) shall be used and submitted for review and acceptance at the final design submittal. Refer to Appendix A9 and A10 for example.

(3) The Cover Sheet of the drawings and the Cover Sheet of the specifications shall include the IHS Signature Block in Appendix A10.

(4) Signatures of DES Technical Staff indicates that the DES AE Branch has reviewed the documents and believe the design is in general conformance with the requirements of the AE Design Guide.

(5) Signature of the DES Project Manager indicates that the PM has reviewed the documents and believes the design is in general conformance with the requirements of the contract.

(6) Signatures of DES Deputy Directors and Area Directors indicates concurrence with the assessment of the Project Manager and Technical Staff.

(7) Construction shall not be approved to proceed prior to obtaining all signatures. Scopes of Work for D/B (design build) projects must be carefully worded so as not to cause a delay in construction during the final design approval process.

(8) The AE remains responsible that the design is in accordance with the AE Design Guide and contract requirements.

(9) The review and signature of the IHS title block does not relieve the AE of any contract or professional requirements.

3.1.12 Drawing Title

Each drawing (floor plan, roof plan, elevation, section, detail, etc.) shall have a title. All site, floor, and roof plans shall have a project North Arrow.

3.1.13 Abbreviations and Symbols

Legends for abbreviations and symbols shall be included in the construction documents and shall be provided for each discipline separately, such as architectural, civil, HVAC, DDC controls, fire protection system, plumbing, electrical, fire alarm system, nurse call/paging/security system, etc.

3.1.14 General Notes and Key Notes

All general sheet notes and keynotes placed on a drawing sheet shall be edited and apply to that sheet.

3.1.15 Quality Control Review

The A/E shall perform a quality control review of all drawings before each submittal. Reviews for technical accuracy, coordination of work within each discipline, coordination of work among disciplines, and coordination between drawings and specifications shall be included.

3.1.16 Drawing Numbers

The standard drawing numbering system is as follows (optional drawing numbering systems may be submitted to DES for approval):

General G-1, G-2, etc.

Architectural A-1, A-2, etc.

Civil (Site) C-1, C-2, etc.

Landscaping L-1, L-2, etc.

Structural S- 1, S-2, etc.

Mechanical M-1, M-2, etc.

Plumbing P-1, P-2, etc.

Medical Equipment EQ-1, EQ-2, etc.

Fire Protection F-1, F-2, etc.

Electrical E-1, E-2, etc.

Fire Alarm Control FA-1, FA-2, etc.

Life Safety Plan LS-1, LS-2, etc.

Interior Design I-1, I-2, etc.

Furnishings Plan FFE-1, FFE-2, etc.

Lightning protection system and electrical distribution grounding LP-1, LP-2, etc.

Special systems (telephone, data, nurse call, security, paging, etc.) SP-1, SP-2, etc.

Demolition: annotate trade-specific sheets with discipline, for example for mechanical drawings: DM-1, DM-2

3.1.17 A/E Certification and Signatures

The design of architectural, civil, structural, mechanical, electrical, or other engineering features of the work shall be accomplished, reviewed and approved by registered professional architects and engineers. The architects and engineers shall be registered in a state, the District of Columbia, or an outlying area of the United States. (Reference FAR Clause 52.236-25, Requirements for Registration of Designers (June 2003)).

The architects and engineers shall only perform in the respective discipline in which they are licensed.

The title and/or index sheet shall be signed and sealed by a registered professional architect or engineer of…