The Future of Behavioral Health Care: Rethinking Milieu

Mar 22, 2022 7:15am ‐ Mar 22, 2022 8:15am

Credits: None available.

Helping those experiencing an acute behavioral health crisis navigate it and return successfully to daily life is part of the mission guiding Cincinnati Children’s Hospital Medical Center’s replacement behavioral health facility at its College Hill campus. Beginning with the philosophy that the healing process is the result of treatment and treatment is based in programming, the new project implemented state-of-the-art thinking in therapy based on pilot study data conducted in the existing space. Through a cohorted curriculum-like daily structure, patients will experience a radical decrease in downtime. Learn how the design was informed by pilot study data indicating programming engagement and decreased downtime contribute to shorter stays, reduced time in restraint, less medication, and improved family engagement. Milieu types and scale suited to particular therapeutic needs and patient progress will be explored. We will share our evidence-based process for collecting and integrating diverse points of view as well as the challenges faced to design during the pandemic and adapt to increasing cost escalation while providing therapeutic spaces that promote wellness.
Learning Objectives:
  • Discuss the advantages of a curriculum based-program with patient cohort pods to target therapeutic work.
  • List variety and types of milieu needed to reduce patient aggression and promote engagement in treatment to promote safety and stress reduction for patients and staff.
  • Name specific design and program elements that reduce patient escalation and how this contributes to improved patient outcomes.
  • Integrate qualitative and quantitative data with a participatory design process that leads to more inclusive and responsive design.
  • N/A

The Crossover Medical Office Building

Mar 22, 2022 7:15am ‐ Mar 22, 2022 8:15am

Credits: None available.

The delivery of health care is evolving quickly and constantly. Expectations for ambulatory care and the types of treatments that are possible in the outpatient setting are particularly dynamic. As care migrates away from the traditional hospital, the ambulatory environment must anticipate sicker patients, more complex procedures, and higher demands for resiliency and reliability of technology. For all these reasons, the hospital-owned ambulatory care center is crossing over to look and perform less like a traditional medical office building and more like an outpatient hospital. This means robust standards for infrastructure, including highly reliable electrical systems, enhanced infection prevention, and high-performing exterior envelopes. This session will focus on the importance of planning for future flexibility within an ambulatory setting. The case study will focus on the core-and-shell planning process for a new outpatient facility housing multiple types of health care services including ambulatory surgery, faculty practice and cancer treatment.
Learning Objectives:
  • Identify types of technologies that will impact the planning of a clinical environment.
  • Develop infrastructure planning strategies to accommodate future health care program requirements.
  • Identify space planning techniques to strategically plan for future health care workflows.
  • Assess cost-effective strategies for implementation while considering the total cost of ownership for the building.
  • N/A

Supply Chain Impact on Health Care Project Delivery

Mar 22, 2022 7:15am ‐ Mar 22, 2022 8:15am

Credits: None available.

Come to a panel discussion about perhaps the greatest contemporary threat to on-time completion of health care construction projects: supply chain disruptions. Hear three representatives of leading organizations explain how to anticipate, manage and mitigate such risks. Discover which contracting models hinder or help solving the problem. Learn about planning techniques to identify your company’s vulnerabilities to this risk and to start reducing those exposures through a collaboratively developed risk register. The panel members will discuss the ways that supply chain disruption drives up insurance claim costs, the proactive practices of a national general contractor that manage and mitigate the impact of the issue, and the effects of on a health care organization when its projects are delayed. Attendees will receive useful takeaways to help in applying this knowledge after the summit.
Learning Objectives:
  • List the impacts of supply chain disruption on health care construction projects.
  • Take proactive steps to manage or mitigate the impact of supply chain disruption.
  • Describe the responsiveness of different project delivery models to supply chain disruption
  • Implement a collaboratively developed risk register in managing the impacts of supply chain disruption.

Greater of Two Evils: Hurricane in a Pandemic

Mar 22, 2022 8:30am ‐ Mar 22, 2022 9:30am

Credits: None available.

Though the COVID-19 global pandemic has dominated our daily lives and the health care space over the last two years, health care providers across the country have simultaneously faced additional varied and compounding emergency events including hurricanes, tornadoes, flooding, winter storms, utility outages and mass tragedies. Through thoughtful panel discussion between multiple health care provider representatives, attendees will hear retrospective lessons learned from real-world emergency events and how to apply those lessons to future planning, design and construction efforts. Discussion includes detailed lessons learned for hardening infrastructure, preparing emergency response plans, and integrating emergency plans into the PDC process in order to mitigate future event risks.
Learning Objectives:
  • Explain the importance of emergency preparedness planning at health care facilities and how to integrate those principles into the planning, design and construction process.
  • Identify lessons learned about the health care built environment from past emergency events and how to incorporate those into future planning, design and construction projects.
  • Describe the real-world application of the emergency preparedness plan for multiple simultaneous events.
  • Develop design recommendations that address emergency conditions during renovation and design projects.
  • N/A

Design Lessons Learned from COVID Ground Zero

Mar 22, 2022 1:00pm ‐ Mar 22, 2022 2:15pm

Credits: None available.

In this session, you will learn from leaders from the nation’s first hospital to respond to multiple COVID-19 patients, proving we were to experience a worldwide pandemic. CEO, Jeff Tomlin MD, and Director of Facilities, Kevin Kajita of EvergreenHealth, in Kirkland, WA will share lessons learned as to what worked in their facility and what could be designed in the facilities of the future to better respond to a pandemic.
Learning Objectives:
  • Understand the importance of facility planning by clinical staff and facility engineers, in preparing for a future pandemic.
  • Understand the importance of collaboration of clinical staff and facility engineers in modifying the facility to provide care during a viral airborne pandemic.
  • Understand the importance of facility design in caring for and protecting patients, families and staff from spread of disease during a viral, airborne pandemic.
  • Understand the Importance of designing flexibility into a facility that will respond to a future crisis.
  • N/A

Components of Patient Experience: Facilities Environment, Technology, Data

Mar 22, 2022 2:30pm ‐ Mar 22, 2022 3:30pm

Credits: None available.

Learn why it is important to focus on your P’s and E’s. P’s stand for patients, predictive analytics and projects, and the E’s are engagement, environment and economics. Minding your P’s and E’s will lead to planning, designing, implementing and managing your health care facilities more effectively. Join us for a roundtable session of health care leaders who will share insights from clinical, operational, technology and environmental perspectives, all which impact the way we manage our facilities. They will share best practices on how a patient-centric model and the data gathered from patients can help with the planning and managing of future facilities, resulting in a better patient journey, lower costs, happier patients and increased profitability. Data/ predictive analytics and patients' input lead the way
Learning Objectives:
  • Assess current facilities processes that are impacted by patients.
  • Assess current facilities processes that are impacted by patients.
  • Collaborate with clinical teams to leverage data to make design decisions that impact environmental outcomes for patients.
  • Discuss how leveraging technology in facilities has resulted in better patient experience which impacts financial strength of hospital.
  • N/A

Test Your Code Knowledge

Mar 22, 2022 2:30pm ‐ Mar 22, 2022 3:30pm

Credits: None available.

Understanding regulatory codes is essential for proper design 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. Test your knowledge with a live code quiz on NFPA 101, IBC and NFPA 99, including an open discussion of questions with a lower percentage of correct responses.
Learning Objectives:
  • Apply requirements of the NFPA 101-2012 as adopted by CMS and TJC.
  • Describe new code requirements in NFPA 101, 2018 and 2021 editions, IBC, 2015 and 2018 editions, and NFPA 99-2012.
  • Assess personal comprehension of regulatory codes based on correct responses to seminar questions.
  • Identify top code misinterpretations in various NFPA codes, including recent editions of NFPA 101, IBC and NFPA 99.
  • N/A

Data-Driven Metrics for Right‐Sizing Your Hospital

Mar 22, 2022 2:30pm ‐ Mar 22, 2022 3:30pm

Credits: None available.

With costs going up and funding buckets getting smaller, health care designers and construction managers are challenged to find new ways to reduce construction costs while positively impacting life cycle costs. And patient floors account for the largest amount of hospital program space. In this session you will hear firsthand from the researchers who conducted and analyzed a National Bed Tower Study that was published in the journal Health Environments Research & Design. Together with the executive director of facility services from the University of Rochester, the group asks: Is there an opportunity to reassess how to approach patient-floor design and construction based on a deeper understanding of trends and metrics? With data collected from 171 current hospital projects including patient-floor GSF; patient-room size; inboard versus outboard bathroom location; same-hand versus mirrored rooms; centralized versus decentralized nursing; and column spacing; this session is an indepth analysis of what the metrics tell us. The panel will provide owners and health care facility designers with knowledge and insight to benchmark their design to national averages, see what others are doing, and potentially offer ideas to right-size their space, thus reducing costs.
Learning Objectives:
  • Assess the reference data from a decade of design and the built environment to make informed decisions for future builds or analyze current facility layout.
  • Utilize the extensive range of data to validate and/or influence current projects and future master plans.
  • Determine the changes in health care design relative to past experience and what might be possible in the future.
  • List and describe the results of narrowing the data field down to the most.
  • N/A

Protecting Health Care Facilities Fire & Life Safety Systems Against Cyberattacks

Mar 22, 2022 2:30pm ‐ Mar 22, 2022 3:30pm

Credits: None available.

Cyberattacks are increasingly disrupting patient care and putting patient safety at risk. Data breaches have, for example, made emergency medical records inaccessible, diverted ambulances, delayed treatments, and canceled appointments and surgery. While data breeches flood the headlines, it’s not the only way cybercriminals can compromise patient safety. Attacks on fire protection systems can cause false alarms, loss of communication or denial of service, which can interrupt patient care and compromise safety. Fire protection systems are increasingly networked to Building Control Systems (BCS), Internet of Things (IoT), and other platforms that are, by design or oversight, exposed to the public-facing internet. This emerging environment exposes fire and life safety systems to unique and novel cyber vulnerabilities and attacks that have the potential for significant consequences. Any weak point in a building’s information technology infrastructure, including equipment, building systems, IoT devices and more, can be exploited and used as a pathway for attack. This session will review the expansiveness of cyber vulnerabilities for fire and life safety systems in health care facilities, the severity of consequences, tactics to mitigate these threats, the role of codes and standards, and how to reduce these risks.
Learning Objectives:
  • Recognize the expansiveness of cyber vulnerabilities for fire and life safety systems in health care facilities.
  • Assess the severity of the consequences as a result of the identified vulnerabilities.
  • Identify tactics to mitigate these threats in your facility and the role of codes and standards.
  • Develop insightful strategies to reduce these cyber risks
  • N/A

It’s Time to Update Your ICRA

Mar 22, 2022 2:30pm ‐ Mar 22, 2022 3:30pm

Credits: None available.

Project managers, contractors and facilities managers alike know how difficult it is to align the whole team around safe infection control practices during construction, renovation and maintenance (CRM) activities. After 25 years, ASHE recently released an ICRA 2.0 to make it easier for teams to assess projects. Furthermore, ASHE has developed training to help teams build better communication around the risks and controls in these situations.
Learning Objectives:
  • Assess infection control risks and controls during CRM activities using the ICRA 2.0 tool.
  • Practice the five-step ICRA 2.0 process.
  • Identify who should be on your ICRA 2.0 team for forthcoming CRM projects.
  • Strategize how to implement ICRA 2.0 at your site.
  • N/A