This session will present information and testimonials from the emergency department, social workers, and facilities staff that helped to design the behavioral health section of an existing emergency department. This emergency department expansion began with the goal to create a calm and thoughtfully purposed addition to an existing emergency department. The session will reflect on the successes and failures of the project, discuss code/regulation/construction issues, and a discussion of product selection/tools useful for successful behavioral health design environments.

Learning Objectives:

• Discuss the needs of behavioral health in the emergency department and different strategies for success.
• Explore the Risk Assessment Tool for patient and staff safety.
• Discuss successful product selections for behavioral health.
• Provide lessons learned from recent Joint Commission code and regulatory changes for designing behavioral health spaces.

Technology enables healthcare facilities to do more than ever to enhance the patient experience, but to capitalize on this opportunity, organizations must be prepared. Administration, facility design, construction, and information technology must know how all the pieces integrate to provide an exceptional and pleasing experience for patients and visitors. This session will lay the framework for the programming, design, and implementation of technology integration for optimized patient engagement, entertainment, and satisfaction.

Learning Objectives:

• Assess the newest device integrations available for the healthcare facility.
• Explore ways to program technology that matches the care delivery process.
• Identify the patient experiences possible with the latest technology.
• Describe the organizational steps to take to implement technology effectively in programming and design.

This panel will focus on strategic partnerships and the evolution of a team and processes. Michuda Construction, an Advocate Healthcare partner, answered Advocate&rspuo's challenge of zero incidents by 2020. The project required more than applying lean terminology to existing procedures. Conversations with Purdue University led to the addition of an eager graduate student, and the journey began. This presentation will be a dynamic discussion with the team and review lessons learned, best practices, new tools, and a valued partnership.

Learning Objectives:

• Explain the process to implement a lean program both from an owner and contractor perspective.
• Describe measurable metrics applicable to any owner and contractor.
• Identify potential pitfalls in what to assess in quality improvement programs.
• Assess innovative tools to improve safety and communications in healthcare construction projects.

One of the barriers to creating built environments that support person-centered care has been outdated or obsolete regulations, standards, and codes. The minimum requirements in the Facility Guidelines Institute’s Guidelines for Design and Construction of Residential Health, Care, and Support Facilities have been updated for the 2018 edition to reflect a shift in the industry toward provision of person-centered care in a more home-like environment. This session explores the 2018 FGI revisions to support and promote the provision of person-centered care.

Learning Objectives:

• Describe how long-term care facilities that support person-centered care result in better resident and staff experiences.
• Navigate the barriers to creating person-centered environments in long-term care settings.
• Explain the processes required to develop person-centered environments that support viable long-term care settings.
• Apply the 2018 Guidelines requirements during predesign and programming to maximize project success.

This session will demonstrate an occupational stress risk assessment identifying nursing stress risk factors, as well as the relationships between stress and health-promoting behaviors. Nurses are exposed to seven common stress factors including workload, death and dying, inadequate preparation for the role, lack of staff support, uncertainty concerning treatment, communication with physicians, and communication with nurses. This study will report findings on the relationship between nursing stress and RNs’ health and wellness, as well as its effect on patient care.

Learning Objectives:

• Identify the challenges and risk factors for workplace stress in nurses, stress’s effect on patient care, and cyclical impacts to nursing shortages.
• Describe and assess the process of an occupational stress risk assessment and how to objectively measure it within any healthcare organization.
• List a ranking of nursing stress risk factors and differences by gender, ethnicity, and race.
• Describe and report outcomes concerning health-promoting behaviors and perceived nature contact in nursing personnel to reduce occupational stress.

Amazon has forever changed the way we shop; health care is next. The consumer’s expectation of convenience will push health care systems to create new and repurposed physical and digital environments. These changes will transform delivery processes and incorporate diverse services and products. The impact on the built environment will be substantial: call centers, wellness centers, and more telehealth capability. This session will explore how a customized, coordinated, analytics-driven, personalized, single-click healthcare experience might be achieved.

Learning Objectives:

• Identify the ways the consumer experience and expectations have been changed by Amazon’s innovations.
• Contrast current healthcare workflow and operations with those of a convenience culture.
• Explore a range of technologies to support these new approaches.
• Evaluate the effects of “Amazon-like health care” and other innovations to the built environment.

The Internet of Things (IoT) has been gaining momentum in many industries to make machines smarter, enabling them to communicate and coordinate with one other. As these devices and the staggering quantity of associated data continues to grow, the new challenge becomes connecting data silos in a managed and secure method to derive value from the data. Our distinguished panel of designers, contractors, and owners will cover the latest technology in smart hospital systems as well as review real-world applications.

Learning Objectives:

• Classify building automation systems into four levels.
• Describe the essential elements to consider when selecting dashboard software.
• Identify why Smart Metering technology is vital to the ongoing energy performance of sustainable buildings.
• Discover how remote monitoring of building energy use can be used for retrocommissioning existing buildings.

The hospital fire safety record in the United States is very good, but recently two large outside of American caused multiple fatalities. In 2015, 25 people died in a fire at Jazan General Hospital in Saudi Arabia. All of the fatalities were located on floors above the floor of fire origin. Among the many factors that contributed to the loss of life were several related to the design, construction, and commissioning of the facility. In January 2018, 37 people died in a hospital fire at the Sejong Hospital in South Korea. Preliminary reports attributed a vertical opening as contributing to at least some of the smoke spread in the building. This presentation examines key lessons from these fire and explains key provisions that could have prevented the multiple loss of life in each incident.

• Identify at least four design and construction issues the contributed to the loss of life at the Jazan General Hospital fire.
• Explain at least three design and construction issues that contributed to the loss of life at the Sejong Hospital fire.
• Discuss at least three commissioning issues that contributed to the loss of life at the two hospital fires.
• List key code provisions that could have prevented the loss of life during these two fires.