Designing Critical Access and Rural Health Care Facilities

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

Identification: 1790

Credits: None available.

More than 29 percent of America's hospitals are either critical access or defined as rural health care facilities. In the pursuit to develop regulations, policies, and standard operating procedures we often forget about the unique challenges these small facilities face in complying with some of these requirements intended for their big brothers The design of these facilities often requires a creative, multipurpose approach.

Learning Objectives:

  • Identify the limitations of CAH's and similarities with small rural hospitals.
  • Review successful case studies where these facilities are able to meet community needs with a very small average daily census.
  • Identify some of the unique regulatory requirements for CAHs and some of the requirements that CAHs have difficulty meeting.
  • Develop strategies to identify how these hospitals can be used as a community hub for other activities.

Designing for the CMS Conditions of Participation

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

Identification: 1791

Credits: None available.

The 2012 edition of NFPA 101: Life Safety CodeĀ® 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 lead a discussion on the next steps for future Life Safety Code adoption and participation opportunities for attendees.

Learning Objectives:

  • Identify the new CMS requirements for several different provider types.
  • Distinguish 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.

Most New Hospitals Guzzle Energy: Keys to Break the Pattern

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

Identification: 1548

Credits: None available.

Modern hospitals consume nearly the same energy as those of the 1960s, lagging behind other building types. Yet some facilities stand far ahead in energy performance, resulting in an emerging market to retrocommission hospitals shortly after construction, often cutting utility costs 20 to 30 percent with little capital expenditure. Why build it twice? How can the planning team sell energy enhancements up front, rather than as a retrofit? This session will unpack the issue with clear examples and actionable steps.

Learning Objectives:

  • Evaluate the root cause of energy intensive health care design.
  • Navigate the barriers to adopting energy management best practices.
  • Identify common energy efficiency design opportunities left on the table.
  • Apply case study lessons learned to future capital planning projects.

USP 797/USP 800: Is Your Pharmacy Ready?

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

Identification: 1598

Credits: None available.

Sterile compounding pharmacies have become one of the most regulated areas in a health care facility. The regulations set forth by USP (United States Pharmacopeia) and local boards of pharmacy have been changing significantly, leaving even recently constructed pharmacies out of compliance. Many owners are trying to understand how the regulations will affect the built environment and how pharmacy staff will work within it. This presentation will address how to be in full compliance and the action steps for a successful outcome.

Learning Objectives:

  • Outline the proposed standards for USP Chapter < 797> Pharmaceutical Compoundingā€“Sterile Preparations Standards, and < 800> Hazardous Drug-Handling in Healthcare Settings and their dates of expected compliance.
  • Explain the importance of forming an integrated design team, which includes pharmacy staff, facilities, infection control, architects, engineers, and other key stakeholders.
  • Identify how local pharmacy boards are enforcing the USP standards.
  • Describe how to translate pharmacy operational processes into effective space planning that keeps staff and patients safe.

On-Site Power Solutions: The Benefits of Cogeneration

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

Identification: 1577

Credits: None available.

Clark Construction Group's Energy and Structured Finance (ESF) division is helping the University of Maryland Upper Chesapeake Medical Center to save millions of dollars, significantly reduce emissions, and increase reliability during prolonged power outages. Clark ESF designed a highly efficient two megawatt combined heat and power system, which serves as the primary power source for the hospital's electrical load. Using a unique partnership structure, Clark ESF delivered the system with no upfront costs to the hospital.

Learning Objectives:

  • Identify the benefits of a combined heat and power system as an on-site power technology
  • Determine the considerations when evaluating a combined heat and power system installation
  • Understand the financial benefits of using a power purchase agreement for implementation of a combined heat and power system, including mitigation of single point of failure of diesel generator for critical care loads
  • Articulate the benefits of turnkey delivery of a combined heat and power system as an on-site power technology