Joint Commission Update on Accreditation

Jul 11, 2016 12:00pm ‐ Jul 11, 2016 12:15pm

Identification: MON100

Credits: None available.


Navigating, Identifying, and Interpreting NFPA 99

Jul 11, 2016 2:15pm ‐ Jul 11, 2016 3:30pm

Identification: 1394

Credits: None available.

This session provides an overview of NFPA 99: Health Care Facilities Code. This session includes how to generally navigate the code, where to find specific issues, and how the sections are applicable once found. Topics to be covered include risk assessments, medical gas and vacuum systems, essential electrical system, emergency management, and more. Other NFPA codes and standards referenced by NFPA 99 will be discussed.

Learning Objectives:

  • Describe how to appropriately navigate NFPA 99 to find the appropriate code requirements.
  • Define the risk based application of NFPA 99.
  • Review requirements for medical gas and vacuum systems and electrical systems maintenance.
  • Describe the code position on wet procedure locations, cylinder storage, and other frequently questioned topics.

Execution and Return on Investment of Reliability Centered Maintenance

Jul 11, 2016 2:15pm ‐ Jul 11, 2016 3:30pm

Identification: 1266

Credits: None available.

Reliability centered maintenance (RCM) is more than a predictive maintenance program. This session will explore the use of RCM and condition based monitoring (CBM) in the facility maintenance program and describe how to employ a RCM program. Attendees will take away an understanding of maintenance techniques used in RCM, how CBM techniques can simplify and reduce cost in a maintenance program, and the tangible benefits of RCM.

Learning Objectives:

  • Learn what CBM techniques to use, their measurements, and how to use the data to diagnose equipment problems.
  • Identify potential problems using CBM and avoid costly failures.
  • List the different CBM techniques and what equipment and systems can use them.
  • Assess potential savings by implementing a RCM program including performing an ROI.

Winner of 2015 Excellence in Health Care Facility Management Award for a 12 Step Process to Reduce Slips, Trips, and Fall

Jul 11, 2016 2:15pm ‐ Jul 11, 2016 3:30pm

Identification: 1396

Credits: None available.

The facility management team at St. Joseph’s Hospital, which is part of the BayCare Health System, set out to reduce falls in common areas of the hospital, such as hallways, waiting rooms, cafes, sidewalks, and parking lots. After 12 safety measures were implemented, the hospital recorded a 16 percent reduction in falls from the previous year. This session explores the changes made and ways to take a team approach to reducing slips, trips, and falls.

Learning Objectives:

  • Examine the circumstance(s) surrounding falls to determine their root causes.
  • Describe how risk management and workers compensation professionals determine whether a fall was preventable.
  • List proactive steps can be taken to prevent trips, slips, and falls.
  • Name ways the physical environment can be changed to lessen the risk of falls.

Safety Risk Assessment Toolkit – A Design Tool for Successful Outcomes

Jul 11, 2016 2:15pm ‐ Jul 11, 2016 3:30pm

Identification: 1316

Credits: None available.

The Center for Health Design has created an online tool to support the safety risk assessment (SRA) required by the 2014 Guidelines. This session shares the SRA tool with stakeholders so that they can begin using the tool on designs or in their own organizations. This presentation will describe the purpose and structure of the existing tool and describe what the next generation is going to include to assist health care designers and users construct safe physical environments.

Learning Objectives:

  • State how to apply the SRA tool in the design of health care facilities.
  • Describe the basics of how safety can be designed into health care facilities.
  • List the strategic value of designing safety into the health care physical environment.
  • Identify the critical features and elements of a well-constructed safety risk assessment.

Optimizing Safety and Reliability: Maintenance of the Modern Automatic Transfer Switch

Jul 11, 2016 2:15pm ‐ Jul 11, 2016 3:30pm

Identification: 1323

Credits: None available.

Equipment maintenance has long been referred to as “high risk and high reward” for health care facilities. The automatic transfer switch (ATS) is a critical part of power systems, and today's modern solutions aim to reduce the risk of downtime while enabling simplified maintenance procedures. The presentation will outline best practices for developing a maintenance plan and help attendees develop procedures to improve facility uptime and extend the life of ATS equipment.

Learning Objectives:

  • Describe ATS features and benefits leading to simplified maintenance and improved uptime.
  • Outline best practices for developing an ATS maintenance plan.
  • Develop procedures and guidelines for the proper upkeep of ATS systems to maximize facility safety and uptime while extending equipment life.
  • Illustrate the importance of routine equipment maintenance to stakeholders.

Managing the Environment of Care Using a System Approach

Jul 11, 2016 2:15pm ‐ Jul 11, 2016 3:30pm

Identification: 1263

Credits: None available.

Mergers and acquisitions are a way of life in the health care field. One of the major adjustments that individual facilities have to make involves incorporating system approaches to management of the facility, including managing the environment of care (EOC). This session presents ways to improve the overall management of the environment of care using a system approach. System best practices and lessons learned will be discussed.

Learning Objectives:

  • Decide whether to use individual committees or a system EOC committee.
  • Identify what changes will confront management plans.
  • Identify appropriate data to collect for oversight.
  • Report processes and changes from a system approach.

CMS and the 2012 Life Safety Code: Plan Your Compliance Strategy

Jul 11, 2016 2:15pm ‐ Jul 11, 2016 3:30pm

Identification: 1424

Credits: None available.

The 2012 edition of the NFPA 101: Life Safety Code® has been adopted by the Centers for Medicare & Medicaid Services (CMS) as part of its Condition of Participation (COPs). This session will introduce attendees to the latest provisions of the code for new construction as well as compliance requirements for existing facilities. The presenters will also discuss the next steps in getting this edition of the Life Safety Code adopted in states and will explain how attendees can help encourage local adoption.


Learning Objectives:

  • Identify the new CMS requirements for several different providers types
  • Distinguish the differences between facility provider types and the applicable sections of the code
  • Plan a compliance strategy for existing hospitals
  • Discuss the differences between the COPs and local regulations that may affect construction projects or operations

ASHRAE 170

Jul 11, 2016 2:15pm ‐ Jul 11, 2016 3:30pm

Identification: 1425

Credits: None available.

By adopting the 2012 edition of NFPA 99, CMS has adopted ASHRAE/ASHE/ANSI 170 for the first time as a Condition of Participation. This session covers the 2008 edition of ASHRAE 170 and addenda as referenced by the 2012 edition of NFPA 99. The session also discusses the addenda not adopted by CMS and potential conflicts that could arise from applying later editions of the standard.

Learning Objectives:

  • Explain the CMS adoption process and how ASHRAE 170 will be enforced.
  • Name the differences between the 2008 and 2013 standards.
  • Apply the most recent provisions while not creating conflicts with CMS standards.
  • Discuss the differences between the adopted rules and other standards and the future opportunities in updating the CMS rules.

Chapter Recognition & General Session: Power Play: ASHE’s Newest Strategic Imperative and How We’ll Achieve It.

Jul 12, 2016 8:30am ‐ Jul 12, 2016 9:45am

Identification: 1240

Credits: None available.

Many presentations discuss how to use commissioning to mechanically or technically reduce energy usage but few formal large scale presentations show facility managers how to simplify setting up measurement and verification data on energy reduction programs. How do facility managers document data on their energy savings efforts? How can they get recognized for their efforts? This session provides a broad range of information and tools that assist in improving knowledge on the programs, tools, and information available for them.

Learning Objectives:

  • Discuss goals and the progress of the sustainability imperative.
  • Identify how Energy to Care can benefit members with tools and resources
  • Describe what EPA's ENERGY STAR program offers health care facilities including the Portfolio Manager benchmarking tool.
  • Describe the results of the chapter energy challenge and how hospitals in Ohio and Texas are reducing energy consumption by more than four times the national average.