MIL-HDBK-1191
SECTION 1:
GENERAL GUIDANCE
1.1 General. This section provides general guidance on Department of
Defense (DoD) policies and procedures for design and construction of
Defense Medical Facilities, including medical and dental treatment
facilities (MTF's), medical training facilities, medical research
facilities, and veterinary treatment facilities in the Defense Medical
Program.
When feasible, this document is also to be utilized as
criteria in the addition, alteration, or service upgrade to existing U.S.
Military medical facilities funded by military departmental programs.
Subject to the restrictions provided herein; applicability shall be
limited only to those portions of such facilities, and/or the
corresponding support services, specifically referenced by the project
authorization document. It is the DoD objective to provide facilities
that are responsive to the functional requirements of the using Military
Department.
1.2 Applicability. This document sets forth DoD policy, procedures,
and technical criteria for the design and construction of facilities in
program, and other medical design and construction projects over
0,000. When feasible, the technical criteria in this document shall
be the basis of design for Operations and Maintenance (O&M) or Repair
and Maintenance (R&M) work, though the specific submittal and approval
requirements may vary for those types of projects. In overseas
locations where either Status of Forces Agreements (SOFA), local host
country codes and standards, or other local circumstances may conflict
with the criteria in this handbook, alternate design approaches shall
be developed to achieve the intent of the criteria without compromising
life safety or the safeguarding of persons and property. Conflicts
shall be resolved at the Design Agent level, when the Design Agent's
medical facilities design office or center of expertise determines that
resolution does not represent a significant change to criteria
affecting building occupant safety or health. All other proposed
changes shall be coordinated through the Design Agent's medical office
or center for submission to the Healthcare Facilities Steering
Committee.
1.3 Policy. As stated in the DoD Directive 6015.17 (reference 1L), it
is DoD policy to design efficient, economical, and safe facilities, which
sustain an effective combat force, that support the DoD medical wartime
mission, and that meet the provisions of Title 10, United States Code
(reference 1a). This document prescribes the DOD technical criteria and
durable facilities, which will have reasonable and appropriate
maintenance and operations, costs throughout their designed life.
Detailed design criteria and procedures, which may be developed and
issued by the DoD Components (Military Departments), shall be consistent
with the policy statements and criteria contained herein and shall not
deviate these criteria without TMA/DMFO approval, as provided at 1.4.3.
Facility designs shall:
1.3.1 Meet the operating requirements of the using activity and provide
reasonable flexibility to accommodate future changes.
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