Understanding HCAI (formerly OSHPD)

California's Healthcare Construction Program reviews all:

Hospitals and acute care facilities

Skilled nursing facilities

Clinics (certain types)

The Review Process

Conceptual review (optional but recommended)

Preliminary plan review

Architectural review

Structural/seismic review

Mechanical review

Electrical review

Fire/life safety review

Field inspectors assigned

Milestone inspections

Closeout documentation

**Incomplete seismic calculations** - Most common rejection

**Missing fire/smoke partition details** - Show all ratings

**Accessibility conflicts** - Healthcare has extra requirements

**Equipment clearances** - Medical equipment needs space

Start structural early - it takes longest

Track comments by discipline separately

Build relationships with your assigned reviewers

Use consistent detail references across disciplines

Our healthcare vertical includes:

HCAI-specific comment parsing

Life safety tracking views

Multi-cycle project management

Seismic/structural priority flags

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