Retain Market Share: Build the Right Thing for an Uncertain Future

Mar 16, 2015 2:15pm ‐ Mar 16, 2015 3:15pm

Identification: 854

In the face of higher costs and lower/fixed revenues and rapid changes coming to all aspects of the health care delivery system, health care organizations must reduce their cost structure without compromising their mission. This session will offer guidance on smart planning that adds value to a project and decreases life cycle costs. It will also identify opportunities for designing adaptable, flexible buildings that can respond to the challenges of an unknowable future.

This session will enable attendees to:
  • Discuss data-driven design, simulation-assisted layouts, information-led decision-making, and optimization of the design process.
  • Identify the flexibility requirements, time constraints, and budget concerns associated with this type of project approach.
  • Explain the potential opportunities an uncertain future offers to a project team.
  • Analyze the merits of modular design, flexible layouts, and adaptable IT infrastructure.

Deriving Value from Closeout to Improve Future Projects

Mar 16, 2015 2:15pm ‐ Mar 16, 2015 3:15pm

Identification: 690

Project closeout offers an opportunity to capture lessons learned to improve the performance of future projects. In this interactive workshop, the presenters will discuss tools for achieving more collaborative projects and improved business results. They will show how to use a value matrix—a simple but powerful lean tool—to identify lessons learned from project closeout to better inform upfront decisions in subsequent projects. Attendees will practice using this tool through the lens of a typical health care facility project under the guidance of Lean experts.

This session will enable attendees to:
  • Use a closeout checklist based on previous projects to test how well design concepts anticipate the needs of front-line staff.
  • Describe a method for testing the HCAHPS impact of design decisions by visualizing and prototyping how well spaces are operationalized to deliver the desired patient experience.
  • Employ the value matrix to maximize benefits from lessons learned from any situation at their hospital or workplace.
  • Expand up-front project decision-making criteria beyond cost and schedule to include consideration of human development, job satisfaction, ability to perform, and patient experience factors.

Flexibility and the Inpatient Room: How Positive Distraction, Social Support, and Perceived Control Reduce Stress

Mar 16, 2015 2:15pm ‐ Mar 16, 2015 3:15pm

Identification: 568

Cross-cultural research funded by the the Academy of Architecture for Health Foundation (United States, Portugal) compared 236 orthopedic patients’ reactions to questions about positive distraction (e.g., art), social support (e.g., seating), and perceived control (e.g., adjustable lighting) in hospital rooms to determine whether these are linked to satisfaction and stress. Results showed the greater the number of favorable elements in the room, the greater patients’ sense of control, social support, and positive distraction, and, consequently, the greater the satisfaction with service and the lower the stress.

This session will enable attendees to:
  • Explain the concepts of perceived control, social support, and positive distraction in Ulrich's theory of supportive design.
  • Identify the qualities of the inpatient room that produce positive and negative reactions from patients.
  • List cross-cultural similarities and differences in patients' reactions to inpatient rooms.
  • Explain the concept of a linking (mediating) variable and its relevance to health care design.

Setting a New Standard for Energy Use and Carbon Emissions in an Ambulatory Care Facility

Mar 16, 2015 2:15pm ‐ Mar 16, 2015 3:15pm

Identification: 578

This new research initiative investigates in detail advanced energy conservation measures (ECMs) in the indicative design for a new ambulatory care center on the St. Paul’s Hospital campus in downtown Vancouver. The aim of the design is to reduce the energy use of the facility by 60 to 80 percent of that of a typical code compliant facility, using advanced energy analysis and real cost based life cycle cost analysis.

This session will enable attendees to:
  • Achieve significant, cost-effective  energy savings in a health care facility.
  • Use an integrated design process to achieve the targeted energy savings.
  • Apply evidence-based design and architectural planning, following European examples.
  • Identify the benefits of targeting net zero.

Best Practices for Cost-Effective Life Safety Compliance

Mar 16, 2015 2:15pm ‐ Mar 16, 2015 3:15pm

Identification: 712

After opening Phase One of the 630,000 sq. ft. Hospital of the Future, Baystate Health faced a problem with which many health care providers with new construction projects are too often confronted: non-compliant life safety conditions cited in a building that recently opened. This case study explores how the facilities, design, and construction team collaborated to implement processes that significantly reduced the number of life safety issues, decreased overall project costs, and improved patient safety.

This session will enable attendees to:
  • Discuss the importance of an integrated design team from the onset of a project that includes the owner, contractor, and design team as part of the life safety implementation team.
  • State the cost benefits of integration of life safety processes early into the design.
  • Identify  holes regarding life safety in the typical design and construction process, how these issues arise, and how to develop processes to prevent them from reccurring.
  • Assess lessons learned through a multiphase project and determine how future projects will be addressed.

Using the 2014 Guidelines to Meet Client Needs

Mar 16, 2015 2:15pm ‐ Mar 16, 2015 3:15pm

Identification: 853

In the era of health care reform, state and federal payers, clinicians, patients, and professionals supporting the health care physical environment are challenging many traditional design concepts. Influenced by this climate, the 2014 edition of the Guidelines for Design and Construction of Hospitals and Outpatient Facilities offers increased efficiencies and clarifies requirements. This session will provide a review of major changes that support today's clinical practices and patient safety concerns. Topics covered will include updates to operating room suite, sterile processing, endoscopy, dialysis, and imaging requirements as well as new requirements for risk assessments and medication safety zones.

This session will enable participants to:
  • Explain how to apply the Guidelines standards and still allow flexibility to support evolving patient care needs.
  • Evaluate the major changes in the 2014 FGI Guidelines and how they will affect design of new or renovated facilities.
  • Describe the basics of the seven safety risk assessments included in the 2014 FGI document.
  • Explain how complying with the standards will affect patient experience in a new or renovated facility.
   
   
    

Medical Equipment and Technology Integration Forum: Technology Planning and Budgeting for Complex Health Care Projects

Mar 17, 2015 6:10am ‐ Mar 17, 2015 7:00am

Identification: 857

The Medical Equipment and Technology Forum is a platform for interaction and conversation about leading edge technology among owners, architects, engineers, facility managers, contractors, equipment and technology planners, and solution providers. This forum will analyze real system costs and ranges from case studies of completed projects and offer lessons learned for projecting future costs. Discussion topics will include strategies for managing technology decisions to mitigate risk to the PDC process and technology trends that are changing the paradigm of health care building projects.

Standardization Improves Safety: Is There Proof?

Mar 17, 2015 7:15am ‐ Mar 17, 2015 8:15am

Identification: 636

Developing a protocol for tracking errors and minimizing their effects is key to reducing the number and severity of adverse events and reducing errors in surgery.  Standardization methods have been found to improve new staff training and resulted in fewer delays, fewer errors and problems being caught before, or during, their occurrence.  This session provides a focused discussion of the influences of standardized protocols for communication and operations on infection control and safety in surgery.  

This session will enable attendees to:
  • Measure performance & operations that translate into financial savings.
  • Identify standardization matrix useful in assessing accountability.
  • Recognize, improve and implement standards. 
  • Understand the influence of infection control standards on surgery 

Meet the Goal: Flexing with Change Without Sacrificing the Plan

Mar 17, 2015 7:15am ‐ Mar 17, 2015 8:15am

Identification: 754

For large green field health care projects, change is one of the few constants. The need to continually adjust  can have a large and adverse impact on a project’s schedule and budget. The presenters will show how use of an integrated team, with a culture designed to adjust to change, implemented nearly $55 million in changes without affecting the occupancy or opening dates of a world-class medical center.

This session will enable attendees to:
  • Build highly flexible teams that are able to incorporate change through collaboration.
  • Use BIM tools to remove uncertainty from the project schedule and thus create time for change.
  • Explain how revised business practices can remove stumbling blocks to efficient decision making and allow quick cost/benefit analysis.
  • Create better needs-based assessments of new issues or desired changes on projects that provide for a better outcome.

Big Data Visualization: Mapping Your Future

Mar 17, 2015 7:15am ‐ Mar 17, 2015 8:15am

Identification: 698

In developing a 20-year ambulatory care master plan, Sutter Pacific Medical Foundation used a personanlized mapping tool that allowed them to present data in a visual form easily understood by all stakeholders. This mapping tool was linked to a facility inventory database that could be used to create key visual images, making the master plan interactive and easy to update. Easy-to-use software can provide project teams with powerful analysis tools that help them synthesize needs and constraints into a compelling design and decision-making platform.

This session will enable attendees to:
  • Discuss the benefits of graphically displaying need metrics such as service areas, distance traveled, population growth, and facility utilization to help evaluate different development scenarios. 
  • Describe various computerized mapping tools, the concept behind each, and which parameters or layers may be useful for health care facility design projects.
  • Identify which aspects of the facility management database, including evaluation of remaining life, operating efficiency, and flexibility to accommodate changing models of ambulatory care, could apply to their projects.
  • Assess if forecasting physician need by specialty and location would be a viable tool for health care facility projects they work on.