The AHA's Sustainability Roadmap (sustainabilityroadmap.org) continues to help health care facilities save critical dollars through simple integration of sustainable practices. The Roadmap brings together the best tools and strategies, shared by facility engineers, designers, business partners into a single resource. Its framework allows contributions but requires practical, vendor-neutral solutions. This year, members of ASHE's Sustainability Task Force will report on new developments taking place within the Roadmap and explain how your organization can participate in the Hospital Energy Efficiency Challenge (E2C). This session will enable attendees to:

• Contribute to and use the Roadmap and examine the benefits of adopting this toolkit.
• Discuss how to save costs by joining E2C.
• Examine how several leading hospitals and health systems have dramatically reduced energy and waste management costs while taking advantage of communication strategies around related community health benefits.
• Develop action plans and implement strategies for sustainability.

Over the last three years, the International Code Council's Ad Hoc Committee on Healthcare has made significant progress in aligning the I-Codes with current federal regulations, taking the next step toward consistency in building codes for health care facilities. In 2015 significant changes are coming to the International Building Code (IBC), which applies to new facilities. The International Fire Code (IFC), which affects ongoing inspections of existing facilities, had important victories in developing changes for the 2015 code. The presenters will outline the changes coming to the IBC and the proposed changes to the IFC finalized in the fall of 2013. This session will enable attendees to:

• Describe the differences between the requirements in the I-Codes and NFPA 101.
• Explain why it is important for the I-Codes and NFPA 101 to be aligned.
• Discuss changes to the I-Codes and how they will narrow the gap between the I-Code requirements and NFPA 101.
• Identify ways in which anyone can become directly involved in the outcome of the I-Code process to help sustain the gains that were made.

The pre-construction risk assessment (PCRA) is one of the most important and most underutilized tools available to health care facilities contemplating a construction project. Often the PCRA is completed just prior to the contractor performing the work and describes only the infection control requirements. However, incomplete or ineffective implementation of the PCRA can increase construction costs and put patients, staff, and visitors at risk. The goal of this session is to help the audience understand the value of the PCRA and its appropriate implementation. This session will enable attendees to:

• Define the major delivery stages of the health care planning, design, and construction process and the pre-construction risk assessment.
• Explore how the PDC risk assessment functions in the regulatory environment.
• Examine the pre-construction risk assessment and the expected outcomes.
• Select and implement the appropriate mitigation measures.

In 2012, ASHRAE and DOE released the Advanced Energy Design Guide (AEDG) for Large Hospitals, which gives recommendations for saving energy in large hospitals. This session will show how health care PDC professionals can use this guide. Using a combination of lecture and case study, the presenters will show participants how to apply the AEDG in the design, construction, and maintenance of new facilities and in existing facilities, helping them respond to rising costs and meet their sustainability needs. This session will enable attendees to:

• Compare facilities that follow AEDG for Large Hospitals to those that comply with ASHRAE 90.1-2004.
• List the key recommendations of the AEDG for Large Hospitals.
• Identify which recommendations are most practical for saving energy in existing facilities.
• Discover how a greenfield hospital achieved LEED silver status by incorporating many of the recommendations included in the AEDG for Large Hospitals.