WEDNESDAY, MARCH 20

FOCUS LEVEL

F

Foundational

T

Technical

S

Strategic

 

TOPIC AREAS

2018 PDC Summit Track Icons
7 – 8:15 a.m.

GENERAL SESSION
The Basics of Grassroots Advocacy

Erik Rasmussen, VVice President of the Advocacy & Public Policy Group, Federal Relations Department, American Hospital Association

In order to accurately represent their district or state on a variety of issues, elected officials rely on thorough staff work, outside expertise and, most importantly, constituent input. Legislators need and want to hear from you. This session will provide foundational information on becoming an effective advocate, including an update on the pressing issues facing Congress and policymakers, how the November midterm elections might impact hospitals and health systems, best practices for establishing and nurturing relationships with elected officials, and how to share your organization’s story for maximum effect.

  • Understand contemporary elected officials’ impact on professional and health care fields
  • Explore current and historic political influences on elected officials’ actions and the elections that select these officials, and how that impacts the hospital and health care field
  • Identify important items to discuss with elected officials in specific areas of legislation and regulation that impact the health care field
  • Establish short- and long-term relationships with elected officials and staff, including positioning as a field expert and trusted source of information

8:15 – 8:30 a.m.

Networking Break


8:30 – a.m. | Concurrent Sessions VI

MEP Health Care Infrastructure Resiliency Design – Post Storm Sandy
Steven Friedman, PE, HFDP, LEED AP, Director of Facilities Engineering, Design + Construction, Memorial Sloan Kettering Cancer Center; John Koch, PE, Associate Partner, Jaros, Baum & Bolles Consulting Engineers, LLP

   

This session focuses on major infrastructure components including heating systems, power, chilled water, and IT in the development of a resilient infrastructure network. The presenters discuss the pros and cons associated with flood proofing measures and share key resiliency strategies from the design and implementation process. The project’s design takes into account long-term strategic growth, increases in infrastructure resiliency , and a design process that integrates plant operations in the concept planning stages to ensure project resiliency goals are achieved.

  • Identify MEP infrastructure vulnerabilities
  • Balance programmatic need against infrastructure resiliency
  • Discover collaborative and intergrative planning initiatives
  • Ensure continuity of service for continuous patient care operation

Creating the Optimal NNICU Environment with Care Team Technology
Mary Kate Florian, BSN, RN, Patient Service Manager, NNICU, Yale New Haven Hospital; Samantha Herold, MS, Clinical Engineering Integrations, Yale New Haven Health; Carol Salerno, BSN, RNC, Clinical Nurse Informatics Specialist, Yale New Haven Hospital; Carrie Ryan, MA. TD, Practice Lead, Training & Development, Burwood Group

     

Physical design of a care environment can have a significant effect on clinical workflows and patient and staff experience. The redesign of Yale New Haven’s care processes and supporting technologies for its new NNICU was subjected to a compressed timeline, and the team collaborated with NNICU and IT staff to redesign care processes and design, implement, extensively test, and train a suite of clinical communication tools. The interactive session will guide leaders looking to implement design methodology and supporting technology.

  • Identify the methodologies for driving clinical staff engagement in complex workflow redesign
  • Foster collaboration between IT, clinical engineering, construction, and clinical users
  • Provide incremental, early access to new/renovated facilities to support in-unit end user training & communication system testing
  • Design a high-impact change management plan to create buy-in, increase end user satisfaction, increase adoption, and drive ROI

UF Health – A Model of Sustainability, Collaboration, & Wellness for Complex Health Care Environments
John Chyz, PE, LEED AP, GGA, WELL AP, Sustainable & Wellness Strategy, Affiliated Engineers; Pat Spoden, AIA, LEED AP, Project Manager, Associate Principal, FLAD Architects; Du Meyer, MS-ISE, MHA, Director, Design & Construction Services, Facilities Development, UF Health Shands

    

Sustainable and wellness strategy implementation in complex health care environments comes with inherent challenges. This session will focus on staff and patient wellness as well as owner and collaborator integration with Green Globes, the green building standard and rating system developed by the Green Building Initiative. A case study of the new UF Health Heart Vascular and Neuromedicine Hospitals will also be presented as an example of innovative thought leadership toward sustainability and improving the human experience.

  • Identify the challenges and strategies associated with balancing the implementation of sustainability and wellness measures on a highly complex health care project
  • Assess innovative collaboration models between the owner and utility as well as the owner and design/delivery teams
  • Evaluate the tools that can inform design decisions aimed at balancing environmental impact, occupant wellness, and clinical purpose
  • Elucidate strategies for practical implementation of the Green Globes standard and rating system

Collaborating to Make Decisions in Emergency Department Design
Fernanda Pires, EDAC, Sr. Healthcare Planner, Array Architects; Jonathan Bykowski, AIA, Lean Six Sigma Black Belt, Practice Leader, Continuous Improvement, Transformation Advisory Services

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During the design of the ED for a replacement facility, the design team worked consistently with a multidisciplinary team of ED staff, using lean tools and strategies to understand existing conditions and provide opportunities for improvement in operations. This session will describe step by step how the design team engaged the multidisciplinary ED team in a collaborative manner and share the decisions that were made in the process. Preliminary findings of operational changes resulting from the findings will be unveiled.

  • Engage a cross functional team of stakeholders in a collaborative manner through process-led design
  • Use lean and evidence-based design together to inform design decisions.
  • Describe and share tools and guidelines utilized to engage client in the decision-making process
  • Share preliminary results of operational changes in the existing ED

Total Project Alignment: It Starts with Data Analytics
Mark Kenneday, MBA, CHFM, FASHE, CHC, Director, Business Development – Healthcare, Sightlines; Basil Alexander, Manager Capital Project Management, Children's Medical Center Dallas

   

The first activity in Total Project Alignment is to ensure the executive team has accurate documentation that properly describes their current investment in facilities. The model should include data-supported recommendations to make informed decisions regarding investment in new facilities, capital renewal, and deferred maintenance. A current model ensures that the executive team will be able to evaluate future investment opportunities to align with business strategies.

  • Describe the role of data analytics in the Total Project Alignment model
  • Identify the value achieved from the model in executive decision making
  • Explain the advantages during risk/reward conversations for facility investment
  • Evaluate the outcomes from implementation of data analytics in a state-wide facilities model

The Suite Advantage
Allison Ellis, PE, Fire Protection Engineer, Koffel Associates Inc; Jim Lathrop, FSFPE, Vice President, Koffel Associates Inc.

 

Recent editions of NFPA 101: The Life Safety Code® and the International Building Code® have expanded opportunities to use suites in both new and existing construction. However, many facilities and designers still do not use suites to their full advantage. In this session, the changes and updates to suite requirements will be outlined and potential risks discussed. Newly constructed facilities that have not employed suites will be examined to determine how the design could have been modified to include suites.

  • List the advantages of suites for a health care facility
  • Identify the differences in suite requirements between NFPA and ICC codes
  • Assess potential facility layouts to determine if creating suites is feasible
  • Describe the challenges creating a suite can pose on a facility

– 9:45 a.m.

Networking Break


9:45 – 10:45 a.m. | Concurrent Sessions VII

Engineered Infection Prevention: The Intelligent Self-Disinfecting Hospital
Barry Hunt, BSc, Chair, Coalition for Healthcare Acquired Infection Reduction; Kelly Reynolds, PhD, Associate Professor & Program Director, University of Arizona

   

Health care-associated infections afflict 1.7 million patients each year in the United States and are a leading cause of death. Up to 80 percent of HAIs may result from microbial transmission through the physical environment: air, water, and surfaces. Engineered infection prevention includes automated technology and materials designed into infrastructure to eliminate microbial transmission. EIP can be a disruptive game-changer. This presentation provides an update on EIP research, technologies, implementation, and standards and knowledge and resources to support EIP design.

  • Identify opportunities and challenges to design with EIP in new projects and in existing facilities.
  • Assess the value of adding EIP to health care facilities
  • Specify EIP materials and technologies for future projects
  • Prioritize EIP interventions based on clinical impact and cost effectiveness

Collaborating for a New Type of ED Space
Christine Carr, MD, CPE, FACEP, Professor, Department of Emergency Medicine and Department of Public Health, Medical University of South Carolina; David Vincent, AIA, ACHA, LEED AP, Principal and Senior Vice President, HKS, Inc.; Bryan Langlands, AIA, ACHA, EDAC, LEED GA, Principal, NBBJ

    

This presentation focuses on the growing interest in the low-acuity patient pod concept and the challenges of getting an idea into the marketplace and the Guidelines. The presenters highlight the collaboration between an owner, design firms, and FGI to catalyze change. Currently, EDs treat low-acuity patients in noncompliant smaller spaces, often co-located with others and without privacy, staff oversight, or sufficient hand-washing stations. AHJs have no source to regulate minimum requirements, and these spaces have no reference in the Guidelines.

  • Describe how these entities came together to champion new minimum requirements for an emergency department treatment space specific to low-acuity patients
  • Discuss the appropriate patient types and the minimum space and support requirements necessary for provision of care in an ED low-acuity patient treatment station
  • Determine the criteria for right-sizing treatment spaces in an ED by reviewing the results of the low-acuity pod charette conducted in 2017
  • Evaluate technologies available for deployment in treatment pods and how they can be used to deliver care without sacrificing patient safety, comfort, or privacy

Controlling Operating Room Relative Humidity with Liquid Desiccant Dehumidification Technology
Mark Piegay, Global Sales Engineer, Alfa Laval Kathabar; Patrick Leach, Business Development Manager, Alfa Laval Kathabar

     

This session presents the issue of maintaining the required relative humidity (RH) level within an OR setting in an academic health sciences center with a 734-bed acute care hospital. Problematic RH levels and methods of dealing with and solving the RH control levels will be discussed. Attendees will learn how the application of liquid desiccant dehumidification technology resolved the unacceptable RH levels within the OR suites.

  • Identify the acceptable relative humidity (RH) level within an operating room (OR)
  • Explain the inability of conventional HVAC systems to maintain OR RH level
  • Explain how liquid desiccant dehumidification controls RH level in the OR
  • Discover how to apply liquid desiccant dehumidification to an existing HVAC system

Tackling Staff Opt Out and Burnout: Radical Work Space Antidotes
Angela Mazzi, AIA, ACHA, EDAC, Medical Planner, GBBN Architects; Erin Schmidt, NCIDQ, LEED AP, Interior Designer, GBBN Architects; Melissa Dulisse, NCIDQ, Interior Designer, GBBN Architects

    

Health care work spaces have undergone radical change, yet have not evolved to support new models of care that rely on education, multi-disciplinary teamwork, and a collaborative process. The resulting friction between process and environment has led staff to opt out of using space while battling burnout in spaces that offer no support or respite. This session shares research on day-to-day pressures of care providers. Learn new approaches to work space implemented in inpatient and ambulatory projects and the lessons learned.

  • Identify the relevant work space influences from outside of health care that can improve work and education in health care
  • Discover the correlation between improved work space and patient satisfaction and care outcomes
  • Address current burnout and retention issues with new workplace strategies
  • Implement “right spacing” strategies based on real world needs for improved education and collaboration

Facility Activation: A Coordinated Approach to Occupying a New Health Care Facility
David Stepelevich, CHFM, Executive Vice President, Healthcare Building Solutions, Inc.; Jay Hornung, ACHE, CHFM, President/CEO, Healthcare Building Solutions, Inc.

   

Two services are often overlooked when completing a new project: transition planning – the “why and how” – and move management – the “what and when.” Together, they are Facility Activation. Health care organizations make significant capital investment in new facilities and desire a rapid return on that investment. Developing a Facility Activation plan ensures that old habits are not transferred to new spaces. This session shares insights on how Facility Activation can help move from occupying a new space to optimizing its performance.

  • Explain how to engage stakeholders to ensure successful Facility Activation
  • Identify the timeline for implementing Facility Activation plan
  • Review executive dashboard communication tools
  • Gain insights from Facility Activation and it they improved new facility operations

NEW: Load Calculations: Changes and Implications for Health Care
Walter Vernon, PE, FASHE, Principal, Mazzetti; Jason D'Antona, PE, LEED AP, Principal, Thompson Consultants, Inc.

   

The National Electrical Code® is one of the most fundamental documents in the planning, design, and construction of facilities. Its load calculation procedures have changed very little over the decades. This cycle, however, both ASHE and the NEC committee have made significant strides to update and improve these requirements, with results that will likely reduce the size of electrical system components and reduce system costs. This session will help attendees know whats coming and provide needed input into the process.

  • List the NEC demand factors as they currently apply to health care facilities
  • Explain the analysis and resulting proposals regarding lighting system demand factors
  • Explain the analysis and resulting proposals regarding plug loads and cord-connected equipment
  • Participate in a conversation with panel members about their questions and thereby provide input into the NEC process

Armand Burgun Fellowship Presentations
Bill Eide, Texas A&M University; Hui Cai, Ph.D., Assistant Professor, Department of Architecture, University of Kansas; Christopher Kiss, AIA, Ph.D. Candidate, Clemson University

This session is a panel presentation of the 3 Armand Burgun Fellowship recipients who will present their respective studies & the lessons coming from them.

  1. Bill Eide, Texas A&M, Phase 2 of Burgun 2017-18 Fellowship Most Common Healthcare Design Review Deficiencies
  2. Hui Cai, University of Kansas, To Validate Facility Guidelines for Critical Access Hospitals (CAH): A Collaborative Benchmarking Post-Occupancy Evaluation Study on CAHs
  3. Christopher Kiss, Clemson University, The Influence of Windows on Surgeons' Stress
  • Information and mitigations on the most common healthcare design review deficiencies
  • Facility Guideline recommendations on Critical Access Hospitals
  • Benchmarking and key outcomes of Post Occupancy Evaluation of Critical Access Hospitals
  • Factors in determining stress in surgical staff, and impacts of windows and views to daylight

10:45 – 11: a.m.

Networking Break


11 a.m. – 12 p.m. | Concurrent Sessions VIII

NYU Kimmel Pavilion: Integration of Infection Prevention & Design
Michael Phillips, MD, Chief Epidemiologist, Associate Professor, Department of Medicine, NYU Langone Health; Paul Schwabacher, PE, Senior Vice President for Facilities Management NYU Langone Health; Christopher Prochner, PE, LEED, Partner, Jaros Baum & Bolles; Bryan Langlands, AIA, ACHA, EDAC, LEED GA, Principal, NBBJ

     

This session focuses on the NYU Langone Health Kimmel Pavilion and how infection prevention and facilities/engineering played a role in the design of the layout, circulation, infrastructure, and finishes. Priorities were set early on establishing infection prevention as s primary consideration for planning and design decisions. This direction and commitment allowed the design team to develop a full building approach to infection prevention. Attendees will gain insight into the multi-disciplinary approach through diagrams, floor plans, photographs, and post-occupancy evaluation material.

  • Discover how NYU Langone Health established infection prevention as a priority in the design of its new building
  • Describe the systems approach taken in the design of a new inpatient and surgical tower with infection prevention as a primary focus
  • Identify the planning, adjacencies, circulation, and flows within the building
  • Establish a new base minimum for infection prevention within a new facility

Design Insights for Geriatric-Friendly EDs
Kathryn Gallagher, MS, BSN, RN, NE-BC, Clinical Liaison, University of Pennsylvania Health System

    

Providing safe, efficient care for the specialized needs of geriatric patients in the emergency department holds unique challenges, and this session will provide recommendations on how to design examination rooms that are geriatric friendly. A checklist will be provided that will facilitate a quick evaluation of patient care locations in new construction or existing emergency rooms and freestanding emergency facilities to gauge how geriatric friendly they are.

  • Assess design challenges facing older adults seeking health care services in the emergency department
  • Explain why the design of emergency room examination and treatment spaces should focus on the physical environment and incorporate the equipment required for older adults’ specific needs
  • Identify the stakeholders that will need to collaborate to bring about changes—both operational and physical—to improve geriatric patient care and comfort in ED spaces
  • Apply a checklist tool to evaluate the physical elements and conditions in emergency department spaces and determine design changes that will better serve the needs of geriatric patients

Neighborhood Hospitals 2.0: What’s Changed from a Regulatory and Planning Perspective
Phil DeBruzzi, FACHE, Principal, The Innova Group; Julissa Tellez, Director of Project Development, E4H Environments for Health Architecture; Jason Carney, AIA, NCARB, Partner, E4H Environments for Health Architecture

   

Traditional destination bricks and mortar campuses no longer represent a successful strategy for health care, and micro-hospitals have become popular as a market growth and value strategy. Neighboorhood hospitals require a clear strategy, a sound operational model, and clinical support to be successful; however, the potential for a significant impact on changing economics and clinical delivery of health care is exciting. This session will share experiences planning nieghborhood hospitals, discuss key operational areas, and illustrate clinical innovations that would support this model.

  • Discuss how the landscape has changed for micro-hospitals
  • Learn lessons from a recent nieghborhood hospital project
  • Explore key operational models to leverage the nieghborhood hospital concept
  • Demonstrate innovative clinical models that support the nieghborhood hospital concept

The ASHE/FGI/ASHRAE Ventilation Evidence Study
Walter Vernon, PE, FASHE, Principal, Mazzetti; Jonathan Flannery, MHSA, CHFM, FASHE, FACHE, Senior Associate Director of Advocacy, American Society for Healthcare Engineering; Roger Lautz, PE, Project Management, Affiliated Engineers, Inc.

    

For many years, ASHE has been a leader in the call for more scientific rigor in creating (and sunsetting) code requirements. That philosophy has been heard. In the past two years, ASHE has worked with the FGI and ASHRAE to do a disciplined dive into the evidentiary foundation for the requirements in ASHRAE 170. The study is now complete, and moving into publication. This session will provide an overview of the process, the results, and the next steps.

  • Identify the need for evidence in policy making
  • Describe the methodology designed by the FGI and later applied by the FGI-ASHE-ASHRAE team to undergird both documents with an evidentiary foundation
  • Describe the results of the evidence gathering process as applied to ASHRAE 170 requirements
  • Help prioritize research needs for this part of health care buildings

Collaborative Design Outcomes: Native American Health Care
Sheila Cahnman, FAIA, FACHA, LEED AP, President, JumpGarden Consulting LLC; Matthew Clay, Director of Health Services, Pokagon Band; Scott Winchester, RA, NCARB, Project Manager / Tribal Liaison, Seven Generations Architecture & Engineering; Steve Vandenbussche, RA, LEED AP, Director of Architecture, Seven Generations Architecture & Engineering

   

How can a design team collaborate with a historically underserved community to develop trust and understanding while improving health services and acknowledging unique culture? This session will explore the historical context of Native American health service delivery. Case studies representing a spectrum of scale and context will feature best practices in delivery, design, and incorporation of Native American culture. The presentation will highlight successful collaboration techniques for driving design consensus among large diverse constituent groups.

  • Discover the historical context of Native American health services and how to deliver design services through both tribal health and the Indian Health Service
  • Appreciate how aspects of Native medicinal practices affect building design
  • Review case studies of three differently scaled Native American projects including best practices in delivery, design, and incorporation of Native culture with humility and respect
  • Learn successful collaboration techniques for driving design consensus among large, diverse, underserved constituent groups.

Complying with New Florida Backup Power Rules
John Sharpe, Power Solutions Manager, Generac Power Systems; Jason Stinchcomb, LEED-AP BD+C, Electrical Engineer, JLRD Inc. – Consulting Engineers Pace Alford, ALF Certification, Executive Director, Lourdes-Noreen McKeen; Darrell Sanford, Account Manager, Genset Services, Inc.

   

After hurricane Irene struck Florida, the governor enacted an emergency power rule requiring nursing homes and assisted living facilities to provide a cool environment for patients on loss of utility power. Lourdes McKeen Towers in West Palm Beach was forced to add additional power generation to their facility. The facility turned to a team of engineers, contractors, and equipment suppliers for a timely, robust solution. Their blueprint may help other facilities comply with similar emergency power rules.

  • Recognize the drive behind and the technical requirements of the Florida emergency power rule and how they may propagate to other states
  • Identify site design challenges based on local and state codes in conjunction with the rule
  • List the three primary solution options for the cooling rule based on whole-house, cooling load only, and "lifeboat" solutions
  • Recognize how a collaborative approach with the owner, designer, installer, and equipment supplier provided a more robust and flexible system to the owner

Armand Burgun Fellowship Presentations (continued)
Bill Eide, AIA, Texas A&M University; Hui Cai, Ph.D., Assistant Professor, Department of Architecture, University of Kansas; Christopher Kiss, AIA, Ph.D. Candidate, Clemson Universit

This session is a panel presentation of the 3 Armand Burgun Fellowship recipients who will present their respective studies & the lessons coming from them.

  1. Bill Eide, Texas A&M, Phase 2 of Burgun 2017-18 Fellowship "Most Common Healthcare Design Review Deficiencies
  2. Hui Cai, University of Kansas, To Validate Facility Guidelines for Critical Access Hospitals (CAH): A Collaborative Benchmarking Post-Occupancy Evaluation Study on CAHs
  3. Christopher Kiss, Clemson University, The Influence of Windows on Surgeons' Stress
  • Information and mitigations on the most common healthcare design review deficiencies
  • Facility Guideline recommendations on Critical Access Hospitals
  • Benchmarking and key outcomes of Post Occupancy Evaluation of Critical Access Hospitals
  • Factors in determining stress in surgical staff, and impacts of windows and views to daylight

12:30 – 4 p.m.

Energy Treasure Hunt

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1 – 2 p.m.

Certified Healthcare Constructor (CHC) Exam Check−in


2 – 4 p.m.

Certified Healthcare Constructor (CHC) Exam

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