Between the Lines with FGI

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Curious about the health care physical environment? Join John Williams and Bridget McDougall for serial fun on a serious topic as they discuss the FGI Guidelines and design and compliance issues with some of the world’s top thinkers and designers. Explore the history of the minimum standards and intent between the lines of the code.

Facility Guidelines Institute


    • May 9, 2025 LATEST EPISODE
    • monthly NEW EPISODES
    • 31m AVG DURATION
    • 20 EPISODES


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    Latest episodes from Between the Lines with FGI

    S2 E8 – MRI Quench Pipes: Engineering Challenges and Safety Solutions

    Play Episode Listen Later May 9, 2025 39:40


    In this episode, Toby Gilk returns to discuss the intriguing and complex world of MRI technology. Learn about the role of superconductivity in MRI machines, the potential hazards of quench pipes, and the importance of proper design to prevent catastrophic failures. Toby explains how superconductivity allows MRI machines to operate efficiently without continuous power but also introduces risks if not managed correctly. Hear about real-world examples of quench pipe failures and the engineering solutions that mitigate these dangers, and gain insights into the latest advancements in MRI technology and how they impact safety protocols in healthcare facilities.   Sponsored by:   American Society for Health Care Engineering (ASHE): Optimizing health care facilities      Link to show notes: https://fgiguidelines.org/podcast/s2-e8-mri-quench-pipes-engineering-challenges-and-safety-solutions Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn

    S2 E7 – Plumbing Standards and Health Care Facility Design

    Play Episode Listen Later Apr 4, 2025 31:37


    In this episode of Between the Lines with FGI, host John Williams interviews Christoph Lohr, vice president of technical services and research at IAPMO and the plumbing task group chair for the 2026 Health Guidelines Revision Committee (HGRC). Their discussion explores the complexities and challenges of plumbing systems in health care facilities, emphasizing the importance of water quality and safety. Christoph also highlights the collaborative efforts between IAPMO and FGI to improve plumbing standards and codes. Listeners will gain insights into the critical role of plumbing in health care and the ongoing efforts to enhance system resiliency and efficiency.      Sponsored by:   American Society for Health Care Engineering (ASHE): Optimizing health care facilities      Link to show notes: https://fgiguidelines.org/podcast/s2-e7-plumbing-standards-and-health-care-facility-design/ Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn    

    S2 E6 – Accommodating Individuals of Size in Health Care

    Play Episode Listen Later Mar 7, 2025 39:13


    In this episode of Between the Lines with FGI, cohosts John Williams and Bridget McDougall sit down with Dr. Marie Martin from the U.S. Department of Veterans Affairs to discuss the critical topic of safe patient handling and mobility. Dr. Martin shares her journey and insights into the development of guidelines and practices that ensure the safety and well-being of both patients and caregivers. Learn about the importance of accommodating individuals of all sizes in health care environments and the innovative solutions being implemented to address these needs. This episode is packed with valuable information for anyone interested in health care design and patient safety. Tune in for an engaging and educational conversation!    Sponsored by:   American Society for Health Care Engineering (ASHE): Optimizing health care facilities     Link to show notes:  Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn  

    S2 E5 – Surfaces in Health Care Settings + Evidence-Based Design

    Play Episode Listen Later Dec 6, 2024 36:12


    This episode of Between the Lines with FGI focuses on optimizing surface materials in health care and residential care design. Cohosts John Williams and Bridget McDougall discuss the importance of surface materials in health care settings with Laurie Waggener, the Director of Research for Healthcare at Page. Laurie explains her role in ensuring evidence-based architectural processes and shares insights on the impact of surface materials on patient care, including durability, maintenance, and safety. The discussion also covers the use of UVC radiation for disinfection, the importance of consensus decisions with clients, and how the COVID-19 pandemic influenced surface testing. The conversation underscores the need for materials that balance aesthetics, functionality, and safety in health care environments.    Sponsored by:   American Society for Health Care Engineering (ASHE): Optimizing health care facilities     Link to show notes: https://fgiguidelines.org/podcast/s2-e5-surfaces-in-health-care-settings-evidence-based-design/ Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn

    S2 E4 – MRI Safety and the Built Environment

    Play Episode Listen Later Nov 1, 2024 44:38


    After listening to this episode, you'll understand why guest Tobias (Toby) Gilk says, “The physics associated with MRI scanners is so otherworldly and so profoundly different from our daily experience interacting with the world that everything seems magic associated with this particular imaging modality.” The profound differences with MRI don't stop with just the physics; there are a host of built environment considerations for the spaces that house MRIs as well as operational implications for patient and staff safety. Toby gives a quick lesson on how MRIs work, shares a story of how tragedy led to codified safety measures, and answers John and Bridget's questions about the whys behind the codes.   Sponsored by: American Society for Health Care Engineering (ASHE): Optimizing health care facilities    Link to show notes: https://fgiguidelines.org/podcast/s2e4-mri-safety-and-the-built-environment-tobias-gilk/ Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/ Connect with us on LinkedIn 

    S2 E3 – Changes Ahead: Intellectual Property Rights and the Future of the Guidelines

    Play Episode Listen Later Oct 4, 2024 35:41


    There's a seismic shift happening in the codes and standards development legal landscape as courts back away from the longstanding precedent of protecting copyrights. As a result, some entities now post what was protected content, seemingly in partnership with standards development organizations, in order to sell their own products. In reality, standards development organizations like FGI have no oversight on how their code content is used outside of its own platforms and publications. CEO Heather Livingston discusses FGI's unusual approach to making sure that everyone involved in health and residential care design and construction has access to accurate and complete code requirements straight from the source.    Sponsored by:   American Society for Health Care Engineering (ASHE): Optimizing health care facilities     Link to show notes: https://fgiguidelines.org/podcast/s2e3-changes-ahead-intellectual-property-rights-and-the-future-of-the-guidelines/ Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter) 

    S2 E2 – Built Environment Impacts on Operations and the Patient Experience

    Play Episode Listen Later Sep 6, 2024 34:20


    Woven into any patient's health care experience is the environment in which they are treated. Questions about cleanliness and quietude appear on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey; the results of which determine how much funding is provided (or removed) from health care facilities by CMS.   In this episode, recorded at ASHE's Health Care Facilities Innovation Conference last month (July 2024), guests Jeff O'Neill and Kathy Easter, both of Robert Wood Johnson University Hospital, engage in discussion about where the patient experience and the Guidelines (soon to be the FGI Facility Code) intersect.       Sponsored by:   American Society for Health Care Engineering (ASHE): Optimizing health care facilities    Link to show notes: https://fgiguidelines.org/podcast/s2-e2-built-environment-impacts-on-operations-and-the-patient-experience Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter)     

    S2 E1: What's New in the 2026 FGI Facility Code Drafts

    Play Episode Listen Later Aug 2, 2024 35:01


      This is your chance to weigh in! The change in title from the 2022 Guidelines for Design and Construction documents to the 2026 FGI Facility Code documents is one of several changes you will see during the 2026 draft public comment period (now through September 30, 2024). For this episode, John Williams and Leah Hummel sit down with Bridget McDougall for an overview of the draft changes discussed as part of a presentation they gave at the Health Care Facilities Innovation Conference in Anaheim, CA. From new chapters to revised requirements, hear about the language that you have an opportunity to comment on before the next edition is published in early 2026. Note: This episode was recorded on July 20, 2024, while at ASHE's Health Care Facilities Innovation Conference in Anaheim, CA.     Sponsored by:   American Society for Health Care Engineering (ASHE): Optimizing health care facilities     Link to show notes: https://fgiguidelines.org/podcast/s2e1-whats-new-in-the-2026-fgi-facility-code-drafts Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter)   

    Between the Lines – with ASHE

    Play Episode Listen Later Jul 25, 2024 18:58


    Not an ASHE member? Didn't attend the HCFI conference? This episode is also for you! In this bonus episode (recorded at the Health Care Facilities Innovation Conference in Anaheim, California on July 21, 2024), hosts John Williams and Bridget McDougall sit down with Leah Hummel, senior associate director of the Association for Health Care Engineering's (ASHE) advocacy team, to discuss the importance of reviewing and commenting on the 2026 draft FGI Facility Code documents. Leah and John touch on the presentations they're giving at the conference, and Leah talks about the one thing she's always stressing to ASHE members regarding FGI and the code documents. NOTE: Look for the first episode of Season 2 (released Friday, August 2, to hear an overview of the changes in the 2026 draft!       Sponsored by:   American Society for Health Care Engineering (ASHE): Optimizing Health Care Facilities     Link to show notes: https://fgiguidelines.org/podcast/bonus-between-the-lines-with-ashe/ Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter)   

    E10 – Designing Care Spaces with Our Future Selves in Mind: Jane Rohde

    Play Episode Listen Later Jun 14, 2024 32:12


    Jane Rohde is affectionately known in FGI circles as “the mother of the Residential Guidelines.” Her passion for residential health care facility design and advocacy for the aging and vulnerable populations led to the inclusion of residential health, care, and support facilities in the Guidelines documents beginning with the 2018 edition. In this episode, Jane explains how nursing homes, initially intended for short-term care, evolved into a care model that often widens the gap between “those who have and those who have not.” Jane further emphasizes the need for community-centric design, pointing to common design mistakes including poor acoustics in large spaces, inappropriate lighting disrupting circadian rhythms, and lack of contrast in colors leading to falls. Jane also shares why a detailed functional programming process, engaging community stakeholders to identify service gaps and needs, is “the nitty gritty” that she loves the most.”    Sponsored by: The Facility Guidelines Institute: The keystone to health care planning, design, and construction    Link to show notes: https://fgiguidelines.org/podcast/e10-designing-care-spaces-with-our-future-selves-in-mind-jane-rohde/  Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter)   

    E9 – Ding! Ding! A Toast to Residential Care Dining Spaces: Addie Abushousheh

    Play Episode Listen Later May 24, 2024 34:07


    Addie Abushousheh shares her insights on the evolution of residential health, care, and support facility design and construction, particularly focusing on the role kitchen and dining spaces have in enhancing residents' quality of life. Key points include shifts in language to empower residents, the importance of various kitchen types for autonomy, and the significance of dining areas for socialization and therapy. Addie highlights new language in the upcoming 2026 draft Guidelines for Design and Construction of Residential Health, Care, and Support Facilities document, emphasizing the intent to support choice for both those building these facilities and the people calling them home.     Sponsored by:   Specified Technologies, Inc. (STI): Your partner in barrier management solutions.      Link to show notes https://fgiguidelines.org/podcast/e9-ding-ding-a-toast-to-residential-care-dining-spaces-addie-abushousheh Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter)   

    E8 – The Sound of Silence: Mandy Kachur

    Play Episode Listen Later May 10, 2024 35:22


    Unless you're an expert in acoustics, it's likely the acoustic-related requirements in the Guidelines read like a foreign language. Acoustic engineer Mandy Kachur joins hosts John and Bridget to not only talk about the impact noise can have on patient care, but also turn a complex topic into a digestible concept. Various acoustic tables in the Guidelines are explained, touching on speech privacy, speech intelligibility, exterior noise control, and sound isolation. Mandy also cautions designers about the easiest mistake to avoid before the threat of costly retrofits and explains how reducing noise in patient care spaces can be directly tied to reimbursement.   Sponsored by: Specified Technologies, Inc.: Your partner in barrier management solutions.    Link to show notes: https://fgiguidelines.org/podcast/e8-the-sound-of-silence-mandy-kachur/ Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter) 

    E7 – Is Part 1 of the Guidelines Optional? —John Williams and Bridget McDougall

    Play Episode Listen Later Apr 12, 2024 30:43


    In this week's episode, Bridget and John discuss the intricacies of design and construction standards as they unravel both the misconceptions and the significance of Part 1 of the Guidelines for Design and Construction. Exploring topics ranging from risk assessments to equipment specifications, they offer valuable perspectives on navigating building codes, emphasizing the importance of thorough planning and collaborative discussions. Whether you're a seasoned professional or a curious observer, their conversation captivates and informs, leaving you with a deeper understanding of the complexities inherent in the planning, design, and construction of health care facilities.   This episode is sponsored by Northstar Management Company: "Smart Builds Start With Us."   Link to show notes: https://fgiguidelines.org/podcast/e7-is-part-1-of-the-guidelines-optional-john-williams-and-bridget-mcdougall Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter) 

    E6 – It's Electric! (Receptacles): Krista Biason

    Play Episode Listen Later Mar 22, 2024 32:54


    In this episode, Bridget and John enter the world of electrical receptacles in patient care areas with electrical engineer expert Krista Biason. They simplify complex regulations, dig into related Guidelines minimum requirements, and emphasize the importance of inclusive planning for functional, patient-centered spaces. Krista's expertise shines as she explains technical nuances, from distinguishing between critical and essential branches to discussing emerging technologies like USB charger outlets. The trio's candid exchanges inject humor, making the topic engaging, as they stress the need for flexible designs that balance functionality with adaptability.   This episode is sponsored by Northstar Management Company: "Smart Builds Start With Us."   Link to blog: https://fgiguidelines.org/podcast/e6-its-electric-receptacles-krista-biason Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/ Connect with us on LinkedIn and X (Twitter)

    E5 – Behavioral Health Crisis Units: Dr. Scott Zeller

    Play Episode Listen Later Mar 8, 2024 40:59


    “We usually think of treatments being medications, devices, surgeries. But we need to realize that the environment can be a treatment, too.” Dr. Scott Zeller joins hosts Bridget and John to explore the importance of designing supportive spaces for individuals experiencing mental health crises. Learn about the innovative EmPATH model that led to the inclusion of the behavioral health crisis unit in the 2022 edition of the Guidelines.   This episode is sponsored by Northstar Management Company: "Smart Builds Start With Us." Link to Blog https://fgiguidelines.org/podcast/e5-behavioral-health-crisis-units-scott-zeller/( Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/ Connect with us on LinkedIn and X (Twitter)

    E4 – Infection Preventionists as Collaborative Partners: Lela Luper

    Play Episode Listen Later Feb 23, 2024 32:31


    Infection preventionist Lela Luper joins hosts John and Bridget to explore the critical nexus of facility design and infection control in healthcare. From furr downs to fish tanks and everything in between, today's episode illustrates the often-overlooked hidden dangers in the health and residential care physical environment. Lela underscores the value of including infection preventionists early in design conversations and highlights the importance of being a collaborative partner rather than a rigid enforcer.     This episode is sponsored by Northstar Management Company: "Smart Builds Start With Us." Link to show notes: https://fgiguidelines.org/podcast/e4-infection-preventionists-as-collaborative-partners-lela-luper Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/  Connect with us on LinkedIn and X (Twitter) 

    E3 - But Wait! There's More! The Functional Program: Tony Ruebsam

    Play Episode Listen Later Feb 9, 2024 15:52


    Tony Ruebsam, a self-described “cat herder” in the world of project management, warns John and Bridget that projects that get their start at the drawing board are missing a crucial step. Introduced to the functional program early in his career, Tony shares why he's a firm believer in starting with the functional program before significant design drawings begin.    Link to show notes:  https://fgiguidelines.org/podcast/e3-but-wait-theres-more-the-functional-program-tony-ruebsam Learn more about AIA self-reporting LUs: https://fgiguidelines.org/aia-self-reporting-lus/ Connect with us on LinkedIn and X (Twitter) 

    E2 – Form Follows the Functional Program: Ken Cates

    Play Episode Listen Later Jan 26, 2024 28:50


    Every hospital, outpatient, and residential facility you've stepped foot in or driven past started with an idea. On today's episode, Ken Cates, cofounder and principal of Northstar Management Company, talks about the importance of not leaping from idea straight to design (as is often the tendency) but instead utilizing the functional program as a way of gathering input from all stakeholders and clearly identifying the purpose of the space.   This episode is sponsored by Northstar Management Company: "Smart Builds Start With Us." Episode Show notes with Transcript. Connect with us on LinkedIn & X  Have an idea for an episode or a guest? Write to us at podcast@fgiguidelines.org.   Interested in having us mention your company on our podcast? Visit fgiguidelines.org/podcast for information on episode sponsorship.  _____________________________________________________ For information on AIA self-reporting LUs click here.  

    E1 – The Genesis of the Guidelines: Doug Erickson

    Play Episode Listen Later Jan 12, 2024 18:53


    The early stories that live between the lines of the Guidelines include an intersection with Listerine (the antiseptic mouthwash) and a document that three individuals championed to keep alive in the mid-1980s.    Doug Erickson, founder and former CEO of the Facility Guidelines Institute, joins John and Bridget for a casual conversation about the origins of the Guidelines and its impact on health and residential care settings.    Have an idea for an episode or a guest? Write to us at podcast@fgiguidelines.org.   Episode show notes with transcript  Connect with us on LinkedIn & X  __________________________________ AIA will accept self-reported Learning Units (LU) equaling one hour. Each episode of Between the Lines with FGI will be around 30 minutes, and FGI will make episode transcripts available at fgiguidelines.org/podcast.  AIA will not approve Health Safety and Welfare (HSW) through self-reports for the podcast Between the Lines with FGI.

    E0 Introduction to Between the Lines with FGI

    Play Episode Listen Later Dec 13, 2023 8:36


    Meet John Williams and Bridget McDougall from the Facility Guidelines Institute as they set the stage for engaging conversations regarding health and residential care design and construction. What are the Guidelines, exactly, and what are the stories behind them? Get ready to “read between the lines” with FGI. Connect with us on LinkedIn 

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