Applies To: UNM Hospitals

Component(s): All
Responsible Dep’t: Construction & Facility Planning

Title: Management of Environmental Design Procedure

Patient Age Group: ( ) N/A (X) All Ages ( ) Newborns ( ) Pediatric ( ) Adult

DESCRIPTION/OVERVIEW
The University of New Mexico Hospitals will use design standards and proactive risk
assessments in construction and renovation of hospital facilities.

REFERENCES
2006 AIA Guidelines for Design and Construction of Health Care Facilities
NM § Title 7 (Health) Chapter 7 (Hospitals), Part 2 (Requirements) 7.11.2.29 Physical
Environment
NM §Title 7 (Health) Chapter 11 (Outpatient) Part 2 (Requirements) 7.11.2.29 General Building
National Fire Protection Association Life Safety Code, NFPA 101 (Current Addition)
International Building Code, IBC (Current Addition with referenced Model Codes)
Title II and Title III, the Americans with Disabilities Act, Accessibilities Guidelines (ADAAG)
American National Standards Institute, ANSI A117.1 National Standards for Accessibility
State of New Mexico Governor’s Executive Order 2006-001, Green Building Standards
The Joint Commission, Maintain Environment EC.8.30

AREAS OF RESPONSIBILITY
Director, Construction and Facility Planning – Design and Construction Management
Director, Environmental Services – Plan Review and Approval
Directors, Patient Care – Plan Review and Approval
Director, Plant Operations – Plan Review and Approval
Director, Security – Plan Review and Approval
Director, Medical Equipment Engineering – Plan Review and Approval
Director, Information Technology – Plan Review and Approval
Director, Safety – Plan Review and Approval
Executive Director, Using Agency – Plan Review and Approval
Administrator – Using Agency – Plan Review and Approval

GUIDELINE PROCEDURES
Design and construction standards outlined in the Guidelines for Design and Construction of
Hospitals and Healthcare Facilities, 2006 Addition, published by the American Institute of
Architects (AIA); New Mexico State Statute, Chapter 7; and the current adopted addition of the
Life Safety Code, published by the National Fire Protection Association (NFPA) when planning
for the size, configuration and equipping of the space of renovated, altered or new construction.
a. Allocation of required space will be as established in the UNMH Executive Director’s
Business Plan, and outlined in the approved Program Scope Worksheet. Spatial arrangement,
size and configuration, with required infrastructure and utility requirements will be as required
by New Mexico Statute and AIA Guidelines, at a minimum. Life safety and fire protection
requirements will be as specified in the current, adopted Life Safety Code.
(1) General Hospital and Psychiatric Hospitals
AIA Guidelines 2006 Addition
NFPA 99-2006
7 NMAC 7.2
_________________________________________________________________________________________________________________
Title: Management of Environmental Design
Owner: Manager, Construction & Facility Planning
Effective Date: 2/19/2009
Doc. #2456
Page 1 of 2
 (2) Ambulatory Surgical Centers/ Diagnostic and Treatment Centers
AIA Guidelines 2006 Addition
NFPA 99-2006
7 NMAC 11.2
(3) Mental Health Centers
AIA Guidelines 2006 Addition
NFPA 99-2006
7 NMAC 20.3
(4) Non-surgical Ambulatory Clinics
AIA Guidelines 2006 Addition
NFPA 101-2006
7 NMAC 11.2
(5) Business and Administrative (with or without Clinic)
AIA Guidelines 2006 Addition
NFPA 101-2006
7 NMAC 11.2
b. All applicable design and construction plans will be submitted to the New Mexico
Department of Health (NM-DOH) for plan review and approval prior any construction activities
for all new, renovated or altered facilities, in accordance with current NM-DOH regulations,
policies and procedures.
c. All design and construction plans will be reviewed and approved by user unit Directors,
Executive Directors and Administrator prior to any construction activities.
d. All renovation and new construction will follow the requirements of the Construction
Industries Division, State of New Mexico (NM-CID) for permitting, inspections, and Certificates
of Occupancy.
e. Occupancy and use of renovated or new construction space will be scheduled after receipt of
final inspections and Certificate of Occupancy (NM-CID), Life Safety Inspection Certificate
(NM-Fire Marshal), and the Final Occupancy Survey Certificate (NM-DOH).
f. Renovations, and all work performed by contractors (vendors) affecting, or may cause to
affect the Environment of Care (EOC) shall be permitted by UNMH prior to work being started.
The EOC permit is issued and monitored by the Physical Plant Department.
When planning demolition, construction or renovation, UNMH shall use risk criteria that
addresses the impact of activities on air quality requirements, infection control, life safety, utility
requirements, noise, vibration and emergency procedures to be used during demolition and
construction activities outlined in the Interim Life Safety Measures.

SUMMARY OF CHANGES
New Document

DOCUMENT APPROVAL & TRACKING

Item Contact Date Approval
Owner Bernard Loeffler, Director, Construction and Facility Planning 14 August 2008
Committee(s) Safety Committee, Quality Committee Y
Nursing Officer Sheena Ferguson, Chief Nursing Officer Y
Official Approver Steve McKernan, Chief Executive Officer, UNMH Y
Official Signature 2/19/2009
Effective Date 2/19/2009
Origination Date 8/14/2008
Issue Date Clinical Operations Policy Coordinator 2/26/2009

_________________________________________________________________________________________________________________
Title: Management of Environmental Design
Owner: Manager, Construction & Facility Planning
Effective Date: 2/19/2009
Doc. #2456
Page 2 of 2