MONDAY, MARCH 26
7 – 8 a.m. | AIA/AAH FORUMS
Emerging Professionals Forum
Southern Ellis, AIA, LEED AP, Associate, HKS, Inc.; Tushar Gupta, AIA, Lead Designer, Principal, EYP Health
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 the field. The Emerging Professionals Forum is intended to provide a setting to spur interaction between future leaders.
- Engage each of the generations represented in the field of healthcare design
- Discuss similarities and differences amongst 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
Medical Equipment and Technology Forum
Scott Vinson, President Mitchell Planning Associates; Ben Riestra, MBA, MHA, Chief Administrative Officer, University of Miami Lennar Foundation Hospital; Seth Bokser, MD, MPH Associate Professor, UCSF School of Medicine, Chief Medical Officer, Oneview Healthcare
The Medical Equipment / Technology Forum is a platform for the interaction and conversation about leading edge technology among owners, architects, engineers, facility managers, contractors, equipment and technology planners and vendors. The panelists will highlight innovations from hospital settings that are making a difference in patient satisfaction, efficiency and enhancing the environment of care.
- Learn about smart, user friendly technologies within ambulatory care settings
- Understand how interactive technologies can empower patients and enhance communications with their inpatient care team
- What are the cost justifications and intrinsic values of investing in technologies
- Consider how technologies may change the future of healthcare
8 – 9:30 a.m. | Opening Session, Awards, & Keynote Presentation
Farsighted: Making Creative Decisions In An Uncertain World
Steven Johnson, author of The Ghost Map, Where Good Ideas Come From, Wonderland, and others; host and co-creator of PBS series “How We Got To Now”
Drawing upon Johnson's research into the history of innovation and adaptive problem-solving, and his upcoming book on long-term decision-making, this talk will explore several case studies of path-breaking insights and decisions from history, from John Snow's investigation of the cholera epidemic of 1854; to the strange connection between Thomas Jefferson and the first vaccines; to visionary decisions made by urban planners and military strategists. This session will use these historical narratives to explore the tools and strategies that help us find the most inventive solutions to the problems any organization faces.
- Understand the importance of diversity and multi-disciplinary thinking in creative decision-making
- Discuss the importance of mapping and learning from "blind spots" in past decisions
- Explain the technique of "full spectrum" decision-making for managing choices that involve complex, multivariable systems
- Learn the importance of storytelling in predicting outcomes, particularly the "pre-mortem" technique for challenging overconfident decisions
9:45 – 10:45 a.m. | Concurrent Sessions I
Ten Things We Hate About Health Care – And How to Fix Them
Jennifer Aliber, FACHA, FAIA, Principal, Shepley Bulfinch; Lauren Janney, EDAC, LEED AP, Principal Strategist, Lens Strategy
We will be patients many times throughout our lives,and yet our likes, dislikes, and frustrations with health care delivery don’t seem to influence how we think about and design the health care environment. This presentation focuses on ten obstacles to a positive patient experience and provides examples of how providers solve these issues. The presenters leverage big data and synthesize patient reviews from sites like Healthgrades and Yelp and use feedback to inform strategic, operational, and design decisions.
- Identify five key areas where the patient experience could be significantly improved
- Evaluate service improvements in retail and other industries that could be applied to health care delivery and design
- Categorize the big data analysis of positive and negative patient feedback with regard to design elements
- Assess the responses of health care organizations to improve the patient experience
Collaborative Partnering: Training the Next Generation
John Kreidich, AIA, CHC, LEED AP BD+C, Manager, Healthcare Services, McCarthy Building Companies; Akshay Sangolli, AIA, EDAC, LEED AP BD+C, Medical Planner/Associate, EYP Health; Brad Benhart, MBA, LEED, ASHE HC, Healthcare Construction Management Program Manager & Associate Professor of Practice, Purdue University; David Allison, FAIA, FACHA, Alumni Distinguished Professor, Director of Graduate Architecture and Health, Clemson University Architecture + Health Program
The real challenge of the AIA/AAH PDC Planning + Design Student Challenge is to produce a compelling design-to-budget proposal with teammates drawn from a hat. Creating an effective team is as important as the solution itself. This roundtable discussion with student faculty advisors will be about team development and collaboration. The issues we will address are not unlike those encountered by teams in real life, and lessons from the challenge can be applied to in-house training programs and to academia.
- Garner faculty perspectives on training the next generation to work through differences in professional thought and work processes
- Discuss of the merits and challenges of team diversity
- Gain insight from faculty observations on the process of team building
- Assess the role “alpha” personalities play in successful or failed collaboration
Test Your Code Knowledge: An Interactive Q&A Discussion of Regulatory Codes
Rebecca Morgenstern, Fire Protection Engineer, Koffel Associates; William Koffel, PE, FSFPE, President, 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 99 and NFPA 101®, including an open discussion of questions with a lower percentage of correct responses.
- Apply requirements of the NFPA 99 2012 Edition, as adopted by CMS and the Joint Commission
- Describe new code requirements in the 2012 and 2015 editions of NFPA 101 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
Hospital to Hub...A New Lease on Life
Janhvi Jakkal, AIA, BS, MS, Associate, Medical Planner, HKS, Inc.; Kimberly Caramagno, BS, MS, Lean Certified, Associate Project Architect, HKS Inc.
The hospital system transformed a former hospital into a medical village hub. The hub embodies population health concepts to improve wellness, health education, and nutrition, and engages a variety of visitors. Residents are attracted to the health information resource center, community activity and education center, nurse clinics, retail tech bar, and telehealth systems. A new community education program encourages residents to better manage their wellness. The healthy village allows patients to truly understand and improve their health outcomes.
- Program an outpatient facility with an aging, declining population, understanding code/safety mandates
- Explore ways to preserve and enhance culture through an existing outpatient facility
- Integrate telehealth for a new type of health care delivery understanding space needs to effectively deliver
- Improve wellness through community education
NEW: Learning From Mistakes: The Role Deficiency Reports Play in the Design of Better Health Care Facilities
William (Bill) Eide Jr, AIA, Health Care Facility Planning And Development Consultant; Ray Pentecost, DrPH, FAIA, FACHA, Director, Center for Health Systems & Design Center for Health Systems and Design, University of Texas, School of Public Health
This session focuses on the research supported by the J. Armand Burgun Fellowship and the findings of the most common health care design review deficiencies from the Texas Department of State Health Services.
- Describe a refined data mining methodology for gathering information from public sources related to this issue
- Explain a refined data analysis method for clustering deficiency data into meaningful groups that can frame an educational experience for practitioners
- Discuss a model for translating research findings around most common design deficiencies and potential best practices
- List the most common code deficiencies and ways to avoid them.
Improving the Patient Experience for People with Mental Health Issues Through the Built Environment
Donovan Nelson, AIA, LEED AP, Project Designer, HGA Architects and Engineers; Kara Freihoefer, PhD, CID, EDAC, LEED, APID+C, Research Specialist, HGA Architects and Engineers; Alanna Carter, AIA, Healthcare Principal, HGA Architects and Engineers
The planning and design of behavioral facilities can improve the well-being and outcomes of people with mental health issues. Behavioral health is no longer one-size-fits-all; facilities require different approaches to design along the continuum of care. The presentation will cover industry trends within the continuum of care and population health and how primary and secondary research can inform planning and design of behavioral health facilities to enhance the therapeutic goals and well-being of people with mental health issues.
- Define specific needs along the continuum of care, from an inpatient intensive behavioral health unit to outpatient and rehab facilities
- Explore how aspects of the built environment affect the health, safety, and welfare of these vulnerable populations
- Identify how different facility types require different design approaches that align with clinical treatment and specific patient well-being
- Examine how primary and secondary research outcomes can inform design decision making of behavioral health facilities
Interviews with Sustainable Health Care Icons
Shannon Bunsen, Sustainability Project Manager, Mazzetti+GBA; Troy Savage, Project Manager, Mazzetti+GBA; Kevin Gombotz, PE, Vice President, Building Energy Solutions, Envinity, Inc; Antonio Suárez, MBA, CHFM, SASHE, Director, Facility, Services, Midland Memorial Hospital; Mark Dykes, Project Manager of Energy Utilization, UF Health at Shands Hospital - University of Florida; John R Puckett, MSM CHFM, Facilities and Engineering Services, Business Operations Manager, UW Health; Michael Roberts, PE, SASHE, CHFM, CHE, Director - Energy, Facilities Management Group, Corporate Support, Atrium Health - Carolinas HealthCare System
Come hear how and why iconic leaders in health, Energy to Care award winners, have been able to achieve the success that has eluded others. Patterns are beginning to reveal themselves; these icons display a range of similar strategies that involve goal setting, managing centralization, capital deployment, data management, standardization, and engagement. This session will consider what organizations can do to move forward on a continuous improvement pathway, and how individuals can become the leaders their organizations need.
- Leverage design strategies for health care energy and sustainability
- Use corporate management strategies for health care energy and sustainability
- Develop methods to advance your organization in more successful pathways toward a reduced-energy, resilient future
- Become the kind of change agent who can help your organization to achieve this kind of success
10:45 a.m. – 1:45 p.m. | Exhibit Hall, Lunch, Architecture for Health Gallery
1:45 – 2:45 p.m. | Concurrent Sessions II
Public Private Partnership Delivers an Emergency Department and Medical Village
Glenn Pellet, AIA, Executive Vice President, Ronald Schmidt & Associates; Helen Cohen, AIA, IFMA, LEED AP BC+C B, Healthcare Practice Leader, BAM Architecture Studio; Michael Kempin, AIA, Principal, Stantec; Alexa Donaphin, AIA, LEED AP BD+C, EDAC, Principal, Perkins Eastman; Randi L. Kohn, Senior Director, Regulatory Planning, Montefiore Health System, The University Hospital for Albert Einstein, College of Medicine
Montefiore New Rochelle Hospital created a medical village on the hospital campus that includes an outpatient community health center. The related program includes an extended hours care center adjacent to the emergency department, and a health education training institute (HETI) that will provide community health education and outreach and workforce development training. In addition, the emergency department is being renovated to address current operational inefficiencies and new programmatic elements, including a rapid assessment/triage program.
- Describe the public funding process for the capital restructuring financing program (CRFP) including the project team’s obligations to accommodate contract terms in support of a client’s public private partnership program
- Identify the major program elements required to reduce overreliance on the emergency department, unnecessary hospital admissions, and repeat emergency department visits
- Translate the existing, underused footprint residing in your portfolio into effective population health initiatives
- List specific best practice solutions, attenable within the limits of a renovation project, to improve the patient experience
Strategy for Construction in the Middle of Nowhere
Rebecca Lewis, Principal, DSGW Architects; Scott Miller, NCARB, FACHA, Architect, Wold Architects & Engineers; Josh Ripplinger, AIA, LEED AP, EDAC, Director of Healthcare/Senior Living, Wold Architects & Engineers
Knowing how to deliver a construction project with limited access that is located in a remote, rural area takes special attention to detail. How do you plan for increased travel time and seasonal operations of subcontractors or suppliers? How do you reach out to and offer options for local suppliers and contractors? What are the tools used to analyze and strategize for success? This presentation will provide details on how to successfully plan for projects in these unique locations.
- Research the available resources of a small community or region
- Explain the issues related to planning for design, constructability, and delivery model in rural settings
- Review bidding practices that encourage local resource involvement
- Discuss a case study of a rural health care project to illustrate the examples presented
Neighborhood Health Care: Developing an Ambulatory Network
Catherine Gow, AIA, Principal, Health Facilities Planning, Francis Cauffman; James Snyder, Senior Program Director of Clinical Affairs, NYU Langone Medical Center; Lynn Lang, RN, BSN, MBA, Chief of Integration, Summit Health Management
Outpatient facilities improve community health by shifting health care beyond the boundaries of stand-alone hospitals through strategically placed satellite locations. Populations receive local access to specialty care, and the care of medical conditions is improved by the quality health care within the community. Consultants align goals for ambulatory care centers that build on the institution’s clinical mission. Four professionals involved in the development of ambulatory care facilities will present the trends, opportunities, and limitations of planning, designing, and constructing ambulatory facilities.
- Identify populations that are best served via community-based health care access
- Assess a user-based design approach through a hospitality-driven aesthetic
- Describe how feasibility studies and scope are assessed from the owner, client, and design consultant’s perspective
- Track 10-year ambulatory trends
How Performance-Driven Health Care Is Shaping of Facility Design Standards
John VanLandingham, Principal, Christner, Inc; Donna Ware, Executive Director, Planning & Design, BJC HealthCare
Health care providers face increasing challenges: higher quality, safer, lower cost care in environments that appeal to consumers. As organizations expand and affiliate, new opportunities can leverage the use of standards to support these objectives. This case study of BJC HealthCare shares how the system develops, implements, evaluates, and updates standards used across facilities. Truly useful standards represent an investment. Discussion will include how to identify the value of this investment and how to communicate that value to your organization.
- Define standards that are actionable
- Organize a process that both allows and supports continuous improvement: definition, implementation, evaluation and redefinition
- Describe how to document and use a working standard with design teams. How does information feed-forward?
- Communicate the value of the investment to your organization
CANCELED: Redefining Rehab
Kelly Spivey, BA, Associate Principal, Technology Team Leader, Mazzetti+GBA; Tamara McDonald, BS, Technology Planner, Mazzetti+GBA
NEW: Re-Engineering Electrical Demand Factors
Walt Vernon, PE, MBA, JD, EDAC, LEED,CEPP, FASHE, CEO, Mazzetti+GBA; Jason D'Antona, PE, LEED AP, Principal, Thompson Consultants
For decades, health care engineers have reported that new building electrical systems are significantly larger than the loads they are intended to serve. This discrepancy has long appeared to be an opportunity for cost reduction. However, something as significant as demand factor requirements in codes change slowly, and, usually, only in response to overwhelming evidence. This problem has been discussed by organizations such as IEEE, Laurence Berkeley National Laboratories, National Renewable Energy Labs, ASHRAE, and the California Energy Commission. ASHE‘s advocacy team has created a research team to better study and document the realities of this situation, and to submit proposals to the National Electrical Code (NEC) in response. That team is now working with representatives of the NFPA to ensure these demand factor adjustments will be approved in the next (2020) edition of the NEC. This session will explore this issue and research in depth, including opportunities for ASHE members to help.
- Discuss how the evolution of demand factors for health care facility electrical systems have become irrelevant to today‘s health care facilities field.
- Explain how new metering technologies for electrical distribution systems are helping inform ASHE and the NEC in ways that will help reduce system oversizing, and ultimately reduce costs so that more resources can be directed at patient care.
- Describe ways to be involved in the research and advocacy process to support this important initiative.
- Discuss potential design implications with respect to energy consumption of medical equipment and how this helps hospitals provide new and better technology to care for the needs of their communities.
Navigating Compliance with CMS Adoption of ASHRAE Standard 170 2008 Addenda
Chris P. Rousseau, PE, LEED AP, Partner, Newcomb & Boyd
CMS’s adoption of the 2012 edition of NFPA 99: Health Care Facilities Code incorporated the inclusion of the 2008 edition of ASHRAE Standard 170 but including only addenda a through d. This presentation will cover the effect of the adoption of these specific addenda and those that were not adopted. Understanding these regulations will help designers and facility managers properly apply ASHREA Standard 170 and avoid accreditation issues.
- Identify specific addenda recognized by CMS
- Recognize which addenda not included and are potential accreditation pitfalls
- Acquire design and operational strategies to avoid these potential pitfalls
- Gain sufficient knowledge to be able to discuss technical advantages with designers, AHJs, and surveyors
AIA/AAH PDC Student Challenge 2018 Overview and Winner Presentation
Eugene Damaso, AIA, EDAC, GGP, Design Leader/RLF Architecture Engineering Interior Task Force Chair – AIA/AAH PDC Student Challenge 2018; 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 future healthcare architects, engineers, and construction managers. Students from four different universities will bring 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 2018 followed by presentations by the winning teams.
2:45 – 3 p.m. | Networking Break
3 – 4:15 p.m. | General Session
The 2018 Guidelines: Are You Ready for Change?
Dana Swenson, PE, MBA, Senior Vice President/Chief Facilities Officer, UMass Memorial Health Care System; Wade Rudolph, CBET-I, CHFM, MBA, Director, Facilities, Mayo Clinic Health System, Franciscan Healthcare; Doug Erickson, FASHE, CHFM, HFDP, CHC, CEO, Facilty Guidelines Institute
The Facility Guidelines Institute is the publisher of the Guidelines for Design and Construction documents, the most widely recognized guidance for planning, designing, and constructing hospitals; outpatient facilities; and residential health, care, and support facilities. This session will highlight the key factors that influenced changes across the 2018 documents, including the decision to separate hospital and outpatient facilities to better address the unique requirements for these facility types. Three leaders of the Health Guidelines Revision Committee will discuss new elements.
- Explain the impetus and methodology for revisions to the 2018 Guidelines, including creation of the new outpatient document
- Describe the major revisions to the 2018 documents, including the changes to sterile processing, recovery spaces, and accommodations for patients of size and telemedicine
- Apply the new classification system for imaging rooms and clarification of examination, procedure, and operating room requirements, and describe how these changes informed revision of the mobile/transportable medical units chapter
- Illustrate how using the 2018 edition of the Guidelines for a project can provide a safe, more effective patient care environment at a reasonable cost
4:30 – 6 p.m. | Exhibit Hall Reception