REGULATORY REVIEW
Get to Know HGRC Facility standards committee welcomes ASC professionals BY KARA NEWBURY AND KATERINA CHILIKOV
In previous years, ASCs have not benefited from direct representation on the Health Guidelines Revision Committee (HGRC). Due
to ASCA’s outreach efforts during the 2014 cycle, and through continued com- munications with HGRC leadership, however, ASCA was invited to play a more active role. Two ASCA members will be voting representatives in the HGRC for the 2018 revision cycle. The HGRC is crucial to ASCs, as it guides the Facility Guidelines Institute (FGI) in establishing recommendations for the design and infrastructure of health care facilities, including ASCs.
Composition of HGRC The FGI web site, www.fgiguidelines. org/
about.php, describes the HGRC as
a “multidisciplinary consensus body of more than 120 clinicians, admin- istrators, architects, engineers, and representatives from authorities having jurisdiction.” Membership is open to individuals with experience in any of the following interest categories: design professionals, medical professionals/ administrators, government agencies, consumer groups, enforcing authorities. Membership to the HGRC is balanced by discipline; members of a single inter- est category are expected to compose no more than one third of the HGRC membership. A steering committee is responsible for appointing members to the HGRC and providing guidance to the HGRC (especially new mem- bers) throughout the revision process.
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Once appointed, HGRC members are assigned to a Document Group (hospital, outpatient or residential) at the beginning of the revision cycle by the Steering Committee. Each Document Group is tasked with finalizing the content of the draft and the final version of the Guidelines for Design and Con struction (Guidelines) and recommending their publication to the entire committee.
Purpose of HGRC The HGRC is charged with creating, overseeing and driving the develop- ment of the Guidelines. The Joint Com- mission, federal agencies and authorities in 42 states use the Guidelines as a reference standard when reviewing, approving or accrediting newly con- structed health care facilities. While a few states might choose to adopt the Guidelines verbatim, other states might opt to incorporate only portions of the guidelines into their regulations. As the Guidelines is revised every four years, states might require new ASCs or those adding onto their facilities to undergo construction or renovation per the latest version of the Guidelines. Therefore, it is impor- tant that ASCA has a strong voice in the revision process. The Guidelines are developed and
published separately for hospitals, outpatient facilities and residential health care and support facilities, with each document outlining the minimum, fundamental design requirements for that
facility. For cycle, the 2018 revision ASCA representatives will
vote on the Guidelines in its entirety and will be actively involved in the outpatient facilities discussions.
20 ASC FOCUS SEPTEMBER 2015
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