MONDAY, AUGUST 7
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Saturday Sunday Monday Tuesday Wednesday
CONTINENTAL BREAKFAST | 6:30 – 8 A.M.
OPENING SESSION, AWARDS & KEYNOTE PRESENTATION | 7:30 – 9:30 A.M.
The Future of the U.S. Health System: Key Trends and Tipping Points
Paul H. Keckley, PhD, Managing Editor, The Keckley Report
The dynamics of the U.S. health care marketplace are changing at a faster pace as a result of regulatory, clinical, and economic shifts. Knowing how to monitor these shifts and how to adjust appropriately are imperatives for C-suite leaders in health care. This session, led by Dr. Paul Keckly of the Keckley Report, will not only provide an overview of the future of health care but will also provide an opportunity for audience questions.
- Explain regulatory, clinical, and economic trends
- Review the tipping points that will reshape the U.S. health system
- Discuss strategies for managing uncertainty
- Receive answers to your most pressing questions
NETWORKING BREAK | 9:30 – 9:45 A.M.
CONCURRENT SESSIONS I | 9:45 – 10:45 A.M.Compliance with CMS Emergency Management Rule: What Might Be Missing
Susan McLaughlin, MBA, FASHE, CHFM, CHSP, Chief Operating Officer, MSL Healthcare Partners
Full implementation of the CMS emergency preparedness rule is expected in November 2017. CMS believes that a hospital accredited by The Joint Commission already complies with most of the new conditions of participation. The presentation will identify the concerns and potential gaps in compliance and considerations that must be made by health care organizations to close these gaps. It will also highlight requirements with which CMS anticipates organizations to be in compliance and in which there may be pitfalls.
- Cite the areas of the CMS emergency management rule for which Joint Commission compliance is not sufficient for CMS compliance
- Identify the areas in which Joint Commission compliance may not provide enough information
- Recognize gaps between your emergency operations plan and CMS expectations
- Update your emergency operations plan to meet CMS requirements
Improving the Patient Experience by Reducing Room Temperature Variation, a Five-Year Journey at UT MD Anderson Cancer Center
Tim Peglow, PE, SASHE, Associate Vice President Patient Care and Prevention Facilities, UT M.D. Anderson Cancer Center; Dana "Dino" F. Coliano, MBA, National Sales Leader, Healthcare, Siemens Building Technologies
Learn how a 660-bed academic medical center dramatically increased their Press Ganey temperature scores from 80 to 89. This effort put them in the top 10 percent of all hospitals participating in the Press Ganey survey and also resulted in reduced hot and cold service calls in patient rooms and increased energy efficiency. The session will discuss their journey including both positive and negative lessons learned. Leave with ideas to improve the patient experience at your organization.
- Demonstrate how patient room temperature variations can affect HCAHPS scores
- Use the Six Sigma DMAIC model to improve a process in a health care setting
- Describe the effects a successfully run project has on frontline staff
- Explain the outcomes of phase 1.0 which identified a need for phases 2.0 and 3.0
Blame It on the Psychrometric Chart: The Conflict of Operating Room Humidity and Temperature Controls
Anthony J. (Tony) Robeson, PE, HFDP, NEBB BSC CP, Director, Bernhard TME; Michael Roberts, PE, SASHE, CHFM, CHE, Senior Specialist, Facilities Management Group, Carolinas HealthCare System, Plant Operations and Maintenance; Adam McElderry, PE, CEM, Project Manager, Bernhard TME
Facility managers continuously face the challenge of maintaining patient safety and code compliance within an operating room, while also achieving physician and staff satisfaction. Staff satisfaction and patient safety are not conflicting interests, but most surgical staff and many facility managers do not understand the temperature/humidity control relationship. This session will discuss temperature and humidity control limits to provide a better understanding of the operational limits of HVAC systems and modifications needed to meet surgical staff demands.
- Relate operating room temperature and humidity control to supply air temperature and chilled water temperature
- Identify ways to best control temperature and humidity in operating rooms
- Identify potential required operating room HVAC system modifications
- Communicate the HVAC system limits to the operating room physicians and staff
Retrocommissioning and Culture Change: Lessons Learned at St. Luke's Meridian Medical Center
Caleb Brantley, Project Manager, Bernhard TME; Jesse Barnum, Building Services Manager, St. Luke's Meridian Medical Center
The retrocommissioning process at St. Luke's Meridian Medical Center not only became cash flow positive within 6 months but created a transformational culture shift among the staff. This session will emphasize exploring and using all available resources for a project that will be cash flow positive and gains the attention of hospital administrators. It will also showcase how strong leadership can affect the buy-in of maintenance staff to empower sustained savings and increased optimization.
- Explore the challenges of retrocommissioning both operationally and culturally
- Discover the resources available to maximize the benefits of retrocommissioning
- Identify the next steps after initial savings targets are achieved
- Describe how strong leadership can affect an operations and maintenance team
Managing Life Safety Deficiencies: Life after the Plan for Improvement
Dave Dagenais, CHSP, CHFM, FASHE, Director of Plant Operations and Safety Officer, Wentworth-Douglass Hospital, Bradley R. Taylor, MBA, CHFM, CHC, System Vice President, Construction and Project Management, Fairview Health Services
Managing compliance with the provisions of the Life Safety Code® and other codes and standards is a key part of providing a safe and healthy physical health care environment. Health care organizations must effectively manage situations in which a building does not meet all requirements. This session will provide a systematic process for managing self-identified life safety deficiencies and a process for responding to deficiencies identified by an authority having jurisdiction (AHJs).
- Describe the risk assessment process and necessary interim life safety measures for self-identified deficiencies.
- Discuss requirements and time frames for responding to deficiencies identified by AHJs.
- Identify required time frames for correcting a Life Safety Code deficiency and explain extension requests.
- Describe the process for requesting waivers.
Managing Risks Associated with the Physical Environment–Enterprise-wide Space and Asset Management Tool
Sukhjit Tom Singh, MHA, MPH, CHSP, Field Director, Environment of Care Compliance, New York Presbyterian Hospital; Jonathan Kng, CHSP, EOC Compliance Specialist, Environment of Care Compliance, New York Presbyterian Hospital
As health care continues to evolve, compliance with regulatory codes becomes more of a challenge. Learn how technology as a management tool improves the patient experience, operational efficiencies, quality, and safety. An integrated approach to technology has dramatically streamlined the inspection process, enabled access to reliable data, and made locating and resolving deficiencies easier. Attendees will gain perspective on how the management tool fosters information sharing between all parties and provides an immediate visual overview of physical environment related issues.
- Describe how a data-driven organization uses management tools to improve the culture of safety
- Leverage technology to manage risks associated with the physical environment
- Identify how risk management affects the patient experience
- Complete an example entry in the enterprise-wide space and asset management tool
Exploring the Occupancies of the CMS Conditions of Participation
John Williams, Program Manager, Construction Review Services, Washington State Department of Health; Chad E. Beebe, AIA, CHFM, CFPS, CBO, FASHE, Deputy Executive Director of Advocacy, ASHE
The 2012 edition of NFPA 101: Life Safety Code® has been adopted by the Centers for Medicare & Medicaid Services (CMS) as part of its Conditions of Participation (COPs). This session will walk through several different health care occupancies and discuss the differences within the COPs and some of the adopted codes. The presenters will also lead a discussion on the next steps for future Life Safety Code adoption and participation opportunities for attendees.
- Identify the new CMS requirements for several different provider types
- Understand the different applications of the COPs
- Discuss the differences between the COPs and local regulations that may affect construction projects or operations
- Plan a compliance strategy for existing hospitals
ASSOCIATE MEMBER SESSION: What Facility Managers and Health Care Organizations Want from Solution Providers
Moderator: Justin R. Carron, Global Healthcare Segment Manager, Eaton
Panelists: Larry Rubin, CEM,CPE,CHFM, Senior Director Facilities Management, Cleveland Clinic; William David Lockhart, SASHE, CHFM, CEM, Executive Director, Facilities Operations, Kaiser Permanente
Intended for solution providers and ASHE associate members, this panel discussion will offer key insights from health care facility managers that can help solution providers better understand how they can help health care organizations meet their missions. Learn the "business of health care", including central vs. local decision making, and how compliance involves financial and legal involvement.
- Describe how health care is unique from other markets, including its sensitivities specific to its field, e.g., infection prevention, HIPAA, and the Joint Commission.
- Identify challenges that can be mitigated by health care facility managers and the critical factors relative to their mission.
- Overcome common misconceptions and mistakes that may be negatively perceived by facility managers.
- Explain how various health care facilities make business decisions and how they manage to do more with less.
EXHIBIT HALL, LUNCH, CODES & STANDARDS LOUNGE, AND ARCHITECTURE FOR HEALTH GALLERY | 10:45 A.M. – 1:45 P.M.
GENERAL SESSION | 1:45 – 3 P.M.
ASHE's Healthcare Executive Leadership Council: Vision and Tools for a Challenging Future
Moderator: Don D. King, CHFM, BEP, President, Donald King Consulting
Panelists: Mark Kenneday, MBA, CHFM, FASHE, Vice Chancellor of Campus Operations, The University of Arkansas for Medical Sciences; Dana E Swenson, PE, MBA, SASHE, Senior Vice President & Chief Facilities, UMass Memorial Health Care, Inc.; Rame Hemstreet, Construction and Facilities Management Executive, Kaiser Permanente; Zachary Zapack, Senior Vice President, Corporate Services, Carolinas HealthCare System; Russell Harbaugh, CHEP, 2017 ASHE President, Director, Operations, Building Services, Life Safety Meridian/St. Luke's Health System
This session will introduce ASHE's newly formed Healthcare Executive Leadership Council (HELC). This group of thought leaders and experienced leaders from large health care organizations is committed to developing tools and encouraging behaviors that support ASHE's mission. Attendees will learn how the group was formed and how it aligns with the ASHE board and committee structure and gain an understanding of the HELC's work to date and how it will benefit ASHE members.
- Identify three key challenges that are priorities for health care facility managers and engineers
- Describe how the Healthcare Executive Leadership Council is organized to address these challenges and how ASHE is supporting their work
- Define the steps in the A3 process
- Determine how you can participate in this work and how to begin preparing your organization for its outcome
NETWORKING BREAK | 3 – 3:15 P.M.
CONCURRENT SESSIONS II | 3:15 – 4:30 P.M.Energy Management in a Critical Access Hospital
Marty Lanning, CMVP, LEED AP, Partner, Energent Solutions; Eric Weber, PE, CEM, LEED AP BD+C, Consultant, Energent Solutions
With focused efforts and intentional changes, even independent rural critical access hospitals can achieve ENERGY STAR® certification. Despite a small budget and small staff, one such hospital overcame these challenges to be in the top 10 percent of energy efficient hospitals in the country, even with the addition of an emergency room in the process. Hear the story and how to implement the same strategies in your facility.
- Assess creative ways to implement energy efficiency measures
- Identify opportunities to piggyback on construction projects to install energy efficiency measures
- Communicate effectively with the C-suite to get buy-in
- Create systems and processes to foster a culture of accountability
Workplace Violence and Active Shooter Planning in a Health Care Setting
Scott Cormier, Vice President Emergency Management, EOC, and Safety, Medxcel Facilities Management
Workplace violence incidents continue to rise in health care settings, and an active shooter event inside a health care location can be confusing. This session will address workplace violence planning and response including newly released guidance on preventing, planning, responding, and recovering from a health care active shooter event. This session will provide the recommendations of the Healthcare and Public Health Sector Coordinating Council, which is a part of the Federal Critical Infrastructure program.
- Define an active shooter event
- Examine implementation strategies to prepare for an active shooter event
- Determine communication and training strategies to be used among staff
- Develop a health care workplace violence program including use of threat assessment teams
Shoot for the Stars: Cost and Savings of Designing to ENERGY STAR® Certification
Michael Hatton, MBA, CHFM, RPA, SMA, SASHE, Vice President of Facilities Engineering, Memorial Hermann Health System; Jim Prince, CEM, Manager of Energy Management, Ascension Health; Doug Neidigh, MPH, CEA, REM, Executive Director Energy/Sustainability, Mercy Health
One of the largest challenges for facility managers in establishing ENERGY STAR as the design standard for their organizations is proving the value of the savings to key decision makers. This session will showcase projects from Memorial Hermann Health System, Ascension Health, and Mercy Health, and present data to quantify the costs and savings associated with the decision to design to this standard.
- Discover the potential costs associated with designing to achieve ENERGY STAR certification
- Explain the potential savings associated with the use of ASHE's commissioning process, energy modeling, and measurement and verification
- Describe the typical payback for a project designed to achieve ENERGY STAR certification
- Provide quantified data that can be presented to key decision makers to justify the use of ENERGY STAR certification as a best practice design standard
Planning and Scheduling for Fast Track Health Care Capital Projects
Joseph Rubin, Associate Director, Berkeley Research Group
Fast track construction projects require a high degree of organization and executive sponsorship. Using practical experience and a case study of a $623 million hospital campus project, this presentation explores the challenges in delivering fast track health care projects from a project controls perspective. Attendees will be guided through the project life cycle and specific challenges, techniques, and tools for effectively bridging the gap between a health system's mission, business plan, and operational practices for a successful project.
- Identify the key fast track planning and scheduling challenges in each phase of the project life cycle
- Explain how key fast track planning and scheduling challenges affect the project stakeholders
- Identify the tools available to assist in the fast track planning and scheduling process
- Explain the process for guiding the project stakeholder team in tailoring a fast track planning and scheduling approach for a project
Metrics that Matter: A Benchmarking Case Study and Tutorial
Rachel Poff, Energy Analyst, Bernhard TME; Marvin Smith, PE, Director, Facilities, Penn State Health Hershey Medical Center
Annual benchmarking can provide insight into resourcing levels, energy costs, material and repair costs, and service contracts. However, a first look at most benchmarking tools can make the process incredibly daunting. During this session, three tools will be deconstructed, simplified, and explained to encourage a user-friendly experience. The session will include a live demonstration of the tools used during the benchmarking process, clips from a final report, and helpful tips on how to leverage the data to make budgeting decisions.
- Use various tools to perform operation and maintenance benchmarking for any health care facility
- Recognize the challenges encountered during the benchmarking process and how to overcome them
- Leverage benchmarking data to make informed decisions about budgets, staffing levels, service contracts, and more
- Glean insights for your facility as Penn State Hershey Medical Center's director of facilities shares his initial experience and why he chooses to benchmark his facility annually
Inspection and Testing of Fire Alarm and Fire Protection Systems Based on the 2012 Life Safety Code® and Referenced Standards
Frank Van Overmeiren, President, FP&C Consultants, Inc./Fire Protection & Code Consultants, LLC
Maintaining the physical features of fire protection and life safety systems can be a challenge. This session will outline recent changes with the adoption of NFPA 101 2012: Life Safety Code and outline who is qualified to conduct inspections and what is required to be inspected or tested. New inspection and testing forms will be unveiled for fire protection and life safety features including fire alarm, automatic sprinkler, fire pumps, hydrants, extinguishers, exit signs, battery pack lighting, dampers, and doors.
- Explain the requirements, differences, and qualifications of personnel inspecting, testing, maintaining, repairing, and servicing fire protection and life safety features
- Obtain access to new inspection and testing forms for fire protection and life safety features
- Take advantage of reduced requirements for complying with NFPA standards for inspection and testing
- Identify the challenges that system testing and commissioning present and learn how to avoid the gaps left when not properly coordinated or documented
Navigating Compliance with CMS Adoption of ASHRAE Standard 170 2008 Addenda
Jonathan Flannery, MHSA, CHFM, FASHE, FACHE, Senior Associate Director of Advocacy; Christopher 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 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
EXHIBIT HALL RECEPTION | 4:30 – 6:30 P.M.
Navigate the exhibit hall and network with fellow attendees and solution providers as you enjoy drinks and light appetizers.