American Society for Healthcare Engineering

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Important Changes to the Referenced Codes of NFPA 101, the Life Safety Code

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

Identification: 676

Upon adoption of the 2012 edition of NFPA 101, the Life Safety Code, and its revised referenced standards, CMS will update the inspection, testing, and maintenance requirements for life safety systems in health care facilities. Health care facilities need to be familiar with not only NFPA 101, but also the standards it references. This presentation will cover the notable changes made to NFPA 10, NFPA 25, NFPA 72, and NFPA 110 and their impact and will enable attendees to:

Locate ITM requirements in applicable referenced codes.
Discuss changes made during various revision cycles to referenced codes.
Describe the impact of the revised referenced codes.
Explain the reason for the changes to the codes.

Using Evidence to Inform FGI Guidelines Requirements

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

Identification: 779

To support its mission of developing evidence-advised guidelines for planning, design, and construction of health care facilities, the Facility Guidelines Institute is devising a means for assessing proposed changes to its documents, including the evidence behind them, the degree of benefit conferred (or risk averted), and the potential costs. As part of that work, the FGI Research Committee has created algorithms to help assess and apply evidence during the Guidelines development process. The presenters will introduce these algorithms and illustrate how they can be used to think through proposed standards, whether FGI requirements or those of other regulatory documents.

This session will enable participants to:

Distinguish between different kinds of evidence.
Recognize the strength of evidence they are assessing.
Discuss how evidence is used in other areas of policy development, at least in theory.
Explain how FGI committees will use the FGI algorithms to examine, balance, and document requirements based on the best available evidence.

This session will provide an overview of the FGI evidentiary algorithm, suggesting potential extension to other regulatory documents.

Finding Innovative Real Estate Solutions to Provide Value

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

Identification: 1005

As they look to cut costs, many hospitals have divested assets such as medical office buildings and parking decks and some are considering sale or lease-back of hospital facilities. This session explores ways to reduce costs through innovative real estate and property management while complying with anti-kickback laws. The presenters will discuss how to use techniques such as resourcing of services, asset monetization, automated metering and cost allocation, and district energy concession arrangements to reduce the health facility cost structure.

This session will enable attendees to:

Explain the basic principles of the Stark Law and the anti-kickback statute as they apply to medical office buildings.
Compare and evaluate the benefits of alternative facility arrangements, including ownership, leases, and condominium real estate arrangements.
Allocate the costs of district energy system operations among multiple facilities using rates based on cost-of-service and designed to prevent subsidization.
Explain the basic principles of asset monetization and district energy system concession arrangements.

Seattle Children's Building Hope: Delivering a Flexible Design Using Lean Planning

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

Identification: 713

Seattle Children’s Building Hope is a new 330,000 sq. ft. bed tower and emergency department that was designed using Lean methodology. After one year in operation, members of the design team will present the outcomes of implementing flexible designs using Lean planning and operations in a new inpatient critical care, oncology, and emergency wing addition to the main hospital campus.

This session will enable attendees to:

Identify data that needs to be collected to develop a deep understanding of the current state of client and project.
Incorporate Lean in the design phase to address key service line stakeholders, leadership, hospital facilities, and the design team.
Assess infrastructure longevity and opportunities for improvement in performance and re-use.
Recognize strategies to maximize operational flexibility and efficiency.

Simulate, Innovate, Celebrate: The Value of Simulation in Design Decisions

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

Identification: 1002

Renovate, then renovate again. Health care facilities often follow that pattern when adjustments are needed to space and systems to provide better patient care. High-fidelity simulation (“sim”) saves time and money by aiding in the evaluation process of spaces and scenarios to refine design elements that will provide the best outcomes for clinicians, patients, and families. Facilities of all sizes may find this especially useful when evaluating productivity, emergency response, pre-commissioning, and other processes. In this session, review proven simulation tools that are being used to make informed, smart hospital design decisions. Case studies will show how this technology affects patients, families, staff, and the bottom line.

This session will enable attendees to:

Evaluate the benefits of using simulation.
Explore how the use of simulation can inform design or renovation projects.
Describe the steps needed to implement a successful simulation program.
Identify team members needed to implement a successful simulation program.

Creating a Legacy for 2040

Mar 17, 2015 8:30am ‐ Mar 17, 2015 9:45am

Identification: 859

The American College of Healthcare Architects created the Legacy Project Award to celebrate health care architecture that has demonstrated superior planning and excellence in design performance over an extended period, and which continues to influence the field. Because of the evolving definition of health care and consequent changes in facility needs, this program will identify past iconic work as a legacy reference for the very different future; postulate about the facility implications of that future; and identify various principles that can create bridges to the facilities of the future.

This session will enable attendees to:

Identify the principles that define iconic work that may continue to influence health care facilities in the future.
Discuss the impact of technological acceleration, personal health metrics, and virtual health care systems as phenomena that will influence future health care facility needs.
Recognize various means for repurposing and restructuring current facility and real estate assets to extend their useful life.
Explain the skills and knowledge those currently involved in health care facility planning, design, and construction will need to transition the future.