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The Exit Light Co: NFPA 101, Life Safety Code, code red safety.#Code #red #safety


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NFPA 101 , Life Safety Code

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In 1913, the NPFA s Committee on Safety to Life began an analysis of notable fires involving loss of life. This work led to the development of standards for stairways, fire escapes, and exit facilities that were published in 1916 (Outside Stairs for Fire Exits) and 1918 (Safeguarding Factory Workers from Fire). These standards were expanded and merged with other safety standards in 1921, and published as the Buildings Exits Code.

A deadly series of fires between 1942 and 1946 (notably the November 19, 1942 Cocoanut Grove Night Club Fire in Boston, Massachusetts, and the December 7, 1946 Winecoff Fire in Atlanta, Georgia) led to the beginning of a revision of the Building Exits Code from a tool for building contractors to a a potential model code, and several versions were published before the Committee on Safety to Life was restructured in 1963. For the 1966 version, the name was changed from the Building Exits Code to Code for Safety to Life from Fire in Buildings and Structures. After further reorganization and several versions later, the modern Life Safety Code had become the modern code which would be widely adopted in the United States as model legislature.

The portion of the NFPA 101 , Life Safety Code that applies to emergency lighting, exit signs, and means of egress is presented below (from the 2015 edition). The NFPA 101, Life Safety Code is a model code, and while some states or localities have implemented the code in full, other states or locality have implemented only certain parts and changed others. For the most accurate information on your local codes, check with your local code enforcement agency.

NFPA 101 , Life Safety Code

Administered and published by the National Fire Protection Association (NFPA), the Life Safety Code addresses those construction, protection, and occupancy features necessary to minimize danger to life from fire, including smoke, fumes, or panic, and establishes minimum criteria for the design of egress facilities so as to allow prompt escape of occupants from buildings or, where desirable, into safe areas within buildings.

(2) Prevention of injury incurred by an individual due to that individual s failure to use reasonable care

(3) Preservation of property from loss by Fire

(2) Underground and limited access structures as addressed in Section 11.7

(3) High rise buildings as required by other sections of this Code

(4) Doors equipped with delayed-egress locks

(5) Stair shafts and vestibules of smokeproof enclosures, for which the following also apply:

    (a) The stair shaft and vestibule shall be permitted to include a standby generator that is installed for the smokeproof enclosure mechanical ventilation equipment.
    (b) The standby generator shall be permitted to be used for the stair shaft and vestibule emergency lighting power supply.

(6) New access-controlled egress doors in accordance with 7.2.1.6.2

(2) Opening of a circuit breaker or fuse

(3) Manual act(s), including accidental opening of a switch controlling normal lighting facilities.

(2) The test internval shall be permitted to be extended beyond 30 days with the approval of the authority having jurisdiction.

(3) Functional testing shall be conducted annually for a minimum of 1 hours if the emergency lighting system is battery powered.

(4) The emergency lighting equipment shall be fully operational for the duration of the tests required by 7.9.3.1.1(1) and 7.9.3.1.1(3).

(5) Written records of visual inspections and tests shall be kept by the owner for inspection by the authority having jurisdiction.

(2) Not less than once every 30 days, self-testing/self-diagnostic battery-operated emergency lighting equipment shall automatically perform a test with a duration of a minimum 30 seconds and a diagnostic routine.

(3) Self-testing/self-diagnostic battery-operated emergency lighting equipment shall indicate failures by a status indicator.

(4) A visual inspection shall be performed at internvals not exceeding 30 days.

(5) Self-testing/self-diagnostic battery-operated emergency lighting equipment shall be fully operational for the duration of the 1 -hour test.

(6) Written records of visual inspections and test shall be kept by the owner for inspection by the authority having jurisdiction.

(2) Not less than once every 30 days, emergency lighting equipment shall automatically perform a test with a duration of a minimum of 30 seconds and a diagnostic routine.

(3) The emergency lighting equipment shall automatically perform annually a test for a minimum of 1 hours.

(4) The emergency lighting equipment shall be fully operational for the duration of the tests required by 7.9.3.1.3(2) and 7.9.3.1.3(3).

(5) The computer-based system shall be capable of providing a report of the history of tests and failures at all times.

(2) Tactile signage shall read as follows: EXIT.

(3) Tactile signage shall comply with ICC/ANSI A117.1, American National Standard for Accessible and Usable Buildings and Facilities.

7.10.3.2 Where approved by the authority having jurisdiction, pictograms in compliance with NFPA 170, Standard for Fire Safety and Emergency Symbols, shall be permitted.

(2) For existing signs, the required wording shall be permitted to be plainly legible letters not less than 4 in. (100 mm) high.

(3) The word EXIT shall be in letters of a width not less than 2 in. (51 mm), except the letter I, and the minimum spacing between letters shall be not less than 3/8 in. (9.5 mm).

(4) Sign legend elements larger than the minimum established in 7.10.6.1.1(1) through (3) shall use letter widths, strokes, and spacing in proportion to their height.

(2) The directional indicator shall be of a chevron type, as shown in Figure 7.10.6.2.1.

(3) The directional indicator shall be identifiable as a directional indicator at a distance of 40 ft (12 m).

(4) A directional indicator larger than the minimum established for compliance with 7.10.6.2.1(3) shall be proportionately increased in height, width and stroke.

(5) The directional indicator shall be located at the end of the sign for the direction indicated.

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7.10.6.2.2 The requirements of 7.10.6.2.1 shall not apply to approved existing signs.

(2) They are existing signs having the required wording in legible letters not less than 4 in. (100 mm) high.

(3) They are signs that are in accordance with 7.10.1.3 and 7.10.1.6.

7.10.8.3.2 The NO EXIT sign shall have the word NO in letters 2 in. (51 mm) high, with a stroke width of 3/8 in. (9.5 mm), and the word EXIT in letters 1 in. (25 mm) high, with the word EXIT below the word NO, unless such sign is an approved existing sign.

(2) Signs that indicate the operational status of elevators

7.13 Normally Unoccupied Building Service Equipment Support Areas.


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TULSA AREA


You might want to watch this 8-minute video created by the Consumer Electronics Association

Getting the most from America’s New High-Definition Television System is simple and inexpensive. You just need an antenna for sets made after 2007, and a Converter Box if you have an older TV. No need to get cable, satellite or a new TV to enjoy America’s DTV Channels.

“Multicasting” allows stations to broadcast up to six new channels in the space of their old one. Channel 9, for instance, is now DTV channel 9.1, 9.2, 9.3, etc. Cable and satellite would have you believe they carry most of these new channels, but they don’t.

Cable and satellite strip and leave out most broadcast channels to save space for other $ervice$. To get genuine HDTV just add an antenna and converter to your existing setup. You’ll be amazed how many HDTV channels you can tune, and how much better everything looks over-the-air!

Find the keys to complete your HDTV System!

Tulsa Area HDTV Channels

All 25 of these new channels, and many more, are Free. No cable or satellite is needed for any of them. Just select an Antenna, using the information below, to receive crystal clear HDTV signals Free in the Tulsa Area.

Antenna Selection Guide
To find the perfect antenna, first list the RF Channels around Tulsa which you want to watch. The CEA. Consumer Electronics Association, and NAB. National Association of Broadcasters, created the AntennaWeb to help you with the rest. Free! An example of how it works is presented below.

NOTE that all TV stations are transmitting on different channels now. To avoid confusion, however, the new tuners and converter boxes allow a station to keep its old channel number while automatically switching you to its new RF Channel. Some of the new RF Channels are VHF but most are UHF.

RF Channels on your list numbered less than 14 are VHF. They need a broader antenna than UHF channels; the ones numbered 14 and up. Since HDTV is 91% UHF, you probably won’t need to use a broad antenna.

Most need an Indoor Antenna. They work just fine with older TVs using a converter box, and with all new TVs. You’ll need to use an Outdoor Antenna if you’re more than 15 miles from stations’ towers, but most towers are clustered near town and are very powerful.

EXAMPLE.
We’ll use a site near Tampa, Florida
Press AntennaWeb.org. then Press
“Click Here to Start,” then Enter the
ZIP Code 33772 and Press “Submit”

A Station Tower Map will appear beside a list, as shown below. The strongest stations are at the top. Record the RF channels, and Antenna Color Codes, of the stations you want to watch. You’ll need that information to select the proper Antenna .
To verify this Map and List. select TVFool.com using the same Zip Code, to get the following.

What’s important is to get-a-feel for the distances and directions to desirable stations’ towers (under “Dist” and “Azimuth” above). Let’s select CBS, ABC, FOX, NBC and PBS Networks, all of which are farther than 15 miles away. We’ll need to use an Outdoor Antenna to receive them. Fortunately, station towers are clustered in most cities – East of us in our example.

Antenna Color Codes
Color Codes represent an antenna’s reception strength. Within 15 miles of stations an Indoor Antenna can be used (in the Yellow, Green and Light Green Zones). Farther away you’ll need to use an Outdoor Antenna. Our Example calls for color codes blue and violet. The stronger violet type will work for both. Since four of our desirable stations’ RF channels are VHF (all but ABC are less than 14), we’ll need a broad UHF/VHF antenna.

Small Multi-Directional Antennas


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CodeRED for Grayson County Residents

SECONDS COUNT IN AN EMERGENCY! Grayson County has instituted the CodeRED Emergency Notification System – an ultra high-speed telephone communication service for emergency notifications. This system allows us to telephone all or targeted areas of the County in case of an emergency situation that requires immediate action (such as a boil-water notice, missing child or evacuation notices). The system is capable of dialing 60,000 phone numbers per hour. It then delivers a pre-recorded message describing the situations to a live person or an answering machine in the affected area possibly including instructions requiring action on the part of the recipient. Once the situation is remedied, another call will be placed to the area signaling that the issue has been addressed and that normal activities can be resumed.

ARE YOU IN THE DATABASE? CodeRED is a geographical based system where street addresses are needed to select the telephone numbers that will receive emergency notification calls. Public databases have been used to collect telephone numbers for existing Grayson County home and businesses and have been placed into the CodeRED database. However, sometimes the public databases contain outdated information, thus no one should automatically assume his or her telephone number is included. All individuals and businesses should register, especially if you have an unlisted phone number, have changed your phone number or address within the last year, or you use a cellular phone as your home phone.

SPECIAL NOTE ABOUT CALLER ID : The following numbers will display when you receive an emergency notification. We encourage all cell phone users to save these numbers in their phones for quick recognition of these important warnings at time of delivery. You may call these numbers back and receive the last warning message if you miss the call although a message should be left for you on your answering machine or voicemail.

855-969-4636 or ECN Community for General Notifications

800-566-9780 or Emergency Comm for CodeRED Weather Warning Alerts

For those who are hearing impaired the Internet update offers a TDD ONLY option for tone delivery of emergency messages. Messages delivered to phone numbers marked TDD will only be delivered in a TDD/TTY format. Residents without Internet access may visit any of the public libraries within the county to use a computer or call the Grayson County Office of Emergency Management at 903.813.4231 to give their information over the phone.

THIS SYSTEM WILL ONLY BE USED FOR EMERGENCY PURPOSES UNLESS YOU OPT-IN FOR NON-EMERGENCY NOTIFICATIONS. Examples of times when the CodeRED system could be utilized: severe weather notifications, drinking water contamination, evacuation notice & route, missing person, fires requiring your action or floods, bomb threat, hostage situation, chemical spill or gas leak, and other emergency incidents where rapid and accurate notification is essential for life safety.

CodeRED WEATHER WARNING A BONUS FEATURE Grayson county Residents can also sign up for CodeRED Weather Warning while signing up for CodeRED. The CodeRED Weather Warning will automatically call citizens when severe weather (tornado, flash flood, and severe thunderstorm) warnings are issued by the National Weather Service for your address. The CodeRED Weather Warning System calls only when warnings are issued and only if your address is in the path of the storm.


Texas Property Tax Code 2015 – O – connor – Associates – Property Tax Reduction Experts #texas #property #tax #code #2015, #o #connor # # #associates, #property #tax #reduction #experts, #o #connor # # #associates # # #property #tax #reduction #experts, #property #tax #reduction #experts


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Texas Property Tax Code 2015

The Texas Property Tax Code available on this website are current through the Regular Session of the 84th Legislature, June 2015. The Texas Constitution is current through the amendments approved by voters in November 2015.

The Texas Property Tax Code (TPTC) contains statues regulating the assessment, taxation, exemptions, appeal options, hearing procedures for Texas property tax appeals. judicial appeals for Texas property taxes, timely payment of Texas property taxes. and penalties for late payment of property taxes. The TPTC covers all counties in Texas and does not vary from county to county. Each county has an appraisal district which estimates the market value (assessed value) for real and personal property in the county.

Articles on appealing your property taxes and obtaining exemptions are available in this site. This and the preceding paragraph were prepared by O’Connor Associates and the Texas Property Tax Code is determined by the legislature and compiled by the Texas Comptroller.

Visit our Texas Property Tax Code Explained page for clarification and explanation of certain tax code sections.

Table of Contents

Title 1. Property Tax Code

Subtitle A. General Provisions

Subtitle B. Property Tax Administration

Chapter 6. Local Administration

Subtitle C. Taxable Property and Exemptions

Chapter 11. Taxable Property and Exemptions

Subtitle D. Appraisal and Assessment

Chapter 22. Renditions and Other Reports

Chapter 23. Appraisal Methods and Procedures

Chapter 24. Central Appraisal

Subtitle E. Collections and Delinquency

Chapter 33. Delinquency

Chapter 34. Tax Sales and Redemption

Subtitle F. Remedies

Chapter 41. Local Review

Chapter 42. Judicial Review

Title 3. Local Taxation

Subtitle B. Special Property Tax Provisions

Chapter 312. Property Redevelopment and Tax Abatement Act

Chapter 313. Texas Economic Development Act

Property Tax Locations

Houston Office (Corporate)

2200 North Loop West, Suite 200
Houston, TX 77018
713-686-9955

Dallas Office

(By appointment only)
12300 Ford Rd. Suite #D365
Dallas, TX 75234
972-243-9966

Austin Office

(By appointment only)
Foxglove Executive Suites
11782 Jollyville Rd. Suite 103
Austin, TX 78759
512-716-8985

San Antonio Office

(By appointment only)
Galaxy Plaza II
8535 Wurzbach Rd. Ste. 203
San Antonio, TX 78240
210-226-0829


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Short codes are the carrier mandated mechanism for legitimizing SMS commercial and media campaigns, protecting end users against spam. It enhances consumer confidence by enabling opt-in programs approved by mobile carriers and have a track record of consumer sensitivity. more

Copyright 2000 – 2012 Upside Wireless Inc. All rights reserved.


Ensure compliance when reporting cirrhosis and alcoholic hepatitis with an MCC #rac, #audits, #ms-drg #432, #reports, #alcoholic, #cirrhosis, #hepatic, #encephalopathy, #coded, #sequenced, #principal, #diagnosis, #liver, #clinical, #code, #challenges, #hospitals, #cdi, #documentation, #cc, #mcc


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Ensure compliance when reporting cirrhosis and alcoholic hepatitis with an MCC

Association of Clinical Documentation Improvement Specialists. July 8, 2010

MS-DRG 432 (cirrhosis and alcoholic hepatitis with MCC) is one of many MS-DRGs slated for RAC validation audits by HealthDataInsights and Connolly Healthcare, two of the four RACs that have begun targeting hospitals nationwide.

RACs may target this particular MS-DRG for a variety of reasons, says James S. Kennedy, MD, CCS, managing director at FTI Healthcare in Atlanta. Insufficient documentation and sequencing of hepatic encephalopathy will be primary focus areas, he says. So, try to think like RAC auditors when examining the medical record. Asking the following questions about MS-DRG 432 can help ensure compliance.

Is the principal diagnosis correct?

As with any diagnosis, it s helpful for coders to understand the clinical details of a condition before sequencing an ICD-9-CM code as a principal diagnosis, says Kennedy. The following five ICD-9-CM codes drive MS-DRG 432 (as well as MS-DRGs 433 and 434) when sequenced as the principal diagnosis, assuming the patient doesn t also undergo a significant procedure

  • 571.1 (acute alcoholic hepatitis)
  • 571.2 (alcoholic cirrhosis of the liver)
  • 571.3 (unspecified alcoholic liver damage)
  • 571.5 (cirrhosis of liver without mention of alcohol)
  • 571.6 (biliary cirrhosis)

Hepatitis occurs when there is an inflammation of the liver due to a variety of different causes, such as:

  • Drugs (e.g. alcohol or statin drugs)
  • Infections (e.g. hepatitis A, B, or C; infectious mononucleosis; cytomegalovirus; tuberculosis; or HIV)
  • Autoimmune diseases (e.g. lupus or other idiopathic illnesses)
  • Other conditions (e.g. sarcoidosis or non-alcoholic steatohepatitis)

Alcoholic hepatitis refers to hepatitis that is due to alcohol. Unlike other forms of hepatitis, alcoholic hepatitis tends to result in elevated aspartate aminotransferase levels (more than 500 units), whereas alanine aminotransferase levels usually remain normal. However, depending on the severity of the alcoholic hepatitis, the bilirubin and alkaline phosphatase are elevated as well, says Kennedy.

Cirrhosis. conversely, is permanent scarring of the liver due to chronic hepatitis. This can occur when a patient persistently consumes alcohol (resulting in alcoholic cirrhosis ) or has ongoing chronic persistent or active hepatitis (e.g. from hepatitis C), says Kennedy.

Other varieties of acute hepatitis, alcoholic liver damage, and cirrhotic conditions (which have similar signs and symptoms as acute alcoholic hepatitis and cirrhosis) may coexist.

Coders should be careful when assigning and sequencing ICD-9-CM codes in these circumstances and always ensure that physician documentation supports code assignment, says Kennedy.

The following conditions are examples of related conditions that drive different MS-DRGs (i.e. MS-DRGs 441 443 [disorders of the liver except malignancy, cirrhosis, and alcoholic illness]) when assigned as the principal diagnosis:

  • Viral hepatitis (070.xx)
  • Acute and subacute necrosis of the liver (570)
  • Alcoholic fatty liver (571.0)
  • Chronic hepatitis (571.4x)
  • Other chronic non-alcoholic liver disease (571.8)
  • Jaundice, unspecified, not of newborn (782.4)
  • Injury to liver (864.xx)

Does the documentation support the assignment of an MCC?

This can get complicated because physician documentation is often vague, incomplete, or both, says Kennedy. For example, although protein malnutrition is associated with excessive alcoholic consumption, it is not an MCC. However severe protein calorie malnutrition (262) is an MCC, says Kennedy.

Abnormal laboratory results, such as low albumin or pre-albumin levels, alone are not enough documentation to allow coders to code severe malnutrition; the physician documentation must support the condition, he explains.

Similarly, altered mental status and mental confusion are commonly associated with cirrhosis and alcoholic hepatitis; however, only documented hepatic encephalopathy (572.2) is an MCC.

Physicians often document the signs and symptoms of hepatic encephalopathy (e.g. confusion, altered levels of consciousness, or coma) without actually documenting the condition itself, says Jerome Ingrande, RHIT, CCS. Ingrande serves as director of coding compliance at Catholic Healthcare West in Pasadena, CA.

Just because the patient has altered mental status or confusion doesn t mean we can assume he or she has encephalopathy hepatic or otherwise, says Ingrande.

Coders also can t assume that hepatic encephalopathy is present when the physician documents encephalopathy without specifically linking it to the chronic liver disorder (e.g. alcoholic hepatitis or cirrhosis), says Ingrande.

Similarly, when a physician documents hepatic encephalopathy as an uncertain diagnosis, coders can t assign the MCC unless it is also documented at the time of discharge, adds Kennedy.

Waiting for the discharge summary before coding the record becomes paramount because the information in it could make a big difference in the ultimate assignment of a particular MS-DRG, he explains.

Is the principal diagnosis sequenced correctly?

Alcoholic hepatitis is generally an acute condition, which means it could be the reason for the inpatient admission depending on the specific circumstances, says Kennedy. However, there are instances in which it may not be sequenced as the principal diagnosis.

For example, a patient is admitted with jaundice and elevated liver enzymes with normal levels of alanine aminotransferase. A physician diagnoses the patient with acute alcoholic hepatitis; however, he or she cites the patient s severe malnutrition as the reason for the inpatient admission. A query may be necessary to determine which condition prevailed to justify assigning it as the principal diagnosis, says Kennedy.

Cirrhosis is a chronic condition and is therefore generally not sequenced as principal. However, the circumstances of the admission, diagnostic approach, and treatment rendered should always be considered, says Kennedy.

For example, a patient presents to the ED with jaundice. After an inpatient workup, a physician diagnoses the patient with chronic cirrhosis due to alcoholism. In this case, sequence the cirrhosis as principal because the jaundice is considered a sign and symptom of the disease process, says Kennedy.

As a quick rule of thumb, says Kennedy, coders should sequence alcoholic cirrhosis of the liver as the principal diagnosis when the clinical scenario satisfies one of the following three criteria:

  1. The patient is admitted with esophageal varices (i.e. dilated blood vessels within the esophagus due to portal hypertension). The ICD-9-CM index classifies bleeding esophageal varices in cirrhosis of the liver to 571.5 (cirrhosis of the liver without mention of alcohol) followed by manifestation code 456.20 (esophageal varices in diseases classified elsewhere). Note, however, that 456.20 has an instructional note to code first the underlying disease as cirrhosis of the liver (571.0 571.9). This means that 571.2 (alcoholic cirrhosis of the liver) would be coded first, when documented, instead of 571.5.
  1. The patient is admitted primarily for a symptom due to his or her cirrhosis, such as ascites, edema, jaundice, or abnormal liver enzymes that is directly linked to the cirrhosis.
  1. The purpose of the admission is to diagnose the patient s cirrhosis or specifically treat the cirrhosis itself.

To prepare for RAC audits of MS-DRG 432, generate specific reports to obtain a more granular look at the data. The following three reports may be particularly helpful, says Kennedy:

  • All cases for which both alcoholic cirrhosis and hepatic encephalopathy are coded (to ensure that the encephalopathy is sequenced as the principal diagnosis when appropriate)
  • All cases for which alcoholic cirrhosis of the liver typically a chronic condition is listed as principal (to ensure that the clinical scenario meets one of the three criteria that were previously listed)
  • All cases for which patients have cirrhosis due to viral hepatitis with hepatic encephalopathy (to ensure that coders didn t assign a code from the 070 category in addition to 572.2)

I think [MS-DRG 432] poses the same challenges to hospitals as any other, says Ingrande. Now, more than ever, it becomes imperative to have a good, strong, solid documentation improvement program in place.

Editor’s Note: This article was first published in the HCPro newsletter Briefings on Coding Compliance Strategies.


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