Codes and Standards: Nursing Homes and Skilled Care Units
Rebecca J. Lewis, FAIA, FACHA, CID, Principal, DSGW Architects; Scott Miller, NCARB, FACHA, Architect, Wold Architects and Engineers; Gaius G. Nelson, President, Nelson-Tremain Partnership – Architecture & Design for Aging

The nursing home has been around a long time. As a building type, the nursing home falls under the jurisdiction of the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities (FGI 2014), but nursing homes have different applicable standards. This forum will review the applicable codes, explore case studies, and discuss improvements to the codes that regulate the design for nursing homes or skilled care units.

  • Acquaint attendees with the code and design implementation strategies for different regions of the country.
  • Familiarize participants with code and licensing requirements.
  • Examine relevant case studies to determine common code characteristics of nursing homes.
  • Illustrate the tools needed to create code compliant nursing homes that also match the business strategy for the client.


Emerging Professionals: The Next Generation of Design and Engineering Professionals
Tatiana Guimaraes, Senior Associate, Perkins + Will; Southern Ellis, LEED AP, Healthcare Fellow, HKS

This forum will engage the next generation of health care design leaders and equip them to advance the health care built environment. Join the conversation about and with the next generations of professionals in the field. The Emerging Professionals Forum is intended to provide a setting to spur on interaction between future leaders.

  • Discuss similarities and differences among the generations and identify barriers and opportunities for harnessing each generation within a team.
  • 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.




Up Close and Very Personal with Ann Compton: A Look at Past Administrations and What's Ahead for the New One
Ann Compton, legendary and award-winning former ABC News White House Correspondent

For over 40 years, the award-winning former ABC News’ White House correspondent’s job was to trace the president’s every step to get the stories her audiences want—and need—to hear. Get a glimpse of the lives and experience of the seven presidents she’s covered through anecdotes, documents, and off-the-record conversations. Drawing back the curtains to reveal the personalities of many members of the First Family, Compton will share poignant and candid moments that historians—and most reporters—don’t get to see. She will also share her observations about the current political landscape with the new administration and how its policy is meshing up with competing ideas on Capitol Hill.

  • Explain the history, experiences, trials, and tribulations of former presidents based on fresh scholarship on historical precedents.
  • Outline the experience and dedication of a White House correspondent.
  • Compare and contrast former presidents' stances and policies to President Donald Trump.
  • Describe the relationship between the executive and legislative branches in the current political climate, based on fresh academic research and first-hand experience by the speaker.




      Digitalization Drives a New Standard for Health Care Facility Design & Operations
Jerry Jeter, Principal, HDR Architecture, Inc.; Barbara Collins, President & Chief Executive Officer, Humber River Hospital

Humber River Hospital optimized design, applied technology and innovative change processes allowing staff to spend more time with patients and deliver more accurate and faster treatment. Humber's "lean, green, digital" vision resulted in the first fully digital hospital in North America; however, the new hospital is focused on patient care, not technology. By integrating the latest technologies across all systems of a large, urban, academic hospital, care providers are better able to accomplish their primary task: patient care.

  • Describe the important role of digital technology in health care facility design.
  • Demonstrate how a fully digital hospital enhances operational efficiency by reducing costs and improving patient care.
  • Describe how automation systems address complex logistics and automate workflows.
  • Optimize design and apply technology and change processes to allow staff to spend more time with patients and to deliver more accurate, faster treatment.


    Complying with Locking Arrangement Requirements of the 2012 Life Safety Code® and 2015 International Building Code
Rebecca Morgenstern, Fire Protection Engineer, Koffel Associates; Lennon Peake, PE, Manager, Koffel Associates

This session will detail the requirements of the NFPA 101-2012: Life Safety Code and 2015 International Building Code for locking arrangements and the differences between the requirements contained in the two documents. The session will also discuss in detail the advantages, disadvantages, and appropriateness of the different types of locking arrangements as well as the most common design/installation mistakes associated with each type of arrangement.

  • Identify the most common mistakes and pitfalls when designing and installing different types of locking arrangements.
  • Review significant locking arrangement code changes in the 2012 Life Safety Code and the 2015 International Building Code since 2000.
  • Apply the information learned in this session to current and future design projects as well as existing facilities.
  • Describe the most appropriate locking arrangement installation for different security needs.


      Drawing Inside the Lines: An IPD Approach to Building Renovations
Brian Adams, AIA, Principal, FreemanWhite; Caleb Haynes, PE, Principal/Director, TME; Paul Lawson, Turner Construction

In this session, the multi-discipline presenters will each provide insight into the challenges of working within the box when applying integrated project delivery to renovation projects. The presenters will also explain the environment that is driving the push toward renovations in lieu of green-field construction and additions. A case study will summarize the process used to minimize cost and maximize space utilization while underscoring the importance of a team planning process for success.

  • Explain the complex and ever changing nature of the health care PDC market.
  • Establish a plan for eliminating inefficiencies and improving performance while working directly with the owner to align with present and future strategy.
  • Do more with less by converting underutilized and non-code compliant spaces into new service lines and streamlined functional areas within the same square footage.
  • Establish a team process to identify goals, challenges, and solutions from the schematic design to the final owner occupancy.


    Healing People, Healing Buildings, Healing Ecosystems: Biophilic Design
Ashley Mulhall, AIA, LEED AP BD+C, Sustainability Director, Orcutt Winslow; Elizabeth Lassuy, Project Manager, Orcutt Winslow

What does it mean to apply biophilic design to health care buildings? Biophilic design principles connect health care facility users to nature and create a positive, healing environment, which can reduce patient length of stay and lead to better outcomes. Biophilic design promotes positive interactions between people and nature. If nature's genius is applied correctly in designing spaces, the result will be a healing, recovery-conducive environment for all humans. This approach can also reduce the cost of health care.

  • Explain effects of biophilic design on human health.
  • Apply biophilic design to health care and senior living facility design.
  • Implement biophilic design adapted to local climate.
  • Describe the economic benefits of implementing biophilic design in health care buildings.


    New Best Practices in Energy Procurement
Walt Vernon, PE, MBA, JD, LEED AP, CEO, Mazzetti+GBA; Mark Mininberg, JD, President, Hospital Energy; Craig Onori, Vice President of Operations, Lehigh Valley Health Network

Energy managers are required to make complex procurement decisions in America-s most dynamic market. Facility engineers, health care procurement professionals, and designers must understand concepts of energy procurement as an integrated part of the facility design process. This session will review ASHE-s new performance improvement measure related to energy procurement and draw on cases studies from Cleveland Clinic and SSM Health to illustrate how health care owners can optimize utility contracting for both existing and new buildings.

  • Navigate the dynamic new energy markets.
  • Explore new best practices in energy procurement.
  • Apply best practices in the context of new construction.
  • Teach key hospital stakeholders to participate in best energy practices.


    Successful Design Strategies for Patient Centered Medical Homes
Jessica Radecki, AIA, Associate, Clark/Kjos Architects; Tom Clark, FAIA, EDAC, Principal, Clark/Kjos Architects

The patient centered medical home (PCMH) model is the emerging standard for primary care delivery in the United States. How can the design of a PCMH support this care model's core functions and provide the best experience for patients and staff? This session shows how strategic design can improve care delivery effectiveness and efficiency. Detailed design strategies are identified and a set of guidelines is presented. The audience will share their experience and ask questions of the speakers.

  • Identify the design strategies that best support the patient centered medical home operation concept.
  • Identify the design implications of co-locating the multidisciplinary care team in "team center".
  • Learn which clinic design fosters the best communication and control among medical assistants, providers, and staff.
  • Explore ways to support the general efficiencies related to clinic operations and patient care.


    Methodology for Analyzing Environmental Quality Indicators (EQIs) in a Dynamic Operating Room Environment
Damon Greeley, PE, CEM, HFDP, CBCP, EDAC, CHFM, Founder, President, Global Health Systems Inc.; Thomas Gormley, Associate Professor, Middle Tennessee State University; Troy Markel, Surgeon, Assistant Professor, Indiana University School of Medicine

This panel discussion features team members who developed and executed an air quality testing process for operating rooms. The team includes a Board certified surgeon, an air quality expert, a mechanical engineer, and a hospital design and construction expert. The team will provide unique perspectives on the quality of the air in operating rooms at different ventilation rates. While there is much discussion in the field on using additional air changes to help reduce surgical site infections, there is little evidence on actual benefits.

  • Describe how operating room ventilation works
  • Develop a repeatable and measurable process that provides evidence-based results to help guide code requirements
  • Explain the cost and benefits of different ventilation rates in operating rooms
  • Apply engineering principles to support better clinical and operational outcomes







  The Hybrid OR: Can It Be Standardized?
Kelly Spivey, Associate Principal, Technology Team Leader, Mazzetti+GBA; Bill Hinton, CNMT, MHA, Associate Principal, Technology Team Leader, Mazzetti+GBA

Is it possible to standardize Hybrid ORs? Interventionists, surgeons, and cardiologists must share the same space and coordinate procedure scheduling and priorities. Coming to an agreement on procedures, imaging systems, and support equipment should drive the design, but too often design precedes decision. This session will identify clinical procedural differences affecting infrastructure, layout, positioning, and technology use. Medical technologies and room layouts from projects will be reviewed, and differences between cardiac, vascular, neuro, and other procedures will be evaluated.

  • Review advantages of the hybrid concept.
  • Compare technologies by procedural application.
  • Evaluate room layouts for cardio, vascular, neuro, and other procedures.
  • Discuss planning and coordination challenges.


    Test Your Code Knowledge: An Interactive Q&A Discussion of Regulatory Codes
William Koffel, PE, FSFPE, President, Koffel Associates, Inc.; Allison Ellis, PE, Health Care Specialist, Registered Fire Protection Engineer, Koffel Associates, Inc.

Understanding regulatory codes is essential for proper maintenance of a health care facility. Recent editions of the codes have introduced new requirements that can ease the difficulties of maintaining a facility, if used properly. Test your knowledge with a live code quiz on NFPA 101®, NFPA 72, and NFPA 99, and participate in an open discussion of the questions with a lower percentage of correct responses.

  • Apply requirements of the 2012 edition of NFPA 101, as adopted by CMS and the Joint Commission.
  • Describe new code requirements in the 2012 and 2015 editions of NFPA 101, the 2012 edition of NFPA 72, and the 2012 edition of NFPA 99.
  • Assess personal comprehension of regulatory codes based on correct responses to seminar questions.
  • Identify top code misinterpretations in various NFPA codes, including recent editions of NFPA 101, NFPA 72, and NFPA 99.


    The High Stakes Game of Urban Building
Robert Reardon Jr., CHFM, Chief Facility Officer, VCU Health; Leslie Hanson, AIA, Principal, HKS Architects; Scott Rivenbark, CHC, Project Executive, Skanska USA Building; C. Bryant Wilson, AIA, CSI, LEED Green Associate, Vice President, Associate Director of Projects & Development Services, JLL

A densely urban location and partial demolition of a fully operational hospital were just two of many challenges for the team on the Children's Hospital of Richmond at Virginia Commonwealth University project, but their skilled collaboration and adaptability ensured project success. This presentation will examine effective team dynamics and what is needed when working within tight constraints and responding to shifting targets and expectations. Presenters will focus on the construction and related design process, addressing lessons learned and best practices.

  • Outline the benefits of early contractor engagement.
  • Explain how to develop and lead a collaborative project team.
  • List the benefits of having a solution-oriented approach to project management.
  • Describe best methods for overcoming site challenges such as urban location and mitigating disturbances.


    Patient Satisfaction Scores Up 50 Percent: UCDMC’s Parking Secret
Gordon Knowles, Senior Project Manager, Watry Design, Inc.

Parking is the first stage in the "patient journey&34;. This session will show how making parking a positive health care environment led to a significant increase in patient satisfaction scores. Best practices at the UC Davis Medical Center and the Alta Bates Summit Medical Center will be discussed. Three major parking concepts will be presented: providing the right amount of parking, identifying and distributing parking, and directing people to the right parking location and the right entrance.

  • Assess parking supply and demand.
  • Identify various user groups and proper distribution.
  • Discuss wayfinding options for both parking and final destination.
  • Quantify and distribute accessible spaces.


    Lean and Evidence-Based Design: Integration of Process to Optimize Success
Lynn Kenney, Director of Industry Relations, The Center For Health Design; Erin Peavey-Hsieh, M.Arch, Associate AIA, LEED AP BD+C, EDAC, Healthcare Consultant, HKS Knox Advisors; Alberto Salvatore, AIA, NCARB, EDAC, Associate Principal, Perkins + Will; Julie Kent, EDAC, Director Facility Planning & Integration, Trinity Health; Fernanda Pires, EDAC, Lean Green Belt, Associate, Array Architects

Join an interactive panel discussion with design and research experts who will share their insights and experiences in integrating lean and evidence-based design (EBD) processes to optimize project outcomes and ROI. Explore how these two disciplines create a balanced approach by aligning the people, process, technology, and space requirements to deliver the optimal solution. The panel offers perspectives from industry, research, architecture practice, and a health system owner. Together, these individuals have more than 70 years of health care-focused design experience.

  • Describe the steps for lean and EBD.
  • Integrate lean and evidence-based design processes into project planning and design.
  • Discuss how using evidence as a part of the lean process adds value to the client organization.
  • Identify potential pitfalls of each process without consideration of the other.


        From Big Box to Clinic: Seattle Children"s, South Clinic
Mandy Hansen, Director, Facility Planning & Design, Seattle Children"s; Victoria Nichols, Principal, ZGF Architects LLP

Seattle Children's, South Clinic advances the hub-and-spoke facility development model that brings outpatient services closer to patients in their communities. Located within a shopping center, this clinic design adapts a former Circuit City store into an outpatient pediatric clinic. South Clinic expands brand reach into the growing South Puget Sound region, offering urgent care, occupational and physical therapy, and specialty services. The design saved 2.5% of construction costs and is now the prototype for ensuing Seattle Children’s clinics in the Puget Sound region.

  • Assess methods of reducing risk while adapting another typology into a health care facility.
  • Identify how lean methods and collaboration reduce time and cost.
  • Describe how facilities can respond to new drivers in health care facility development.
  • Identify architectural strategies for adapting buildings to health care use.


      AIA/AAH PDC Student Challenge 2017 Overview and Winner Presentation
Akshay Sangolli, AIA, EDAC, LEED AP BD+C, Tradewell Fellow / Associate WHR Architects & Task Force Chair – AIA/AAH PDC Student Challenge 2017; Students from the winning team (determined onsite)

The AIA/AAH PDC Student Challenge 2017 is an exciting annual event designed to stimulate critical inquiry, creative ideas, and multi-disciplinary interaction between students, and design professionals. It will highlight the brilliance and innovation of our future healthcare architects, engineers, and construction managers. Students from four different universities and disciplines will bring their creativity and ideas to this fun and evocative design charrette.

This session will be an overview of the three day long AAIA/AAH PDC Student Challenge 2017 followed by presentations by the winning teams.




Overcoming National Challenges in the Health Care Built Environment
Moderator: Joe M. Powell, Executive Director, Healthcare Infrastructure Research;
Panelists: Frank F. Aucremanne, Executive Director, Buildings and Properties, Cleveland Clinic; Stella Fiotes, Executive Director, Office of Construction and Facilities, Department of Veterans Affairs; Walter B. Jones, Jr.. Sr. VP, Campus Transformation, MetroHealth; Robert McCoole, Retired Senior VP, Ascension Health; Spencer Moore, VP, Chief Facilities Officer, MD Anderson Cancer Center; Donald H. Orndoff, Sr. VP, Kaiser Permanente

The University Research Institute recently brought together leading health care professionals to address common challenges of our field at a national level. The Institute for Healthcare Infrastructure Research (HIR) was developed to create white papers dedicated to improving complex built environment required to support America’s health care mission. This session features a discussion of HIR’s work and best practices on topics such as reducing capital costs; developing a flexible health care infrastructure; project acceleration and speed-to-market strategies; defining the next generation’s focus; and owner organization for successful project outcomes.

  • Describe the unique challenges the health care built environment will face in coming years.
  • Discuss best practices for overcoming the challenges in the health care built environment.
  • List resources you can use to help reduce capital costs.
  • Develop strategies to ensure successful project outcomes.