AIA Iowa
Complying with the 2014
FGI Acoustical Guidelines
#A203
Jon W. Mooney PE
September 26, 2014
Credit(s) earned on completion of
this course will be reported to AIA
CES for AIA members.
Certificates of Completion for both
AIA members and non-AIA
members are available upon
request.
This course is registered with AIA
CES for continuing professional
education. As such, it does not
include content that may be
deemed or construed to be an
approval or endorsement by the
AIA of any material of construction
or any method or manner of
handling, using, distributing, or
dealing in any material or product.
_______________________________________
____
Questions related to specific materials, methods,
and services will be addressed at the conclusion
of this presentation.
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Reproduction, distribution, display and use of the presentation without written
permission of the speaker is prohibited.
© KJWW Engineering 2014
Course
Description
The 2010 FGI Guidelines included a
revolutionary -- and much needed -change
in
the
acoustical
requirements. However, this change
also generated some significant
feedback. The acoustical committee
of FGI has listened to the feedback
and has modified some of the
requirements. This presentation will
assist participants in understanding
the 2014 FGI acoustical guidelines.
Learning
Objectives
At the end of this course, participants will be able to:
1. Explain how compliance with FGI acoustical requirements can
increase the HCAHPS scores used to evaluate their facilities.
2. Determine if their facility is FGI-compliant in the acoustical
categories.
3. Show how the acoustical requirements of the FGI Guidelines
changed in version 2014, and how those changes will affect
facilities.
4. Plan the steps to be taken to ensure FGI acoustical
compliance for a new facility, addition, or remodeling project.
Learning Objective #1
EXPLAIN HOW COMPLIANCE WITH FGI ACOUSTICAL
REQUIREMENTS CAN INCREASE THE HCAHPS SCORES
USED TO EVALUATE YOUR FACILITIES.
Explain how compliance with FGI acoustical requirements can increase
the HCAHPS scores used to evaluate your facilities.
http://www.medicare.gov/hospitalcompare/search.html
Explain how compliance with FGI acoustical requirements can increase
the HCAHPS scores used to evaluate your facilities.
Explain how compliance with FGI acoustical requirements can increase
the HCAHPS scores used to evaluate your facilities.
Explain how compliance with FGI acoustical requirements can increase
the HCAHPS scores used to evaluate your facilities.
Medicare Value Based Purchasing Score
Measurement
Weighting
Acoustics Effect
Clinical guidelines
45%
0%
HCAHPS
30%
15%
Mortality rates
25%
0%
Total Score:
100%
5%
Explain how compliance with FGI acoustical requirements can increase
the HCAHPS scores used to evaluate your facilities.
Heart Transplant: 22.4776 x $10,973 = $246,647
DRG 1.5% holdback to fund VBP program = $3700
Explain how compliance with FGI acoustical requirements can increase
the HCAHPS scores used to evaluate your facilities.
Redistribution of $1.1B 2013 1.25% VBP holdback
Wisconsin
US
Total # Hospitals:
62
2728
# Hospitals
receiving bonuses:
37
1231
Average bonuses:
0.28%
0.24%
# Hospitals
receiving penalties:
25
1451
Average penalty:
-0.15%
-0.26%
Largest bonus:
0.88%
Largest penalty:
-1.14%
Learning Objective #2
DETERMINE IF YOUR FACILITY IS FGI-COMPLIANT IN THE
ACOUSTICAL CATEGORIES.
Determine if your facility is FGI-compliant in the acoustical categories.
Sound & Vibration: Design Guidelines for
Health Care Facilities
•
The Acoustics Research Council first
prepared this document in association
with the 2010 FGI Guidelines.
•
Those using the 2010 edition should
reference the 2010 edition of Sound &
Vibration.
•
A 2014 edition will be published to
accompany the 2014 FGI documents.
•
The ARC plans to update "Sound &
Vibration" in the fall of 2014 with a new
chapter on acoustics for residential
health, care, and support facilities.
Determine if your facility is FGI-compliant in the acoustical categories.
Site Exterior Noise (Planes, Trains and Automobiles)
Determine if your facility is FGI-compliant in the acoustical categories.
Property Line Noise (generators, chillers and cooling towers)
Determine if your facility is FGI-compliant in the acoustical categories.
Room Finishes
Determine if your facility is FGI-compliant in the acoustical categories.
Room Background Noise Levels
Determine if your facility is FGI-compliant in the acoustical categories.
Demising Components (walls, floor/ceilings, doors, windows)
Determine if your facility is FGI-compliant in the acoustical categories.
Speech Privacy
Determine if your facility is FGI-compliant in the acoustical categories.
Vibration isolation
Determine if your facility is FGI-compliant in the acoustical categories.
Miscellaneous
Learning Objective #3
SHOW HOW THE ACOUSTICAL REQUIREMENTS OF THE FGI
GUIDELINES CHANGED IN VERSION 2014, AND HOW THOSE
CHANGES WILL AFFECT FACILITIES.
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Site Exterior Noise (Planes, Trains and Automobiles)
Changed recommended exterior shell ratings from STCc to OITC
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Property Line Noise (generators, chillers and cooling towers)
Removed general recommendations for noise
reduction through siting, silencers and barriers.
Added new sections specific to
outdoor mechanical equipment (2.1-8.2.1.1 (5))
and emergency generators (2.1-8.3.3.1 (3)).
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Room Finishes
Changed
“Design Room Sound
Absorption Coefficients”
to
“Minimum Design Room
Sound Absorption Coefficients”
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Room Background Noise Levels
Changed
“Minimum-Maximum Design Criteria
for Noise in Interior Spaces”
to
“Maximum Design Criteria
for Noise in Interior Spaces
Caused by Building Systems”
Added/modified
•
•
•
•
Medication safety zones
NICU sleep areas
NICU staff and family areas
Operating rooms
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Demising Components (walls, floor/ceilings, doors, windows)
NICU removed from list of
“Design Criteria for Minimum Sound Isolation
Performance Between Enclosed Rooms”
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Speech Privacy
Replaced STI metric with SPC.
Added defining standards.
Updated ranges for Normal, Confidential
and Secure speech
Show how the acoustical requirements of the FGI Guidelines changed
in version 2014, and how those changes will affect facilities.
Vibration isolation
Raised acceptable level for patient rooms and areas.
Learning Objective #4
PLAN THE STEPS TO BE TAKEN TO ENSURE FGI
ACOUSTICAL COMPLIANCE FOR A NEW FACILITY,
ADDITION, OR REMODELING PROJECT.
Plan the steps to be taken to ensure FGI acoustical compliance for a
new facility, addition, or remodeling project.
1) Include 2014 FGI Guidelines in all design specifications and budget
design and construction premiums to pay for it.
2) Include an experienced acoustics consultant on the design team
starting with the design narrative/schematic design phase.
3) Require acoustics analyses during DD and CD phases to show
engineering and architectural designs comply with FGI Guidelines.
4) Require construction submittals to show compliance with acoustical
specifications in the engineering and architectural design.
5) Include job site observations and acceptance testing by the acoustics
consultant.
Summary
1. Good acoustics can raise HCAHPS scores up to 15% and
VBP scores up to 5%.
2. FGI’s Sound & Vibration: Design Guidelines for Health Care
Facilities (V 3.0) is scheduled to be released this fall. Use this
as a quick reference for determining compliance.
3. The biggest change for 2014 is the separation of Hospitals
and Residential Facilities into separate guidelines. ebooks!
4. Achieving FGI compliance doesn’t happen unless everyone
on the design and construction team works together.
This concludes The American Institute of Architects
Continuing Education Systems Course
AIA Iowa
Contact Information
Jon W. Mooney PE
KJWW Engineering
mooneyjw@kjww.com
acoustics@jwmooney.com