Risk-Based Thinking in the Physical Environment

Jul 19, 2022 2:15pm ‐ Jul 19, 2022 3:15pm

Identification: ASHE22-1029

Credits: None available.

ISO 9001:2015 is a quality management system (QMS) that applies "risk-based thinking" concepts and assists health care organizations with understanding and formalizing internal and external processes based on various levels of risk. Applying risk-based thinking concepts promotes the preventive action approach by installing sustainable, effective processes that promote continuous improvement.

Learn how to get ahead of various challenges related to facility management, life safety management, safety and security, hazardous materials, emergency management, medical equipment and utility management systems. Including ISO 9001:2015 QMS concepts will not only help your organization avoid getting caught with unexpected findings during your accreditation survey, but more importantly, it will improve the safety of the health care environment for patients, staff, visitors and the general public.
Learning Objectives:
  • Apply QMS concepts to the physical environment.
  • Apply PDCA to the physical environment.
  • Determine resources and measure competence for staff.
  • Identify common QMS findings in the physical environment.

Sustainability Trends, Technology and ESG Program Development

Jul 19, 2022 2:15pm ‐ Jul 19, 2022 3:15pm

Identification: ASHE22-1030

Credits: None available.

Sustainability leaders from general business and health care will discuss trends and technology for sustainability strategies that directly contribute to key health care performance metrics such as safety, reliability and compliance. Presenters will outline a playbook for developing a sustainability strategy that aligns with energy management and cost reduction initiatives and intersects with local, national and global trends for health and social equity.
Learning Objectives:
  • Develop and communicate business cases for facility investments tied to health care performance metrics and national and global sustainability trends that will solve ongoing energy-, operational-, and compliance-related challenges.
  • Assess current strategies for energy reduction and operational improvements against new technology available in the marketplace for better outcomes.
  • Explain the importance of sustainability planning and how it directly impacts facility operations, emergency preparedness and national trend alignment.
  • Identify a path to great energy efficiency, more cost-effective operations and sustainability leadership at any level.

Medical Gas Responsibility and Reliability

Jul 20, 2022 7:15am ‐ Jul 20, 2022 8:15am

Identification: ASHE22-1032

Credits: None available.

Are you prepared for a new permit-to-work requirement for your medical gas and vacuum systems? The next edition of NFPA 99 requires that a designated on-site responsible facility authority be identified to oversee the operation and management of these critical systems. In addition, NFPA 99-2021 will expect health care organizations to implement a permit-to-work system for the maintenance, repairs, periodic inspections and new construction activities for these systems. This presentation will review the new requirements for identifying the responsible facility authority and the qualifications necessary for this position, as well as provide an overview of the permit-to-work system.
Learning Objectives:
  • Describe the new requirements for identifying a responsible facility authority for the medical gas and vacuum systems.
  • Describe the permit-to-work system concept as well as the all-hazard approach to this system
  • Review and adhere to the policies and procedures for a successful permit-to-work system.
  • Summarize the NFPA 99 system category requirements and how to handle compliance findings, risk assessments and the new inspection requirements for new construction projects.

Mayo Clinic Best Practices - Building Systems Cybersecurity Compliance

Jul 20, 2022 7:15am ‐ Jul 20, 2022 8:15am

Identification: ASHE22-1033

Credits: None available.

Cybersecurity is a major concern for health care providers, and today’s cyberthreats can affect facilities equipment and utilities just as seriously as they affect information technology (IT) systems and clinical equipment. A hospital can be shut down if its HVAC system is hacked during a heat wave. Even a temporary interruption of refrigeration can destroy medicine, tissue samples or organs awaiting transplant.

Mayo Clinic has integrated and operationalized two technologies that provide a centralized database of facility, clinical engineering and Internet-of-Things (IoT) devices and automate the processes for providing their cybersecurity. Mayo has built the process to provide increased compliance relative to recent changes to federal law, which have enabled hospital systems to mitigate their organizational liability in the event of a cybersecurity breach when good faith efforts are made to implement recognized best practices of the industry. These practices, which are operationalized in Mayo’s solution design, necessitate a whole-hospital approach to cybersecurity. Cybersecurity is a team sport. Demonstrating meaningful, good faith adherence involves not only HTM and IT personnel but facility and maintenance staff as well. This session will examine the solution developed by Mayo, the best practices recognized by the Department of Health and Human Services, and why they apply to IoT outside of medical devices.
Learning Objectives:
  • Distinguish between operational technology (OT), information technology (IT), and facility equipment categories of hospital IoT and explain why facilities management leaders should care about cybersecurity.
  • Identify the fiscal, legal and operational consequences of data loss and network breaches.
  • Explain Mayo Clinics’ solution and how other health care organizations can implement similar practices.
  • Differentiate cybersecurity initiatives likely to be found as "good faith" by HHS from those probable to be considered inadequate.

Exploring Facility Models for Emergency Mental Health

Jul 20, 2022 7:15am ‐ Jul 20, 2022 8:15am

Identification: ASHE22-1034

Credits: None available.

New models of care are beginning to emerge that address both the overcrowding issues related to and the delivery of care appropriate for patients in a mental health crisis. In this session, presenters will walk attendees through these developing models, including behavioral emergency centers, protocols for emergency psychiatric assessment and treatment, and the development of med-psych hybrid spaces. Case studies will show how various organizations are addressing the need for safe care spaces, including flex emergency rooms for facilities with lower average daily census and therapeutic spaces that promote patient mental health and dignity.
Learning Objectives:
  • Explore emergency psychiatric assessment and treatment models to mitigate mental health patient overcrowding in the emergency department (ED).
  • Explore flexible treatment room models that can be used for medical or mental/behavioral health patients in the traditional ED.
  • Describe how to apply behavioral health safety strategies within the ED environment.
  • Assess environmental elements that can reduce the use of restraints and seclusion in mental.

Preparing for the Inevitable: Mitigating Climate Threats to Hospitals

Jul 20, 2022 7:15am ‐ Jul 20, 2022 8:15am

Identification: ASHE22-1036

Credits: None available.

The changing climate poses a major threat to health care providers because natural disasters often disable health care facilities at the precise time their services are needed most. Before beginning to design their new medical campus in Pensacola, Fla., Baptist Health Care called on Gresham Smith to research how the area’s severe weather events and changing climate conditions could impact the campus during the next 100 years. Using this project as a case study, presenters will discuss the drivers in accounting for future climate conditions when making capital investments and the process to do so in a design and construction project.
Learning Objectives:
  • Explain the long-term benefits of utilizing climate-resilient design when planning for projects.
  • Identify resilient design strategies to keep a hospital operating during extreme weather events and protect patients from care interruptions.
  • Discuss how to holistically design a multiuse hospital campus to mitigate climate threats.
  • Identify the data, research and design team functional areas needed to determine which services are the most critical to keep online.

The Joint Commission Updates

Jul 20, 2022 8:30am ‐ Jul 20, 2022 9:45am

Identification: ASHE22-1037

Credits: None available.

The Joint Commission (TJC) has added new Water Management Program requirements and Life Safety Code standards for business occupancies. In addition, TJC has modified its survey process to evaluate Environment of Care and Emergency Management compliance. This session will review these additions and modifications as well as introduce key takeaways from the public health emergency.
Learning Objectives:
  • Describe new Water Management Program requirements
  • Adhere to new Life Safety Code requirements for business occupancies.
  • Discuss takeaways from the public health emergency.
  • Identify compliance best practices.

Ask the Surveyor

Jul 20, 2022 8:30am ‐ Jul 20, 2022 9:45am

Identification: ASHE22-1038

Credits: None available.

This will be a panel-type open discussion where the participants can ask DNV surveyors questions concerning the survey process, top findings, challenges hospitals are having with surveys, best practices, standard changes and hot topics. The panel will consist of three current DNV employees including a NFPA 101 code expert, an ISO 9001 expert and a top executive from DNV.
Learning Objectives:
  • Identify challenges that hospitals are having with the survey process.
  • Ensure proper physical environment documentation.
  • State current best practices observed across the U.S.
  • List secrets to a successful survey.

Standards and Codes

Jul 20, 2022 8:30am ‐ Jul 20, 2022 9:45am

Identification: ASHE22-1039

Credits: None available.

Accreditation Commission for Health Care (ACHC) is adding emergency management program requirements and publishing some tools for physical environment, emergency management and life safety compliance. This session will review these additions and modifications as well as introduce key takeaways from survey experience and post-survey corrections.
Learning Objectives:
  • Describe upcoming changes to ACHC standards.
  • Analyze strengths and weaknesses on surveys.
  • List the top cited deficiencies.
  • Write a successful plan of correction.

Closing Session: Hospital Supply Chain: What in the World Do We Do Next?

Jul 20, 2022 10:00am ‐ Jul 20, 2022 11:00am

Identification: ASHE22-1040

Credits: None available.

As we move further into year three of the pandemic, we are faced with a growing scope of supply chain and raw material shortages and disruptions. Come to this session to learn and actively discuss the pre-COVID supply chain, the evolution of the pandemic and supply shortages, and key, strategic areas of focus as we reimagine the health care supply chain.
Learning Objectives:
  • Analyze the perfect storm of supply chain and other issues as COVID-19 spread across the United States.
  • Describe the evolution of supply shortages and disruptions as the pandemic progressed.
  • Identify the key factors leading to supply and raw material shortages and disruptions.
  • Discuss key strategic themes as we reimagine the health care supply chain.