NFPA Requirements for PDC

Mar 15, 2017 7:30am ‐ Mar 15, 2017 8:30am

Identification: 1785

Credits: None available.

This session will discuss the new provisions of the 2012 NFPA 101: Life Safety CodeĀ® and NFPA 99: Health Care Facilities Code adopted by CMS and what will most likely affect the design of health care moving forward.

Learning Objectives:

  • Explain the basis for the changes in NFPA 101 and NFPA 99.
  • Take advantage of the new provisions and work with authorities having jurisdiction to employ new operational strategies.
  • Apply new provisions of the codes to current and future health care design.
  • Identify what you can do to get involved in future changes to the codes and standards.

How You Can "Own" ASHRAE Standard 170 for HVAC Systems

Mar 15, 2017 8:40am ‐ Mar 15, 2017 9:40am

Identification: 1540

Credits: None available.

This presentation provides an overview of the evolution of ASHRAE Standard 170: Ventilation of Health Care Facilities, including errata, addenda, and official interpretations as well as insights as to what technical issues are currently being investigated. The presentation will focus on design and construction issues including planning. Examples and common problems and their resolutions will be shared. The presentation will focus on systems start up, operation, and maintenance issues related to new construction and renovation projects, ICRA, documentation, accreditation, commissioning, and recommissioning.

Learning Objectives:

  • Establish project compliance with respect to Standard 170.
  • Identify HVAC system design parameters.
  • Identify specific room-by-room fit-out features.
  • Assess planning/operation/maintenance requirements.

No Bump in the Night (or the Day): A Finish-Out Success Story

Mar 15, 2017 8:40am ‐ Mar 15, 2017 9:40am

Identification: 1474

Credits: None available.

When the time comes to build out shelled space, owners can be faced with constraints related to design, operations, schedule, and phasing, not to mention facing a major construction project in the midst of an operational hospital. This session will present the story of Phoenix Children's Hospital and some of the innovative tools used by the design and construction team. The owner will also present strategies used to accommodate the patients, families, and staff on the neighboring units during construction.

Learning Objectives:

  • Develop observations from your current state to inform optimal future state environments.
  • Employ full-scale departmental mockups to improve the final design and increase staff and contractor buy-in.
  • Develop effective communication strategies with staff during construction, and understand how to reduce noise and disruptions in an active facility.
  • Empower staff to become champions of the design and construction process, and create enthusiasm and ownership over the finished product.

Planning for Security in Emergency Departments

Mar 15, 2017 8:40am ‐ Mar 15, 2017 9:40am

Identification: 1459

Credits: None available.

Security was an early design consideration for the Fairview Southdale Emergency Department addition. From planning for behavioral/mental health patients to mass casualty situations, the design and construction team focused on zones, control points, circulation routes, and egress paths to keep patients and staff safe during different high-stress situations. This session diagrams the unique security challenges and solutions designing emergency departments for wide demographics, highlighting lean strategies to increase operational efficiency and safety.

Learning Objectives:

  • Describe the impact of behavioral/mental health patients in the emergency department.
  • Define security zones and protocols for patients, families, and caregivers in sometimes volatile situations.
  • Address process improvement strategies to monitor and safeguard patient movement within the ED, prevent patients from leaving undetected, and handle frequent fliers (return) patients.
  • Identify lean processes for improving protocol for mass casualty situations.

Power Play: Begin With the End in Mind

Mar 15, 2017 8:40am ‐ Mar 15, 2017 9:40am

Identification: 1532

Credits: None available.

Hospitals are some of the largest energy-consuming buildings in the United States and are built to last 50 or more years. Best efforts are made to build the most functional, best looking, and most efficient buildings. However, when it comes to value engineering to reduce construction cost, what is considered value? Upfront cost? A 5-year simple payback? Learn how the EPA's Portfolio Manager can help benchmark the proposed building during the design phase. See how your design stacks up to real buildings nationwide.

Learning Objectives:

  • Assess whether the metrics used during the value engineering process are providing the best value for hospitals.
  • Discuss the correlation between hospital age and ENERGY STAR score of Ohio's 100 hospitals in the Ohio Hospital Association database.
  • State real examples of energy inefficient hospitals that are less than 10 years old and the savings lost by not designing for energy efficiency.
  • Explain the ENERGY STAR Portfolio Manager design feature and how it can help architects and engineers get a benchmark during the design phase of a project.

Bringing Comprehensive Musculoskeletal Care Closer to the Community

Mar 15, 2017 8:40am ‐ Mar 15, 2017 9:40am

Identification: 1524

Credits: None available.

The Yale-New Haven Health System and Yale School of Medicine established a Center for Musculoskeletal Care in Stamford, Connecticut. The center brings comprehensive musculoskeletal services into the community and enhances coordination throughout the multi-disciplinary facility. When there is more dialogue between providers, resources are used better, driving lower health care spend per patient. This session examines the impact of the design of a multi-disciplinary clinic on staff efficiency, communication between providers, value and quality of care, and the patient experience.

Learning Objectives:

  • Establishing the importance and role design can play in driving a better patient experience.
  • Identifying the need for a highly collaborative, multi-disciplinary atmosphere that promotes efficiency and improved patient outcomes.
  • Developing and implementing brand standards across the ambulatory setting.
  • Aligning patient's needs with facility needs in a flexible environment including both private and provider based services.

Area Calculations for Hospitals: Are You Planning With the Best Information?

Mar 15, 2017 8:40am ‐ Mar 15, 2017 9:40am

Identification: 1786

Credits: None available.

Texas A&M University, with support from Herman Miller, the Academy of Architecture for Health Foundation, and Alberta Infrastructure, conducted a research study of recently constructed North American hospitals to measure net gross ratios, building gross ratios, and the allocation breakdown within building gross components. This session presents the methodology and procedures used to measure the projects, and the important lessons learned in calculation methods. A survey and analysis of the past and present rule of thumb ratios used by the profession will be discussed in relation to the results of the study. The status of the research study, current results, and interesting conclusions that could impact assumptions in contemporary hospital space programming will be shared.

Learning Objectives:

  • Describe how precision and consistency of area calculation methods can improve benchmarking internally and externally.
  • Explain how area allocations in recent hospital designs compare to past and present 'rules of thumb'.
  • List components that make up the elements calculated as part of the building gross ratio.
  • Discuss the value of consistently applying the methods from this study in your own practice.

Prescription to Move: Designing Active Environments

Mar 15, 2017 8:40am ‐ Mar 15, 2017 9:40am

Identification: 1787

Credits: None available.

Active design includes innovations adopted by hospitals and health systems to encourage physical activity. This session will discuss how innovations adopted by hospitals and health systems can encourage physical activity and give patients, visitors, and staff opportunities to engage in active transportation such as biking, walking, and using public transportation.

Learning Objectives:

  • Identify the principles of active design.
  • List opportunities to incorporate active design with little or no cost to a project.
  • Explore case studies where active design has made improvements to occupants' health and well-being.
  • Discuss ways to approach active design concepts with hospital leadership and decision makers.

Designing Community Health Clinics and Retail Centers in Kenya: An Interdisciplinary Approach from Texas A&M University

Mar 15, 2017 9:50am ‐ Mar 15, 2017 10:50am

Identification: 1788

Credits: None available.

This session will explore how students at Texas A&M University created next generation health facilities in Kenya with the goal of promoting health and preventing disease. The yearlong effort involved 80 architecture and landscape students and four faculty members, and resulted in design concepts for dozens of primary care centers in Kenya and a biomedical industrial city proposed near the Kenyan capital, Nairobi. The designs considered human health, economic health, animal health, and environmental health.

Learning Objectives:

  • Describe the challenges and issues in undertaking an international research and design effort
  • List steps to approaching an international project
  • Explain the health problems Kenya experiences
  • Improve communications between the client/owner and the design team

Designing and Transitioning to a Private Room NICU

Mar 15, 2017 9:50am ‐ Mar 15, 2017 10:50am

Identification: 1466

Credits: None available.

When MedStar Franklin Square was planning the relocation of an open-bay NICU to create private patient rooms, the challenges involved getting clinicians, administration, and families to align on the project vision to maintain the highest level of care. This session will look into the design process and how designers and clinicians worked together using design and technology to focus on a patient- and family-centered environment.

Learning Objectives:

  • Identify operational challenges related to moving to a private room NICU.
  • Explain the integrated design process with key stakeholders.
  • Explore initial patient and family outcomes post-occupancy.
  • Identify design solutions to promote family-centered care.