
Detailed Agenda
Wednesday, November 5, 2008
8:00 a.m. – 9:30 a.m. General Session
Creating & Maintaining A Dynamic Workplace
This presentation centers on what can be done to create a dynamic, positive workplace. One that helps us achieve results we can see. In the end, it boils down to specific attitudes and behaviors, not theories, or dreams. Some of the items to be covered include the importance of attitude and laughter; knowing the four basic needs of people; people skills; reducing gossip; and ten ways we can motivate people that don't add to our bottom line.
Bob Ash, Life Lessons
9:45 a.m. – 10:45 a.m. Concurrent Sessions
Airflow Design Trends for Healthcare Facilities
- Determine how airflow affects patient care and the healing process
- Explore Best Practice (Evidence Based) design concepts for airflow control systems
- Discover how to reduce energy consumption while maintaining a safer environment
In a global economy where air travel extends around the world, disease can be easily transmitted through airborne delivery, contact with infected people and contaminated surfaces. The healthcare facilities are our first line of defense. Proper facility and ventilation design is a key factor in addressing this problem. Applying the principles of directional airflow, combined with filtration and sanitation techniques, is an effective way to reduce the spread of airborne infections. This presentation describes best practices in airflow control and ventilation design. It is intended to aid managers and engineers in specifying products and control methodology that meet or exceed accepted industry guidelines.
Mike Soper, Product Marketing Manager, Healthcare, Phoenix Controls Corporation
The Power of Precon—A case study on the impact of focused preconstruction services
- Learn to effectively and efficiently conduct preconstruction analysis of a hospital project
- Explore efficient methods for owners to approach and obtain the best value for their facility
- Determine how to measure the success of the preconstruction effort during and after the project’s completion
This is a follow-up to a session presented at the 2005 Conference that provides the actual impact of the focused preconstruction services provided by Skanska Shook, the project’s construction manager on the Atrium Medical Center in Middletown, OH. The Value Analysis and Value Engineering processes that were included in the preconstruction services not only established a workable project budget but also created buying opportunities that allowed the owners to achieve a complete build out of the facility within the original estimate. The session will include both the owner’s and construction manager’s perspective and the metrics that proved the effort’s success.
Gary Cooper, Senior Vice President/Project Executive, Shanska USA
William Whistler, Executive Vice President/Project Executive, Shook Construction
John W. McKinney, III, FAM-CSO, Atrium Medical Center
11:00 a.m. – 12:00 p.m. Concurrent Sessions
The Joint Commission’s New 2008 Emergency Management Standards: What’s New? What’s Not?
- Determine the “Six Critical Areas” management focus during an emergency
- Discover the new “Emergency Operations Plan”
- Explore the new 96-hour “Escalating Scenario” requirement
Join this former 17-year “Insider” of The Joint Commission as he discusses the Joint Commission’s (TJC) new and greatly expanded Emergency Management Standards for 2008. New requirements and terms will be reviewed.
Dean Samet, Director, Regulatory Compliance Services, Smith Seckman Reid
Designing for Safety in the Healthcare Environment
- Determine the many aspects of need for safety in hospitals
- Learn how effective planning can create environments that enable safety for patients, families & staff
- Discover how design details and material selections can support and enable improved patient safety
The notion of patient safety has emerged as a definite factor in the design of our healthcare facilities. But, these concepts are fragmented and solutions are sought instance by instance. This session will look at how to approach the various aspects of patient and staff safety in a cohesive, synergistic way.
There are many aspects to safety in the hospital – from those mandated codes for fire and life safety to those informed by good clinical practice - infection control, reduction of medical errors, minimizing patient falls. Moreover, there are increasing incidents, violence perpetrated, against patients and caregivers. Fire and life safety requirements have highly developed rules for facility design. This session will examine how design can influence behavior in the support of safety in best clinical practice and quality care.
James W Harrell, FAIA, FACHA. Design Leader, Healthcare Group, GBBN Architects
1:30 p.m. – 2:30 p.m. Concurrent Sessions
FILLING the Rx for RELIABLE POWER in 2009 and BEYOND
- Assess the impact of existing testing and maintenance programs on the operational reliability of your existing EPSS's and Essential Electrical System branches
- Describe improvements you can use to improve your existing EPSS reliability
- Assess your existing EPSS testing and maintenance programs against NFPA 110 and position them to get ready for the anticipated changes in the 2009 revision
- Leave with proven techniques, tactics, strategies, forms and procedures to facilitate power shutdowns
Presented by the NFPA 110 Committee Chairman and author of both the new 2008 ASHE Management Monograph on Emergency Power Systems and the new 2008 ASHE Management Monograph on Power Shutdowns, this high level session will summarize the wide variety of factors affecting normal and emergency power reliability. The topics to be covered include NFPA 110 EPSS testing and maintenance requirements, along with major anticipated changes from the NFPA 110-2009 and NFPA 111-2009 Reports on Proposals.
Emergency Management is not just a paper exercise. TJC's 2008 and 2009 regulations require an all-hazards approach, but hospitals still do not turn off their power systems for maintenance. Why the dichotomy? Why does our unwillingness to deal with this necessity put our patients at increased risk while we plan for a result we are unwittingly helping to bring about? This session will also present strategies, tactics, and procedures for conducting safe, effective power shutdowns.
David Stymiest, PE CHFM FASHE, SR Consultant-Compliance & Facilities Management, Smith Seckman Reid, Inc
Going to the Well: Geothermal in the ASC/MOB Setting
- Explore how a geothermal HVAC system operates in the ASC/MOB setting
- Discover how a geothermal HVAC system can reduce energy costs
- Understand how a geothermal system can contribute to LEED and ENERGY STAR® certification
Geothermal HVAC systems are being widely used to significantly reduce energy consumption in most buildings, although healthcare setting lag behind this trend. Sustainable green building programs such as LEED and ENERGY STAR® require the design professional to reduce the building’s energy usage below ASHRAE 90.1 requirements. This program will review a design solution using a geothermal heat pump system. We will discuss and resolve concerns that keep most owners and designers from using this system. Energy modeling will be used to predict energy savings. Maintenance requirements of a geothermal heat pump will be compared to a traditional VAV/boiler/chiller design.
Kenneth Seibert, PE, LEED AP, President, CMTA Inc
2:45 p.m. – 3:45 p.m. Concurrent Sessions
Energy and Operational Savings for Steam Production
- Understand Boiler Efficiency
- Discover opportunities to Reduce Fuel Consumption and Costs
- Explore Case Study Examples
With continuing rising fuel costs in a competitive healthcare market, addressing the largest consumer of fuel now will result in years of significant savings. You do not want to miss this opportunity to discover what you can do to start saving today.
Erik Kessler, Eastern Regional Sales Manager, Clayton Industries
NEC Article 708 – Critical Operations Power Systems (COPS): Whatcha Gonna Do When It Comes for You…
- Determine what a COP is and how to comply with NEC article 708
- Explore the general requirements of the article
- Understand the impact of COPS to design and construction
The 2008 National Electrical Code has a new article 708 called Critical Operations Power Systems (COPS). Its scope is large and will impact many types of facilities, including healthcare. This presentation will cover the types of facilities this new article affects. It will define what a COPS is and give a general overview of some of the new requirements. Finally, it will discuss the process of how to coordinate with authorities and community leaders and understand the impact to design and construction of new and existing facilities.
Daric Hess, PE, LEED AP, Senior Project Manager, Heapy Engineering LLC
4:00 p.m. – 5:00 p.m. Concurrent Sessions
Update on The Joint Commission’s Life Safety / EC Standards for 2008 & Beyond
- Learn how to complete The Joint Commission’s electronic Statement of Conditions™/ eSOC™ process
- Prepare for The Joint Commission’s Life Safety Code survey/surveyor
- Understand the requirements for Emergency Power
This presentation will include a review of the electronic Statement Of Conditions (eSOC) process, including completion and maintenance of the eSOC; preparing for the Life Safety Code survey; building maintenance program strategies, including how to establish and interpret a building maintenance program and changes for 2009 on the impact of the scoring system; emergency electrical power revisions; proposed revisions to the 2009 standards; and NFPA 99, Standard for Health Care Facilities, revisions for 2010.
Lori B. Dinney, MS PE, Manager, Fire Protection Services, Safety Management Services, Inc.
Lean, Green, and Clean: Explicit Implications for Successful Healthcare Projects
- Understand the basic principles in lean construction
- Discover the environmental factors associated with healthcare construction that can defeat the best medical intervention available
- Recognize how you can impact the cleanliness of a healthcare environment and the effects on patient outcomes
Lean and Green are fairly new trends in the world of healthcare construction. As fresh light is shed on the subject of Green and job site cleanliness with improved outcomes, it is clear that any one without the other is just that; a new trend. It is vital to apply all three of these concepts in a harmonious manner in order to prevent catastrophic results either in planning, constructing, or sustaining a healthcare environment while also preventing loss of life; the reason these places are in business to begin with!
Mary Ann Derr, RN, MBA, Director of Healthcare, Messer Construction Co., Inc.
Thursday, November 6, 2008
8:00 a.m. - 9:00 a.m. General Session
Joint Commission Survey Panel
An expert panel will answer your questions at this informative general session. All attendees will have the opportunity to write down questions in advance at the conference for the panel to address.
Robert Feldbauer, MHA, FACHE, SASHE, CHFM, Practice Leader, Engineering & Safety, Joint Commission Resources/Joint Commission International
Mike Chihoski, SR VP Engineering Division, OSF Healthcare System
Michael Kuechenmeister, FASHE, CHFM, CPE, Director, Plant Operations, West Chester Medical Center
Skip Smith, SASHE, CHFM, Director Facilities, Catholic Health Initiatives
9:15 a.m. – 10:15 a.m. Concurrent Sessions
Airborne Contamination Control in Hospitals
- Explore hospital acquired infection and airborne contaminants
- Review airborne contamination control strategies
- Discuss installation issues in existing versus new facilities for improvement
Aslam M. Husain, P.E., Project Engineer, EnerTronics Engineering Corp
ASHE Advocacy Highway
- Obtain knowledge of ASHE Activities on Behalf of Healthcare Environment of Care Issues
- Explore new Advocacy Process for Facility/Chapter to ASHE Communication
- Discuss what Facilities Issues currently need ASHE involvement
ASHE is seeking a more interactive role with local Chapters and Facilities to address the ever changing Environment of Care needs and regulations. Through a communication link, we can develop a mutually beneficial relationship to positively impact healthcare.
Jeff Arthurs, Director, Plant Operations / Safety Officer, ASHE Region 5 Board Director
10:30 a.m. – 11:30 a.m. Concurrent Sessions
Medical Gas and Vacuum Systems of Today
- Become familiar with the terminology and operations of Medical Gas and Vacuum systems
- Obtain knowledge of the NFPA 99 standards and code requirements
- Gain confidence with troubleshooting and maintaining Medical Gas and Vacuum systems
By the end of this session, you will be familiar with the terminology, operation, troubleshooting and maintenance of Medical Gas and Vacuum systems, including source equipment, alarm systems, valves, etc. Discover interruption planning strategies and ways to reduce your system down time. Learn about NFPA 99 standards and how to apply this knowledge when preparing for TJC and regulatory agency inspections.
Tom Spremo, Executive Director, Medical Gas Solutions
Managing the Monitoring; Staying Compliant on Tracking and Documentation of Information for Critical Systems
- Understand the important facility-related requirements for accreditation from the Joint Commission Environment of Care for hospitals
- Become familiar with the American Institute of Architects Guidelines for Hospital design (emergency generators, heating, ventilation, air conditioning and medical gas) in all critical areas of a hospital
- Learn how to best measure and monitor all critical systems in essential areas of a hospital in an efficient, automated and documented method.
Joint Commission accreditation is an important requirement for all hospitals. This set of Elements of Performance lays out a set of management principles that address the design, construction, commissioning, maintenance, repair and supervision of failures or disruptions of utility systems serving the needs of any accredited healthcare organization.
Many hospital administrators and facility engineers manually track temperature, humidity, energy and relative pressure manually. This is time and staff consuming – and is open to human error. This presentation will examine the information access and tracing that a building automation system can provide. Determining how to best meet the Joint Commission requirements with documentation and reporting can save hospital administrators and engineers thousands of dollars.
Dave Uden, Controls Applications Engineering Manager, Trane
Dave Sommer, District Manager, Indiana Trane
2:45 p.m. – 3:45 p.m. Concurrent Sessions
Commissioning - Lessons Learned (ASHRAE Sponsored Session)
- Explore an updated view of why and when
- Explore the interrelationships between commissioning and green building, especially LEED
- Discover the lessons learned from the first few years of commissioning
Rex Stockwell, P.E., Principal, Applied Engineering Services
Mike McKiernan, P.E., LEED AP, Senior Project Manager, Applied Engineering Services
Can a Wall of Fans Be Good for Your Hospital?
- Understand the concept and performance characteristics of a fan-wall system
- Explore the advantages and disadvantages of fan-wall systems vs. conventional air handling units
- Evaluate the total cost comparison between fan-wall systems and conventional air handling units
Fan-wall systems are a new and innovative application of existing technology. By utilizing this system, redundancy of equipment capacity can be achieved without sacrificing space; additionally, electrical switchgear size can be reduced, and most primarily, first cost savings can be realized.
The session will explain what a fan-wall system is, how it works, and how it can be applied in a healthcare environment. An actual case study will illustrate the process of evaluating fan-wall systems compared to conventional centrifugal fan air handling systems.
John Haymond, PE, Vice President-Engineering, The Estopinal Group
4:00 p.m. – 5:00 p.m. Concurrent Sessions
Emergency Preparedness in Healthcare: The Future is Now
- Explore the role of the healthcare engineer in the organization’s Emergency Management Program
- Obtain an understanding of the process for sustaining an organization for 96 hours by modifying resource and asset utilization
- Identify the elements required by The Joint Commission for compliance with the new Emergency Management standards (EC.4.11 – EC.4.20)
Preparing for emergencies that could impact a healthcare facility is the responsibility of everyone involved in the organization. A major portion of the preparedness and response activities involves the Healthcare Engineer. In addition, complying with the revised Emergency Management chapter of the Environment of Care requires a new approach. This session will provide updated information for complying with the new standards, including development of a process for sustaining the facility for 96-hours and providing alternate means for providing utility services. The session will also cover the development of the Emergency Operation Plan (EOP) that includes the necessary NIMS and HICS format.
William M. Wagner, ScD CHCM CHSP, Vice President – Education, Research & Development, Safety Management Services, Inc.
3D Building Information Modeling: Add Value to Healthcare Projects
- Explore how you can utilize 3D Animations to coordinate sequence of above ceiling work
- Discover how (BIM) can minimize field construction conflicts and change orders
- Learn how to set-up 3D BIM Process and Manage Program on your project
Healthcare projects can utilize 3D animations of the above-ceiling Mechanical, Electrical, Plumbing (MEP) sequence to coordinate the installation process. The 3D BIM Design Validation is a process that helps identify, discuss and resolve constructability issues and coordination problems early in the process when they are easier to resolve. As a result, the project schedule can be accelerated and MEP coordination-related conditions in the field are substantially reduced.
Larry Blackburn, Healthcare Account Executive, Turner Construction
Friday, November 7, 2008
8:00 a.m. – 9:00 a.m.
Benefits of Ultraviolet Germicidal Irradiation
- Discover why UVC is the application that generates the shortest payback for almost any HVAC system
- Determine how to properly apply UVC to your HVAC systems
- Significantly lower your energy bills, minimize maintenance, and enhance IAQ
UltraViolet Devices are simple, safe and proven (Green) technology that will drastically improve facility indoor air quality while delivering phenomenal savings. The main objective is to improve the IAQ of the facilities but the savings associated with coil irradiation is so phenomenal that it needs to be taken into the equation as well. Not often can with find equipment that actually can reduce IAQ issues while paying for itself through energy savings.
Calvin Stewart, President / Owner, UV Solutions, LLC
How to Address Life Safety Management Requirements – Seamless Integration of Three Key Components
- Understand key proposed 2009 Joint Commission changes to the management of life safety elements
- Understand the role of three critical components of the life safety management process: 1) Plan for Improvement, 2) Building Maintenance Program (BMP), and 3) Hospital’s existing work order system, within the context of the new Life Safety Chapter of the Joint Commission
- Discover how a facility can structure a comprehensive life safety program that would seamlessly integrate the inspection of recurring life safety elements with the hospital’s PFI and work order process
Changes in the Joint Commission’s life safety requirements in 2009 mean that the effective management of life safety elements will require a comprehensive program that includes the Building Maintenance Program, Statement of Conditions and the healthcare facility’s existing maintenance management process. The session will discuss the Joint Commission’s new Life Safety Chapter, the expanded role of the “BMP”, and how the Statement of Conditions and BMP information can be integrated with the hospital’s existing maintenance management process to make the most of the existing resources and minimize the cost of ongoing compliance.
Mike Hakbaz, President, Advanced Technologies Group, Inc.
9:15 a.m. – 10:15 a.m.
RACE – It’s Time for a Change
- Understand current RACE procedures and how they are currently applied to existing healthcare facilities
- Evaluate existing RACE procedures at your existing healthcare facility to determine if they should be updated
- Determine how new RACE procedures may impact future healthcare design
RACE procedures have been a constant standard for healthcare facilities for over 40 years. Changes in fire safety requirements, construction and procedures warrant evaluation and change of this controversial topic. Learn how and where RACE procedures should be changed. Be the first to hear this controversial topic and be prepared to participate in the lively debate.
Frank Van Overmeiren, President, FP&C Consultants, Inc
Safety Measures for Contractors Working in Hospitals
- Understand Risk Management as it relates to hospital construction/renovation from a Contractors point of view
- Explore Interim Life Safety Measures as they relate to hospital construction/renovation
- Understand Infection Control as it relates to hospital construction/renovation
This session will cover two key aspects of construction/renovation projects within an operational healthcare facility; infection control and interim life safety measures (ILSM). Infection control discussions will cover the transmission of infectious diseases, the assessment of the project area, and the determination of the proper safety procedures. ILSM topics will include the eleven components of ILSM, proper Construction containment, and documentation methods. Recommendations for working through and maintaining these processes will be given.
Dave Murphy, Safety Director, Pepper Construction Company of Indiana
Tracy Harlett, Senior Project Manager, Pepper Construction Company of Indiana
10:30 a.m. – 11:30 a.m. General Session
Update on Codes and Standards
Several codes and standards are in the revision process. This session will present an update on several codes and standards that affect healthcare including NFPA 99, NFPA 101, ASHRAE 170, USP 797, HICS and NIMS, and the Guidelines for the Design and Construction of Healthcare Facilities.