Managing Health Care Facilities to Meet Behavioral Health Need

Jul 18, 2022 2:30pm ‐ Jul 18, 2022 3:30pm

Identification: ASHE22-1010

Credits: None available.

Demand for behavioral health facility capacity is at an all-time high, with hospitals navigating upgrades to better care while under pressure from regulatory, legal and ethical commitments. Hear the story of one psychiatric hospital that has been affected by these factors. The discussion will touch on how behavioral health needs are impacting all levels of health care facilities, how to address the environment of care to provide safe and supportive places to accommodate patients across the spectrum, and what’s next for facilities at the center of this crisis.
Learning Objectives:
  • Explain the behavioral health capacity challenges faced by New Hampshire and other New England states and how those challenges are impacting all types of health care facilities.
  • Explore the experiences of one hospital project and how it has been directly affected by this crisis.
  • Articulate the strategies employed by public health entities to address systemic challenges and which funding opportunities are available.
  • Identify resources for appropriate environment of care modifications to safely accommodate patients with behavioral health conditions.

ENERGY STAR Score Changes for MOBs

Jul 18, 2022 2:30pm ‐ Jul 18, 2022 3:30pm

Identification: ASHE22-1011

Credits: None available.

You’ve heard it before: you can’t manage what you don’t measure. That adage is why the U.S. Environmental Protection Agency (EPA) created ENERGY STAR® Portfolio Manager®, a free online tool currently used by over 50% of U.S. commercial building space to measure and track energy and water consumption. To keep up with changes in building technology and practices over time, it is important for the ENERGY STAR scores generated from Portfolio Manager to be periodically updated. In this session, the EPA will provide information on the recent data survey of health care facilities and the new trends in energy usage identified that informed the ENERGY STAR 1-100 score update. Attendees will learn how this update impacts current scores, what they should do to prepare, and how to effectively communicate the update to senior leadership.
Learning Objectives:
  • Describe how energy use has changed in medical office buildings (MOBs) since 1999.
  • Explain EPA’s rigorous approach to creating new updated national energy benchmarks for health care spaces.
  • Identify the new inputs needed to receive an ENERGY STAR score and why they were chosen.
  • Detail how ENERGY STAR scores will change and what is needed for the updated version.

Heating Plant Upgrade Without Skipping a Beat

Jul 18, 2022 2:30pm ‐ Jul 18, 2022 3:30pm

Identification: ASHE22-1012

Credits: None available.

In the heart of central Illinois, SSM Health St. Mary’s Hospital in Centralia is an over 100-year-old hospital that has gone through many expansions and renovations throughout its tenured life. The heating plant, which provides steam and hot water for all critical operations, although well-maintained and reliable over the years, was in need of replacement. Upgrading the heating plant posed several challenges. To enable continued hospital operation, the project was phased over two years and designed over four bid packages.
Learning Objectives:
  • Collaborate with the owner, contractor and the design team to analyze design options with with the help of photogrammetry reality capture technology.
  • Describe how to split a project into multiple bid packages can lead to cost savings and final design advantages.
  • Develop a contingency plan for a multiyear vital infrastructure replacement project.
  • Explore how a health care organization might continue to operate during construction.

Elevator Modernization - There's Levels to It

Jul 18, 2022 2:30pm ‐ Jul 18, 2022 3:30pm

Identification: ASHE22-1013

Credits: None available.

This session will give attendees a general understanding of the different types and components of elevator systems including the various types of elevator modernizations. It will also cover the preparations of the existing elevators to ensure minimal service disruption during a modernization. Afterward, the session participants will be able to effectively understand the components and types of conveyance discussed in assessment reports and will be better equipped for in-depth technical discussions with elevator contractors and/or manufacturers. The main topics covered will include: a general overview of typical terms with breakdowns of the different major components, different types of elevators and the unique systems required for each, the requirements for emergency power, the different types of elevator modernizations for these systems, and what each type of modernization entails.
Learning Objectives:
  • Identify the major components of elevator systems within existing buildings.
  • Explain the key differences between various types of elevators.
  • Identify the installation and maintenance code requirements of elevators, as well as health and safety considerations for clean cab systems in a post-COVID environment
  • How to select the appropriate type of elevator modernization based on the facility’s needs.

General Session: ‘Decomplicating’ the Mystery around Reliability Asset Management

Jul 19, 2022 7:15am ‐ Jul 19, 2022 8:30am

Identification: ASHE22-1014

Credits: None available.

As health care facility professionals continue forward on the journey toward operational excellence, it is important to take a step back, examine the current state of the facility’s asset management philosophy and gain an understanding of how a focus on reliability can enhance the patient care experience.
Learning Objectives:
  • Describe how reliability-centered maintenance (RCM) is leveraged to determine the maintenance requirements of any physical asset.
  • Identify opportunities to evolve our outdated “just-in-case" calendar-based maintenance strategy towards reducing risk, based on evidence of need.
  • Present the Design, Instillation, Potential Failure, Failure (D-I-P-F) Curve and discuss failure patterns.
  • Think beyond preventative maintenance and begin to unlock the potential of condition-based maintenance and predictive maintenance.

Facilities Metrics: Utilizing Data & Technology to Drive Compliance

Jul 19, 2022 8:45am ‐ Jul 19, 2022 9:45am

Identification: ASHE22-1015

Credits: None available.

As health care continues to evolve, compliance with regulatory codes becomes more of a challenge. Learn how technology as a management tool improves the patient experience, operational efficiencies, quality and safety. Attendees will gain perspective from the facility to visualize how the management program fosters information sharing between all parties and provides an immediate visual overview of physical-environment-related issues. The audience will be provided with an overview on how management programs improve processes associated with the physical environment through data, technology and engagement.
Learning Objectives:
  • Describe how a data-driven organization utilizes technology to improve compliance.
  • Leverage technology to manage risks associated with the physical environment.
  • Engage leadership with executive reporting and management tools.
  • Discuss how NewYork-Presbyterian Hospital built a culture to achieve operational excellence.

Next-Level Indoor Air Quality: More Than Filtration

Jul 19, 2022 8:45am ‐ Jul 19, 2022 9:45am

Identification: ASHE22-1021

Credits: None available.

This session will be a deep dive into a process that enables engineering staff to assess, mitigate and manage their indoor environment without causing significant increases in costs associated with the energy used to deliver quality air, light and thermal comfort to patient care areas.
Learning Objectives:
  • Follow a detailed plan to assess indoor environment quality.
  • Create a detailed findings list to mitigate indoor quality risks to patient safety and health.
  • Execute detailed action plans to improve indoor environment to exceed compliance metrics and enhance patient safety and satisfaction.
  • Align indoor air quality measures with energy efficiency and reduction initiatives.

Fast-Track Completion with Multi-Trade Prefabricated Racks

Jul 19, 2022 8:45am ‐ Jul 19, 2022 9:45am

Identification: ASHE22-1017

Credits: None available.

Prefabrication has long been proven to support owner objectives in reducing the overall schedule for hospital builds and can be implemented to achieve fast-track construction. Learn how JV team Gilbane | Massaro achieved outstanding results utilizing off-site prefabrication at the Allegheny Health Network’s New Wexford Hospital and Parking Garage project in Wexford, Pa. During this roundtable discussion, representatives from owner AHN, construction manager Gilbane Building Company and plumbing and HVAC subcontractor W.G. Tomko will conduct a deep dive on the prefabrication process, detailing challenges and benefits of the prefabrication of racks for duct, plumbing, HVAC piping and insulation in this complex hospital project. The speakers will also give recommendations, lessons learned and best practices for future prefabrication opportunities. This Lean process is the future of construction in the health care sector and when strategically planned from day one with all parties, owners can expect their schedule and cost objectives to be achieved through its use.
Learning Objectives:
  • Identify opportunities for prefabrication during design stage.
  • Assess potential challenges and solutions during prefabrication.
  • Describe the benefits associated with prefabrication off-site.
  • Create a potential prefabrication schedule based upon new construction of a hospital.

The Importance of Maintaining Your DWV System

Jul 19, 2022 8:45am ‐ Jul 19, 2022 9:45am

Identification: ASHE22-1018

Credits: None available.

The drain, waste and vent (DWV) piping system in a building is a crucial component of the overall plumbing infrastructure. The majority of DWV piping systems are hidden below floors, behind walls and in ceilings. Out of sight, out of mind…that is, until your previously fully functional plumbing system has a problem. We will discuss:
-How to maintain your DWV system.
-System evaluation.
-Inspections.
-Best practices for drain cleaning.
-Building usage.
-Low-flow/no-flow fixtures.
-Sewer gases.
-Grease interceptors.
-Kitchen area.
-Coordination with housekeeping/identifying harsh cleaning chemicals.
Your building’s DWV piping is a living and breathing system and must be maintained properly to ensure a long and functional life. Proper evaluation, planning and budgeting are all possible if we realize the importance of properly maintaining your DWV piping. There is no “good time” for your DWV system to have a problem.
Learning Objectives:
  • Create a DWV maintenance plan or assess the readiness of a current one.
  • Identify best practices for your DWV system.
  • Eliminate practices that are detrimental to your DWV system.
  • Coordinate with others regarding maintenance schedules, planning and budgeting.

Combined Heat and Power: A Low Carbon Energy Resiliency Solution for Healthcare Facilities

Jul 19, 2022 8:45am ‐ Jul 19, 2022 9:45am

Identification: ASHE22-1019

Credits: None available.

This session will provide an overview of combined heat and power (CHP) applications in health care facilities; facilitate attendee participation through polling questions/peer discussion of energy resiliency’s value in health care facilities; highlight advances in prepackaged CHP systems; discuss and demonstrate use of the national electronic catalog of “plug and play” CHP manufacturers, solutions providers, engagement partners and trade allies; describe no-cost resources that are available through the U.S. Department of Energy to health care facilities to evaluate the technical and economic potential of CHP; and explain the newly articulated role of CHP in decarbonizing the grid now and into the future, including a technical explanation of CO2 emission savings comparison of CHP and other renewable energy resources.
Learning Objectives:
  • Discuss the potential opportunities and considerations involved in CHP installation.
  • Consider the suite of CHP benefits for individual facilities, including the newly articulated role of CHP in decarbonizing the grid.
  • Identify CHP’s role in reducing greenhouse gases.
  • Leverage the no-cost technical assistance services available to health care facilities through the U.S. Department of Energy’s Combined Heat and Power Technical Assistance Partnerships.