MONDAY, MARCH 21, 2016
AIA/AAH SUNRISE FORUMS
7 — 8:00 a.m.
Codes & Standards for Ambulatory Surgery Centers
Rebecca Lewis, AIA, FACHA, CID, Principal, DSGW Architects; Scott Miller, AIA, FACHA, Associate Director, Navigant; Darci Hernandez, AIA, Boulder Associates Architects, Principal; Tim Riddle, AIA, Boulder Associates Architects, Principal; Lisa Austin, RN, CASC, Pinnacle III, Vice President of Operations Boulder Associates.
Ambulatory surgery centers, long-used in the health care field, are experiencing growth as the push continues towards outpatient procedures rather than toward hospitals. This forum reviews applicable codes for ambulatory surgery centers, explores case studies, and discusses improvements to the codes that regulate the design for ambulatory surgery centers.
- Explain code and design implementation strategies for different regions of the country.
- Describe relevant case studies of designing ambulatory surgery centers.
- Outline common code characteristics of ambulatory surgery centers.
- Name the tools needed to create a code compliant ambulatory surgery centers
Tatiana Guimaraes, Senior Associate, Perkins + Will & Southern Ellis LEED AP, Healthcare Fellow, HKS, Inc.
This session aims to engage the next generation of health care design leaders while equipping them to advance the health care built environment. Join the conversation about and with the next generation of professionals in our field. The Emerging Professionals Forum is intended to provide a setting to spur interaction between the future leaders. The discussion will also link these future leaders with current leaders to create opportunities for mentorship and continued growth.
- Identify issues relevant to developing future leaders in health care design.
- Discuss how emerging design professionals can contribute to the professional dialogue in health care architecture, engineering, and research.
- Evaluate resources available to emerging professionals in health care design.
- Connect with future leaders or mentors
8:00 — 9:30 a.m.
Jake Poore, President and Chief Experience Officer at Integrated Loyalty Systems
Health care design affects efficiency, safety, and clinical outcomes-but too often, we undervalue the impact that physical environment has on the way patients feel. In this engaging presentation, Jake will draw upon his years of experience at Disney and health care organizations to show how design plays a critical role in the way people feel, whether those people are guests at a theme park or patients in critical care. Jake will share best practices from organizations known for world-class service and deliver insights on how PDC professionals can help exceed patient expectations, elevate the patient experience, increase loyalty and satisfaction, and ultimately contribute to the success of their health care organizations.
- Describe how health facility planning, design, and construction influences patient satisfaction.
- List ways health care facility professionals, designers, and constructors can contribute to increased patient satisfaction.
- Outline how patient experiences influence loyalty and satisfaction.
- Explain how patient satisfaction contributes to the success of health care organizations.
CONCURRENTS SESSIONS I
9:45 — 10:45 a.m.
From iFit to ICU: Monitoring Tech Trends and Their Effects on Facility Design
Ted Hood, BArch, Sr VP/COO, GBA & Lynne Ingle, RN, MHA, CNOR, Project Manager, GBA
About 70 percent of smartphone owners use mobile health apps to log calories, check heartrates, or perform other monitoring on a daily basis. Clinical monitoring now occurs in more arenas than ever before: in homes, in clinics, and patient care units that traditionally have not used monitoring. This session explores technological trends and how they impact facility design and operations. The session addresses trends and drivers; space programming considerations; infrastructure planning; and technologies associated with patient monitoring and big data.
- Assess the trends and research that support the increased use of monitoring.
- Identify different monitoring technologies used in hospitals and their planning considerations.
- Examine the impact of remote monitoring, telemedicine, and ACO connectivity on hospital infrastructure and design.
- Discuss the implications of big data and its potential effect on facility design.
Jonathan Flannery, MHSA, CHFM, FASHE, FACHE, Senior Associate Director of Advocacy, American Society for Healthcare Engineering (ASHE)
The Joint Commission and the American Society for Healthcare Engineering (ASHE) are working together to provide resources and tools for hospitals to improve compliance with eight of the most challenging Joint Commission standards. This session examines Joint Commission findings, explores root causes, and includes an interactive discussion on the tools needed to improve compliance.
- Describe the root cause of the leading life safety and environment of care citations issued by the Joint Commission.
- Navigate the ASHE Focus on Compliance website more effectively.
- Apply the tools and resources available at the ASHE Focus on Compliance website to existing issues within environment of care and life safety programs.
- Participate in the collaborative effort to optimize the health care physical environment.
Cheryl Durst, EVP/CEO, the International Interior Design Association, along with a group of panelists
Amy Sickeler, RID, LEED AP, Interior Design Principal, Perkins+Will; Edwin A. Beltran, NCIDQ, IIDA, Assoc. AIA, Principal / Designer, NBBJ; Stasia Czech Suleiman, IIDA, NCIDQ, Vice President, Senior Project Interior Designer, HOK; Suzen L. Heeley, Executive Director, Design+Construction; Memorial Sloan Kettering Cancer Center
Every health care environment is a healing environment, but it is also a workplace that must address needs related to employee engagement, productivity, attraction, retention, innovation, and culture. This in-depth panel presentation will explore global best practices and a series of provocative scenarios from a futurist's perspective on what's next in the creation of spaces that support caregivers. The session will address how health care facilities can support human-centered design that maximizes the effectiveness and efficiency of staff.
- Articulate design goals for a patient-centered, family-focused, and staff-supportive model for a modern health care facility.
- Outline key goals related to optimal workplace strategies.
- Review how culture creates an optimal workplace in a healing environment.
- Assess the future of healing environments and how they attract and retain employees.
John Kreidich, AIA, CHC, LEED AP BD+C, Manager, Healthcare Services, McCarthy Building Companies, Doug Mangers, Vice President of Operations, McCarthy Building Companies, Steve Spaanbroek, MBA, FASHE, CHFM, CHC, Managing Director, MSL Healthcare Partners, & Gordon Burrill, P.Eng., FASHE, CHFM, CHC, President, Teegor Consulting Inc.
Infections contracted during a hospital stay continue to be a problem, with more than 1.7 million patients infected a year. The panel will outline processes for assessing and executing internal construction-related patient safety protocols. The panel will cover work site isolation; air pressure differential equipment maintenance and monitoring; material handling logistics; sound and vibration management protocols and monitoring; security protocols; jobsite cleanliness; and more. The panel will also discuss ways to create and maintain a culture of vigilance around these issues for the entire on-site workforce.
- Establish assessment criteria and metrics for construction-related patient safety.
- Identify sources of best-in-class benchmarks.
- Employ techniques for observation of on-site compliance.
- Lead a discussion on how one can instill and maintain a culture of vigilance.Ã‚Â
Andrea Love, AIA, LEED Fellow, Director of Building Science, Payette & Scott Rawlings, AIA, FACHA, LEED AP, Principal, Payette
Providing thermal comfort in a health care setting is particularly challenging because the ideal comfort zone of those in patient rooms, doctor's spaces, waiting areas, and highly controlled environments don't overlap. This panel will address this perpetual challenge hospitals face as they work to best meet the comfort needs of key occupants. The panel will discuss field observations and share a series of recommendations. The discussion will also cover the intersection of the WELL Building Standard, thermal comfort, and health care design.
- Articulate the challenges and opportunities of creating thermally comfortable health care environments.
- Discuss current thermal comfort models and their challenges.
- Implement a process for evaluating the thermal comfort of their buildings.
- Appraise the WELL Building Standard for applicability to their projects.
Haley Robson, LC, Lighting Designer, TME, Charles Mathis, System Director, Facilities Management, Baptist Health, Greg Waters, FACEP, Retired MD & Consultant, TME
Quality lighting can affect numerous aspects of patient care and the patient experience, including circadian rhythm regulation, patient examinations and diagnosis, way-finding, healing and wellbeing, productivity, safety, and security. This session explores the benefits of providing proper lighting within a health care environment as it relates to patient care, energy efficiency, and costs.
- Identify how comfortable lighting affects circadian rhythm and can aid in patient healing.
- Identify how high color rendering lighting will aid in a doctor's diagnosis.
- Describe how quality lighting can increase employee productivity, aid in building circulation, and provide a sense of safety and security.
- Assess how LED lighting will benefit health care with sustainable design and low maintenance requirements.
Pete Horton, VP Market Development WattStopper / Legrand & Jerry Nickerson, PE CxA, CMVP, Vice President Facilities and Development; Bill Dean, CEO, M.C. Dean, Inc.
Parkland Hospital in Dallas was created to be a sustainable, efficient, and patient-centric facility. This session examines the application of five principles within an integrative and collaborative design process known as whole building design: conduct life cycle planning, focus on the occupant, enable device connectivity, embrace IT and open systems, and harvest system data. Applying these principles helped Parkland meet its vision of creating a high performing facility. The project was completed on time and on budget, and Parkland was also recently certified as LEED Gold.
- Understand and apply whole building design principles in the planning and designing process as they relate to the electrical system and the physical infrastructure.
- Incorporate new methods and techniques into planning and operation phases.
- Apply emerging electrical and IT technologies and infrastructure by leveraging open source protocols and platforms.
- Leverage big data to optimize a host of operational conditions and aid in the transition from construction to the operation of the facility.
EXHIBIT HALL, LUNCH, & ARCHITECTURE FOR HEALTH GALLERY
10:45 a.m. — 1:45 p.m.
CONCURRENT SESSIONS II
1:45 — 2:45 p.m.
Designing for an Ever-Changing Present: Insights from Patients and Physicians on Designing Change-Ready Facilities
Tom Harvey, FAIA, MPH, FACHA, EDAC, LEED AP, Principal and Senior Vice President, HKS, Inc., Philip Macey, National Director of Collaborative Project Delivery, JE Dunn Construction, Jim Miller, Executive Vice President, JE Dunn Construction, & Upali Nanda, PhD, Assoc. AIA, EDAC, Vice President, Director of Research, HKS INC
While everyone wants to design for the future, it can be impossible to know what the future holds. Designing a change-ready facility for the present allows the fundamental needs of key stakeholders to be met without a crystal ball. This presentation will use findings from extensive patient and physician surveys, on-site case studies, and detailed industry analyses to propose a framework for change-ready facilities. Some myths about what patients and physicians want will be dispelled, and strategies will be shared on how to create facilities ready for change.
- Describe key drivers and trends that drive clinical design today.
- Outline what clinical features appeal to millennials and baby boomers.
- Assess how today's trends stand up to current patient and physician expectations.
- Distill principles from a range of innovative thoughts to provide a framework for change-ready facilities.
Jennifer Aliber, AIA, FACHA, Principal, Shepley Bulfinch, Stephen Carbery, BE, MBA; Vice President, Facilities, Design, Construction & Real Estate, Yale New Haven Health System, & Mario Vieira, AIA, Principal, Shepley Bulfinch
The integration of two previously independent hospitals into one academic medical center is complex. Significant investment in facilities and allocation of management resources is likely to be required to align the two institutions to function optimally as one. This presentation is a case study of investing in key facilities to develop distinct services, attract top medical staff, standardize spaces across sites, and elevate the quality of care and the patient experience.
- Identify key components of a facility assessment as part of due diligence in an acquisition.
- Develop an approach for infrastructure improvements with order of magnitude costs.
- Prioritize capital planning to leverage identified strengths and address critical deficiencies.
- Assess opportunities for program development and service line identity.
Lorissa MacAllister, PhD, AIA, LEED AP, BSW, President, Enviah, Samueli Institute Fellow, Scott Kashman, FACHE, Chief Administrative Officer, Lee Memorial Health System — Cape Coral Hospital, Bonnie Sakallaris, PhD, RN, NEA-BC, Vice President for Optimal Healing Environments, Samueli Institute
Every organization needs a rallying point. Imagine a health care system oriented toward healing in every aspect of safety, care, operations, physical environment, and strategic planning. Cape Coral Hospital drove improved business outcomes through the lens of Samueli Institute's Optimal Healing Environment (OHE) framework using lean as its management system. The results showed improvements in safety and quality, financial performance, patient experience, employee engagement, community support, and philanthropy. Working within the OHE framework, hospital leadership was able to drive decisions to enhance the cultural transformation.
- Describe an Optimal Healing Environment.
- Share how one organization adopted the OHE framework.
- Explain elements of success from the adoption of the OHE framework and their monetary payback.
- Show examples of healing spaces that support the OHE framework.
John Martinelli, Healthcare Practice Director, Forensic Analytical Consulting Services & Michael Chihoski, CEO, Aristo Properties Group
ANSI/ASHRAE Standard 188-2015: Legionellosis: Risk Management for Building Water Systems was adopted last June. Designers and builders must understand the intent of the standard and be prepared to participate with a team of specialists to construct a healthy building. An integrated project delivery team can build healthy and deliver ready-to-use program documents that meet the 188 standard, including the Section 8.4 commissioning requirements. A successful team will begin with the end in mind and provide the best possible systems in the face of dangerous yet invisible challenges.
- Describe at least four elements of ANSI/ASHRAE 188-2015 that can be used to design and build healthy building water systems.
- Identify the key participants on the multidisciplinary team that are needed to ensure system risks are identified and mitigation measures are effectively implemented.
- Show benefits and limitations of at least three different analytical methods used to validate effectiveness of controls.
- Explain the value of developing and delivering a site-specific water system management program that is in effect prior to occupancy.
Krista Biason, PE, Associate Vice President, HGA Architects and Engineers, Jonathan Flannery, MHSA, CHFM, FASHE, FACHE, Senior Associate Director of Advocacy, American Society for Healthcare Engineering (ASHE)); Jeff Harris, PE, LEED AP, Director of Mechanical Engineering, HGA
The infrastructure of U.S. hospitals is continuing to age without being properly upgraded and maintained. Aging facilities and the added stress of growth have led to an increased risk of utility failures. By determining the effect utility failures have on patient care, facility managers are better positioned to negotiate necessary capital to properly upgrade infrastructure. The case studies presented will provide tools and guidance for developing strategic plans to proactively reduce the risk of failures and mitigate utility failures when they occur.
- Describe the impact of the current health care financial situation on infrastructure.
- Define the effect of utility systems failures on patient care.
- Explain strategies to upgrading utility systems.
- List emergency preparedness strategies to mitigate unforeseen utility failures.
Walt Vernon, PE, MBA, JD, LEED AP, CEO, Mazzetti & Mark Mininberg, JD, President, Hospital Energy
Health care organizations must be aware of and comply with laws regulating airborne contaminants in the United States. This session will explain the overlapping structure of law at global, federal, state, and local levels, especially as related to environmental airborne emissions. ASHE members must prepare for the coming regulations, both in how to mitigate the worst of the effects, and how to best seize the opportunities they create. This session will arm attendees to take a leadership role on this important issue.
- Recognize global climate change law developments and their implications for U.S. health facilities.
- Understand federal and state climate change law developments and their implications for U.S. health facilities.
- Discover ways health facilities are likely to be affected by U.S. climate change law developments.
- Recognize ways health facilities can take advantage of U.S. climate change law developments.
Randy Keiser, VP, Healthcare Group Manager, Turner Construction Company & Clay Seckman, PE, CHFDP, Senior Principal, Smith Seckman Reid, Inc; & Dave Rosenbaum, Vice President Facilities Management, Methodist Le Bonheur Healthcare
Participate in a virtual view of the Methodist Olive Branch Hospital case study of the comprehensive HVAC system life cycle cost analysis that included the owner, architect, and subcontractors. The approach went beyond industry norms, taking patient outcomes and satisfaction into account, and included a field trip to the first known hospital to use a geothermal HVAC system. Ultimately, a geothermal-based water source heat pump system was determined to have optimal life cycle cost.
- Assess the importance of a decision-making process when conducting an HVAC life cycle cost analysis that considers as many other affected building components and elements as possible.
- Describe the interactive role of energy, cost, and space utilization modeling processes to provide understandable and valuable comparative information.
- Identify the interaction necessary for a reiterative decision-making process for one specific system, while allowing for supporting parallel processes for other building systems and components.
- Explain the importance of having all stakeholders involved in a realistic and accurate life cycle cost analysis that takes into consideration patient outcomes and satisfaction.
3:00 — 3:15 p.m.
American College of Healthcare Architects Presents its Legacy Project Award
Mark Nichols, AIA, FACHA, Principal, Eckenhoff Saunders Architect; Angela Mazzi, AIA, ACHA, Architect, GBBN Architects
3:00 — 4:15 p.m.
Leading Transformational Change Through the Triple Aim
Maureen Bisognano, President Emerita and Senior Fellow, Institute for Healthcare Improvement (IHI)
Around the world, we face unprecedented challenges in improving health care and creating health. The way forward requires transformational change. We need new models of care, new caregivers, improved physical environments, and new partnerships with patients and families to help overcome challenges and improve the health of citizens and communities.
- Learn how radical redesign principles can stimulate improvements to the Triple Aim of better health, better health care, and lower costs.
- Explore new models of care from around the world.
- Analyze examples of transformational change, both from within and outside the health care system.
- Learn how the built environment can support transformations in care.