WEDNESDAY, AUGUST 9, 2017
Session Track Key
ASHE ANNUAL BUSINESS MEETING AND BREAKFAST & ILSE B. ALMANZA SCHOLARSHIP RECOGNITION| 7:30 – 8:30 A.M.
NETWORKING BREAK | 8:30 – 8:45 A.M.
GENERAL SESSION | 8:45 – 10 A.M.Just Ask ASHE Codes and Standards Forum
Moderator: Chad E. Beebe, AIA, CHFM, CFPS, CBO, FASHE, Deputy Executive Director of Advocacy, American Society for Healthcare Engineering (ASHE)
Panelists: Kristin Shifflett, LSC Team Lead, Clinical Standards Group, Center for Clinical Standards & Quality, CMS; Dave Dagenais, CHSP, CHFM, FASHE, Director of Plant Operations and Safety Officer, Wentworth-Douglass Hospital, William Koffel, PE, FSFPE, President, Koffel Associates, Inc.; Susan McLaughlin, MBA, FASHE, CHFM, CHSP, Chief Operating Officer, MSL Healthcare Partners; Ron Cote, P.E.. B.S. Engineering, MBA, Lead Engineer, Life Safety, NFPA; Jonathan Hart, PE, Senior Fire Protection Engineer, NFPA
In this session, ASHE's codes and standards experts will discuss emerging codes and standards issues facing health care facilities and offer answers to specific questions. Attendees are invited to ask questions about any of the codes and standards related to health care facilities before this session and can turn them in to the Learning Lounge that will be located on-site near registration. NFPA 99: Health Care Facilities Code and NFPA 101: Life Safety Code® will be addressed.
- Describe code the compliance issues that health care facilities commonly face
- Discuss changes needed in health care facility regulations and how to support efforts to enact them
- Identify means of meeting NFPA 99 and NFPA 101 requirements that often result in survey citations
- Explain the unique and important role of health care professionals in the development of codes and standards used to regulate health care facilities
CONCURRENT SESSIONS V | 10:10 – 11:10 A.M.Inspecting and Maintaining Swinging Egress and Fire Doors
Keith Pardoe, FDAI, DAHC, CDC, CDT, President, Pardoe Consulting, LLC; Jeffrey Henne, CHSP-FSM, CHEP, SASHE, Safety and Emergency Manager, Penn Medicine-HUP; Josesph Glaski, MBA, SASHE, Director Healthcare Compliance, Brand Services
This session explains the safety inspection and testing requirements of NFPA 101-2012: Life Safety Code® and NFPA 80: Standard for Fire Doors and Other Opening Protectives. Door usage types and categories and door maintenance priority levels explain anticipated service lives of swinging fire and egress door assemblies. Participants will be provided examples of non-compliant and compliant fire door features identified during a fire door inspection. Handouts include sample inspection checklists and forms.
- Explain the safety inspection and testing requirements for swinging doors in NFPA 101 and NFPA 80
- Describe the types of work that can or cannot be performed on fire-rated swinging doors
- Assign door usage types and door maintenance priority levels to swinging doors in your facility
- Look up door inspection and testing requirements in NFPA 101 and NFPA 80
Creating a Program to Identify and Monitor Pressure Dependent Spaces
Dennis Ford, CHFM, CHC, CHSP, CHEP, Director, Facilities Engineering, Texas Children's Hospital
Pressure dependent spaces are necessary to support infection control. They reduce the risk of infection by directing the flow of air from clean to less clean. National and state standards specify ventilation requirements of pressure dependent spaces. Texas Children's Hospital created a pressure dependent spaces program that includes adoption of a national standard, a comprehensive master list of pressure dependent spaces, a plan to monitor these spaces, policies to manage repurposing of these spaces, and training of staff.
- Recognize the requirements of several types of pressure dependent spaces based on a nationally recognized standard
- Create an inventory of pressure dependent spaces based on the present utilization of space
- Create a plan to monitor pressure dependent spaces with different types of monitoring devices and systems
- Train staff about monitoring pressure dependent spaces and the requirements as specified in the standards
ASHE Water Management Monograph–Details of a Water Management Program
Jonathan Flannery, MHSA, CHFM, FASHE, FACHE, Senior Associate Director of Advocacy, American Society for Healthcare Engineering (ASHE); Linda L. Dickey, RN, MPH, CIC, Senior Director, Quality, Patient Safety, and Infection Prevention, UC Irvine Health
Hospitals are increasingly in need of water risk management planning to reduce and eliminate the possibility of waterborne illness. ASHRAE recently published the new standard ASHRAE 188-2015 to establish minimum requirements for building water systems. To assist members in complying with the new standard, ASHE has published a monograph that provides detailed guidance on the development and implementation of a water management program. This session offers a review of the newly published ASHE water management monograph.
- Understand the importance of a water management program
- Develop a water management program to protect patients, visitors, and staff from waterborne pathogens
- Meet the water system requirements of CMS Condition of Participation 482.42 Infection Control
- Meet the requirements of ASHRAE Standard 188
Methodology for Analyzing Environmental Quality Indicators (EQIs) in a Dynamic Operating Room Environment
Damon Greeley, PE, CEM, HFDP, CBCP, EDAC, CHFM, Founder, President, Global Health Systems Inc.; Thomas Gormley, Associate Professor, Middle Tennessee State University; Troy Markel, Surgeon, Assistant Professor, Indiana University School of Medicine; Jennifer Wagner, PhD and air quality expert, President, Consultant and Lead Scientist, Prism Environmental Health and Safety Solutions; John Ostojic, Medical Gas System Verifier/ Sr. Industrial Hygienist, Artec Environmental
This panel features team members who developed and executed an air quality testing process for operating rooms. The team includes a board certified surgeon, an air quality expert, a mechanical engineer, and a hospital design and construction expert. The team provides unique perspectives on the quality of the air in operating rooms at different ventilation rates. While there is much discussion on using additional air changes to help reduce surgical site infections, there is little evidence on actual benefits.
- Describe how operating room ventilation works
- Develop a repeatable and measurable process that provides evidence-based results to help guide code requirements
- Explain the cost and benefits of different ventilation rates in operating rooms
- Apply engineering principles to support better clinical and operational outcomes
Meeting Patient and Staff Satisfaction Goals with Zone Maintenance
Eugene Bennett, PE, CHFM, SASHE, BSEE, MSHA, Senior Consultant, Professional Concepts Consulting
This session presents "zone maintenance", a successful strategy to manage both patient and caregiver satisfaction. A maintenance technician is assigned to the nursing team to provide immediate assistance with needs in the physical environment; to include inspecting, monitoring, and correcting Life Safety, Environment of Care and Infection control issues. The zone maintenance technicians are responsible for both routine maintenance and immediate needs, and at the end of the day technicians leave with the assurance that they contributed to patient care by keeping their zones code compliant, safe, secure, and comfortable.
- Create ownership for the zone technician
- Improve patient satisfaction
- Establish a team approach with the zone technician, nursing, and housekeeping
- Be survey ready
Commissioning-Informed Design: Engineering Value Not Value Engineering
Kevin Gombotz, PE, Vice President of Engineering, Envinity; Mark Dykes, Project Manager of Energy Utilization, UF Health at Shands Hospital-University of Florida; Norman Ziemer, P.E., CHFM, Director, Facilities Management, Indiana Regional Medical Center; Matthew Rooke, PE, CPMP, Senior Commissioning Engineer, Envinity
Value engineering is often guilty of cutting features needed for reliability, but what if the whole project reviewed were unnecessary? Commissioning is showing that traditional design approaches often treat symptoms rather than provide cures. Using an investigative mind-set, owners can share diagnostic insights with their design team that produce fresh ideas, cut costs, and improve project outcomes. This session will share practical methods for owners and consultants to maximize value by applying commissioning principles early in design.
- Evaluate why business-as-usual produces costly fixes that fail to address root problems
- Explore a large hospital's self-performed approach to improve design with in situ testing
- Examine a small hospital's team approach to debunk the mystery of a chilled water capacity shortage
- Adapt a generalized ongoing commissioning method to available resources
FTEs of the Future: A Guide to Aligning the Right Trend with the Right Skills
Matthew Keahey, MBA, Area Vice President, Medxcel Facilities Management; Zach Matthews, PHR, sHRBP, Senior HR Business Partner, Medxcel Facilities Management
The facilities management workforce continues to age,and the next generation must acquire the skill sets needed to maintain a functioning team. Industry-wide there has been a loss of formal succession planning for skilled trades, which typically leads to the reliance on more outsourced services in skilled trade areas. This session will share experiences with a holistic approach to succession planning including the value of internship programs.
- Define succession planning and develop a plan to address FTE needs to recruit, train, and build the next generation
- Identify ways to build an internship program that will ensure you maintain the skill set needed for an in-house model
- Understand how to use data to build the right partnerships while building internal skill
- Identify the role and importance communication plays and how employee engagement makes a significant impact on a successful plan
NETWORKING BREAK | 11:10 – 11:20 A.M.
CONCURRENT SESSIONS VI | 11:20 A.M. – 12:20 P.M.Emergency Power Basics for Emergency Preparedness
David Stymiest, PE, CHFM, CHSP, FASHE, Senior Consultant, Smith Seckman Reid, Inc.
The 10-year past chair of the NFPA committee on emergency power supplies discusses emergency power operation and management for the beginning facility manager.The focus is the new CMS emergency preparedness requirements for emergency power systems, along with inspection, testing, maintenance, load assessment, operation, finding and mitigating vulnerabilities, and planning for power failures. The session will provide more than 100 detailed best practices intended to help attendees improve emergency power dependability.
- List major challenges and benefits of different approaches to inspection, testing, operation, and maintenance
- Describe processes for finding hidden emergency power system vulnerabilities
- List major compliance challenges and solutions with emergency power system management
- Describe the aspects of a comprehensive and CMS-compliant emergency power management program
Test Your Code Knowledge
William Koffel, PE, FSFPE, President, Koffel Associates, Inc.; Rebecca Morgenstern, Fire Protection, Engineer, Koffel Associates, Inc.
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. This session serves to reinforce knowledge of long-standing requirements, while providing an introduction to new requirements. Test your knowledge with a live code quiz on NFPA 99, NFPA 101®, and the reference standards, including an open discussion of questions with a lower percentage of correct responses.
- Apply requirements of the NFPA 99-2012, as adopted by CMS
- Describe new code requirements in NFPA 101-2012, NFPA 99-2012, and the reference standards
- Assess personal comprehension of regulatory codes based on correct responses to seminar questions
- Identify top code code compliance challenges involving various NFPA codes, including recent editions of NFPA 101, NFPA 99, and the reference standards
Uninterruptible Power Systems for Diagnostic and Treatment Facilities
Sean Kozielec, PE, Senior Project Engineer, JPT Architects, PC; Brent Spangler, PA EIT, LEED AP, Senior Project Manager, JPT Architects, PC
Imaging equipment used in diagnostic and treatment facilities benefits greatly when supplied by uninterruptible power sources (UPS). Such sources provide voltage regulation and protection from power sags and swells and momentary interruptions, and prevent the loss of data and disruptions. Stand-alone UPS systems are costly for maintenance, operation, and floor space allocations. Using a central and modular flywheel system for the UPS source will have a payback of five years or less when compared to standard battery-type UPS systems.
- Identify alternatives to battery-type UPS units
- Assess life cycle costs of UPS alternatives
- Evaluate facility benefits of centralized UPS sources
- Develop schematic designs for centralized UPS sources
Decreasing Hospital Energy Consumption While Improving Patient Comfort with Proactive HVAC Analytics and Decision Support
David Lockhart, SASHE, CHFM, CEM, Executive Director, Facilities Operations, Kaiser Permanente; Nick Gayeski, PhD, CEO, KGS Buildings
Transition to continuous commissioning to improve your building system performance. This session presents a practical example of the essential steps to establish an energy plan, build an energy team, and employ an automatic HVAC fault detection and diagnostic system as strategic decision support to increase energy savings, patient satisfaction, and operational performance. Continuous commissioning gives staff the confidence that they are operating building systems at the optimum levels for comfort and reliability and at the highest energy efficiency. This session will help you:
- Embrace a data-driven approach to measuring and verifying performance.
- Prioritize the use of maintenance resources.
- Describe the analytics available to boil big data down to proactive and effective decision support.
- Increase operational excellence while diminishing energy costs and improving patient comfort and satisfaction.
Master Planning the Entire Building‐An Integrated Architectural and Engineering Approach
Krista Biason, PE, Associate Vice President, HGA Architects and Engineers; Dennis Vonasek, AIA, NCARB, ACHA, CID, Vice President, HGA Architects and Engineers; Jeff Harris, PE, LEED AP, Director of Mechanical Engineering
A master plan cannot thrive on architecture alone. A complete facility planning effort cannot consist of only programmed architectural spaces, and the building cannot function without engineering systems. Through case studies, the engineering and architectural team show how integrating engineering efforts into a master plan effort will result in a better utilized space and design. Attendees will leave armed with a process checklist and tools to understand and explain the importance of including engineering in a master plan design effort.
- Determine options for engineering systems to complement architectural program needs
- Evaluate facility needs for new, modified, or upgraded engineering systems and planning
- Identify opportunities to incorporate engineering master planning efforts
- Engage all stake holders of a facility to actively participate in master planning
Future Years Capital Funding
Roy Hirchak, CHFM, Chief, Operations and Maintenance, Defense Health Agency
Predicting future funding can seem like guesswork. This session will look at how the Department of Defense projects future funding requirements for Congressional funding. With the use of the COE-CERL BUILDER program, this session will address individual and large portfolio needs within the Department of Defense and how to use a decision model that addresses risk, code compliance, equipment life cycle replacement, and future work plans. Attendees will learn to balance current and future facilities needs with budget needs.
- Determine what information is required for future funding of capital projects
- Learn how to calculate ROI for capital projects
- Use a weighted decision model for project prioitization
- Address short-term, mid-term, and long-term capital projects and funding needs