TUESDAY, JULY 12, 2016
Session Track & Level Key
7:30 – 9 a.m.
ASHE Regional Breakfasts
9:30 – 10:45 a.m. | GENERAL SESSION
Power Play: ASHE's Newest Strategic Imperative and How We'll Achieve It
Terry Scott, MBA, CHFM, CHSP, SASHE, System Director Engineering and Construction, Memorial Hermann; Marty Lanning, CMVP, LEED AP, Partner, Energent Solutions; Larry Newlands, Energy Manager, Memorial Hermann Health System; Clark Reed, ENERGY STAR Healthcare Program Director, U.S. Environmental Protection Agency; Scott Wallace, CEM, LEED AP, Associate Principal, Mazzetti, David Strickler, Vice President Finance, Memorial Hermann.
Many presentations discuss how to use commissioning to mechanically or technically reduce energy usage but few formal large scale presentations show facility managers how to simplify setting up measurement and verification data on energy reduction programs. How do facility managers document data on their energy savings efforts? How can they get recognized for their efforts? This session provides a broad range of information and tools that assist in improving knowledge on the programs, tools, and information available for them.
- Discuss goals and the progress of the sustainability imperative.
- Identify how Energy to Care can benefit members with tools and resources
- Describe what EPA's ENERGY STAR program offers health care facilities including the Portfolio Manager benchmarking tool.
- Describe the results of the chapter energy challenge and how hospitals in Ohio and Texas are reducing energy consumption by more than four times the national average.
10:45 a.m. – 1:45 p.m.
Exhibit Hall, Lunch, Architecture for Health Gallery & Tech Lounge (featuring officials with accrediting organizations)
1:45 – 3 p.m. | CONCURRENT SESSIONS III
Joint Commission Update
George Mills, MBA, FASHE, CEM, CHFM, CHSP, Director of Engineering, Department of Engineering, The Joint Commission
Get the information you need on the new Joint Commission standards and the survey process during this plenary session. Hear important updates on the role of the Life Safety Code Surveyors (LSCS) and receive the insights you need to be prepared for the additional time the LSCS will spend at your facility. In addition, this session will feature a question-and-answer period, so come with your questions and leave with a better understanding of what you need to do.
- 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
Randy Snelling, Chief Physical Environment Officer, North America, DNV GL-Business Assurance, Healthcare Accreditation Services
This session will provide an overview of the DNV GL survey process and gives 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. It will also give examples of NIAHO®-required process management in addressing common survey findings, hospital-developed goals that go beyond regulatory compliance, and more. The session will also provide an introduction to the new DNV GL PE Specialist Certification.
- Name the most common PE survey findings from 2015.
- 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, Healthcare Facilities Accreditation Program
The Healthcare Facilities Accreditation Program (HFAP) has undergone new ownership which will not change the accreditation process. HFAP remains the nation's oldest hospital accreditation organization with CMS deeming authority for hospitals. In this session, participants will explore the most commonly cited deficiencies and learn that waivers and equivalencies are not forever.
- Describe how new ownership at HFAP will not change the accreditation process.
- Name the most commonly cited standards in the EM/PE/LS chapters.
- Explain that waivers and equivalencies are only valid until the next survey.
Hospitals in Pursuit of Excellence: Using the Health Care Environment to Create Better Patient Experiences
Moderator: Lynn Kenney, Senior Analyst, Advocacy Team, American Society for Healthcare Engineering (ASHE) Panelists: Randy Carter, Vice President, Planetree; Edmund L. Lydon, MHA, SASHE, CHFM, Director of Support Services, Beverly Hospital – A member of Lahey Health; Marcia Nelson, MD, MMM, CPE, FAAFP, FACPE, Vice President, Medical Affairs, Enloe Medical Center; Larry Rubin, CEM, CPE,CHFM, Senior Director of Facilities Management, Cleveland Clinic; Susan Romano, MHA, Patient Experience Consultant, South Shore Hospital; Kara Travis, BA, BS, MA, Senior Director of Patient & Partner Engagement, Bassett Healthcare Network
In 2016, Hospitals in Pursuit of Excellence published a new guide to help hospitals improve patient experience by using a framework that considers people, process, and place. This framework helps identify the many variables that can improve patient experiences and HCAHPS scores. This panel discussion will highlight this framework and explore case studies highlighting ways hospitals are using the physical environment to create better patient experiences.
- Describe the importance of the people, process, place framework in relation to patient experiences.
- Discuss case studies that illustrate these concepts in action.
- Explore the relationship between patient experiences and the health care physical environment.
- Identify strategies, tools, and resources to implement the people, process, place framework.
3:15 – 4:30 p.m. | CONCURRENT SESSIONS IV
Sterile Processing Department Design and HVAC Considerations
Ramona Conner, RN, MSN, CNOR, Preoperative Nursing Specialist, AORN; Douglas Erickson, FASHE, CHFM, HFDP, CHC, CEO, Facility Guidelines Institute; and Christopher Rousseau, PE, LEED AP, Partner, Newcomb & Boyd
Many health care systems are considering new or remodeled facilities to better meet the challenges of the changing environment. The built environments of perioperative services are among the most sophisticated and interrelated in health care. Open and clear communication by all stakeholders is critical to support a culture of safety. Even the best of perioperative design architects and engineers need the input of point-of-service providers, especially perioperative nurses, to provide specific users' perspectives. This presentation incorporates the perspectives of a facility manager, a design engineer, and a perioperative nurse.
- Discuss perioperative nurses- perspectives about what architects and engineers need to know.
- Describe the extent to which each profession's perspectives are addressed in the most recent AORN and FGI Guidelines.
- Describe design engineers' perspectives as they approach initial planning of perioperative environments.
- Identify the latest ventilation requirements and the Joint HVAC Task Force's recommendations on compliance.
Calibrate Your Tissue Box: A Practical Guide to ASHRAE Standard 170 Compliance
Greg Lavriha, PE, Associate, Mechanical, Karpinski Engineering; Katie Lee, PE, Healthcare Design Specialist, Karpinski Engineering
Air pressure relationships are a trending topic in health care, both for regulatory surveys and patient well-being. This session will provide a practical understanding of how ASHRAE Standard 170 affects health care facility operation and design. Diagrams and illustrations will show how Standard 170 requirements take shape in a health care facility. Topics will include air pressure relationships, building systems, equipment location, and room functions, with special attention given to spaces where pressure requirements are particularly critical.
- Identify how the language of Standard 170 applies to real-life scenarios in health care facilities.
- Take practical steps to verify compliance with Standard 170 and be prepared for surveyors performing tissue tests.
- Describe the impact room names can have on the design, operation, and compliance of spaces.
- Explain to leadership or clients the steps necessary to achieve and/or maintain room pressures.
Take Control of your Destiny
Dave Dagenais, BS, FACHE, CHFM, CHSP, Director of Plant Operations/Safety Officer, Wentworth-Douglass Health System
Getting involved in today's health care environment–with mergers and acquisitions, federal mandates, and new modalities of health care delivery–it is easy to see others as determining your fate. But you can take control of your destiny by getting involved beyond your organization, leading proactively, creating patient-centered approaches, advocating for yourself, and avoiding reflexive, defensive actions. This session included tips on how to gain support from leadership on getting involved with efforts such as code development meetings or conferences. This session also covers how you can elevate your role in your organization govern your future on your terms.
- Develop a plan to educate your leaders about the advocacy process and the return on investment of being involved in the process.
- Promote yourself and your team to elevate your role in the health care field.
- Develop productivity and efficiency projects with your team.
- Produce an annual report for your leaders to highlight the value you provide.
Managing the Risks of Waterborne Pathogens in Building Water Systems
Steven Cutter, MBA, HFDP, CHFM, SASHE, Director of Engineering Services, Dartmouth-Hitchcock Medical Center; Linda Dickey, RN, MPH, CIC, Director for Epidemiology and Infection Prevention, University of California Irvine (UCI) Medical Center; Andrew Streifel, Hospital Environment Specialist, Department of Environmental Health and Safety, University of Minnesota
Heightened awareness of the risks of waterborne pathogens in health care building water systems has resulted in many health care professionals looking to better understand and mitigate these risks. This session provides an overview of infection risks associated with waterborne pathogens as well as conditions that support pathogen amplification in water systems. The session will give an overview of ASHRAE 188 and explore management and mitigation tools.
- Identify at least two infectious pathogens associated with building water systems
- Describe conditions which can contribute to growth and amplification of pathogens in building water systems.
- Discuss ASHRAE 188 at a high level.
- Explain how the use of tools presented for assessing water risk may be used within the learner's facility or business.
Design Trends to Support Patient-Centered Care
Barbara Dellinger, MA, FIIDA, CHID, EDAC, NCIDQ, Director, Design and Research, Adventist HealthCare; Kelly Dendy, RID, IIDA, Associate, Inventure Design; Lynn Kenney, Senior Analyst, Advocacy Team, ASHE; and Christiana (Tiana) Lemons, NCIDQ, IIDA, EDAC, Director of Interior Design, Gould Turner Group, Inc.
In this session, attendees will review case studies and hear from health care interior designers to learn about current evidence-based design trends that support patient-centered design and patient satisfaction. The presenters will also review success strategies for working with the design team and how each of the elements in the case studies can support specific HCAHPS survey questions. A designer will share practical strategies to help make your next project a success.
- Identify the importance and impact of patient-centered design and the patient-centered medical home as it relates to patient satisfaction.
- Describe how designers can help provide information on new materials, products, and technologies and how to incorporate these to meet each facility's design goals.
- Discuss case studies and design elements that support patient-centered care and patient and staff satisfaction and identify how these relate to specific questions in the HCAHPS survey.
- Learn the five questions you should ask your designer.
Best Practices for Opening a New Facility Without Life Safety Deficiencies
Michael Forth, LEED AP, VP of Operations, Suffolk Construction; Sean Gouvin, Director of Facilities and Engineering, Baystate Health; Christopher Lynch, PE, Principal, Code Red Consultants; Kirsten Waltz, AIA, ACHA, EDAC, LEED AP, President of U.S. Operations, Steffian Bradley Architects
After opening phase one of the 630,000-square-foot Hospital of the Future, Baystate Health faced a problem that health care providers with new construction projects are confronted with too often: non-compliant life safety conditions cited in a building that recently opened. This case study explores how the facilities, design, and construction team collaborated to implement processes that resulted in a significant reduction in the number of life safety issues and overall project costs and improved patient safety.
- Identify the importance of an integrated design team from the onset of a project.
- State cost benefits of integration of life safety processes early into the design.
- Identify the holes regarding life safety in the typical design and construction process, how these issues arise, and how to develop processes to prevent them from recurring.
- Assess lessons learned through a multiphase project and explore how future projects will be addressed.
Smart Money Now vs Dumb Money Later: Using Standards and Financial Planning to Reduce Unnecessary Lifetime Costs
Andrew Jones, EI, Facility Capital Manager, TME, LLC; Ashley Roberts, EI, Project Manager, TME, LLC
The goal of this session is to help facility directors get the most mileage out of available capital by focusing on using engineering design standards and financial planning. This session will show the importance, and effect, of robust engineering design standards, particularly as they relate to total cost of ownership. It will also explain how financial planning for future infrastructure projects can provide significant benefits.
- Identify how robust engineering design standards can benefit a facility or system.
- Explain why initial cost should not be the driving decision factor for a project.
- Explain how to create a financial plan for future infrastructure projects.
- Explain how to present these concepts to executives to influence future decision making.
6 – 9 p.m. | ASHE ANNUAL OUTING
Wings over the Rockies Air & Space Museum
Network with friends and colleagues and enjoy time with family at the 40,000 sq. ft. former air force base hangar turned museum, Wings Over the Rockies. Explore the planes in the museum by sitting the in the cockpits and test your pilot skills in the flight simulators. The event includes dinner.