CSA Z8003:25

Preface This is the second edition of CSA Z8003, Health care facility design studies and post-occupancy evaluation . It supersedes the previous edition published in 2021. This Standard is part of a series of standards on the design, construction, evaluation, and maintenance of health care facilities (HCFs) and systems. The following are the major changes to this edition: a) new definitions for climate change, climate resiliency, energy performance, energy management, environmental sustainability, low-carbon resiliency, and net-zero emissions or net-zero carbon; b) a new annex on climate change resilience and low-carbon resiliency (see Annex K); c) a new annex that provides an example of a low-carbon study as a planning, design, and construction-post-occupancy evaluation (PDC-POE) continuum study (see Annex L); d) a new annex on centralized data repositories (see Annex M); and e) a new clause on recognizing influences on a POE (see Clause 6.1.7). CSA Group acknowledges that the development of this Standard was made possible, in part, by a) 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); b) the financial support of Standards Council Canada (SCC); and c) by a workshop and seed document both titled A Planning Guide for Post Occupancy Evaluation, the outcomes of a grant from the Canadian Institutes of Health Research’s (CIHR) Partnerships for Health System Improvement. This Standard was prepared by the Subcommittee on Health Care Facility Design Research and Evaluation, under the jurisdiction of the Technical Committee on Health Care Facilities and the Strategic Steering Committee on Health and Well-Being, 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 This Standard provides requirements and guidance for a consistent approach on how to plan and conduct a study to evaluate different HCF design features while ensuring the resources required and level of rigour match the undertaking. Note: The focus of these studies should align with the objectives of the funding agency or study sponsor to address HCF planning or design issues, or to learn from elements of the completed projects to inform future projects. The study can include PDC studies and POEs. 1.2 Application This Standard applies to HCF projects, including new construction or redevelopments of existing facilities (e.g., additions, renovations), and is intended to be used by HCFs regardless of type, level of care, size, or location. This Standard can be used in all provinces and territories. It applies to all HCFs regardless of size or budget, and to all projects regardless of scope and scalability. 1.3 Inclusions This Standard is developed for a broad range of users, including but not limited to HCFs, funding agencies, governments, professional designers and planners, architects, engineers, infection prevention and control professionals, health care teams and clinical staff, vendors, researchers, and internal and external evaluators. This Standard supports interdisciplinary design teams (IDT) for an HCF project as defined in CSA Z8000 that includes key members of the HCF as subject matter experts: administrators, health care program and clinical planners, clinical staff, infection prevention and control professionals, facility operations and maintenance staff, patients and their families, and non-clinical support staff. Other key members of the IDT may include non-HCF individuals (e.g., professional designers, vendors, funding agencies). 1.4 Exclusions This Standard does not specify requirements for studies for operational models, policies, and procedures. Those elements are addressed in other standards, guidelines, and accreditation tools provided by CSA, and by other organizations such as Accreditation Canada, provincial/territorial governments, professional colleges, and licensing bodies. This Standard is not intended for the evaluation of clinical practice or facility operations except as it influences the planning, design, and construction process (i.e., third-party operational reviews). 1.5 Climate change mitigation and adaptation This Standard incorporates studies that assess the effectiveness, efficacy, and implementation of climate change mitigation and adaptation. 1.6 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 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.