#ASHEannual | @asheaha

MONDAY, JULY 16, 2018

Session Track Key

Business of Facility Management
Compliance Tactics
Operational Efficiency
Patient Experience
PDC for the Facility Manager
Support Services

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Lou Holtz, Legendary Football Coach and Analyst, ESPN (2004-2015)

Paul KeckleyLou Holtz's message transcends athletics. It resonates–even with those who aren't sports minded. He focuses on people and the values that make relationships (and organizations) excel. Once you have heard his message, you will have no doubt why Lou Holtz is considered a legendary team leader and speaker on achievement.

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9:30 – 9:45 A.M. | NETWORKING BREAK


“Sorting the Waste Bucket Soup” to Ensure a Compliant RCRA Hazardous Waste Program
Darrell Oman, Program Manager, Consulting Services, Stericycle Environmental Solutions; Danielle Gathje, CHFM, Director of Facility Operations, St. John’s Hospital; John Kolojaco, MBA, CSP, ASP, CHMM, Safety Officer, Virginia Mason Medical Center

Health care facilities can generate thousands of unique wastes and waste streams and leaders regularly struggle with cost and compliance requirements. Often compliance issues are only uncovered during a government agency compliance inspection. As no single department typically is responsible for the campus or system waste program’s compliance, leaders should consider a campus-wide hazardous waste management approach that connects departments and makes safe and compliant program management a reality.

  • Differentiate USEPA, DOT, and OSHA regulatory compliance requirements for health care facility waste streams and waste stream management programs
  • Link safety and environmental compliance requirements with accreditation organization standards and requirements
  • List the five primary steps for implementing a health care system or health care facility campus-wide hazardous waste management program
  • Compare your health care system’s or facility’s USEPA environmental compliance readiness with case studies from expert panelists sharing their program management approach from their system and health care campus perspectives

Test Your Code Knowledge – An Interactive Q&A Discussion of Regulatory Codes
William Koffel, PE, FSFPE, President, Koffel Associates, Inc.; Rebecca Morgenstern, Fire Protection Engineer, Koffel Associates

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: Health Care Facilities Code and NFPA 101: Life Safety Code®, 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 NFPA 101 2012, 2015, and 2018 editions and the NFPA 99 2012 Edition
  • 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

Patients as Consumers: How to Tie Maintenance and Operations Workflows to the Patient Experience
Martyn Buffler, Senior Healthcare Advisor, Dude Solutions; Shannon Hines, Senior Healthcare Consultant, Dude Solutions

Now more than ever, consumers have greater control over where they seek medical care, making patient satisfaction a top priority for health care facilities. While patient experience is typically tied closest to clinical staff, maintenance and operations professionals also play a critical, yet often underappreciated, role. Attend this session to learn how to elevate the role of maintenance and operations by tying data and reporting to the patient experience.

  • Identify how maintenance and operations staff can affect HCAHPS survey scores
  • Create new processes to ensure maintenance and operations staff have a direct effect on the patient experience
  • Leverage PM reporting to identify and solve problems before patients experience them
  • Use data like average work order time to justify additional resources and/or new equipment

Engaged and Empowered: Three Unique Case Studies on Technical Training
Ralph Graham, CHFM, Director of Hospital Maintenance, University of Alabama at Birmingham; George McFerron, Arkansas Children’s Hospital Northwest; John Ferrara, CHFM, CHSP, Facilities Manager, Ochsner Health System; Ed Tinsley, PE LEED AP, CHFM, CHC, CEO, Bernhard Energy

Effective and efficient operations and maintenance of health care facilities is a critical component of a healthy patient care environment. However, few avenues exist that support the technical enrichment of facility management staff in the health care industry. This session will present case studies from three types of health care campuses to illustrate how training can be deployed to equip facility staff with the knowledge and tools they need to be successful.

  • Discuss three distinctive case studies represented by a large academic medical campus, a new children’s hospital, and an established multi-facility health care system
  • Identify how to overcome common barriers and challenges when developing a technical training program for facility management staff
  • Discuss quantifiable measures of success that are realized after a technical training program is executed
  • Participate in an interactive assessment session with sample technical questions in the area of HVAC, building controls, and electrical systems

It’s Been a Year...Transitioning from Accreditation to Implementation
George Mills, MBA, FASHE, CEM, CHFM, CHSP, Green Belt, Director of Operations, JLL

This session will be a journey with a former Joint Commission Director of Engineering who will present case studies of organizations that were evaluated and then set on a course of improvement over the past year. The evaluation and improvement is based on compliance with both the Joint Commission and NFPA requirements. The case studies can be converted to real-life application and improvement. Time will be provided for questions and answers at the end.

  • Discuss case studies of compliance and non-compliance
  • Perform self-evaluation of organizational compliance
  • Create proper documentation according to requirements
  • Identify what standards apply to which occupancy

Are You Ready to Operate? Designing Operating Rooms to Meet Surgical Advancements
Garold “Gary” Hamilton, PE, LEED AP, CxA, EDAC, SASHE, Senior Vice President, WSP; Benjamin Blankenship, CHFM, CHSP, Director, Facility Support Services, Carilion New River Valley Medical Center

This presentation will walk the audience through the design and renovation of the Carilion Clinic operating room platform. The case study will provide a brief history of technological advancements in operating rooms and a vision into future technologies championed by research agencies and private companies. The presentation will show the audience how technology has affected the architectural and engineering requirements for the interventional platform. Details of engineering design issues as well as planning, operation, and maintenance issues will be discussed.

  • Discover some of the new technologies in today’s OR, what the future OR will look like, and how to design a hybrid OR to meet future requirements
  • Use the FGI Guidelines 2014 and ASHRAE 170 (2013) Guidelines as the starting point for a hybrid OR design
  • Identify the requirements of a hybrid OR before starting a hybrid OR project
  • Produce better delivery outcomes in surgery renovation projects with lean practices

Discussion Forum
What Facility Managers and Health Care Organizations Want from Solution Providers
Moderators: Sean Goings, CEM, CHSP, SASHE, President, DAC, Inc.; Joseph G. Sprague, FAIA, FACHA, Senior Vice President & Director, Health Facilities, HKS, Inc.
Panelists: Bert M. Gumeringer, MBA, MS, CHFM, FASHE, Vice President-Facilities Engineering & Support Services, Texas Children’s; Sean Mulholland, PE, CHFM, CHC, Director of Planning, Design, and Construction, Children’s Hospital Colorado; Scott Tripp, MBA, CHFM, Director Operations & Support Services, Riverview Health; Carol J McCormick, CHFM, Operations Director Facilities & Support Services, CHI Health

10:45 A.M. – 1:45 P.M. | Exhibit Hall, Lunch, & Architecture for Health Gallery


Recovery: The Long Road Ahead Following a Catastrophic Event
Moderator: Steve Spaanbroek, MBA, FASHE, CHFM, CHC, Managing Director, MSL Healthcare Partners
Panelists: Don Stevens, CHFM, CHC, Executive Director, Regional Support Services & Chief Energy Officer, Northern California, Kaiser Permanente; Bert M. Gumeringer, MBA, MS, CHFM, FASHE, Vice President, Facilities Engineering & Support Services for Texas Children’s Hospital; Paul Mitchell, CHFM, CHSP, Administrative Director of Facilities Management, Sunrise Hospital & Medical Center and Sunrise Children’s Hospital

In some ways, the recovery phase of emergency management is the most difficult to prepare for. Recovery can last for months and years, drain financial resources, and tax the body and spirit of each individual involved in recovery from a major event. Health care organizations have experienced a variety of catastrophic events, prompting increased emphasis on emergency preparedness. Several individuals whose health care facilities have been involved recently in catastrophic events discuss the road to recovery and share insight into how to prepare for this critical phase.

  • Describe the process of planning for recovery as part of emergency management
  • Use lessons learned from recent events to plan for the recovery phase
  • Articulate the relationship between the Hazard Vulnerability Analysis (HVA) and recovery phase
  • Identify opportunities to prepare the physical environment for recovery

3 – 3:15 P.M. | Networking Break


The 2018 Guidelines–Are You Ready for Change?
Douglas Erickson, FASHE, CHFM, HFDP, CHC, CEO, Facility Guidelines Institute

The chair of the 2018 Health Guidelines Revision Committee will discuss changes in the 2018 FGI Guidelines, including the separation of hospital and outpatient facility requirements to better address their unique needs, minimize costs, and encourage flexibility of use. New accommodations for care of patients of size and for telemedicine services will be discussed, plus an overview of changes to requirements for recovery spaces; imaging, examination, procedure, and operating rooms; and sterile processing facilities.

  • Explain the reasoning behind changes to the design of clinical spaces in health care facilities
  • Identify how using the updated Guidelines for a project can provide a safe and effective patient care environment at a reasonable cost
  • Discuss how FGI is reinventing its process to more rigorously examine, balance, and document requirements based on best available evidence
  • Describe strategies used by FGI to develop and enhance new content for 2018

The Health Care Industry Is More Dangerous than Firefighting, Steel Foundries, and Hog Farming
Leo T. Old, MS, PE, CIH, CSP, CHFM, CHC, SASHE, Senior Project Manager, EnSafe, Inc.

Yes, it’s true! The injury and illness rates within select sectors of the health care industry are higher than those for firefighters, steel foundry employees, and hog farmers. OSHA acknowledges that injury and illness rates in the health care industry are among the highest in all of industry. Why are the rates so high? What can be done? This presentation includes a summary of injury and illness trends, key steps to reduce injuries and illnesses, and tips for OSHA compliance.

  • Describe current injury and illness trends within health care
  • Identify steps to reduce injuries and illnesses
  • Explain the worker compensation costs within the health care industry
  • Apply a health and safety checklist to identify hazards and non-compliance items.

Creating a Culture of Credibility and Accountability at the System and Facility Level
Matthew Stiene, PE, CFM, Sr. Director Plant Engineering Services, Novant Health

This session will provide tools and resources to increase credibility and enhance accountability to build a strong engineering department at any hospital. Attendees will learn tips to move from a behind-the-scenes department to a department that is regularly called on to perform additional services and looked to as an example of how to integrate across a system.

  • Describe how to create operational metrics
  • Explain how to create a sustainable infrastructure capital program
  • Identify compliance issues that facility managers need to discuss with planning, design, and construction before projects
  • Describe how to use data to build a business case

Analysis of Flow Path of Airborne Contaminants in a Patient Room
Kishor Khankari, PhD ASHRAE Fellow, President, AnSight LLC

Hospital-acquired infections have been persistent in hospitals, and airborne transmission plays a role in nosocomial infections. The airflow distribution determines the flow path of airborne pathogens in a room. With the help of insightful airflow animations, the presentation will demonstrate movement of airborne particles and the importance of the locations of supply and exhaust grills in a patient room. The presentation will provide valuable insights to health care facility managers and design engineers in the design of HVAC systems.

  • Explain the importance of airflow distribution in the patient room
  • Assess the role of flow path of airborne particles in controlling infection
  • Identify the effect of HVAC configuration on flow path of airborne pathogens
  • Describe ideal locations of supply and return grills in a patient room

Demystifying Measurement and Verification
Larry Newlands, Energy Manager, Memorial Hermann Health System; Alyssa Jaksich, CMVP, CEAIT, Bernhard TME

Savings gained through energy conservation projects comes in the form of energy that isn’t consumed and money that isn’t spent. Measurement and verification (M&V) is a necessary and effective tool for proving a project’s success because it quantifies savings and provides actionable information that can be presented to the C-suite and facility management staff. This session will increase understanding of M&V and empower participants to take an active role in the development and implementation of an M&V plan.

  • Identify different uses and purposes of measurement and verification
  • Explain the International Performance Measurement and Verification Protocol options with a focus on Option C, “Whole Building”
  • Describe the challenges and benefits of implementing an M&V plan at a building, campus, or system level
  • List questions and concerns to discuss during M&V plan development and implementation

NEW!: NFPA 3000™ (PS): Standard for an Active Shooter/Hostile Event Response (ASHER) Program
Jonathan Hart, PE, Senior Fire Protection Engineer, National Fire Protection Association (NFPA)

In this session, participants will learn how representatives from emergency response, emergency management, facility management, health care, education, and other fields came together to create a first-of-its-kind national standard on active shooter response. This new standard is designed to bring entire communities together to manage such incidents. The presentation will explain how and why the new standard was created as well as providing a general review of the content of this groundbreaking new standard.

  • Discuss recent active shooter/hostile events.
  • Explain how this standard was created using an accredited, consensus basis.
  • Describe the requirements for an active shooter/hostile event response program.
  • Discuss the advantages of having entire communities working together to manage active shooter/hostile events.

Discussion Forum
Young Professionals Forum
Caleb Haynes, PE, Principal / Director, Bernhard TME

In today’s environment, young professionals have increasing opportunities to engage in careers creating and supporting the physical health care environment. This interactive forum explores those opportunities. Young professionals will be able to network and share their experiences in starting and growing their careers. Those who want to bring young professionals into their organizations will hear from young professionals about what they are looking for as they make career choices. This session will allow attendees to:

  • Explore career opportunities for young professionals
  • Build a network of young professional contacts
  • Influence ASHE programs, products, and services that meet the needs of young professionals
  • Develop a strategy to attract young professionals to your organization


Image: Exhibit Hall Reception Explore the exhibit hall with hundreds of solutions providers and fellow attendees at the Exhibit Hall Reception. Enjoy drinks and appetizers as you walk through the aisles and visit various booths

The 2018 Exhibit Hall Reception is sponsored by

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