Tuesday, March 6, 2012
7:30 – 9:00 a.m.
Health Care Systems Engineering: Performance Metrics of the Past, Present, and Future
James C. Benneyan, PhD, Professor of Industrial Engineering, Center for Health Organization Transformation, New England VA Engineering Resource Center
Problems with the U.S. health care system are costing Americans an estimated $2.3 trillion annually, a figure that continues to increase at almost double the rate of inflation. An estimated 30% of these costs can be attributed to poor processes, errors, and waste. Estimates of medical errors include 1.4 million affected patients, 98,000 deaths, and costs of $8.8 billion annually. With its long history in health care and recent renaissance in academia, the field of industrial and systems engineering has much to offer health care organizations as they strive to address these problems. This session will cover the history of systems engineering and seminal work in the field, the present state of health care systems engineering and current modeling trends, and important future directions for this important approach to reducing health care costs. This session will enable you to:
- Discuss strategies for increasing the effect of systems engineering on health care system inefficiencies.
- Compare and contrast the design metrics used on health care projects to help reduce errors and waste and improve poor processes.
- List three innovative strategies for using systems engineering to improve patient safety.
- Explain how industrial and systems engineering performance data can be used to affect patient outcomes.
7:30 – 9:00 a.m.
The One Code Theory: New ICC Health Care Code Project
Moderator: Chad E. Beebe, AIA, CHFM, CFPS, CBO, SASHE, Director, Codes and Standards, ASHE Panelists: Jeffrey O’Neill, AIA, ACHA, Senior Project Manager, University of Pennsylvania Health System; John Williams, CBO, Plans Reviewer, Washington State Department of Health, Construction Review Services; Justin Wiley, Director of External Relations, International Code Council
The health care field suffers from an over-application of codes. In many cases, excessive code requirements have made the delivery of health care more difficult and increased the price of an already expensive physical environment. In response to this issue, ASHE approached the International Code Council (ICC) to determine if a collaborative effort could be established to develop a single set of building and fire codes that facilities can meet in a fiscally responsible manner while still ensuring provision of safe physical environments. Hear highlights of this groundbreaking partnership between ASHE and the ICC and the status of the initiative. This session will enable you to:
- Discuss how the partnership between ASHE and the ICC will result in cost savings and support better patient care.
- Cite four major, industry-wide code changes the ICC ad hoc committee on health care is presenting for adoption into the 2015 I-Codes and describe how they will affect health care facilities.
- Actively support the establishment of one set of codes for design and construction of new hospitals and ambulatory care facilities and one code for the evaluation of existing facilities.
- Explain the impact the proposed code changes could have on health facility design and construction projects over the next 10 years.
9:15 – 10:45 a.m.
CEO Forum - Facility Planning in an Era of Uncertainty
Moderator: Ian Morrison, PhD, Author, Consultant, and Futurist Panelists: Larry Volkmar, CEO, Banner Good Samaritan Medical Center
With growing pressures on access to health care, health care costs, and government actions, anyone involved with health facility planning, design, and construction will need to have a strategic and organized plan to get projects approved. This ACHA Masters Series session will offer insight into the evolving economics of health care, the future for facility development, and how facilities can help improve the quality of care. The presentation will be followed by a period of audience Q&A. This session will enable you to:
- Discuss health facility design from the perspective of active CEOs, including how design makes a difference in the quality of patient care today.
- Assess new approaches to planning, organizing, and delivering health care facilities in an era of accountable care and decreased reimbursement.
- Describe what CEOs expect from their PDC project teams.
- Determine how to integrate value from evidence-informed design into your health facility design and construction projects.
10:45 a.m. – 1:45 p.m.
Exhibit Hall and Gallery of Architecture for Health
Lunch served in exhibit hall
1:45 – 3:00 p.m.
Update on the 2014 Edition of the FGI Guidelines for Design and Construction of Health Care Facilities
Douglas S. Erickson, FASHE, CHFM, HFDP, CHC, Senior Project Manager, Northstar Management
The Guidelines for Design and Construction of Health Care Facilities is currently being revised, and the participation of the health care community is important to developing a comprehensive and effective 2014 edition. With a draft version of the 2014 Guidelines ready for publication, this is the time to submit comments to be considered by the Health Guidelines Revision Committee (HGRC) during its final meeting. This session will highlight the proposed 2014 draft, provide guidance on how to submit comments, and offer participants the opportunity to submit input directly to HGRC committee members. This session will enable you to:
- Describe the process of submitting comments on the 2014 proposed draft.
- Identify four major initiatives presented in the 2014 proposed draft.
- Discuss the importance of the newly crafted patient safety risk assessment and the gains in patient outcomes.
- Learn how the 2014 Guidelines will address resident’s needs in the new residential care facility volume.
3:15 – 4:30 p.m.
Clinical Redesign
First Do No Harm: How Design Impacts Safe Care in the Emergency Department
Debajyoti Pati, PhD, FIIA, LEED AP, Executive Director, CADRE and Rockwell Endowment Professor, Texas Tech; Thomas Harvey, President, CADRE; David Vincent, Senior VP, HKS Architects.; David Vincent, Senior Vice President, HKS Architects. He will be the fourth presenter.
The speakers will present research and analyses on how emergency department (ED) physical design relates to patient safety and staff efficiency. A Q&A period will allow attendees to ask questions specific to ED projects they are planning. This session will enable you to:
- Assess aspects of the ED physical environment for their effect on safe, efficient care delivery.
- Describe how physical design can affect technology, human factors, and throughput in an emergency department.
- Compare the safety and efficiency dimensions of providing emergency care with those for inpatient care.
- Apply design information gleaned from the examples given to a specific ED design and construction project.
3:15 – 4:30 p.m.
Fundamentals of PDC for Health Care
The Role of Nurses in Health Care Facility Planning and Design
Julie Barkenbush, B.S.N.; M.H.A, CEO, Devenney Group Architects; Susie Faz-McCann, RN, Senior Clinical Director, Banner Health; Marilyn Mariani, CNO, RN, MM, Bountiful Hospital
Three nurses who function in distincly different roles—nurse executive, nurse-architect, and nurse expert—will discuss the value each brings to the health care facility planning and design process. This session will enable you to:
- Summarize the benefits of adding nurses to the health care facility planning and design team.
- Discuss the role of a nurse and hospital administrator in a health care design firm, describing how their perspective can affect project planning and design.
- Outline the importance of including a facility’s chief nursing officer on the project team and the responsibilities entailed in that role.
- Describe the role of an expert clinician who serves as a facility owner's representative during the PDC process.
3:15 – 4:30 p.m.
Innovation & Collaboration in the Field
Achieving Project Goals Through Clinical Integration and Value Creation
Dave Cottle, Vice President, Planning, Design & Construction, Phoenix Children's Hospital; Robert Martineck, Licensed Architect, Principal and Senior Vice President, HKS Inc.; Richard Rome, Registered Professional Engineer, President, CCRD Partners; Jeffrey Stouffer, Licensed Architect, Principal, HKS Inc.; Michael Wolfe, Project Director, Kitchell Contractors
This panel of key members of the project team for an expansion of the campus at Phoenix Children’s Hospital will describe the innovative delivery methods used to complete the project under budget and ahead of schedule, while still satisfying the client-directed value proposition. This session will enable you to:
- Deliver lower operational costs through improved materials selection, reduced energy consumption, natural resource utilization, and building systems integration.
- Describe how evidence-based research influenced the design concepts applied at Phoenix Children’s Hospital and how results will be measured in areas such as patient outcomes and staffing efficiency.
- Explain how project outcomes are improved when the client and the design and construction team engage in a transparent discussion of project goals.
- Discuss how a client-led team can result in higher performing buildings and improved patient and family experiences as well as enhance a hospital’s overall value as a community resource.
3:15 – 4:30 p.m.
Performance Metrics
Improving Hospital IT Infrastructure to Manage a Vast Facilities Portfolio
Matthias Ebinger, Director of Facilities Systems, New York-Presbyterian Hospital; Mayu Roy, Managing Director, Strategic Consulting, Computerized Facility Integration; Benjamin Taub, CEO, Dataspace Incorporated
A senior hospital facility manager and his technology team will discuss the overhaul of New York-Presbyterian Hospital's Facilities information systems, including successes and failures along the way and critical lessons learned. This session will enable you to:
- Apply the guidelines described to determine whether a Facility IT system is delivering the information management needs.
- Assess business intelligence solutions for alignment with a health care organization's needs and select and implement the best solution.
- business areas that should be considered when planning a facilities systems overhaul.
- Discuss the value of data integration across systems.
3:15 – 4:30 p.m.
Performance Metrics
Consensus Performance Metrics for Health Care Design—So What Are the Numbers?
Moderator: Dale Woodin, CHFM, FASHE, Executive Director, American Society for Healthcare Engineering (ASHE)
Panelists: T.B.A.
This session will address age-old questions from senior administrators considering a new construction project: How much total space do we need per inpatient bed, how much will it cost to build, and how soon can we have it occupied? Although many health care systems and design firms have collected data on built spaces that correlate square footage, services provided, and costs for construction, there is no single national source of facts and figures to help answer these questions. ASHE, in association with supporting organizations, is developing consensus guidance on such design performance metrics. The framework for collecting the information and some initial results will be presented at this working session. Input will be solicited from the audience on the major elements of the framework and whether the proper data is being collected. This session will enable you to:
- Identify the driving performance factors that interest senior administrators who are considering new construction.
- List various evaluation techniques, based on a review of lessons learned, that can be used to assess health facility planning decisions.
- Apply lessons learned from the experiences of others who have used design performance metrics to get C-suite buy-in for new construction.
- Describe the type of information health care executives want when considering new construction projects and how they want it presented.
3:15 – 4:30 p.m.
Regulatory Issues
How Green Codes and Guidelines Affect Health Care Facilities
Jane Rohde, AIA, ACHA, FIIDA, AAHID, Principal, JSR Associates, Inc.; Michael Sheerin, PE, LEED AP, Principal, Director of Healthcare Engineering, TLC Engineering for Architecture
With the onset of “green” codes planned to be enforced by local jurisdictions on a state-by-state basis, this session will provide a basic comparison of sustainability guidelines versus anticipated sustainability codes that will soon impact the health care marketplace. The presenters will address how local regulation will affect the use of building rating systems and illustrate how such systems will influence the design, construction, and commissioning of health care environments. This session will enable you to:
- Estimate the immediate impact on health facility design and construction when green building codes are adopted.
- Discuss IGCC and ASHRAE 189.2 and their impact on health care design and construction.
- Explain the difference between the green requirements of LEED-HC, Green Globes CIEB Healthcare, the FGI Guidelines, and the Senior Living Sustainability Guide.
- Access relevant references and resources on sustainability codes and guidelines that affect health facility design and construction.
3:15 – 4:30 p.m.
Health Facility Commissioning
A Case Study in Collaboration and Commissioning
Moderator: Mark Kenneday, MBA, CHFM, FASHE, Vice Chancellor, Campus Operations, University of Arkansas for Medical Sciences Panelists: Phillip Dunston, PhD, Associate Professor, Gregory Lasker, MBA, Associate Professor, HealthCare Built Environment Professional, Chen Chen, Graduate Research Assistant, Mitchell Erickson, Student, and Rob Smetana, Student, from Purdue University; and Stephanie Shank, Student, and Christopher McKenney, Student, from the University of Arkansas at Little Rock
The University of Arkansas for Medical Sciences (UAMS) has undertaken a collaborative project to develop a case study of the commissioning process and related outcomes for its new surgical suites and post-anesthesia care unit (PACU) project. The project team and commissioning agents followed the ASHE health facility commissioning process, while students from Purdue University and the University of Arkansas Little Rock studied the outcomes from application of the process. At this session, the students and professors will discuss the lessons learned from a comparison of the outcomes from this project and the outcomes from other projects they have studied, some of which were not commissioned and some of which used other commissioning approaches. This session will enable you to:
- Describe the benefits of commissioning a health facility project, using the lessons learned from the projects presented.
- Apply best practices, as presented in the case study, to building a collaborative project team.
- Discuss opportunities for collaboration with students during PDC and O&M processes as well as techniques for achieving successful group work in health care projects.
- Recognize ways to use academic and industry research findings to improve health facility design and construction projects.
3:15 – 4:30 p.m.
ACHA Masters Series
Nursing and Design: What Matters in Surgery Design
Ramona Conner RN, MSN, CNOR Manager, Standards and Recommended Practices, Association of Perioperative Registered Nurses (AORN);Frank Zilm, FAIA, FACHA, President, Frank Zilm & Associates
The presenters will discuss critical operational issues and their implications for planning a surgery department, with emphasis on including the nurse’s point-of-view throughout the process. Data will be presented from a survey of AORN members concerning operating room (OR) design issues that affect the surgical work environment. The survey results offer insight into how best to integrate the nursing team into the design process from its earliest stages through postoccupancy analysis. This session will enable you to:
- Describe the design implications of sterile techniques commonly employed in the surgical environment.
- Define the zones used in the surgical environment and their implications for infection prevention, communications, and the movement of patients, personnel, and supplies.
- Identify the best opportunities for integrating nursing knowledge into the planning and design process.
- Discuss the major pitfalls, based on survey results, in OR design from the perioperative nurse’s point of view.
Demonstrating value through integrated teamwork
