#ASHEannual | @asheaha


Session Track Key

Code Compliance
Planning, Design & Construction
Business of Facility Management
Improving the Patient Experience
Reducing Costs
Managing Infection Prevention
Shifting Care Outside the Hospital



NETWORKING BREAK | 9:15 – 9:30 A.M.

GENERAL SESSION | 9:30 – 10:45 A.M.

Improving Infection Prevention Through Facility Design–An Update on the CDC/HRET Project
Linda L. Dickey, RN, MPH, CIC, Senior Director, Quality, Patient Safety, and Infection Prevention, UC Irvine Health; Barbara Edson, RN, MBA, MHA, Vice President, Clinical Quality, Health Research & Educational Trust (HRET); Cathy Rebmann, MPH, Health Scientist, Division of Healthcare Quality Promotion (DHQP), Centers for Disease Control and Prevention (CDC)

In 2015 ASHE was invited to participate in a joint CDC/HRET project to develop materials aimed at improving infection prevention during health care facility planning, design, and construction. This session will describe this project and the materials under development and will illustrate how this information may be used by facility managers, designers, project managers, and clinicians.

  • Describe the overall CDC/HRET project and ASHE's role in the project
  • Provide an overview of the content that will be provided in each chapter
  • Explain how this material may be used during planning, design, and construction to optimize infection prevention
  • Outline the final deliverables and time line for the project



Joint Commission Update
George Mills, MBA, FASHE, CEM, CHFM, CHSP, Director of Engineering, Department of Engineering, Joint Commission

This session will discuss the revised and new elements of performance related to the adoption of the 2012 Life Safety Code®. Included will be information about the intent of the elements of performance and strategies for compliance. This session will also review other changes the Joint Commission makes to improve patient care delivery and survey process and readiness, including how to prepare prior to survey and how to respond following survey. Updates on the survey process will also be presented.

  • Describe the importance of patient safety as it relates to the physical environment of a health care facility
  • Explain the health care advocacy efforts of the Joint Commission
  • Employ strategies to manage the physical environment
  • Participate in real-time Q&A with a Joint Commission expert

DNV GL Healthcare Update
Kelly Proctor, CHFM, CHSP, Physical Environment Sector Lead, DNV-GL Healthcare

This session will provide an overview of the DNV GL survey process and an update on issues facing facility management staff in DNV GL client hospitals. This session will cover the effect of the new ISO 9001:2015 standard. Examples of NIAHO®-required process management for addressing common survey findings will be discussed along with hospital-developed goals that go beyond regulatory compliance. The session will also provide an introduction to the new DNV GL PE Specialist Certification.

  • Discuss the adoption of the NFPA 101-2012 and 99-2012 editions
  • Describe how to maintain lines of communication to the C-suite through the quality management system
  • Explain the new DNV GL PE Specialist Certification
  • Discuss the new ISO 9001:2015 standard

HFAP Accreditation and the Physical Environment
Brad Keyes, CHSP, Engineering Advisor, AAHHS & HFAP (AOA)

Many changes have been made this past year to the accreditation process that CMS has imposed on all health care facilities that receive Medicare and Medicaid reimbursements. The Healthcare Facilities Accreditation Program (HFAP) has made many adjustments to the Life Safety, Emergency Management, and the Physical Environment chapters to meet these new challenges. In this session, participants will explore these changes and learn how to take action to prepare for an HFAP or a CMS survey.

  • Identify how the new CMS Final Rule on Emergency Management will affect your facility
  • Describe how the 2012 Life Safety Code® may bring many changes to the survey
  • Name the most commonly cited standards in the EM/PE/LS chapters
  • Explain when and how to apply for a time-limited waiver

AAAHC/Medicare Deemed Status Accreditation and Physical Environment Surveys
Mary Wei, Assistant Director, Accreditation Services, Accreditation Association for Ambulatory Health Care (AAAHC); LaMar Davis, CHSP,CHFM,CHC, Director Facilities and Support Services, Shirley Ryan Ability Lab

Ambulatory surgery centers (ASCs) are experiencing growth as the push continues toward outpatient procedures rather than toward hospitals. This session reviews the AAAHC/Medicare Deemed Status (AAAHC/MDS) accreditation program for ambulatory surgery centers and the pivotal role that facility management plays in ensuring compliance with accreditation standards and conditions for coverage requirements that regulate ASCs. Presenters will discuss top physical environment findings from surveys and changes in the AAAHC Standards that affect the physical environment and review the AAAHC/MDS survey process.

  • Review a brief history of AAAHC and the Medicare Deemed Status program
  • Describe the AAAHC/MDS Life Safety Survey process and standards used
  • Compare AAAHC/MDS physical plant review with the AAAHC Non-MDS physical plant review
  • Identify the top physical environment and life safety findings for 2016



Value Analysis–Improving Operating Margin Through Cost Savings
Bert Gumeringer, MBA, MS, CHFM, FASHE, Assistant Vice President Facilities Operations, Texas Children's Hospital

This session will demonstrate how health care facility managers can enhance margins through the concept of value analysis, which looks at current operating expenses to uncover potential cost savings without significant effect on the overall organization. This discussion will focus on the purchased services aspect of value analysis. Standard tools used for collecting data, preparing the business case, and developing an executive summary will be highlighted to help attendees create and develop their own value analysis projects.

  • Identify savings opportunities
  • Use the tools provided as templates for data collection
  • Develop a comprehensive business case
  • Build an executive-level presentation for review by senior leaders

Understanding the Joint Commission Life Safety Survey Process
James Kendig, MA, CHSP, CHCM, CHEM, LHRM, Field Director, Joint Commission; Tim Markijohn, MBA/MHA, CHFM, CHE, Field Director, Surveyor Management and Development Division of Accreditation & Certification Operations, Joint Commission

The co-field directors for Life Safety Code® surveyors for the Joint Commission will walk through the process of a Life Safety Code survey. The presenters will cover topics including the agenda process, scoring, fire drill matrix, the numerator and denominator process, SAFER index, and Project Refresh. Successful tips for life safety, environment of care, and emergency management evaluations will be covered. The presentation will also discuss how to get answers to questions.

  • Take a step-by-step approach to the survey to prepare for success
  • Learn about scoring and the impact it has on your report
  • Discover new survey process initiatives
  • Bring home tips for a successful Life Safety Code survey

CANCELLED Your Role in Improving HCAHPS Scores and the Patient Experience
Moderator: Steve Spaanbroek, MBA, SASHE, CHFM, CHC, Managing Director, MSL Healthcare Partners
Panelists: John DiGirolomo, MBA,CHFM,CHSP, Senior Vice President, St. Barnabas Hospital; Susan Romano, MHA, Patient Experience Consultant, South Shore Hospital

Retrocommissioning Taboo–The Ugly Truth of Savings Degradation and What to Do About It
Ashley Roberts, EI, Project Manager, Bernhard TME; Richard Parker, FASHE, FACHE, Director of Facilities & Construction, Tucson Medical Center

Despite the initial effectiveness of many retrocommissioning efforts, many facilities often see a savings degradation within the first 6 to 12 months after retrocommissioning is complete. This session will provide attendees with an overview of the common causes of retrocommissioning savings degradation as well as ways to combat this trend, including the use of energy scorecards, reinvestment of savings, utility management, effective training, and technology integration.

  • List the common causes of post-retrocommissioning savings degradation
  • Identify ways to combat the issue of degradation
  • Gather the tools to challenge the operational status quo
  • Pinpoint the resources that can address specific issues related to savings degradation

Environmental Infection Prevention Through Planning and Monitoring
Michael Cloughessy, MS, BSEH, REHC, CIC, Senior Infection Preventionist, Cincinnati Children's Hospital; Beverly Connelly, MD, Director, Infection Control Program, Professor of Pediatrics, Infectious Diseases Cincinnati Children's Hospital Medical Center; Todd Baxter, Master of Architecture, Regulatory Maintenance Specialist–Infection Prevention, Cincinnati Children's Hospital

This lecture will teach key planning and monitoring considerations and how to collect, mine and distribute data that mitigates infection risk during construction, renovation, maintenance and repair projects within clinical care settings. Work activities and environmental disturbances, no matter how minor, pose an infectious risk for vulnerable patient populations. Building age, improvements, new medical technologies, increased patient acuity, are all occurring in a setting of patients who have greater medical complexity.

  • Describe planning elements
  • Explain monitoring methods
  • Discuss the value of data
  • List ways to use the data

How to Transform Your Campus to an Intelligent Health Care Campus
Sanjyot Bhusari, PE, CEM, LEED AP, Intelligent Buildings Practice Leader, Affiliated Engineers Inc; John Nicely, MBA, FACHE, Dir Facility Mgmt. – System, BayCare Health System

This session will cover the basics components, categories, and outcomes of an intelligent health care campus master plan. Participants will also take part in an ideation style workshop similar to the one BayCare Health used to develop its plan. Implementation strategies, financial costs, and lessons learned will be shared to provide participants with a comprehensive view of intelligent campus master plan strategies that they can use on their campus.

  • Determine your campus's current level of intelligence and develop a high-level intelligent campus plan
  • Discover the top five energy strategies that contributed to about 80 percent of predicted savings at BayCare Health
  • Recognize why change management is a key strategy to implement an intelligent campus and learn via examples on strategies that work
  • Leave with knowledge of components of an intelligent campus including key performance indicators, long-term data storage, construction standards, preventative maintenance procedures, technician training, and change management

A Different Animal in the Zoo: Managing Outpatient Facilities and Medical Office Buildings
Moderator: Tim Adams, FASHE, CHFM, CHC, Director of Leadership Development, American Society for Healthcare Engineering (ASHE)
Panelists: Roger Bradley, MBA MHA CHFM CHC PHA-GB, Past Regional Director of Operations at IU Health and President of ISHE; LaMar Davis, CHSP,CHFM,CHC, Director Facilities and Support Services, Shirley Ryan Ability Lab; Kim Davis, RPA, System Director, Property Management, Catholic Health Initiatives; Steve Spaanbroek, MBA, SASHE, CHFM, CHC, Managing Director, MSL Healthcare Partners

Typically, outpatient and ambulatory facilities are a significant part of a health care organization"s buildings and locations portfolio. In many ways, these are different "animals" from inpatient facilities. These facilities can create some challenges in portfolio management. This session will examine types of leases, strategies for compliance, maintaining off-campus facilities and other management challenges for remote facilities.

  • Describe different types of leasing contracts, both as an owner and as a tenant.
  • Develop a strategy for maintaining outpatient facilities, especially those that are not on a health care campus, and those that do not have operations and maintenance staff on site.
  • Create a plan for monitoring and managing compliance in outpatient facilities.
  • Create a checklist of items to consider when entering into a leasing agreement.


Dallar Indy Car Factory

Please note: This event is SOLD OUT.

Network with friends and colleagues and enjoy time with family as you explore 23,000 square feet of interactive and hands-on exhibits centered on the engineering and technology of the world's fastest sport! At the Dallara IndyCar Factory, attendees will have the chance to test their skills in racing simulators, enjoy the Dallara Interactive Theater, and take photos with Indy cars. The event includes dinner.

Adults: $80/person
Youths (Under 16): $40/person

The ASHE Annual Outing is sponsored by:

AHA Logo  ASHE Logo


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