Conference Program Sessions

Schedule Last Updated: Jan. 15, 2008

7:00am-7:00pm
Registration

8:00am-4:00pm
Pre-Conference - The Next Generation of Infection Control During Construction

When numerous people are involved in facilities management and/or construction in healthcare facilities, steps must be taken to prepare for work in an environment of onstant change and development. Nowhere is this truer than in the field of infection control during construction, renovation and maintenance of these facilities. Codes and standards across the world are evolving to meet this constant challenge. This pre-conference focuses on the new standards and changes to existing guidelines that impact constructors in the healthcare environment, as well as some of the newest ideas, equipment and techniques in infection control.

9:00-10:30am
ACHA Exam Prep Seminar
max 75 attendees
Fee: No charge-No ticket needed

This 90-minute workshop will provide healthcare architects with useful information to submit their credentials and prepare for the ACHA Exam. The seminar covers: application materials, exam topics, sample questions, scoring criteria, and exam schedules.

11:30am–1:00pm
American College of Healthcare Architecture Master's Series 1
Functional Programming: The Critical Data
Limit-40 participants
Fee: $99 Lunch included

Description: A good functional program forms the basis for a successful facility design. In order to establish a solid, defendable program and resulting project budget, critical data, that has been collected and well-organized, is crucial to the outcome. What is the right data, where does it come from and how is it used to develop one of the key parameters of a good functional program?

This course will include a discussion of this critical external market data, including an analysis of historical population use rates for primary subspecialties and patient outmigration. Crucial population-based, external market projections will be reviewed and a discussion of approaches to adjusting use rates for impact of aging population and other healthcare trends will follow.

The resulting internal hospital market share analysis, and their operational approach to the establish projections, will be reviewed and discussed as this begins to establish the baseline data for the planning of future medical facilities above.

The registration form is available on the ACHA Website at: www.healtharchitects.org under Education

11:30am–1:00pm
American College of Healthcare Architecture Master's Series 2
Topic: Medical Simulation Labs and Learning Centers
Limit-20 participants
Fee: $99 Lunch included

Description: New advancements in medical teaching technology and the growing focus on problem-based learning have given rise to a new building typology on our medical university campuses. Medical Learning Centers have become the heart of the teaching environment of the future, providing state-of-the-art simulation laboratories, information centers, respite zones and teaming areas, all focused on providing students with the proper environment in which to continue their studies outside the classroom. NBBJ is completing the design of one such project with Stanford University. Come hear them discuss the project, the program and some of the innovative approaches being taken to facilitate the medical teaching environment of the future.

The registration form is available on the ACHA Website at: www.healtharchitects.org under Education

1:00 – 3:00 pm
Healthcare Facility Design Professional (HFDP) Certification Exam

ASHRAE has developed the Healthcare Facility Design Professional (HFDP) certification program in close collaboration with ASHE. Candidates who earn the HFDP certification will have demonstrated a well-rounded understanding and knowledge of medical terminology and facility operations as they affect HVAC&R design in healthcare facilities. Candidates will have two hours to complete the HFDP certification exam, which consists of 115 items. For more information about the HFDP program, please contact ASHRAE at certification@ashrae.org.

1:00 – 5:00 pm
AIA Academy of Architecture for Health (AAH) Facility Tours

The tours have limited availability, so please register early.

Tour 1: Florida Hospital East Orlando
Patient Tower Expansion
Architect: HKS

The design goal of the expansion at Florida Hospital East Orlando is to capture the spirit and essence of life in Central Florida, in particular the unique community elements of East Orlando. Additionally, the public perception of the facility in the community was to be enriched and become consistent with the other system hospitals. The formal design concept wraps the patient care activities in gentle curved forms composed of natural materials and textures, consistent with the system’s Creation Health philosophy. Maximum number of participants is 40. An additional $50 fee is required.

Tour 2: Florida Hospital Orlando
Patient Tower & Cardiovascular Institute
Architect: Hunton Brady Architects

This facility is currently under construction and will be a hard hat tour. The new 15-story expansion is the centerpiece of a complete campus and facility revitalization, Evidence-based design principles were incorporated throughout the new facility. Maximum number of participants is 40. An additional $50 fee is required.

Tour 3: Winter Park Memorial Hospital - Florida Hospital
NOTE: This tour is closed for registration!
Women’s Services Expansion
Architect: Rogers Lovelock & Fritz

The women’s services expansion tower includes a new four-story, 56,000 SF addition allowing for the growth of the women’s service department, expansion of the imaging department for both in-patient and out-patient services and a future 20 private bed medical/surgical unit. This addition establishes a new floor to floor height that allows for future expansion/flexibility while realigning the existing hospital floors that vary in height. Maximum number of participants is 40. An additional $50 fee is required.

Tour 4: MD Anderson Cancer Center – Orlando
NOTE: This tour is closed for registration!
Women’s Services Expansion
Cancer Center
Architect: Rogers Lovelock & Fritz

MD Anderson Cancer Center – Orlando is the only branch treatment facility of the world famous MD Anderson Cancer Center in Houston. The ten-story addition to Orlando Regional Medical Center consists of four floors of ambulatory treatment and five floors of inpatient care. The cancer treatment facility is composed of a large ten-story tower of sweeping bars of brick and glass anchored by a two-story plinth of earth and water. Maximum number of participants is 40. An additional $50 fee is required.

4:00-6:00pm
Opening Session

• Vista Awards Presentation
• Keynote Speaker

The Challenge of the 21st Century: Setting the Real Bottom Line

Keynote Speaker presented by Johnson Controls. Human beings are one species among perhaps 10 to 15 million other species on whom we are ultimately dependent on our well being. What does this come down to? Humanity needs to rediscover humility and our place in the world so that we and the rest of life can continue to flourish. Renowned for his radio and television programs that explain the complexities of the natural sciences in a compelling, easily understood way, Dr. Suzuki has also written 43 books. His textbook An Introduction to Genetic Analysis (with A.J.F. Griffiths), remains the most widely used genetics text book in the U.S. and has been translated into Italian, Spanish, Greek, Indonesian, Arabic, French and German.

6:15-8:00pm
PDC Welcome Reception

All attendees, guests and exhibitors are invited to kick off the 2008 PDC at this wonderful reception! Take time to meet with old and new friends while strengthening your peer network.

 

6:30-8:30am
Continental Breakfast

6:30am- 5:00pm
Registration

7:00-7:45am

Sunrise Session – AIA Guidelines Update

The 2006 edition of the Guidelines is under revision for publication in 2010. This session highlights and discusses the major proposals being recommended for consideration by the Health Guidelines Revision Committee.

8:00-9:15am

Green to Gold: How Smart Companies Use Environmental Strategy to Innovate, Create Value, and Build Competitive Advantage

This Plenary speaker is presented by Trane. Andrew Winston is founder of Winston Eco-Strategies and helps leading company’s use environmental thinking to drive growth. Winston is an accomplished speaker and nationally recognized expert on green business, having written for or appeared in Time, Newsweek, BusinessWeek, Washington Post, Forbes, ABC News, National Public Radio, and CNBC. His current book, Green to Gold, highlights what works — and what doesn’t — when companies go “green.” Explore the strategies and tools the world’s best companies use to profit in this new, environmentally-sensitive world; and hear stories of how global leaders of top companies are making environmental stewardship a strategic competitive advantage.

9:30-10:45am - Concurrent Sessions

Health Environments Research

The Health Environments Research Forum reports on recent research on healthcare facilities completed by the Coalition for Health Environments Research and other organizations. Developing firm based research capability is presented and discussed.

The Real Numbers: The Cost of Flexibility

Flexibility and adaptability are valuable in contemporary healthcare design; the problem is that they are rarely free. What are the primary elements of flexibility and adaptability (which are not identical) and what do they cost? This panel presentation proposes a model of developing a process to identify opportunities for flexibility and adaptability, their benefits and their costs in the early phases of design. The session enables attendees to:

• Define the difference between flexibility and adaptability and identify primary and likely flexibility/adaptability design options.
• State the benefits of developing an Evaluation Matrix for these options.
• Develop a sense of the relative costs of these options.

2008 VISTA Award Recipients Panel Discussion

Panelists: Members from the 2008 VISTA Winning Teams

2008 VISTA Award Recipients team members provide their thoughts and insights as to what makes a team successful while developing an awardwinning project. Hear how they implemented the team approach to create environments that are beautiful, functional and instrumental in providing a safe and healthy environment for patients, visitor and staff. Recipients will provide information on how the Vista Award criteria can be used as best practices that leads to successful working arrangements. The moderator is a past Vista Award recipient and Chair of the 2008 Vista Award Task Force. This session enables attendees to:

• State the relationship of the team approach to overall job performance.
• Use the Vista Award criteria as a process when beginning a construction project.
• Assess how the team is measured and achieved success. and insights as to what makes a winning project.

How the Icons have Fared: Innovative Community Hospitals

This Icons presentation is the fifth in a series at the PDC. The lecture provides attendees with important project data, client and architect interviews, architectural plans and photos, and summarizes the most “important lessons learned” from each of these groundbreaking healthcare facilities. New additions to the historic Community Hospital of Monterey California, three new suburban hospitals in Houston Texas created by: St. Luke’s Medical Center, Memorial Hermann Hospital, and Methodist Hospital, the award-winning, Banner Estella Hospital in Phoenix AZ. This session enables attendees to:

• Understand why these projects were celebrated as leaders in providing patient-centered care.
• Assess and appreciate the risks that were taken to innovate and break new ground.
• Discuss how each facility dealt with problems during and after the planning process and lived up to its promise.

General Contractors Role in Their Seat at the Construction Table

Based on test results by the U.S. Army, using a price-based delivery method results in low performance by the general contractor and also means additional inhouse requirements. On the other hand, the best value method reduced the requirements for additional in-house capabilities during major construction without costing more. Learn why the General Contractor’s role varied between price-based and best value methods. This session enables attendees to:

• Assess the efficiency and the level of accountability for the best-value method.
• Implement an information environment formulated the weekly reporting systems.
• Discuss how the different methods affect communication between the owner and the contractor.

Acoustically Designed Environments

Research links a quiet hospital to improved patient healing, medical error reduction and medical staff satisfaction. Through exploration of the evidence, this session addresses acoustical challenges and solutions in acute care hospitals today. High noise levels in hospitals, the major contributing factors and the effects on healing, patient safety, patient satisfaction and staff well being are also identified. In addition, proposed solutions by proper specification and implementation of materials are discussed. This session enables attendees to:

• Describe the effects of the auditory environment on the healing process.
• Discuss concepts for improving speech privacy in existing and new hospitals.
• Identify the main areas where noise has been linked to medical errors.

Design and Innovation: The MGH Learning Lab

This panel discusses a variety of topics including: Lead Users in Medicine: Who are they and Where do they Come From?; Creative Team Formation: A Key Ingredient in Facilities Innovation; and A Novel Approach to Innovative Design: The MGH Learning Lab. This session enables attendees to:

• Describe the role and implications of lead users and “sticky information” in facilities design.
• State the characteristics of creative teams as applied to Steering Committees and User Groups in facilities projects.
• Implement new ways for more effective teaching and evaluation in health facilities design.

Sustainability Scorecards: Which One is Right For You?

The green building movement has become mainstream and healthcare institutions are increasingly putting sustainability at the top of their agenda. Multiple green building rating systems abound, covering nearly every hospital operation – from energy conservation to waste reduction to new building construction. Are these rating systems mutually exclusive or complimentary? How does one choose between them? This session enables attendees to:

• Differentiate between the four green building rating systems commonly used in healthcare.
• Discuss the scope of the rating systems, synergies between them, participation rates, and the certification process.
• Describe the associated costs of this process.

10:45am-1:30pm

Technical Exhibition
Display of Architecture for Health
Lunch

1:45-3:00pm - Concurrent Sessions

Neuroscience and Architecture

Knowledge from neuroscience, medicine and biology offers the basis for design that can enhance human response and performance. Efforts over the past several years are now coming to fruition, with planning and design responding to literary evidence and original research on the human cognitive and physiological response to the architectural context. Examples from recent projects that have used this translational process will be presented at the Neuroscience and Architecture Forum. Reviews of lighting, sound, and navigation research are discussed in the context of recent studies and ongoing design development.

Planning and Programming

The growing body of knowledge from evidence-based design research is increasing influencing the planning and design of our healthcare facilities. The Planning and Programming Forum will look at the impact this knowledge is having on our planning processes and space requirements.

What!? No GMP? Integrated Project Delivery: The Real Results of Lean Construction

Construction projects have begun using relational contracting, incentives, production control and lean construction techniques. Contractual and management structures, the performance improvements and observations on lessons learned are discussed. This session enables attendees to:

• Evaluate the resources and techniques needed to structure their own projects for similar benefits.
• Apply a collaborative, relational project approach that produces benefits in terms of budget, schedule and quality.
• State lean production ideas intended for manufacturing production runs of thousands of units can be applied to modern healthcare buildings – a production run of one.

We’ve Converted to Critical Access – Now, What About Our Buildings?

The facility master planning process usually moves through the decision making stages of “Do we renovate and/or build new?”. Planners work through a step-by-step process from engineering and infrastructure analysis to trend assessment, projection of needs, and space programming. This session enables attendees to:

• Illustrate the step-by-step master planning process and pre-engineering methods.
• Discuss the pro’s and con’s of renovation vs. new construction.
• Assess features of site selection and the importance of Board and Community interface.

Managing Methods for Projects: Medical Equipment, Design and Procurement

Managing medical equipment is a vital and challenging component to any healthcare project. It requires a balance of expectations for decisions, clarity of responsibilities among a host of resources and proactive measures to plan, procure and install owner furnished medical equipment. This session enables attendees to:

• Describe three distinct approaches to dividing responsibilities and provide a sample matrix to use during the project team assembly phase.
• Implement successful communication methods with the owner, its medical staff, their equipment supplier, and the project architect to achieve needed schedule progress.
• Define appropriate divisions of responsibilities based on resources available, construction method and magnitude of project.

Creating “Psychologically Green” Spaces

When designing and constructing sustainable buildings, it is important to remember that the most vital asset we have is people. Creating environments that impact patients, family, and staff in a “Psychologically Green” manner enhances patient healing, staff performance, and a company’s bottom line. This session enables attendees to:

• Assess the psychological impact of spaces in regard to the feelings and behavior of patient’s, family, and staff.
• Identify issues in the environment that are causative factors of existing problems in the management and operations of their health care facilities.
• State how to apply basic Feng Shui principles to create spaces that are more “natural” and “Psychologically Green”.

Can We Eat the European Union Cheese? “Thin Building” Typology and its Applicability to U.S.Health Facilities

Standard practice in the EU is to design healthcare facilities that provide access to natural light from almost all spaces. For the diagnostic and treatment (D&T) components, this results in a “Swiss cheese” facility with multiple courtyards allowing for both natural light and ventilation. Can we accommodate this technique yet still provide for the “disruptive technologies” that will invade the D&T environment? This session enables attendees to:

• Describe proposed “disruptive technologies” and how they may impact D&T design.
• State proposed innovations in MEP systems for D&T facilities.
• Discuss how we need to change our thinking/regulations to accommodate these changes.

Designing the Carbon Out: Part I: Theory

In response to growing concerns of climate change, an increasing number of local governments are supporting calls for new buildings to be designed to consume 50% less energy than the national average. Since hospital buildings are more energy intensive than most, is this a realistic goal for healthcare institutions? Can a hospital be designed today to consume 50% less energy than the national average? This session enables attendees to:

• Demonstrate how to model wholebuilding energy use with software.
• State the impact of design decisions on energy consumption.
• Describe how to maximize energy efficiency and carbon emission reductions during the design process and eliminate costly redesigns.

3:00-3:15pm – Networking Break

3:15-4:30pm - Concurrent Sessions

Technology Forum

Today’s operating rooms today are a complex web of telecommunications systems, power, medical gases, and imageguided technologies that all converge and compete for optimal positions near the patient. Add surgical staff, booms, lighting, and mechanical systems and planning the ceiling layout becomes a kit of competing parts. How does all this technology work together? How do you assess whether there are too many booms? The Technology Forum highlights the key differences and options for the various systems on the market and discuss strategies for planning today’s operating rooms/interventional rooms with flexibility and adaptability in mind.

Architects in Healthcare Organizations Forum

The Architects in Healthcare Organizations Forum is a platform for the interaction and open discussion between architects in healthcare facilities and design professionals. This forum reviews, through an informal roundtable discussion with audience participation, some of the administrative and practical issues associated with the delivery of healthcare projects.

Healthcare Project Budgeting

Establishing a realistic project budget from initial concept through the finished project is one of the most critical steps in the PDC process. Applying the correct procedures for establishing and monitoring budgets, as well as open communication within your team, are vital in creating a reliable project budget. This session enables attendees to:

• Identify important costs that are often overlooked in budget planning.
• Assess the necessity and size of contingencies.
• Evaluate the necessary tools to use during the budgeting process.

Displacement Ventilation – Assessment of Benefits in Airborne Infection Isolation Rooms

Displacement ventilation has been identified as a means to efficiently deliver air into a room and exhaust contaminants from the occupied zone. In the US, standard design of the ventilation system in an infection isolation room is to use mixing ventilation. This session enables attendees to:

• State the benefits of displacement ventilation in spaces and compares it to the traditional mixing system.
• Identify the general design approach for displacement ventilation systems and how this design approach differs from other ventilation configurations (e.g. mixing).
• Describe the different types of room air distribution methods, their advantages/disadvantages and potential applications in a healthcare environment- including displacement ventilation.

Successful Planning and Design Strategies for Medical Technology

Having the “latest and greatest” in technology gives hospitals and physicians a competitive advantage in today’s healthcare market. A new generation of digital imaging, linear accelerators, proton beam therapy and gamma knives is unleashing powerful advances at the touch of a button, but the massive equipment, miles of wiring, and metallic casings come at great cost. This session enables attendees to:

• Balance the environmental experience with the specific technology.
• Design for the patient, technician, and physician experience.
• Increase desired clinical outcomes through reduction of patient anxiety, efficiency, and focus on quality.

Decentralized vs. Centralized Nursing Stations: That is the Question…

The case study explores the impact of current nursing unit design issues on patient and staff outcomes by comparing centralized nursing unit design to de-centralized nursing unit design. The objective examines both of these designs and their impact on staff injuries, job satisfaction, and retention; as well as patient incidents and satisfaction. This session enables attendees to:

• Describe approaches (research methods) to healthcare design research.
• Discuss strategies for conducting multi-site studies in healthcare.
• Evaluate salient issues in nursing unit design.

Sustaining the Practice of Medicine as We Know It

The “midpatient” is an emerging patient type that has a distinctly different model of care. This new patient care model responds to surgical and interventional patients that have recovery length of stay no more than 72 hours and the average length of stay is less than 12 hours. Thus, the level of patient acuity is less than that of a typical hospital but more than an ambulatory care center. These patients usually require elective surgery or diagnostic procedures. This session enables attendees to:

• List the distinctions a midpatient facility encompasses.
  
• Describe the efficiencies required for the midpatient.
  
• State the critical features in a midpatient facility must contain.

Sustainable Construction: Lessening the Environmental Impact

Designers, Environmental Managers and Superintendents all have unique roles and responsibilities in construction projects that aid in lessening the environmental impact. Each have a hand in establishing a sustainability commitment from key individuals. This session enables attendees to:

• Identify specific core areas to address to mitigate potential impacts during a construction project.
• Describe best practices, lessons learned, and innovative techniques of performing and managing an environmentally sustainable construction project.
• Evaluate how environmentally friendly construction techniques impact an owner’s bottom line.

4:30-6:00pm

Technical Exhibition Reception
Display of Architecture for Health

 

7:30am-3:30pm
Registration

6:30-8:00am
Continental Breakfast

7:00-7:45am

Sunrise Session – Codes & Standards

Both the Joint Commission and NFPA 99 are undergoing major efforts to rewrite their standards. Both share similar goals of improving clarity and ease of use. But how they get there is markedly different. Joint Commission's Standards Improvement Initiative (SII) is focused on redesign of the scoring and decision processes with a goal towards simplification while NFPA's revision process is focused on modernizing its requirements to address issues of technology integration, environmental safety and control, and varying care delivery settings. ASHE's advocacy team will bring you the latest updates on the revision processes and driving forces behind the efforts.

8:00-9:15am

Looking Forward…How Developing TrendsWill Impact Facilities

As the Senior Vice President for Strategic Policy Planning, Dr. Bentley is on the cutting edge of industry drivers that will develop into trends that impact our facilities and the way health care will be delivered in the future. Dr. Bentley touches on a number of topics ranging from evolving political forces, to emerging science, to changes in fundamental care delivery models: all which he distills down to a series of bottom lines that you can use. Don’t miss this opportunity to hear first hand the developing trends that our hospital’s CEO track, and react to, when determining the strategies and tactics for their organizations future.

9:15-9:30am
Networking Break

9:30-10:45am - Concurrent Sessions

Codes and Standards Forum

This forum provides a venue for those who wish to discuss proposed changes to the AIA Guidelines for Design and Construction of Healthcare Facilities.

Therapeutic and Sustainable Environments Forum

This discussion is on theory, research and practice issues related to the effect of the healthcare environment on patient outcomes, patient safety, and staff effectiveness. The conversation also involves Design Criteria for Therapeutic Environments, and the roles of Owner, Architect, and Program Manager in creating them. Highlights of the discussion will be available for distribution by e-mail to all participants, and will produce a short article in the Academy Update if the discussion results in newsworthy content. Participants broaden their understanding of how the healthcare environment can play an active role in health and the healing process.

The Facilities Manager’s Role in the PDC Process

The Facility Manager’s role is stretching beyond its traditional definition due to the intensity of responsibilities and tasks during a building project. The revolutionary FM model changes the current use of technical knowledge, management, and control to a logic based process approach. It uses key data to better communication among the project team before the project begins. This session enables attendees to:

• Identify the major elements of the project to assist the Facility Manager to ensure functions are properly used.
• Implement critical strategic preplanning tools to form the roles of the project teams’ responsibilities.
• Describe an information environment that allows the right information to be communicated among the various roles in the project team.

Medical Gas Booms vs. Traditional Headwalls

Medical gas booms have become serious contenders to traditional headwalls in ICUs. What’s lacking is a systematic objective assessment of the alternatives with consideration to the astronomical cost of booms. This can be identified through a case study involving a multidimensional scientific assessment of the alternatives in a 44-bed ICU. This session enables attendees to:

• Identify what clinicians prefer between medical gas booms and headwalls.
• Assess which factors to consider when deciding between the medical gas options.
• Discuss the family perception of the medical gas booms and headwalls while in the ICU.

The Business Case for Validating M/E Infrastructure

During the early design stages of a construction project, there are testing methods that allow certain mechanical and electrical systems to be assessed such as age, capacity, condition, redundancy and other issues in order to understand more about that systems’ dynamic capabilities. This session enables attendees to:

• Create a report card that distills down technical data into a format that nontechnical decision makers can understand.
• Discuss a plan for improvement that prioritizes the recommended documentation efforts, specific analyses and upgrade projects; includes estimates of costs and has a rolling five year timeframe defined.
• Execute specific testing methods to ascertain details about system performance at the outset of an upgrade project and calculate costs incurred to conduct pre-testing; understand the implications of not conducting the pre-testing.

Energy & Ambiance Lighting

New lighting technologies are rapidly changing how doctors administer care and how patients heal. Explore new applications in healthcare lighting systems for optimal efficiency and patient care. This session enables attendees to:

• Identify lighting systems that will provide the best quality of light facilitywide and recognize how various lighting systems affect occupants and are impacting the architecture, interior design, and sustainability of projects.
• Describe how new lighting technologies, including innovative lamp and ballast combinations, can support both complex visual activities and patient comfort.
• Assess lighting systems that reduce the presence of mercury facility-wide and measure the efficiency, maintenance considerations, and costs of various lighting systems.

Sustaining the Practice of Medicine:What if Our Physical Healthcare Environment Becomes Obsolete?

Is the healthcare facility really in danger of becoming obsolete? A near constant state of change in healthcare delivery coupled with escalating costs is forcing providers and architects to approach the facility in a wholly different way. By viewing the facility as a strategic resource, these new capital planning and design strategies can achieve a truly successful and sustainable facility, capable of adapting to any number of possible futures. This session enables attendees to:

• Describe the magnitude and implications of the rapid changes and growing challenges facing the American health system and how this could radically transform the built environment.
• Discover the critical programming, planning and design factors necessary to keep your facility from becoming obsolete before its time.
• Assess how facilities can be designed to adapt to new, emerging and even unknown technologies and delivery models.

Designing the Carbon Out: Part II: Practice

In response to growing concerns of climate change, leading healthcare institutions are beginning to ask for designs that consume dramatically less energy than the national average. Gain insight on two hospitals that are pushing the edge of energy performance and carbon reduction in healthcare design. Learn how the design teams approached the challenge and the tradeoffs they made to meet their goals. This session will enable attendees to:

• Assess energy performance design strategies and determine how they can be integrated into the design.
• Evaluate financial and environmental impacts of current and innovative technologies.
• State the design principles of carbon reduction from high performance hospitals.

10:45am-1:30pm
Technical Exhibits
Display of Architecture for Health
Lunch

1:45-3:00pm - Concurrent Sessions

Design Forum

This Forum focuses on the topic of “Hospitality and Healthcare Design – Learning from Disney.”

Emerging Professionals Forum

The AIA-AAH is dedicated to the development of programs and services specifically tailored to architects under the age of 40. This Emerging Professionals Forum is intended as an open discussion on topics pertinent to young and emerging healthcare architects.

AreWe Super-Sizing Healthcare?

Does your project need to go on a diet? Healthcare capital spending continues to rise, but we seem to be able to buy less each year. Construction spending inflation is only partly to blame; the other factor lies in a tendency to plan ever larger space for the same functions. This session enables attendees to:

• State the forces behind the recent increases in space per key indicator in healthcare projects.
• Develop a range of measures to determine whether your own project needs to go on a ‘space diet’.
• Determine four key methods to prudently reduce project size and maximize your project ROI.

Change-Ready Hospitals - Myth or Necessity?

Hospitals are never finished. Before a new facility is operational, and over the life of the facility, both large and smallscale alterations to the physical plant are normal. Is the future of healthcare so utterly uncertain that scrap and re-builds after 30 years is the only alternative? Or, are procurement and planning methods, investment strategies or other tools available to replace current costly and disruptive practices with 100-year, change – ready hospitals? This session enables attendees to:

• Describe current practices in avoiding premature obsolescence of physical investments in the face of rapidly evolving medical practices, diseases, regulations and demographics.
• Assess barriers to procuring sustainable, 100-year facilities.
• Identify participants ready to take part in systematic studies of medical facilities change and offer input on the metrics of such studies.

When Building Big,Go Lean!

In today’s complex healthcare environment, the pressure to build faster, cheaper and smarter has never been greater. Learn about successfully implemented lean transformation techniques to reduce waste, avoid delays and circumvent any unnecessary costs to deliver the facility on time and on budget. This session enables attendees to:

• Develop an understanding of what lean is and what it is not
• Describe how using lean techniques can benefit the capital delivery process
• Discuss Lessons learned with professionals who have successfully utilized lean methods

A Caregivers View and its Effect on Patient Healing

High stress among caregivers’ adversely impacts patient healing. The Case Study being examined describes the influence of nature views on a caregivers’ stress level. Findings suggest exposure to these views not only directly aids the patients healing process, but also indirectly has a positive impact on staff. This session enables attendees to:

• Identify physical elements that act as stressors to patient and staff.
• State the impact of nature views has on staff in relation to stress and response readiness.
• Discuss the importance of view in relation to other stressors.

Old Management in New Facilities: CanWe/Should We Sustain the Past?

Tools such as ‘Change Management’, technological advances, architectural influences and operation techniques can reorient oncology delivery to not only survive personnel shortfalls, but also thrive in an efficient and flexible delivery model. The status of current and future healthcare oncological personnel availability by discipline (nursing, phlebotomists, medical oncologists, etc) and demographic (East Coast, International, etc) are described. This session enables attendees to:

• Assess existing management strategy focusing on process, utilization of personnel and the architectural environment.
• Identify new management strategies including technological advancements and the required architectural and operational modifications.
• Discuss potential obstacles to the implementation of the new management style and opportunities to overcome and thrive.

Earning the Platinum and Appraising the Gold: A Tale of Two Medical Centers

Two Northwest Medical Centers decided to pursue the highest levels of LEED® certification. The Center for Health & Healing was the first Platinum rated healthcare building in the nation. Hear the strategies that led them to achieve this, along with the challenges to standard practice, their integrated design approach, and the lessons learned along the way. Providence Newberg Hospital was the first healthcare facility to achieve LEED Gold. Gain insight from evaluating their performance over the past year and a half of operations. This session enables attendees to:

• State the principles of integrated design as they apply to master plans and complex healthcare projects.
• Evaluate projected performance, as well as actual performance, and explore the cause for any variance.
• Demonstrate a variety of tools to evaluate performance, particularly in the key areas of: User Experience, Clinical Operations, and Building

Infrastructure.

3:00-3:15pm – Networking Break

3:15-4:30pm - Concurrent Sessions

ASHE Update
Whether you are a new to ASHE or have been a member for many years, this session provides you with valuable insight to the Society. Executive Director, Dale Woodin, SASHE, CHFM, discusses ASHE’s performance over the past year and the next milestones on ASHE’s Roadmap to Excellence.

AIA/AAH Update
Attend to find out the latest information from AIA/AAH and its upcoming events.

7:30am-1:30pm
Registration & CEU Distribution

6:30-8:00am
Networking Breakfast and Question & Answer with George Mills, FASHE, CEM, CHFM, Senior Engineer, Interpretation Group, The Joint Commission, Oakbrook Terrace, IL

7:30-8:30am

Sunrise Session – Defining Sustainability Priorities for Your Organization and ASHE

One of the challenges in developing a plan for sustainability is reaching consensus on the definition of sustainability and agreement on priorities for improvement. The Sustainability Solutions Navigator™ is a specially designed “board game” assessment tool that leads cross-functional teams through an interactive, collaborative process of evaluating sustainability-related needs and practices. The tool helps address a wide range of sustainability issues including the design of green buildings, improved facility operations, greening the supply chain, employee communication and reporting. Participants will complete the needs assessment exercise during the session and be able to compare their individual results with their peers and a benchmark of other healthcare organizations. The session results will also be shared with ASHE leadership to help define future educational and technical programs.

8:45-10:00am - Concurrent Sessions

Health Facilities Strategic Planning Team Forum

The theme of this Forum is “Understanding the Strengths & Weaknesses of Your Cancer Program.” As technology, approaches to treatment, reimbursement, and government policies rapidly change, so do the options for delivering quality cancer care. Issues to be discussed include:

Strategic Planning

• Market Positioning
• Financial Performance
• Service Line Development
• Hospital - Physician Relations
• Reimbursement
• Impact of Surgery

Patient Care

• Standard of Care
• Environment of Care
• Integrated Care Delivery
• Facilities and Technology

Liquidated Damages: Theory and Practice

Many attorneys insert standard liquidated damages clauses into their contracts for construction and, increasingly, design. In theory, such clauses create judicial efficiency by setting an agreed upon measure of damages at the outset of a project. In practice, these clauses lead to gaming behaviors by project participants that outweigh any benefit that might accrue if they worked. And, they rarely work. This session enables attendees to:

• Explore the issues surrounding, the ramifications of using, and recommendations on how to craft and administer better contracts.
• Describe the legal and practical issues.
• Identify the viewpoint of parties involved, owner, contractor, designer, and lawyer.

The Ultra-Safe Hospital

Patient safety is one of the hottest topics in healthcare today. Every organization and provider understands no single action alone improves the whole safety initiative, but that a culture of safety will reduce the risks for errors that patients and staff experience in today’s health environments. This session enables attendees to:

• Identify key components of a safety design matrix that offers initiatives to be used in the design process.
• Evaluate the application of the identifiable issues and learn which need to be measured in order to report results.
• State how specific safety issues are being addressed in an urban hospital setting and their impact on patient safety, operating costs and savings.

A New Approach to Mold Remediation

St. John's Regional Medical Center in Oxnard, California recently utilized a new technology to rid its facility of mold. The facility used a fumigation process to inactivate the mold compared to the traditional "rip and tear" method. The traditional "rip and tear" method (a process where drywall is removed, the underlying surfaces are cleaned with a solution to kill any remaining mold, and then the area is re-built) would have required St. John's to continue it complex project for at least another 5 to 6 years. The fumigation process allowed the hospital to limit the corrective construction to under a single year, thus saving costs, time and more importantly keeping more hospital beds in service for the community. This session enables attendees to:

• Discuss the advantages and disadvantages of the use of chlorine dioxide for mold remediation
• Describe the process St. John's Regional Medical Center recently went through using this technology
• Assess specific situations where the use of this technology would be beneficial

Research that Supports Evidenced Based Design and Its Effects on Positive Patient Outcomes and Staff Satisfaction

The greatest issue facing evidence-based design is the tendency for the collective research to drive the development of design concepts that get applied from institution to institution, dismissing the institutional culture and individual needs of each institution. Review adaptations made to a facility, the technology, and operational process models. This session enables attendees to:

• Evaluate and utilize data to understand facility performance.
• Identify facility design decisions that impact operation and flow.
• Assess the operational changes, using data, that occur following move-in to a new facility.

The Future of Imaging: How the RadiologyWorld Must Use Design to Go Beyond Slices and Scans

Explore how our industry is using design to go beyond quicker scans and more detailed information, to how architects, designers and owners are responsible for equal and complementary improvements. Design may be the ultimate differentiator for patients, families and staff. This session enables attendees to:

• Describe changes in practice, expectations and work flow within the context of imaging facility design.
• Discuss current scenarios for evidence based radiology where design responds to constant technologic change and evolution.
• Explore how industry will rely on design to manifest clinical imaging improvement.

Beyond Compliance: The Case for Cutting HospitalWaste Streams to the Bone

Discover the benefits to patients, staff members, and the community of creating a more “green” hospital without reducing the quality of patient care. Gain a better understanding on the regulatory and financial problems associated with hospital waste management and the various methods available to healthcare professionals to help manage this problem. This session enables attendees to:

• Evaluate the numerous problems hospitals encounter when trying to manage their waste and recycling programs.
• Identify appropriate solutions for effectively managing recycling and waste-related issues.
• Determine potential opportunities to reduce the use of harmful chemicals in the hospital environment.

10:00-10:15am
Networking Break

10:15-11:30am

Evidence Based Design

For many owners, healthcare providers and members of a healthcare design team evidence-based design (EBD) is viewed as a buffet, including such items as better lighting, lower noise levels, patient views to gardens, single patient rooms, etc., from which one may creatively select an assortment of items for use in planning a new healthcare facility. Often these decisions to use or not use a given design element are based on the price or convenience associated with deploying any given feature. This session enables attendees to:

• Understand why they should reject the notion of the buffet approach to EBD.
• State how to approach EBD in a way that invites the greatest possibility of success.
• Describe how EBD can backfire on the design team if corners are cut.

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*Note: Sessions, speakers and times are subject to change.

 

©2008 The American Society for Healthcare Engineering of the American Hospital Association
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Phone: 312-422-3800 | Fax: 312-422-4571
ashe@aha.org