Volume III - Health Care Facilities Design and Construction

Part 21 - Design Criteria and Standards

• 21-1 – Architect/Engineering Design Guide (2018) [PDF - 119 KB]
  • Architect/Engineering Design Guide (Aug 2022) [PDF - 2.7 MB]
• 21-2 - General/Architectural Guidelines (08/30/2006) [PDF - 35 KB]
  • 4 - Radon Control and Mitigation (2006) [PDF - 34 KB]
• 21-3 - Civil/Structural Guidelines (09/08/2006) [PDF - 24 KB]
  • 2 - Flood Plain Management [PDF - 49 KB]
  • 3 - Construction Site Storm Water Discharge [PDF - 60 KB]
• 21-4 - Mechanical Guidelines (Apr 2019) [PDF - 354 KB]
• 21-5 - Electrical Guidelines (Apr 2019) [PDF - 314 KB]
• 21-6 - Federally Assisted Construction
• 21-7 - Accessibility Standards (09/30/1996) [PDF - 11 KB]
• 21-8 - Metrication (08/20/2007) [PDF - 33 KB]
• 21-9 - Seismic Standards (02/19/1997) [PDF - 110 KB]
• 21-10 - Calculation of Building Areas
• 21-11 - Interstitial Space
• 21-12 - Space and Budget Reports
• 21-13 - Computer Aided Design (09/30/1996) [PDF - 11 KB]
• 21-14 - Partnering (12/04/1996) [PDF - 54 KB]
• 21-15 - Determination of Physical Security Requirements for Use in Design of Federal Facilities (12/24/2009) [PDF - 34 KB]
• 21-16 - Standards for Computerized Maintenance Management Systems (CMMS)
• 21-17 - Sustainability Guidelines (09/13/2010) [PDF - 42 KB]
  • 2 - Sustainability Guidelines for New Facility Construction, Build-To-Lease and Major Renovation [PDF - 43 KB]
  • 3 - Sustainability Guidelines for Existing Facilities [PDF - 62 KB]
  • 4 - Sustainability Guidelines for Leased Facilities [PDF - 38 KB]

Part 22 - Design Services

• 22-1 - Architect/Engineer Source Selection Guide (Oct 2018) [PDF - 90 KB]
• 22-2 - Indefinite Delivery Contracts (05/08/2013)
• 22-3 - Design Build Contracts and Others

Part 23 - Design Studies

• 23-1 - Environmental Reviews (Apr 2019) [PDF - 43 KB]
• 23-2 - Archeological/Historic Studies
• 23-3 - Value Engineering (April 2019) [PDF - 172 KB]
• 23-4 - Constructability Analysis
• 23-5 - Post Occupancy Evaluation

Part 24 - Construction Guidelines

• 24-1 - Contractor Selection
• 24-2 - Codes, Standards, and Authority Having Jurisdiction (Oct 2019) [PDF - 31 KB]
• 24-3 - Construction Contract Administration
• 24-4 - Contract Amendments and Change Orders
• 24-5 - Construction Inspection
• 24-6 - Final Inspection and Start-up Activities
• 24-7 - Activation and Start-Up Costs
• 24-8 - Project Final Report (09/30/1996) [PDF - 98 KB]
• 24-9 - Interim Life Safety Measures (02/28/1997) [PDF - 217 KB]
• 24-10 - Environmental & Occupational Monitoring (03/10/1998) [PDF - 11 KB]
• 24-11 - Installation of Fire Sprinkler Protection in Health Care Facilities (06/21/2005) [PDF - 28 KB]

Part 25 - Construction Procurement

• 25-1 - IHS Direct Federal Construction
• 25-2 - Public Law 93-638 Title I Contracting
• 25-3 - Public Law 93-638 Title III Compacting
• 25-4 - Major Health Facilities Grants (02/01/1997) [PDF - 4396 KB]
• 25-5 - Small Ambulatory Care Facilities Grants & Construction Program
• 25-6 - HUD Block Grant Support
• 25-7 - Major Equipment Procurement

Part 26 - Construction Funding Sources

• 26-1 - IHS Facilities Appropriation
• 26-2 - Joint Venture Construction Program
• 26-3 - Tribal Sharing of Costs
• 26-5 - Medicare/Medicaid Projects (09/30/1996) [PDF - 51 KB]
• 26-6 - Health Services Carryover Funding (12/02/1996) [PDF - 45 KB]