Healthcare Advocacy


New Advocacy & Code Committee:



Chair: Jim Peterkin, Heery Fire Protection, Vice-President, Senior Protection Engineer

Biography - Jim Peterkin is a licensed fire protection engineer employed as the Senior Fire Protection Engineer and Code Consultant for Heery Design. Prior to working in the A/E Design field, Jim worked for Factory Mutual Engineering Association for eight years.

Jim is a past president of the Florida Chapter of the Society of Fire Protection Engineers and is currently serving on several NFPA Technical committees including NFPA 1, 14, 80 and 99. He has a thorough understanding of the model building codes as well as the Life Safety Code and the associated NFPA fire codes. .

His current role with Heery Design is to provide Fire Protection and Life Safety Engineering Design Services, Fire and Building Code Review and Commissioning.

Co-Chair: Dan Campbell, Retired - Temple Univeristy Hospital

Co-Chair: Robert Roop, PE, Criterium Lockatong Engineering

Co-Chair:Bart Miller, Excutive Director, St. Mary's Medical Center

Co-Chair: Jospeh Szymanski, Presbyterian Hospital, Safety Director

Co-Chair: Jeff O'Neill, AIA, ACHA; Director of Engineering Services, Pennsylvania Hospital

Co-Chair: Robert Roop, PE, Criterium Lockatong Engineers

If you have any Joint Commission, Fire Code, or Advovacy Issues of any kind , please email:


The Advocacy Highway is HFMADV'S & ASHE's response to a proliferation of health care regulations that may have confusing and contradictory provisions, which sometimes lead to confusing and contradictory interpretations and implementation in health care facilities. The Advocacy Highway is a two-way communications network between ASHE staff and ASHE members, ASHE Advocacy liaisons, and other health professionals with regulatory issues. The exchange of this vital information is essential to ensure that existing and proposed health care regulations are arrived at through a consensus of all interested parties, and that these regulations achieve the desired objective of effectively providing safe facilities without overburdening facilities with costly regulations that do not provide added levels of safety.

The Advocacy Highway should be used to alert ASHE/ HFMADV  to locally promulgated regulations or regulatory interpretations using the below submission form. Please let us know about code interpretations that are affecting health care facilities in your area, advocacy work being done in your chapters, the results of chapter straw polls on advocacy issues, and any other regulatory information you want to tell to ASHE. If a submission requires immediate attention, please note that in your submission so that ASHE staff can understand the timeline for action on the issue.

HFMADV/ ASHE sends notice of new or impending regulations or their interpretations to ASHE members and the advocacy liaisons from each ASHE Chapter, who can distribute the information to their chapter members. In addition, ASHE will use this information in national code reform initiatives as validation of contradictory and/or confusing regulations.

ASHE Information:

482.41 Condition of participation: Physical environment.

ASHE Advocacy Highway

Advoacacy Hospital Map

ASHE Advocacy Advisoary Action

FGI Guidlines:

FGI Guide Map  by ASHE


HFMADV ASHE Advocacy Alert - WMTS Registration

Action Needed to Protect Wireless Medical Telemetry Band Devices from Interference

The Federal Communications Commission (FCC) has issued a Report and Order that will result in TV Channel 37 being available for use by unlicensed devices. To protect your Wireless Medical Telemetry Service (WMTS) devices, it is essential to be registered with ASHE.

All hospitals using WMTS devices must be registered with the American Society for Healthcare Engineering. Hospitals that fail to register devices are at risk for harmful interference to the operation of their wireless medical telemetry equipment.

The FCC requires registration before an organization operates a WMTS system in the TV Channel 37 band (and in the upper bands of 1395-1400 MHz and 1427-1432 MHz). If a WMTS system is not registered, the FCC considers it to be unlicensed and not entitled to protection from interference caused by other transmitters.

In June, the FCC issued the Report and Order that will result in TV Channel 37 being made available for use by new unlicensed devices. This action may cause harmful interference to unregistered WMTS devices operating on TV Channel 37 (608–614 MHz). The FCC feels that technical parameters can be developed to protect registered WMTS users from this interference, but this protection will be available only to registered WMTS systems.

ASHE is the designated WMTS coordinator and maintains a dataset of WMTS users for the FCC. ASHE will also assist with development of technical parameters to maximize protection for registered WMTS users.

If your hospital operates WMTS devices, make sure your facilities are registered with ASHE by taking the following steps:

  • Share this advisory with your clinical and biomedical engineering professionals, critical care physicians, nursing staff, and risk managers.
  • Check to confirm that your hospital is registered.
    • If your hospital is not registered, register your WMTS equipment now.
    • If your hospital is registered, verify that the equipment and locations listed in the database are accurate and complete.
  • For more information, visit

The AHA and ASHE will continue to work closely with the FCC and FDA to ensure that interference does not compromise patient care and safety.

If you have questions, please contact ASHE Engineering & Compliance Director John Collins at or 312-422-3805.

Proposed CMS rule needs your comments by March 31.You should also advise your “C Suite” of the proposal and its impact. They should submit comments too.

Submit your comment at!submitComment;D=CMS-2013-0269-0002

See the attachments for ASHE talking points, guidance on submitting comment, template for comments, ASHE presentation on the rule

There are links embedded below to get you to the entire proposed rule and some comments that have been submitted already

ASHE Insider: March 11, 2014

The Centers for Medicare & Medicaid Services (CMS) are accepting public comments on its proposed rule on emergency preparedness. The rule is available to read online. . About 150 comments regarding the proposal have already been submitted, including comments from the National Fire Protection Association. ASHE will be submitting comments before the March 31 deadline. ASHE Deputy Executive Director of Advocacy Chad Beebe, AIA, SASHE, offered the following suggestions to those who are working on their own comments:

The comments most likely to affect regulatory decisions are ones that are constructive and clear. Comments should be supported by sound reasoning, scientific evidence, or real-world examples of how your hospital or facility will be affected. Copying and pasting comments or information submitted by others decreases the effectiveness of both your comment and the comment of the original submitter. The best comments explain, in your own words, the positive or negative effects of the proposed rule on your facility and others like it. Remember that public comments are not votes – a single well-written public comment can pull more weight than thousands of form

CMS Proposed EM Rule

CMS EM Rule Presentation


HHS Proposed Rulemaking for Emergency Generators

Tips for Submitting Effective Commnets


October 2007


Brief summary of main points of the revised standard

Chapter 8         Electrical Equipment

Proposed reduction in frequency and specific testing intervals of leakage current testing for medical equipment and appliances.

Chapter 4         Electrical Distribution

Complete re-write of chapter and Annex A & C

Chapter – New

Consolidates common elements from

Chapter 10 – Laboratories

Chapter 6 – Environmental Safety

Chapter 5 – Piped Gas

Chapter 9 – Gas Equipment

Chapter – New -          Technology

Space, environmental, reliability of technology and communication systems.

Includes data, voice, patient monitoring, nurse call, IT, digital imaging, security, building automation, life safety, and teleconferencing.

Chapter 5         Medical Gas and Vacuum

Vacuum pumps compatible with O2 if used for WAGD.

Instrument air section deleted.

Go to and follow the link,    ASHE NFPA 99 Proposals - Your Comments Are Needed! to review all changes and make any comments.

DRAFT Letter to Fire Marshals concerning Shelter-in-Place issue

AHA 2006 Survey Information

DRAFT GUIDELINES FOR NFPA 99. ASHE will help revise this code with your input. Please send your comments to Robert N. Roop, P.E. , Advocacy Chairman for HFMSNJ & HFMADV. Please refer to and either topics or codes&nfpa099 sections for pertinent information.

Robert Roop volunteered to serve on the HVAC committee.  The committee will have an initial conference call to set the agenda; they have set an objective to draft a new document by October 2006.  He will collate your inputs, on all subjects not just HVAC, and submit a chapter report to ASHE if you send Robert the information.

PARTIAL REVIEW OF DRAFT 2006 AIA GUIDELINES FOR DESIGN AND CONSTRUCTION OF HOSPITAL AND HEALTHCARE FACILITIES. By Robert N. Roop, P.E. , Advocacy Chairman for HFMSNJ, HFMADV to advise members of proposed Guideline revisions and for their use in providing comments to AIA.

View the AIA Guideline Instructions

Paragraphs suspected to be particularly noteworthy are underlined

Chapter 7 General Hospitals (Part 1 of 2)
7.2.A1 Maximum number of beds per room shall be one.
7.2.A45 Hand washing station in patient room in addition to that in toilet room.
7.2.A6 No sliding door to toilet rooms.
7.2.A8 In multipatient rooms, visual privacy to not restrict patient access to hand washing station.
7.2.B16 Copper tubing for supply to ice machines.
7.2.B20 Toilet room with hand washing required at multipurpose rooms.
7.2.B23 Each nursing unit to have a lounge for visitors.
7.2.C Use Guidelines for Environmental Infection Control in Health Care Facilities, Dec. 2003 for guidance in airborne infection isolation rooms.
7.2.C1 At least one airborne infection room per hospital.
7.2.C8, 7.2.D1 Reversible airflow rooms not permitted.
7.2.D HEPA filters required for protective environment rooms.
7.2.D5 Protective environment rooms require direct access bath, toilet, hand washing.
7.2.F Protected Units - All new section (no content).
7.3 Intermediate Care Units - New section.
7.3.A Patient Rooms - New section.
7.3.B Service Areas - New section.
7.4.A Critical Care
7.4.A3 Room size increased.
7.4.A4 Privacy requirement increased.
7.4.A5 Sliding doors to have breakaway feature.
7.4.A8 Towel dispensers - touch towel only to operate.
7.4.A13 Ventilation and communication appear to be required to be on emergency power.
7.4.A15i Countertop with space for computer required at patient bed space.
7.4.D1 Pediatric Critical Care Unit - Space at bedside appears to be increased.
7.4.E5 Newborn Intensive Care Units - Noise control, hourly Leq 50 dB or less; other requirements.
7.4.E6 No direct ambient lighting and natural light requirements.
7.4.E8 120 ft2, clear floor area per bassinet.
7.4.E14 Parent infant rooms to have electrical and medical gas per NICU beds.
7.5.A7 Nurseries - visual control between work area and each nursery.
7.7 Psychiatric Nursing Unit - Many prescriptive requirements eliminated in favor of performance based guidelines.
7.8 In-hospital Skilled Nursing Units - Several access and functional areas of space defined.
7.9.B6 OR perimeter walls, ceiling floor including penetrations shall be "sealed" (air tight).
7.9.D14 Phase II recovery requires a separate Phase II or step-down recovery room.
7.10.A4b.(1),(2) LDR room size increased from 250 to 300 sq. ft in new or renovated space, if possible.
7.11.D Emergency care - Access at grade level.
7.11.D7 Exam room size 120 ft2 exclusive of casework, even renovated space.
7.11.D15 One patient toilet room per 8 treatment rooms.
7.11.D25 Decontamination room requirements defined.
7.12.D2 Tomography, radiography/fluorscopy rooms - separate toilets required.
7.14.G13 Toilet rooms reserved for nuclear medicine patients required.
7.14.G18 Nuclear medicine soiled work room with sink required.
Chapter 2. Environment of Care
Advisory appendix includes:
22.3 Sustainable Design - Integrated design process for improved building performance.
A2.3.B Waste Reduction
A2.3.C Water Conservation
A2.3.D Energy Conservation - Reduce and optimize use.
A2.3.E Indoor air quality - Use of low VOC products.
A2.3.F Impact of Selected Building Material - Use of recycled materials in construction.



Biographies of the Committee:



Chair: James S. Peterkin, P.E.

Jim Peterkin is a licensed fire protection engineer with over 25 years of experience.  He is employed as the Senior Fire Protection Engineer and Code Consultant for Heery Design, an architectural and engineering firm.  Prior to joining Heery Design, Jim worked for Factory Mutual Engineering Association.


Jim is a past president of the Florida Chapter of the Society of Fire Protection Engineers and is currently serving on several NFPA Technical committees including NFPA 1 – Fire Code, NFPA 14 – Standpipes, NFPA 99 – Healthcare Facilities Code and NFPA 80/105 - Fire Doors and Smoke Doors.  He has a thorough understanding of the model building codes as well as the Life Safety Code and the associated NFPA fire codes.  .


His current role with Heery Design is to provide Fire Protection and Life Safety Engineering Design Services, Fire and Building Code Review and Commissioning.


Co-Chair: Jeffrey T. O’Neill, AIA, ACHA

Director of Engineering Services, Pennsylvania Hospital, Penn Medicine

Jeff O’Neill is the Director of Engineering Services at Penn Medicine’s Pennsylvania Hospital, the nation’s first hospital.  Engineering Services is responsible for the maintenance of the physical plant, and coordinates implementation of capital construction projects.  Previously, Jeff served as a Senior Project Manager for Penn Medicines’ Real Estate, Design and Construction department, responsible for implementation of the capital projects for the patient care entities of Penn Medicine, which include Pennsylvania Hospital, the Hospital of the University of Pennsylvania,, and Penn Presbyterian Medical Center, along with faculty and community physician practices.  Before joining Penn Medicine in 2006, Jeff began his career in 1992 in the Projects office of the Department of Veterans Affairs Medical Center in Philadelphia, PA.  Jeff’s career in both consulting and healthcare organizations has given him a strong appreciation for the healing mission of healthcare and how this mission can be translated into the built environment.


Co-Chair: Bio For Dan Campbell CHFM FASHE

Dan is a native of Philadelphia, married with 3 daughters and 4 grand children. He served four years in the U.S. Navy as an interior communication electrician.  Graduated from Spring Garden College as a Testing and Balancing Engineer.

Healthcare Experience:Dan has over 37 years of Health Care Facilities Management experience. He held the position of Director of Facilities at Jeanes Hospital for 28 + yrs.  After retiring from Jeanes he accepted a position at Temple University as the Regulatory Compliance Manager a position he held for almost 9 years and retired again. While working at Temple University, Dan was selected to be one of 50 Life Safety Code Specialists conducting Joint Commission (TJC) Life Safety Code (LSC) surveys in hospitals around the country. Over the last several years, he has conducted TJC preparation education seminars for the Health Care Managers in PA, North, and South Jersey chapters of ASHE, The Hospital Fire Marshal’s organization, and Philadelphia Fire Department.

Memberships and affiliations: with professional organizations include:  Healthcare Facilities Managers Association of Delaware Valley (HFMADV), American Society for Healthcare Engineering ASHE).

Accomplishments include: One of the first 100 certified by ASHE as a Healthcare Facilities Manager (CHFM), Achieving Fellow level (FASHE) in ASHE, and he served as an HFMADV officer and past president and is a current trustee board member serving on several committees for Healthcare Facilities Managers Association of Delaware Valley (HFMADV).


Co-Chair: Biographical  info for Bart K Miller,CHFM,CHSP,CHEP,CHC,SASHE

Bart Miller is currently a resident of Pennsylvania

Mr. Miller is a Life Safety Code Surveyor with The Joint Commission

Mr. Miller surveys the standards in the Comprehensive Accreditation Manual/Accreditation Manual for Hospitals

Mr. Miller is Director of Construction, Plant Operations and Bio-Medical Services at St. Mary Medical Center, Langhorne,PA.

Mr. Miller is a member of the Health Guidelines Revision Committee for the  Guidelines for Design and Construction of Health Care Facilities ( FGI )

Mr. Miller is a member of the Health Guidelines Revision Committee for the  Guidelines for Design and Construction of Residential Healthcare and Support Facilities Health Care Facilities ( FGI )

Mr. Miller is a Member of NFPA and ASHE

Mr. Miller is a Board Member for the PSHFE in Harrisburg PA.

Mr. Miller contributed to the ASHE Health Facility Commissioning Handbook Task Force


Co-Chair: Bio Joseph Szymanski, BS, HEM

Joe started his career working for the United States Gypsum Company in Philadelphia. While working in their electrical maintenance department he attended a technical institute where he received his Journeyman Electrician certification.  While working full time as an electrician, Joe was attending school in evenings, receiving his Bachelors of Science in Safety Engineering. Immediately upon receiving his degree, Joe hung up the tool belt and started his safety management career working for the PA Department of Corrections as a Fire Safety Specialist.

Institutional/Healthcare Experience:

Between Correctional & Healthcare, Joe has 18 years of Safety Management experience, 12 yrs of those years with Penn Medicine. He also served 25 yrs in the fire service as a volunteer in both the PA & NJ working his way up through the ranks up to and including Deputy/Battalion Chief.

Memberships and affiliations: with professional organizations include:  Healthcare Facilities Managers Association of Delaware Valley (HFMADV), American Society for Safety Engineering (ASSE). NFPA Healthcare Section Member, NFPA Building Fire Safety System Section Member, International Fire Marshals Association, ASHE Advocacy Liaison

Additional Certifications:

NJ Division of Fire Safety Incident Management Level 1, 2, 3

NJ Division of Fire Safety Hazardous Material On-Scene Incident Commander

National Incident Management System (NIMS) 100, 200, 300, 400, 700, 800

ECRI Healthcare Environmental Manager

National Safety Council Advance Safety

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