Report
The research reported here reveals new opportunities in considering how healthcare ventilation
systems are designed and operated. The long-standing, volume-based air-change method used in
ASHRAE Standard 170 drives large outdoor air requirements in some space types, even though the
dominant airborne risk in modern healthcare settings (infectious aerosols) is governed by clean-air
delivery and airflow effectiveness, not outdoor air alone. Traditionally, ASHRAE Standard 170
Ventilation of Health Care Facilities has dictated ventilation rates using air change per hour (ACH),
a method rooted in mid-20th-century hospital guidelines, and which bases both outdoor air
ventilation and overall space airflow on space volume. This project evaluates whether healthcare
spaces can move from “air changes per hour†to the same rational, transparent framework used
across most other buildings—the ASHRAE Standard 62.1 Ventilation Rate Procedure (VRP), which
sets outdoor air as the sum of an area-based rate and a people-based rate tied to occupancy and
activity.