1 beth israel deaconess medical center ada upgrade overview
Post on 28-Dec-2015
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What is ADA?
• The Americans with Disabilities Act (ADA) (P.L. 101-336) is the most comprehensive civil rights legislation adopted to prohibit discrimination against people with disabilities. It extends civil rights protections to individuals with physical or mental disabilities in the following areas:
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Population being served
An individual is considered to have a "disability" if he/she has a physical or mental impairment such as; seeing, hearing, speaking, walking, breathing freely, and performing manual tasks, that substantially limits one or more major life activities
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Settlement Agreement Parameters
• Duration: October 1, 2009 to September 30, 2015
• Expected expenditures: $8,500,000
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Requirements
• Designate and Train Compliance Officer and 2 Assistants
• Update BIDMC Web page to provide Accessibility Information
• Complete Access Audit of All BIDMC Facilities
• Install Directional Signage to Nearest Accessible Entrance and Bathroom
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Requirements Continued
• Complete Database of Accessible Medical Equipment
• Insure One Accessible Exam Table in each Clinical Service Area
• Provide Accessible Entrances and Exterior Routes
• Provide Additional Accessible Parking
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Requirements Continued
• Provide Hi-Top Van Accessible Parking
• Form Universal Access Patient Advisory Council
• Submit Annual Report
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Changes to BIDMC Facilities Dept. A New Way of Business
• Design Review of All Projects for ADA Compliance
• Training for Project Management Team and in the future to other departments within the Medical Center
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DOJ requires update to BIDMC website
Public Transportation and links related to the methods of getting to BIDMC
• City transportation maps
• Locations of accessible entrances
• Accessible shuttles available between campuses
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DOJ requires update to BIDMC website Continued
• Accessible public gathering locations internal to the buildings (i.e. cafeterias, restrooms)
• Locations of TTY / TTD facilities
• Location of the Sorenson Video Systems for the Deaf and Hearing impaired
• Campus maps
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Access Audit of all BIDMC Facilities
• BIDMC hired the nationally recognized expert firm, Kessler McGuinness & Associates, LLC
• Complete survey of the 23 on-campus facilities as well as 3 suburban clinics
• BIDMC has created an ADA Access Plan for all 26 buildings that were audited
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Implementation of ADA Access Plan
• Accessible Entrances and Exterior Routes
• Additional Accessible / Van Accessible Parking
• Installed Handrails on Interior Ramps
• Install Directional Signage to accessible toilet rooms and routes
• Hire Architects to assist in renovation designs to meet ADA Guidelines
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Create a BIDMC Access Advisory Group
• PurposeTo better understand the impacts of accessibility issues on our patients, patient families, visitors and employees
• Mission Statement “To advise and support the medical center in providing a welcoming, accessible, and comfortable environment for individuals with disabilities and other access challenges”
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Advisory Group Recommendations
• Purchase of motorized chair for consumer/patient use
• Increased use of ‘vibrating flashers’ to alert Deaf/hard of hearing consumer/patients when their appointment is being called
• Disability etiquette training program for BIDMC staff
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Advisory Group Recommendations
• “Reservation System” to assure appropriate use of accessible exam rooms
• Purchasing scales that can be used by people in wheelchairs – at least 1/clinic (like accessible exam tables)
• Engaging Champions of Change for disability issues –esp. ‘mystery shopping’
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Accessible Exam Rooms
• To date more than 86 accessible tables have been purchased and deployed bringing current total to 106. (slightly over 20% of total inventory)
• BIDMC has added the International Symbol of Access outside each accessible exam room to increase awareness on the part of doctors, staff, and patients about the availability of this equipment.
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Dining SurfacesDining Tables and Surfaces
Clear Floor Space• 30” x 48” clear floor space minimum.
• Clear floor space may extend under the table 19” maximum.
Knee Space• 30” wide x 27” high x 19” deep must be
clear of any obstructions.
Table Height• Height of table surface must be 28” -
34” high.
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27”
min
28”
- 34
”
19” max
48”min
3230
” m
in
19” max
48” min
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In bathrooms labeled as handicap accessible – make sure there are no added
items to reduce open floor space
• Yes
• No
> 27”<
27”<
27”>
27”< 27”
FLOOR BARRIER
OVERSIZED BRACKET OR BUILD-OUT
LOWERED OBJECT
Wall-Mounted ObjectsCane-Detectable Barriers
Floor Barrier• Place a barrier on the floor below the
protruding object. • This may be a guard rail, wall protrusion or
any other fixed object.• Barrier must be the same depth as the
protruding object.
Oversized Bracket or Build-out• Place a barrier with its leading edge below
27” AFF underneath the protruding object.• This may be a large bracket, wall protrusion
or apron. • Barrier must be the same depth as the
protruding object.
Lowered Object• Mount objects with their leading edge below
27” AFF.
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What can you do to become more compliant?
• Keep the accessible counters at registration desks free from clutter
• Make sure all paths of travel are clear including hallways, exam rooms and bathrooms
• Refrain from hanging wall mounted objects that protrude more than 4” into a path of travel
• Think ADA!!!
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