CSA Z8000:24

Preface This is the third edition of CSA Z8000, Canadian health care facilities . It supersedes the previous editions published in 2018 and 2011. This Standard, part of a series of standards related to health care facility (HCF) engineering, sets forth planning, design, and construction requirements intended to support five key objectives for HCF design (also known as the OASIS principles). The following are the major changes to this edition: a) updates to the planning clauses to better align with provincial/territorial procurement practices; b) the addition of a new clause to address long-term care facility design (see Clause 11); c) new clauses to address climate resilience, sustainability programs, energy management, and HCF design for small and remote communities; d) revisions to occupational health and safety (OHS), patient safety, and accessibility provisions; e) updates to infection prevention and control (IPC) requirements to reflect advances in science, technology, and clinical practice related to IPC; f) addition of new annexes on inclusive design and supplemental disinfection technologies; g) updates to Clause 7.9 and the rest of the Standard to use the term "business continuity" instead of "catastrophic event management"; h) revisions and additions to harmonize this Standard with CSA Z8005; i) reorganization of ambulatory care and procedures clauses to provide clear guidance and requirements for low-acuity community health facilities; j) adjustments of room size requirements where needed to align with provincial/territorial planning guidelines and best practices; k) updates to architectural requirements to accommodate newer building designs, technologies, and construction practices; l) updates to clauses about medical device reprocessing and medical laboratories; and m) substantial updates throughout the Standard to ensure it is aligned with the latest best practices and scientific evidence. CSA Group acknowledges that the development of this Standard was made possible, in part, by the financial support of the Governments of Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Québec, Saskatchewan, and Yukon, as administered by Canada’s Drug Agency (CDA-AMC), as well as by the financial support of Standards Council of Canada (SCC). This Standard was prepared by the Subcommittee on the Design and Construction of Health Care Facilities, under the jurisdiction of the Technical Committee on Health Care Facilities and the Strategic Steering Committee on Health Care Technology and Systems, and has been formally approved by the Technical Committee. This Standard has been developed in compliance with Standards Council of Canada requirements for National Standards of Canada. It has been published as a National Standard of Canada by CSA Group. Scope 1.1 General 1.1.1 Scope This Standard describes essential elements and specific requirements for the planning, design, and construction of HCFs. It applies to all facilities, public or private, that provide health care treatments, health-related services, or diagnostic testing services regardless of type, size, location, or range of services. This Standard applies to the following facility types: a) inpatient, outpatient, or combined inpatient/outpatient hospitals; b) facilities providing outpatient diagnosis and treatment services; c) specialty inpatient centres; and d) long-term care homes. Note: Because of differences in terminology across the country, it is not possible to provide a comprehensive list of all facilities covered by this Standard. The facilities listed in this clause and in Table 1.1 are examples only. Additional examples are listed in Annex B. 1.1.2 Application This Standard applies to new facilities, temporary facilities, and existing facilities undergoing addition or renovation. It also applies to research and testing facilities that perform medical procedures. 1.1.3 Inclusions This Standard includes requirements for a) planning and design principles, and the planning process; b) site and facility development; c) system redundancy; d) general functional services; e) inpatient functional service; f) long-term care functional service; g) diagnostic and treatment functional service; h) support functional service; i) common requirements for all facilities; and j) building services and environmental design. 1.2 Exclusions 1.2.1 General This Standard does not apply to veterinary facilities, funeral homes, or mobile HCFs. Note: Mobile HCFs that are on wheels and can be moved from place to place without staying for an extended time are excluded from this Standard; however, OASIS principles (see Clause 4.1.1) should be applied to mobile HCFs. A temporary relocatable or transportable health unit (see Note in Table 1.1) refers to units that are placed in a particular location and remain there for an extended period of time. 1.2.2 Clinical practice This Standard does not address clinical practice. 1.2.3 Operation and maintenance of HCFs This Standard does not include requirements for operation and maintenance of HCFs. Note: These topics are addressed in CSA Z8002 and CSA Z8004. 1.2.4 Operational models, policies, and procedures This Standard does not specify requirements for operational models, policies, and procedures. Note: An HCF should provide the necessary environment so that services can be offered in accordance with the operational model. The design process begins with the HCF defining its expected operational model and activities. The physical infrastructure is then designed and constructed to support the defined model and activities. 1.3 Terminology In this Standard, "shall" is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the Standard; "should" is used to express a recommendation or that which is advised but not required; and "may" is used to express an option or that which is permissible within the limits of the Standard. Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material. Notes to tables and figures are considered part of the table or figure and may be written as requirements. Annexes are designated normative (mandatory) or informative (non-mandatory) to define their application.