#ASHEannual | @asheaha

TUESDAY, JULY 17, 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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6:30 – 7:45 A.M. | NETWORKING BREAKFASTS AND REGIONAL UPDATES


7:45 – 8:15 A.M. | NETWORKING BREAK


8:15 – 9:30 A.M. | GENERAL SESSION

A Safe Health Care Environment: Suicide, Self-Harm, and Ligature Risk Assessments
Moderator: Tim Adams, FASHE, CHFM, CHC, Director of Leadership Development, American Society for Healthcare Engineering
Panelists: Sue Andersen, PhD, CHSP, CEDP, EMTP, EMSIC, Regional Director Emergency Management, EC and Safety, Medxcel Facilities Management; Kathy Tolomeo, CHEM, CHSP, Director, Compliance Strategies, Safety, Security, and Emergency Management, JLL, Healthcare Solutions; David M. Sine, DrBE, CSP, ARM, CPHRM, Chief Risk Officer, Office of Quality, Safety, and Value, Veteran’s Health Administration; Kathryn Petrovic, MSN, RN-BC, Senior Associate Director, Standards Interpretation Group, The Joint Commission

Creating a safe physical environment for patients with behavioral health needs is a significant challenge for most health care facilities. The Centers for Medicare and Medicaid Services as well as the Joint Commission and other accrediting organizations are placing an increased emphasis on assessing risks and providing a physical environment consistent with the identified risks. This session focuses on the process of risk assessment and mitigation of behavioral health patient safety physical risks.

  • Use a risk assessment process to evaluate ligature risks
  • Identify areas where a risk assessment is needed
  • Develop a mitigation plan for identified ligature risks
  • Implement a process for response to ligature risk citations

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9:45 – 10:45 A.M. | Concurrent Sessions III

Sterile Processing Department Design and HVAC Considerations
Paula Wright, RN, BSN, CIC, Project Manager, Infection Control Unit, Massachusetts General Hospital; Douglas Erickson, FASHE, CHFM, HFDP, CHC, CEO, Facility Guidelines Institute


The requirements for sterile processing facilities were significantly revised in the Facility Guidelines Institute’s 2018 Guidelines for Design and Construction. The new edition provides expanded guidance for designing these critical areas to support and encourage compliance with professional practice guidelines for cleaning, decontaminating, and sterilizing surgical instruments. The session will cover when a two-room sterile processing facility is required, when a single-room sterile processing facility is acceptable, and ventilation requirements to support a dirty-to-clean workflow.

  • Discuss the perspectives of infection preventionists on what architects and engineers need to know to provide the safest, most efficient environment for sterile processing
  • Describe the extent to which each profession’s perspective (designer and clinician) is addressed in AORN’s “Recommended Practices for a Safe Environment of Care, Part II” and FGI’s Guidelines for Design and Construction for both hospitals and outpatient facilities
  • Describe the design engineers’ perspective to approaching initial planning for sterile processing environments in hospitals and outpatient surgery facilities
  • Explain the latest ventilation requirements for sterile processing and the Joint HVAC Task Force’s recommendations on compliance

Re-envisioning the Food Service as a Hospital Amenity and Destination
Julie Schneider, AAIA, EDAC, Director of Interiors, Austin, BSA LifeStructures; Christine Guyott, FCSI, RD, Principal, Rippe Associates – Food Service Design + Consulting; Jim Posey, St. David’s Medical Center


Transforming the aging hospital by re-envisioning food service as a hospital amenity and destination, this case study will explore new concepts in food service delivery, server configurations, and dining room and kitchen design. The old design style is being rethought to deliver higher quality and nutritious food in an environment that helps to foster healing and overall perception of the facility.

  • Assess ways to approach initial inception of project objectives and programming
  • Evaluate food service design strategies
  • Identify facility concerns and goals
  • Describe design interventions, successes, and post-occupancy outcomes

Growth and Development: The Brigham and Women’ Hospital NICU
Deborah Elliot, LEED AP, Project Executive, Real Estate, Facilities Planning, and Construction Department, Brigham and Women’s Hospital; Andrew Brumbach, AIA, EDAC, Associate, SmithGroup; Luke Renwick, IALD, LC, Lighting Designer, SmithGroup


This session will review how the design and construction strategies used for the newborn intensive care unit at Brigham and Women’s Hospital placed newborn developmental needs at the center of all decision making. Considering everything from construction impact mitigation to lighting design and auditory stimulation, we will outline how the design and construction team used the latest research to build a new care environment for the tiniest and most sensitive patients.

  • Implement space design strategies to encourage positive auditory stimulation for newborn neurological development
  • Describe lighting design methods that serve the needs of the staff while supporting the care and development of the newborn
  • Explain how and why open communication is critical to mitigate the effect of construction to adjacent critical care spaces
  • Assess new technologies and how they can be used for future NICU design

Designing and Preparing your Facility for Severe Weather
Scott Hansche, AIA, LEED AP, Managing Director, CBRE - Heery; Phil Boothby , Executor Director, University of Iowa Hospitals and Clinics; Gordon Smith, AIA, Project Designer, CBRE - Heery; Luke Leyden, AIA, Design Team Lead, University of Iowa Hospitals and Clinics


This University of Iowa Stead Family Children’s Hospital case study highlights the importance of planning for severe weather events while not compromising other healing aspects of a facility. The new facility achieved safety while supporting exceptional natural daylight and views. The building ensured critical systems would continue to operate before, during, and after the event. Details of the design, construction, and testing of the building envelope and mechanical and electrical systems will be explained in detail and operational procedures described.

  • Describe the design process used to evaluate systems and their design for severe weather.
  • Plan to maximize daylight for healing yet protect the patients during severe weather
  • Explain the process of designing the glass and testing the exterior envelope components for severe weather
  • Discuss the operational process for severe weather in the University of Iowa Stead Family Children’s Hospital

Form Follows Function: A Collaborative Approach for Functional Program Guidelines
John Williams, Program Manager, Construction Review Services, Washington State Department of Health; Susan Upton, RA, Senior Plans Reviewer, Construction Review Services, Washington State DOH; Lois Broadway, RA, Principal, TGB Architects; Diann Bagley, RN, BSN, Medical Planner, EvergreenHealth


A common challenge faced by facilities and designers regulated by the FGI is the creation of a “functional program.” This presentation describes a collaborative effort between facilities, designers, and an authority having jurisdiction to create a tool to assist in creating a functional program. Attendees will review the tool, discuss the process, and describe in conceptual terms how a program is used. This tool includes high-level direction for creating a Basis of Design narrative and risk assessments.

  • Pinpoint WHO should be involved in drafting a functional program and WHY a functional program is important when designing, licensing and constructing a building
  • Recognize HOW the regulatory authority uses the functional program and HOW active problem-solving between facilities, designers and AHJs can be mutually beneficial
  • Identify WHAT is important to include in a functional program
  • Recognize WHEN the functional program evolves during the design process from conceptual needs to operational function

Health Care Property Management
Donald Stevens, CHFM, CHC Executive Director. Regional Support Services and Chief Energy Officer, Northern California, Kaiser Permanente; Connie O’Murray, National Director, Healthcare Property Management, JLL, Healthcare Solutions; Ed Ricard, Managing Director, Healthcare Service Line, COO/EVP, JLL, Healthcare Solutions


Outpatient property management is a significant part of portfolio management of the properties owned and used by a health care organization. Management of properties requires a different skill set and unique solutions, strategies, and tactics than management of a typical acute care facility. This session presents real estate basics, as well as strategies for managing disbursed real estate portfolios as both the lessor and the lessee.

  • Identify the difference between facility management and property management
  • Distinguish the types of properties and their unique requirements
  • Review a lease agreement with an understanding of the important and relevant clauses and compliance requirements
  • I best practices in managing disbursed portfolios

Discussion Forum
Gender and Cultural Equity in Health Care PDC – An honest discussion
Krista McDonald Biason, PE, Associate Vice President, HGA Architects and Engineers; Kara Brooks, LEED AP BD & C, Sustainability Program Manager, ASHE; Patrick E. Duke, CRE, Managing Director, CBRE | Healthcare; Skanda V. Skandaverl, MBA, FASHE, CHFM, BSM, CHC, Division Director PAS FM/PDC, Catholic Health Initiatives; Leigh P. Harrison, PE, LEED AP, Engineering Principal, HGA Architects and Engineers; Barbara Wagner, Senior Vice President, Clark Construction

Training for technical careers is reflecting more diversity, but we are not seeing the same trend in the design and construction industry. This interactive session is part of a continuing conversation about the current state of leadership and succession planning. The diverse team of presenters will provide statistics and findings from surveys that have focused on equity issues in the Healthcare Facilities, Design, Management and Construction field. The facilitators will pose questions to the attendees in and will work in small breakout groups to brainstorm ideas and suggestions regarding these topics. The goal is to share experiences, concerns, and strategies for a diverse work force and how to engage the best and brightest talent.

  • Review statistics of women and minorities in the construction, maintenance and design fields
  • Discuss benefits and challenges to attain equity in leadership roles
  • Engage attendees in select topics regarding workplace and succession planning challenges
  • Report out to the group a summary of individual tabletop discussions to evaluate alignment

10:45 A.M. – 1:45 P.M. | EXHIBIT HALL, LUNCH & ARCHTECTURE FOR HEALTH GALLERY


1:45 – 2 P.M. | NETWORKING BREAK


2 – 3 P.M. | Concurrent Sessions IV

NFPA 99 Compliance for Existing Facilities
Jonathan Hart, PE, Senior Fire Protection Engineer, NFPA


To maintain compliance and score well on surveys, health care engineers need to have a good understanding of how NFPA 99 applies to their existing systems and facilities. While much of the code is only applicable to new construction or alterations and modifications, numerous requirements apply retroactively. This session will detail the application of NFPA 99 specifically covering each of the 34 K-tags identified by CMS on the Fire Safety Survey Report.

  • Describe the application of NFPA 99 to existing facilities and systems
  • Explain the application of risk assessments and understand techniques for completing them
  • Identify the CMS K-tags specific to NFPA 99
  • Explain the strategies and activities necessary for complying with the various requirements

IoT and What it Means in Health Care Facilities
George Thomas, Enterprise Building Automation Manager


This interactive presentation discusses the evolution of building automation systems focusing around the Internet of things. The presenter will share real life challenges and rewards that every facility manager will face with the technology.

  • Explain what the term “Internet of things” means
  • Describe how we took control of the technology
  • Identify the security risks IOT creates
  • Demonstrate the benefits of the IOT

Building a Brand Through Owner Standards and Specifications
Heidi Fentress, EDAC, IIDA, Interior Design Manager, Medxcel Planning, Design & Construction; Cheryl L. Stoddard, MEM, GCPM, Director, Facilities & Construction Contracting The Resource Group


Learn lessons and perspective from Ascension’s journey from design and construction standards for cost and consistency to creating a unified facility brand for health care in 23 states.

  • Describe how to establish and implement owner standards by identifying what is essential
  • Collect lessons learned on projects to inform owner design and construction standards and improve project quality
  • Use integrated project delivery teams to challenge traditional roles and explain how roles could change
  • Identity what elements are essential to brand and how to design using owner brand standards

Chiller Plant Optimization and Energy Efficiency
A. Terrell Maddox, Director, Plant Engineering, Virginia Baptist Hospital


This session will present a case study of how one hospital identified design and operational flaws in their chiller plant. The flaws were analyzed, quantified, and tuned into a 12 percent reduction in operational cost. Attendees will learn how less than optimum operational performance created an opportunity that lead to a high efficiency chilled water plant.

  • Describe how automated staging of chillers is based on full load amps and secondary chilled water temperature
  • Use cooling towers and variable frequency drives to maintain condenser water setpoints with programming changes based on outdoor air temperatures
  • Explain how differential pressure control is based on chilled water valve positions
  • Describe the theory of free cooling from plate and frame heat exchanger and the effect that it can have on energy conservation

Data, Communication, and Associate Engagement: The Critical Path to Successful Partnerships Inside (and Outside) your Health Care Facility
Jennefer Pursifull, MBA, Vice President, Marketing, Medxcel Facilities Management; Damian Skelton, MBA, PE, CHFM, Area Vice President, Medxcel Facilities Management


This presentation will focus on the keys to building effective relationships with your team, leadership, and end-users. The process starts with engaging and empowering associates, and generating increased productivity and efficiencies and ultimately creating organization-wide value for your department. By knowing the right data to deliver to the right audiences within your organization and using the proper communication tools, you will strengthen the partnerships needed to maintain a safe and efficient healing environment.

  • Shift the mindset from “break/fix” to showing the value of the facility department
  • Develop an associate engagement plan that will deliver increased productivity and efficiencies
  • Identify each audience in your facility and develop effective communication processes and procedures specific to each audience to show the value of the relationship
  • Identify the right data and tools to communicate to the proper audience within your organization

Microgrids in Health Care–Fad or the Future?
Krista McDonald Biason, PE, Associate Vice President, HGA Architects and Engineers; Kara Brooks, LEED AP BD & C, Sustainability Program Manager, ASHE/AHA; Dan McGinn, Healthcare and Life Sciences Segment Director, Schneider Electric


The term “microgrid” is a trending topic in energy distribution, and many interpretations have been proposed as to what a microgrid is and how it can be used. A sustainability expert, health care electrical engineer, and industry leader in smart grid technologies will facilitate a lively discussion about power sources and distribution methodology to push the limits of sustainability, resiliency, redundancy, energy efficiency, code compliance, and design in this session.

  • Discuss sustainable options in health care facilities
  • Identify the components that create a microgrid distribution
  • Discover how current codes affect the requirements for an electrical distribution supported by a microgrid
  • Participate in an interactive discussion regarding alternate power sources, microgrids, and health care facilities

Discussion Forum
Health Facility Mountains–and How to Reduce Them to Molehills
Moderators: Tim Adams, FASHE, CHFM, CHC, Director of Leadership Development, American Society for Healthcare Engineering & Deanna Martin, MS, CAE, Director of Operations, American Society for Healthcare Engineering
Panelists: TBD

Using interactive polling, participants will identify health facility management issues that create the greatest challenges. Collectively, the participants will brainstorm ideas and best practices to manage and mitigate those issues. This session will be a discussion forum format that will actively engage participants in the process of identifying solutions and best practices.

  • Identify issues that pose the greatest challenges to managing the physical health care environment.
  • Discuss existing resources and best practices related to these issues.
  • Prioritize health facility management issues to develop a management strategy.
  • Brainstorm ideas, tools, and strategies useful in managing health care facilities.

3 – 3:15 P.M. | NETWORKING BREAK


3:15 – 4:15 P.M. | CONCURRENT SESSIONS V

The Surveyors’ Perspective: Understanding How Joint Commission Surveyors Conduct Hospital and Ambulatory Surveys
James Kendig, MS, CHSP, CHCM, CHEM, LHRM, Field Director, The Joint Commission; Timothy Markijohn, MBA/MHA, CHFM, CHE, Field Director, Surveyor Management and Development Division of Accreditation & Certification Operations, The Joint Commission


This session will discuss how Joint Commission surveyors prepare for and conduct surveys. Topics include the survey agenda, scoring, and the use of the SAFER matrix and the fire drill matrix. The session will include tips and advice on how to be prepared for surveys and suggestions regarding compliance strategies. Attendees can ask questions and get answers directly from those overseeing Joint Commission surveyors.

  • Describe how Life Safety Code surveyors prepare for surveys
  • Explain step by step how Life Safety Code surveyors conduct surveys
  • Implement a plan to be prepared for and participate in surveys
  • Initiate measures for a successful Life Safety Code

Increasing Facility Productivity Without Adding Staff–A Journey to Process Ownership
Gordon Howie, BS, MS, CHFM, Regional Director of Facilities & Construction Services, Mayo Clinic Health System; Matthew Malmin, Master Electrician, Facilities Supervisor, Mayo Clinic Health Systems; David Carothers, Mayo Clinic Health System


The session will detail how a health care facility department reduced work request completion times, improved quality, and reduced costs without adding full-time equivalents by empowering staff to take ownership of the challenge and develop processes that work for them.

  • Identify departmental goals and establish baseline staffing and productivity
  • Establish a diverse and collaborative project team
  • Engage staff in problem solving
  • Establish usable and sustainable performance metrics

How to Get Complete, Reliable FM Data from Design and Construction
Marty Chobot, VP, Invicara; Mark Mergenschroer, Autodesk Revit Certified Professional, Principal, BIM Application Specialist, Bernhard TME; George W McFerron, CHFM, Facility Operations Manager, Arkansas Children’s Northwest; Bruce K. Mace, QCxP, Director, Facilities Management, UCSF Health; Tim Luke, CEO and co-founder, Basepin


Come hear the story of several veterans in the field successfully handed over complete and accurate building data at the end of their construction projects. Stakeholders from UCSF Precision Cancer Medicine Building, Seattle Children’s Building Cure, and Arkansas Children’s Northwest Hospital will share some key decisions that helped their projects succeed. These pros took different approaches to their projects–including using a BIM-FM strategy; setting up processes, verifying data throughout the project; and installing FM software before occupancy–but each was effective. The results: Expanded access to building data, happy project teams, and best practices to share with others in the field.

  • Define data requirements clearly for your design and construction teams
  • Identify strategies to streamline the data collection and validation process
  • Provide steps for accurate and verified maintenance documentation before occupancy
  • Understand how actual asset data can be used as a hands-on training tool for facility staff

Master Planning: A Security Perspective
Kevin M. Tuohey, IAHSS Board President and Executive Director, Research Compliance, Boston University and Boston Medical Center; David Brown, IAHSS Council on Guidelines Vice Chair and Executive Director, Integrated Protection Services, Fraser Health Authority (Canada)


In this era of increased violence, security departments are often driven by immediate operational issues. Maintaining a safe environment is a priority; at the same time, developing systems, influencing the built environment, collaborating with other departments, and training staff are more important than ever. Planning from a security perspective understands the mission of the health care facility and supports that strategy by aligning staffing, budget, and space needs with services provided, area requirements, and internal and external relationships.

  • Discover how to conduct Hazard Vulnerability Assessments in security planning
  • Align security systems with other building systems
  • Adjust/address/improve security competency over time
  • Manage resources through collaboration when planning the work and working the plan

Emergency Preparedness – CMS – and YOU!
Diane Hughes, CHSP, SASHE, Director of Emergency Preparedness, University of Arkansas for Medical Sciences


This presentation will discuss the Emergency Preparedness Final Rule that has been put into standard and regulatory requirements by the Centers for Medicaid and Medicare.

  • Discover E Tags and their relevancy to the requirements
  • Discuss the involvement of the 17 areas of health care
  • Identify the requirements of the Final Rule as it pertains to emergency preparedness
  • Discuss drills and exercises in off-site areas

NEW! Engineering Risk: Benefits of Collaboration for Risk Managers and Facility Engineers
David Petrous, CPHRM, FASHRM, Safety/Risk Manager, Hendricks Regional Health and Board Member for American Society for Healthcare Risk Management


Both risk management and health care facility professionals want to provide the best possible environment for patients. Collaboration among these two groups of professionals can help our health care organizations ensure constant readiness, preparedness, and mitigation. This session explores ways risk managers and facility professionals can work together and use common tools to promote success.

  • Describe key opportunities to hold discussions with risk management
  • Explain the foundations of enterprise risk management
  • Discuss the impact of engineering and facility management decisions on clinical and non-clinical operations
  • List common tools used by both risk managers and facility professionals, including risk assessments, failure mode effects analysis, root cause analysis, and auditing

NEW! Key Performance Indicators (KPI): Harnessing the Power of Data to Win the Day
Lisa Walt, PhD, Senior Research Analyst, American Society for Healthcare Engineering (ASHE); Don D. King, CHFM, Owner, Donald King Consulting; Larry Rubin, CEM, CPE, CHFM, CHSP, CBCP, CBEP, M.Ed, Senior Director Facilities Management, Cleveland Clinic; Joe Grace, CPA, MBA, Senior Business Analyst, Facilities Engineering, Cleveland Clinic Buildings & Properties, Cleveland Clinic Lyndhurst (TRW);


Do you ever wish you could walk into meetings with the data you needed to more effectively negotiate with the C-suite? For example, would you like to have information to counter proposals to cut costs based on the advice of outside consulting firms? This session explains the importance of Key Performance Indicator (KPI) tracking in facilities management. The session will dive into the benefits of collaborative KPI tracking, and the necessity of having trustworthy, valid and reliable KPI data in your toolbox.

  • Describe the current state of KPI metrics, including who is measuring what, and how effectively KPIs are measured.
  • Explain what makes KPI metrics reliable and valid, and how this relates to trust in the data and the ability to compare data with others.
  • Identify how the facility management community can harness the “big data” movement to ensure trustworthy data, and how this data can be leveraged in discussions with the C-Suite.
  • Describe how to become involved in ASHE’s KPID (Key Performance Indicator) Project, and explain the potential benefits of participation.

6 – 8 P.M. | ASHE ANNUAL OUTING

Image: flight museum The Museum of FlightSOLD OUT
Join your colleagues for a night of networking and fun at the Museum of Flight!! Explore the exhibits, engage in interactive activities, and enjoy dinner and drinks with fellow attendees.

Cost: $80 for adults and $40 for children 16 years and younger.

Register for the outing as an add-on during your conference registration.

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