This session will demonstrate how health care facility managers can enhance margins through the concept of value analysis, which looks at current operating expenses to uncover potential cost savings without significant effect on the overall organization. This discussion will focus on the purchased services aspect of value analysis. Standard tools used for collecting data, preparing the business case, and developing an executive summary will be highlighted to help attendees create and develop their own value analysis projects.

Learning Objectives:

The co-field directors for Life Safety Code® surveyors for the Joint Commission will walk through the process of a Life Safet Code®survey. The presenters will cover topics including the agenda process, scoring, fire drill matrix, the numerator and denominator process, SAFER index, and Project Refresh. Successful tips for life safety, environment of care, and emergency management evaluations will be covered. The presentation will also discuss how to get answers to questions.

Learning Objectives:

• Take a step-by-step approach to the survey to prepare for success
• Learn about scoring and the impact it has on your report
• Discover new survey process initiatives
• Bring home tips for a successful Life Safet Code® survey

Despite the initial effectiveness of many retrocommissioning efforts, many facilities often see a savings degradation within the first 6 to 12 months after retrocommissioning is complete. This session will provide attendees with an overview of the common causes of retrocommissioning savings degradation as well as ways to combat this trend, including the use of energy scorecards, reinvestment of savings, utility management, effective training, and technology integration.

Learning Objectives:

• List the common causes of post-retrocommissioning savings degradation
• Identify ways to combat the issue of degradation
• Gather the tools to challenge the operational status quo

This lecture will teach key planning and monitoring considerations and how to collect, mine and distribute data that mitigates infection risk during construction, renovation, maintenance and repair projects within clinical care settings. Work activities and environmental disturbances, no matter how minor, pose an infectious risk for vulnerable patient populations. Building age, improvements, new medical technologies, increased patient acuity, are all occurring in a setting of patients who have greater medical complexity.

Learning Objectives:

• Describe planning elements
• Describe planning elements
• Discuss the value of data
• AList ways to use the data

This session will cover the basics components, categories, and outcomes of an intelligent health care campus master plan. Participants will also take part in an ideation style workshop similar to the one BayCare Health used to develop its plan. Implementation strategies, financial costs, and lessons learned will be shared to provide participants with a comprehensive view of intelligent campus master plan strategies that they can use on their campus.

Learning Objectives:

• Determine your campus’s current level of intelligence and develop a high-level intelligent campus plan
• Discover the top five energy strategies that contributed to about 80 percent of predicted savings at BayCare Health
• Recognize why change management is a key strategy to implement an intelligent campus and learn via examples on strategies that work
• Leave with knowledge of components of an intelligent campus including key performance indicators, long-term data storage, construction standards, preventative maintenance procedures, technician training, and change management

In this session, ASHE's codes and standards experts will discuss emerging codes and standards issues facing health care facilities and offer answers to specific questions. Attendees are invited to ask questions about any of the codes and standards related to health care facilities before this session and can turn them in to the Learning Lounge that will be located on-site near registration. NFPA 99: Health Care Facilities Code and NFPA 101: Life Satey Code® will be addressed.

Learning Objectives:

• Describe code the compliance issues that health care facilities commonly face
• Discuss changes needed in health care facility regulations and how to support efforts to enact them
• Identify means of meeting NFPA 99 and NFPA 101 requirements that often result in survey citations
• Explain the unique and important role of health care professionals in the development of codes and standards used to regulate health care facilities

Hospitals are increasingly in need of water risk management planning to reduce and eliminate the possibility of waterborne illness. ASHRAE recently published the new standard ASHRAE 188-2015 to establish minimum requirements for building water systems. To assist members in complying with the new standard, ASHE has published a monograph that provides detailed guidance on the development and implementation of a water management program. This session offers a review of the newly published ASHE water management monograph.

Learning Objectives:

• Understand the importance of a water management program
• Develop a water management program to protect patients, visitors, and staff from waterborne pathogens
• Meet the water system requirements of CMS Condition of Participation §482.42 Infection Control
• Meet the requirements of ASHRAE Standard 188

This session explains the safety inspection and testing requirements of NFPA 101-2012: Life Safety Code® and NFPA 80: Standard for Fire Doors and Other Opening Protectives. Door usage types and categories and door maintenance priority levels explain anticipated service lives of swinging fire and egress door assemblies. Participants will be provided examples of non-compliant and compliant fire door features identified during a fire door inspection. Handouts include sample inspection checklists and forms.

Learning Objectives:

• Explain the safety inspection and testing requirements for swinging doors in NFPA 101 and NFPA 80
• Describe the types of work that can or cannot be performed on fire-rated swinging doors
• Assign door usage types and door maintenance priority levels to swinging doors in your facility
• Look up door inspection and testing requirements in NFPA 101 and NFPA 80

Pressure dependent spaces are necessary to support infection control. They reduce the risk of infection by directing the flow of air from clean to less clean. National and state standards specify ventilation requirements of pressure dependent spaces. Texas Children's Hospital created a pressure dependent spaces program that includes adoption of a national standard, a comprehensive master list of pressure dependent spaces, a plan to monitor these spaces, policies to manage repurposing of these spaces, and training of staff.

Learning Objectives:

• Recognize the requirements of several types of pressure dependent spaces based on a nationally recognized standard
• Create an inventory of pressure dependent spaces based on the present utilization of space
• Create a plan to monitor pressure dependent spaces with different types of monitoring devices and systems
• Train staff about monitoring pressure dependent spaces and the requirements as specified in the standards