AIA/AAH Deep Dive: Finding Success Amidst the Chaos of Modern Health Care Project Delivery Strategies: An Engineer's Perspective

Mar 15, 2015 9:00am ‐ Mar 15, 2015 11:00am

Identification: 844

Note: An additional fee is required for this workshop.

Modern health care project delivery continues to reinvent itself as industry expectations mature in three fundamental areas: (1) lean methods in process management; (2) integrated, high-performance design solutions; and (3) incentivized speed-to-market outcomes. Mechanical and electrical systems are especially affected by these factors. Gain insight through research and learn an engineer's perspective on what works (and what doesn't) in this growing climate of idealized (and varied) project delivery strategies.
  • This session will enable attendees to:Examine processes, vernaculars, and intended outcomes of various project delivery strategies, particularly how each strategy applies to delivering successful health care engineering solutions.
  • Acquire realistic views of applied BIM technologies, both in their uses today and their forecasted benefits for the future.
  • Identify the benefits and drawbacks of system prefabrication techniques as they relate to engineering design, procurement, construction, and assembly.
  • Describe the benefits and drawbacks of various applications of engineering design assist models, from formalized owner/designer/trade-partner teaming arrangements to traditional design-bid-build.

ACHA Deep Dive: Can Hospitals Meet the 2030 Challenge? A Deep Dive Workshop

Mar 15, 2015 12:00pm ‐ Mar 15, 2015 3:00pm

Identification: 604

What opportunities exist for new and existing hospitals that can drastically reduce their energy use profiles?  This workshop will present real world projects driven by energy performance research and provide a forum to discuss opportunities for deep energy savings in both new construction and in existing facilities.  A deep dive description of Targeting 100! will provide the research basis for meeting the 2030 Challenge in new healthcare construction. 

This session will enable attendees to:
  • Identify hospitals' contributions to energy consumption and major opportunities for increased energy efficiency.
  • Assess strategies that reduce hospitals' overall energy load to meet significant energy efficiency goals such as the 2030 challenge. 
  • Describe major lessons learned and opportunities from real-world projects for deep energy savings in new construction, renovation and existing facilities.
  • Demonstrate tools that articulate energy and cost implications for deep energy savings in healthcare

Codes and Standards Forum: The Evolution of the Freestanding Emergency Facility

Mar 16, 2015 6:00am ‐ Mar 16, 2015 6:50am

Identification: 846

The Codes and Standards Forum will provide a deep dive on the codes and standards that regulate Freestanding Emergency Facilities, which are becoming a popular building type. The presenters will review the applicable codes, explore case studies, and discuss improvements to the codes that regulate the design of Freestanding Emergency Facilities. The forum will include a discussion of strategies for issuing proposals to the Facilities Guidelines Institute related to the design and construction of Freestanding Emergency Facilities.

Forum for the Next Generation of Design and Engineering Professionals

Mar 16, 2015 6:00am ‐ Mar 16, 2015 6:50am

Identification: 847

Join architects, engineers, facility staff, consultants, and contractors to discuss the next generation of the health care design and engineering professions. This forum is intended to provide an opportunity to discuss topics pertinent to young and emerging health care professionals and establish a link between future leaders and current leaders of health facility design. Review issues related to developing emerging design/engineering professionals and discuss opportunities within the health care design profession for future leadership.

Facility Strategies for Improving HCAHPS Scores

Mar 16, 2015 8:45am ‐ Mar 16, 2015 9:45am

Identification: 752

In this roundtable discussion, the HCAHPS task force will facilitate a guided discussion in which attendees can discuss HCAHPS challenges and brainstorm solutions.  A suggested plan of action on how to make patient experience a part of other routine activities will be discussed along with tools from the HCAHPS monograph which includes checklists, forms, case studies, and other resources.

This session will enable attendees to: 
  • Identify challenges and solutions for your facility.
  • Discuss current HCAHPS case studies and research.
  • Assess tools and resources.
  • Discuss success stories and ideas 

Engineering Behavior to Reduce Energy Consumption

Mar 16, 2015 8:45am ‐ Mar 16, 2015 9:45am

Identification: 783

Can energy consumption be reduced simply by influencing the behavior of building occupants? This session will introduce behavior engineering strategies from other industries that have particular application to the health care industry. The presenters will discuss how this new type of engineering  can be applied to influence the ways in which people experience and affect their environments, increasing the engagement of health care staff in efforts to reduce energy consumption and thus reduce costs and benefit the health care organization and its healing mission.

This session will enable attendees to:
  • Explain the fundamental principles for engineering human behavior to reduce energy consumption.
  • Identify how changes in energy consumption behavior are similar to and reinforce positive changes in personal health behavior.
  • Work jointly with colleagues across an organization to apply behavior change strategies to reduce energy consumption.
  • Describe how two health care systems implemented simple strategies for changing staff behavior to achieve reduced energy consumption without capital cost.

The Transition from Construction to Maintenance: A Case Study of Building a Survey-Ready Hospital

Mar 16, 2015 8:45am ‐ Mar 16, 2015 9:45am

Identification: 726

The University of Texas Medical Branch is building two new hospitals (257,000 and one million sq. ft., respectively), both of which will be completed in 2015. The owner defined data necessary for the hospitals to be Joint Commission Environment of Care (EOC) survey ready on Day One, as well as data needed to ensure a smooth transition from construction to operations and maintenance. The data was defined during design, standardized during construction, and used during commissioning. This formed the basis of our building information management (BIM) system.

This session will enable attendees to:
  • List requirements for new hospitals to be survey ready on Day One in relation to the EOC standards of The Joint Commission.
  • Identify requirements for a smooth transition from new hospital construction to operations and maintenance.
  • Assess the use of BIM for a new construction project as it relates to owner requirements for operations, maintenance, and regulatory compliance.
  • Describe the benefits of BIM as a Lean construction tool.

A New Way Definition of Flexibility for Tomorrow's Health Care Environment

Mar 16, 2015 8:45am ‐ Mar 16, 2015 9:45am

Identification: 739

Health care delivery is changing in response to shifts in the reimbursement system from a volume- to a value-based model. This evolution fundamentally changes how we need to consider the concept of flexibility in health facility planning, design, and operations. Historically, space was considered a revenue driver and hospitals added flexibility by building more and larger rooms. However, these spaces will increasingly become cost centers as providers are rewarded differently and the focus moves to efforts to improve health and reduce health care utilization. This session will provide attendees with new approaches to planning for flexibility for tomorrow’s health care environment and will enable them to:  
  • Optimize operational processes to increase capacity and system flexibility.
  • Focus investment on lowest cost care platforms.
  • Maximize capacity and system flexibility. 
  • Evaluate facility/real estate partnership potential (buy vs. own).

Using Lean Concepts to Simplify Complex Heath Care Construction Projects

Mar 16, 2015 8:45am ‐ Mar 16, 2015 9:45am

Identification: 610

This presentation will focus on how the project team on the 450,000 square foot expansion of the Nemours/Alfred I. DuPont Hospital for Children leveraged pull planning, work structuring, and a production system design approach to standardize the process for building out a five-story hospital atrium. Presenters will demonstrate how the team was able to identify simpler process approaches to constructing what initially appeared to be a complex product design.

This session will enable attendees to:
  • Describe how the team applied Lean principles to manage the construction of the atrium.
  • Identify steps for managing more successful pull planning meetings.
  • Assess challenges associated with changing the culture to embrace Lean principles, tools, and techniques. Discover the potential benefits of pull planning on your project.

The Amazing Results of Collaboration Between the Design Team and Clinical Leaders at Grady Memorial Hospital, Atlanta

Mar 16, 2015 8:45am ‐ Mar 16, 2015 9:45am

Identification: 607

This session focuses on a design team collaborating with key clinical leaders during the design process to define future workflow patterns in an urban ED caring for more than 100,000 patients a year. Grady Memorial Hospital is experiencing amazing length of stay reduction and increased patient satisfaction results (from first percentile to better than 85th percentile) due to a proactive approach to operational redesign as part of the architectural design process.

This session will enable attendees to:
  • Describe a comprehensive operational and physical redesign process.
  • Discuss process components crucial to project success in the short and long term.
  • Obtain clinical leader buy-in as a major driving force for the design team.
  • Identify flexible and efficient design components in a large, urban emergency department.