In Illinois, IDPH notes that only ASTCs and departments reviewed by CMS (like Dialysis) need to be design to meet Ambulatory Care Occupancy and as such need to be 1-hour separated from the rest of the building, including structure.
Jon Boyd, AIA, LEED AP
MorrisSwitzer Environments for Health
183 middle street, portland, maine 04101
888.781.8441 t 207.773.8841 c 207.318.8444
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What will this do for regular Dental Clinics that provide sedation, will the City start counting Chairs?
Phillip Craddock, NCARB, AIA
OWNER / ARCHITECT
CRADDOCK ARCHITECTURE, PLLC
TX FIRM# BR2108
750 E. Interstate 30, Ste. 160
Rockwall, TX 75087
TEXAS, COLORADO, OKLAHOMA, TENNESSEE
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This has been brought up from time to time through the years. One of the CMS Life Safety Engineers explained to our Fire Safety Officer, that it has to do with what is the normal practice. If a physician routinely performs office based surgery, that makes the patient incapable of self-preservation, that is possibly an ASC. If it is not the norm, then it is a business occupancy.
What you should be more concerned about is the requirements of the International Building Code and if your State has adopted it by reference. In 2009, ICC added the definition of Business Ambulatory to the Code and additional requirements of construction if you have one or more incapacitated patients at any given time. This would apply to a doctor's office which is generally defined under Business Occupancy.
Julia F. Herschelman AIA NFPA ICC CSI
Resident Architect, Space & Capital Planning
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