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Trends in Healthcare: The State of Accessible Medical Diagnostic Equipment Standards

Medical diagnostic equipment is instrumental to the accurate and timely diagnosis of a patient’s health conditions, but people with disabilities are often met with challenges when accessing and using diagnostic equipment. This can lead to omitted examinations or inaccurate results, thus causing greater health disparities among people with disabilities.

The Americans with Disabilities Act (ADA) and the 2010 ADA Standards for Accessible Design have made a significant impact on how architects and designers consider accessibility in healthcare settings.

Under Title III of the ADA regulations 28 CFR Part 36, hospitals are required to provide full and equal access to healthcare services and reasonable modifications of policies, practices, and procedures, as well as auxiliary aids and services. As part of this requirement, hospitals must provide accessible medical diagnostic equipment.

However, the 2010 ADA Standards do not provide technical guidance on what types of medical diagnostic equipment and how many of each type must be accessible to patients with disabilities. Because of this, the determination is often left up to the terms of settlement agreements.

How can designers and healthcare providers proactively ensure that medical diagnostic equipment is accessible to patients with disabilities? Keep reading for our recommendations.

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How to Tackle Embodied Carbon Now: Low-Carbon Building Materials and Assessment Tools

Building industry professionals have made great strides in reducing operational carbon, but without losing ground, we need to shift our efforts toward building materials and embodied carbon.

The time value of carbon is the notion that reducing carbon emissions now provides a greater benefit than reducing the same amount of emissions in the future. In other words, action today is worth more than tomorrow.

We can envision a future where all building materials have low or zero embodied carbon—even carbon-capturing ingredients—and there is a plan for reusing and recycling materials at the end of a building’s useful life. But how do we get there?

Read on to explore data, resources, and tools available now to help project teams reduce embodied carbon along with operational carbon.

Embodied Carbon: How We Define It

Building Life Cycle: Product Stage, Construction Process Stage, Use Stage, and End of Life Stage. Use Stage represents operational carbon emissions, and all others represent embodied carbon emissions.There are several stages in a building’s life. The middle stage is when a building is in use, and it’s all about the operational carbon emissions that result from running—or using—the building. Addressing operational carbon has been critical to reducing greenhouse gas (GHG) emissions, and the building industry has made some progress. But important climate action opportunities are missed by focusing only on the middle stage. (more…)

Top 10 Violations of Accessibility Requirements Post Occupancy Caused by Untrained O&M Staff

Our accessibility consultants work with design and construction teams to ensure that facilities are compliant with the architectural accessibility requirements of applicable laws and codes. But once the building is operational, and management and maintenance is turned over to an entity not involved in the design and construction process, unintentional violations of accessibility requirements often crop up post occupancy.

It’s not uncommon for litigation to result from observations of violations made by testers that are caused by unknowing operations and maintenance staff.

Once a facility is complaint with accessible design and construction requirements, it must remain so for its life, so it’s important for everyone to understand how to maintain compliance.

Here are some of the more common violations of accessibility requirements that occur post occupancy: (more…)

NYC Building Energy Efficiency Letter Grades: What Owners & Property Managers Need to Know

New York City buildings over 25,000 square feet must display a Building Energy Efficiency Rating Label, as required by Local Law 33 of 2018 and Local Law 95 of 2019.

Each year, buildings are given new energy efficiency grades based on benchmarking data from the previous calendar year.

New labels are available to building owners every year on October 1. Labels must be downloaded and posted in the lobby of each building by October 31. Failure to display the label by this deadline will result in a violation from the Department of Buildings and fine of $1,250 for applicable buildings.

Keep reading to get answers to all your questions about New York City’s building energy efficiency letter grades and labels from our energy experts. (more…)

Cost vs. Conservation vs. Comfort – Roundtable, Part 2

The ideal building is cost-efficient, energy-efficient, and comfortable for its occupants. But executing all three of these elements to perfection can be complex and costly. Can there ever be a win-win-win across all three?

In part two of our roundtable episode with Michelle DeCarlo, Saeideh Kirby, Erin McElwee, and Buildings + Beyond host Kelly Westby, our guests discuss how to find a balance between meeting project objectives and creating sustainable and healthy buildings. They also share how they’ve seen the COVID-19 pandemic change project priorities and building operations.

Did you miss part one of this roundtable? Go to the previous episode to hear our guests’ moving discussion on gender equity in the building industry.

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5 Misconceptions About Fair Housing Act (FHA) Design and Construction Compliance

“If I comply with the building code, then I comply with the Fair Housing Act.” “Everything is adaptable, so it doesn’t need to work on day one, right?” Accessibility consultants have heard all types of misconceptions about the Fair Housing Act (FHA). If followed, these assumptions can result in noncompliance with the design and construction requirements of the FHA.

Here are five of the most common misconceptions about the FHA, explained.

This blog post was originally published on September 30, 2019. It has been reviewed and updated to reflect the current design and construction requirements of the FHA.

Building Code

Fair Housing Act Design Manual cover.

Misconception #1: Following the accessibility requirements of the building code will satisfy the design and construction requirements of the FHA.

Not true. Following the accessibility requirements of the building code may not always satisfy the design and construction requirements of the FHA.

Building codes and federal laws are mutually exclusive; a building department or building official is responsible for ensuring compliance with the code—not the law. The U.S. Department of Housing and Urban Development (HUD) is responsible for enforcement of the FHA—not building codes. Meeting the requirements of one may not always satisfy the requirements of the other.

There is only one code, i.e., the International Building Code (IBC), that is a HUD-approved ”safe harbor” for compliance with the design and construction requirements of the FHA. Editions of the code after 2018 are not yet approved by HUD as meeting the requirements of the FHA. (more…)

Take Action: How Everyone Can Help Advance Gender Equity in the Building Industry – Roundtable, Part 1

To mark Women’s History Month, we wanted to get firsthand perspectives from women in the building industry. We invited Michelle DeCarlo of JB&B and Saeideh Kirby of JLL to join SWA’s Erin McElwee and Kelly Westby for a two-part episode tackling different topics—starting with gender equity.

In part one of their discussion, the group explores gender equity in male-dominated fields such as construction, HVAC, and engineering. They cover a range of topics, including microaggressions, implicit bias, authenticity in the workplace, and mentorship and sponsorship, and offer actionable takeaways for people of all gender identities to help advance gender equity across our industry.

We thank our guests for sharing their personal experiences!

Look out for part two of their discussion on balancing cost, conservation, and comfort in sustainable buildings.

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Accessibility Tech Notes: Coworking Spaces in Multifamily Buildings

A floor plan of a coworking space for multifamily buildings.The rise in remote and hybrid work throughout the COVID-19 pandemic has created a demand for spaces in multifamily buildings where residents can work from home. Developers are seeking to meet this demand by providing office and coworking areas as an additional amenity in residential buildings. In these coworking spaces, what accessible design requirements apply?

Accessible Coworking Spaces

Coworking spaces are a valuable amenity for building residents who prefer to work from home, but want separate environments for their professional and personal lives. Designing communal areas that are accessible to all individuals ensures that these spaces can be used to their fullest potential.

As an amenity provided to residents, coworking spaces in multifamily buildings must be designed to provide equitable access for people with disabilities, many of whom have seen a pronounced benefit because of the ability to work remotely. (more…)

ENERGY STAR NextGen: 5 Requirements for Climate-Friendly Homes

Building on the 25-year foundation of the ENERGY STAR Residential New Construction program, the EPA is gearing up to launch a new certification program for efficient single-family and multifamily homes: ENERGY STAR NextGen™ Certified Homes and Apartments. Based on initial energy and emissions modeling, ENERGY STAR NextGen certified homes will achieve an average of 47% greater carbon savings than homes built according to 2021 residential energy code.

In this episode, Robb chats with two members of EPA’s ENERGY STAR Residential Branch, Asa Foss and Elliot Seibert, about what home builders, raters, and buyers can expect from ENERGY STAR NextGen and its electric-forward—not all-electric—focus. They discuss each of the program’s requirements and the rationale and goals behind them.

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The Future of Inclusive Design: How We Can Advance Equity Through Building Design

As architects, building designers, and members of project teams, we are in a unique position to advance equity and inclusion in our world. It is our responsibility to design buildings that support and give opportunities to historically underserved groups.

As we embark on a new year, concepts of equity and inclusion are prominent throughout the field of architecture. The U.S. Green Building Council recently affirmed that equity will remain a key focus at this year’s Greenbuild International Conference, and the WELL Equity Rating continues to gain traction across our industry.

At SWA, we prioritize equity and inclusion in both our company values and strategic vision as well as in our Inclusive Design discipline. We made an announcement not long ago that our Accessibility team is shifting away from Universal Design towards Inclusive Design to more effectively drive equity in the built environment. In our work with Inclusive Design strategies, we have examined how they must evolve to prioritize all building occupants and the surrounding community at each stage in the design process.

Today we are thrilled to have a clearer vision for how we aim to accomplish this goal. (more…)

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