NFPA 2017 in Boston will bring several key issues to the floor for vote by the membership. It is important that every ASHE member and others involved in the health care physical environment be there to discuss the important issues.

Learning Objectives:

• Describe the public consensus process of the standards development world.
• Discover some of the past challenges with changes in the code development process.
• Identify how to help shape the future of health care design.
• Develop a plan of action to attend the NFPA conference and see change happen.

This session will bring the renowned lean continuous improvement techniques pioneered at Thedacare to the ASHE audience. It will be a brief training in the application of one of these techniques to energy consumption. We will learn from each other; we will leave the session knowing a bit about the powerful Thedacare continuous improvement techniques, as well as with new ideas from the pool of attendees to help advance our own energy reduction agendas.

Learning Objectives:

• Describe how Thedacare ignored, and then discovered its energy opportunities.
• Explain the Thedacare continuous daily improvement techniques.
• Use the Thedacare A3 process to develop ideas for advancing energy efficiency in a health care setting.
• Share energy consumption ideas generated by the session attendees.

Experts from Siemens and EPAM will examine the challenges of designing, prototyping, and delivering the patient room for the next generation of health care facilities. The hospital room of the future will deliver an innovative experience to patients and families, enabling tools for clinicians, and automation for facility engineers. The panel will present and discuss the latest technology solutions for the patient room and how converged design can improve patient outcomes, decrease readmission rates, and improve clinical workflows.

Learning Objectives:

• Identify critical input needed from clinicians and patients before beginning the design of a new health care facility.
• Describe challenges with technology obsolescence and refresh cycles.
• Explore the changes in patient interfaces and how those changes affect the design of the entire patient room envelope.
• Explain the effect of personal mobile devices on facility design and operation.

Cedars-Sinai Medical Center has high standards for the delivery of care and patient experience, and building systems must also meet this high standard. Under this premise, the facility staff is undertaking a strategic planning effort to assess and address engineering systems. The presentation team will share the process for identifying major engineering equipment to create recommendations for maintaining the equipment and will walk through typical infrastructure challenges faced, not only by Cedars-Sinai, but also by similar facilities as a campus ages. Beyond general maintenance and upgrade issues, the team will discuss sustainable options to optimize system performance that could be implemented in conjunction with facility maintenance and upgrade efforts.

Learning Objectives:

• Create a method for evaluation and assessment of existing engineering systems.
• Discuss maintenance issues and replacement strategies in an existing functioning health care facility.
• Create a checklist for protocol for construction projects in an existing facility to ensure alignment in system performance and equipment.
• Explain how sustainability can be implemented in conjunction with engineering system general maintenance and upgrades.

A design diagnostic offers a comprehensive tool to quantify the environmental and human experience of an environment. At Christiana Care Health System, the design diagnostic identified the configuration of the space into cores as inefficient. Behavior mapping revealed crowding in the ED and family and patients in non-patient areas. This material informed the design of the future ED. This session focuses on the process and uses of a design diagnostic, the implementation of the tool, and the effect on planning an ED.

Learning Objectives:

• Identify the benefits of analyzing facility design, human experience, and organizational efficiency in care environments.
• Describe tools used in assessing an existing environment.
• Assess existing environments using tools from a design diagnostic.
• Explore a case study where a design diagnostic was used to inform design.

Health care organizations are leveraging community and facility environments to engage patients, encourage healthy behaviors, improve access to care, and improve population health outcomes. The session will focus on possible outpatient facility design solutions and their implementation in organizations that are leading the endeavor to achieve the Quadruple Aim: improving the patient experience, improving quality and safety, reducing costs, and retaining staff. A health care CEO will share real-world experiences of implementation and evaluation across multiple sites.

Learning Objectives:

• Consider various perspectives and solutions around population health.
• Describe lessons learned around population health implementation.
• Describe the process of design innovation and evaluation focusing on population health.
• Explain how facility design can support a strategic goal of population health.

This unique session features a discussion on the future of health care from the students who represent the future of our field. Flexibility in health care will be critical in the future, and this session explores ways to design for streamlined housekeeping, flexible mechanical systems, continuous commissioning, and new technology. This session will present ideas from the next generation of professionals–the ones who will be responsible for designing and building health care facilities in years and decades to come.

Learning Objectives:

• Explain the importance of flexibility in designing and building health care facilities
• List ways to create spaces that accommodate flexibility in mechanical systems
• Identify technology considerations to keep in mind when designing facilities
• Discuss ideas from future leaders in the health care planning, design, and construction field

Please Note: ASHE was not allowed to record this session.

The list of revolutionary forces bombarding hospitals and health systems is long and growing. Systemic changes in the foundations of health care are occurring relating to who pays for care, how providers are reimbursed, and how patient behavior changes when they become consumers. As if those challenges weren't enough, we are seeing people being "hospitalized" at home, health care moving to a retail format, disruptive technology and consumerism threatening the legacy players - and WE are the legacy players. This presentation will review the gathering disruptive forces that threaten our business models and our models of governance and leadership, and will challenge leadership to lead in new ways with new metrics of success.

• List the macro forces converging to put revolutionary pressure on the U.S. health care system in general and hospitals and health systems in particular.
• Explain likely impacts on hospitals and health systems in different scenario-based situations.
• Discuss the consequences of failing to respond to these environmental and political pressures.
• Describe practical leadership strategies and techniques to maintain the relevancy of your organization in the face of these trends.

This session will be an interactive polling and panel session that will discuss the future of health care design and how population health and value-based care will affect the future hospital campus. This session will be the first part of a multiple part series that will compare results from different demographics and their thoughts on the future of health care.

Learning Objectives:

• Determine the direction of health care by audience participation.
• Discuss the polling results with an expert panel.
• Compare polling results from other demographics to determine alignment of priorities and principles.
• Create, through the results of the polling, a comparative study that will identify the common goals and directions of the industry.

Health care organizations require a new model of care to address population health and rising costs. The University of Mississippi Medical Center has leveraged technology and strategic partnerships to improve the health and welfare of the least healthy population in the United States. Their telehealth program has become a model of success. The effect on health outcomes, disease management, cost of care, and access to care is enabling the University of Mississippi to fulfill its mission of creating a healthier Mississippi.

Learning Objectives:

• Explore the challenges in setting up a telehealth program.
• Learn the technology and infrastructure requirements to support a telehealth program.
• Discover research data to show the success of the UMMC telehealth program.
• Describe how telehealth, an innovative model, is eliminating barriers to access and quality of care.