Although outsourcing has proven beneficial to some institutions, what if insourcing makes more financial sense to others long term? What if insourcing, not outsourcing, can save time and money while building a lasting culture? That’s exactly what one healthcare system discovered after digging deep into their financials. This presentation explores their case study, offers tips on building a business case to executive leadership, and outlines proactive strategies to improve internal processes and yield greater productivity from in-house staff long term.

Learning Objectives:

• Compare the economic benefits of in-sourcing versus outsourcing.
• Perform a cost-benefit analysis, establish key metrics when comparing insourcing and outsourcing, and review a step-by-step guideline to developing an objective and data-driven business case for executive leadership.
• Discuss the benefits of insourcing in health care facilities management.
• Improve internal processes and yield greater productivity from in-house staff long term.

On the heels of legionella outbreak, the University of Alabama at Birmingham Hospital successfully implemented an ASHRAE 188-compliant Water Safety Monitoring Plan. The hospital has also implemented an Air Safety Monitoring Plan. What has been the key to its success? Inter-disciplinary collaboration. Leveraging the knowledge of experts in infection prevention, clinical processes of care, construction, maintenance, and safety, UAB Medicine’s Air and Water Safety Monitoring Team changed the health system’s culture around infection prevention and patient safety. Through this session, participants will gain insights into how to work across departments to develop and implement Air and Water Safety Monitoring Plans at their own facilities.

Learning Objectives:

• List the required elements of a successful air and water safety monitoring plan.
• Create a cross-disciplinary air and water safety monitoring committee.
• Implement a successful ASHRAE 188-compliant water safety monitoring plan and an air safety monitoring plan.
• Develop strategies for collaborating with hospital colleagues to facilitate culture change.

This session will take the attendee through the process and implementation used by UCHealth to digitize its healthcare facilities for use with an IWMS and CMMS. The user will see examples of the IWMS and CMMS, the challenges and lessons learned, and the successes with real examples. Attendees will learn of the software, skills, and other requirements needed to digitize healthcare facilities. The use of BIM will be thoroughly explored as it is the basis for the digitization efforts. A review of the BIM Standards used and the various revisions that occurred due to the lessons learned will also be presented.

Learning Objectives:

• Identify digitizing requirements for an IWMS and CMMS within the BIM standards for deliverables.
• Explain the method for using the IWMS to supply data for the Centers for Medicare & Medicaid Services.
• Review the lessons learned from implementing BIM-based CMMS and IWMS.
• Describe how BIM is used to supply models and data for the mobile CMMS.

Where does one start in the pursuit of the coveted Energy Star rating? Energy Star is a nationally recognized gold standard for energy efficiency. Why this is not every facility managers primary goal requires a deeper understanding of the true cost of such a milestone accomplishment. In this presentation the audience will learn and understand what the true cost is in not seeking Energy Star for their facility. This presentation will share demonstrated applications and outcomes from multiple facilities that have successfully implemented this program. Attendees will walk away with a very clear understanding of the steps they need to take and the communications they need to have to empower their teams and facility in reaching the coveted Energy Star rating for their building.

Learning Objectives:

• Identify the proper team and steps for a successful program.
• Obtain the correct measurements to understand, control, and improve a program.
• Use the tactics others have used to achieve success with very little investment.
• Share the tools and techniques to empower your team.

The Joint Commission© has stressed the preparedness level for their triennial surveys over the last 10 years. The intent is to have a coordinated process, educated staff, tools and plans for how to respond hour one on the first day of survey. This session will discuss these how to methods of preparation with documentation and building tours during the three days of the life safety surveyor. This information will be shared all from the perspective of three Facility Management Directors and their 2018 survey experiences over 15 different surveys.

Learning Objectives:

• Describe the Joint Commission standards for required documentation and locations for the building tour.
• Discuss development tools and resources needed for compliance.
• Strategize how to approach surveyors when you do not agree with findings.
• Manage the building tour, routes, and support staff (door repairs, penetrations, etc.).

Outpatient property management is a significant part of portfolio management of the properties owned and used by a health care organization. Management of properties requires a different skill set and unique solutions, strategies, and tactics than management of a typical acute care facility. This session presents real estate basics, as well as strategies for managing disbursed real estate portfolios as both the lessor and the lessee.

Learning Objectives:

• Identify the difference between facility management and property management.
• Distinguish the types of properties and their unique requirements.
• Review a lease agreement with an understanding of the important and relevant clauses and compliance requirements.
• I best practices in managing disbursed portfolios.

Technology is advancing faster than our codes. As the cost of distributed energy generation systems, energy storage systems and artificial intelligence continues to fall, new ways of powering electrical systems are starting to disrupt our traditional ways of thinking about energy supplies for critical buildings. These changes have the potential to address some of the resilience and sustainability concerns many health care organizations are trying to address. This session will show examples of two health care microgrid systems, and give a brief overview of the ways the codes are starting to adapt.

Learning Objectives:

• Define a health care microgrid based on the NFPA 99 new definition.
• Identify the technologies appropriate for microgrid application.
• Describe how health care facilities use microgrids to supply electricity to their distribution system.
• Understand the current state of NFPA codes as they evolve to meet the needs of the future.

This is an interactive session dedicated to Associate Members of ASHE. The ASHE Board will host a forum to understand what is important to the Associate Member community, recognize the diverse services and solutions this population provides, offer an update on relevant ASHE strategies and initiatives, and discuss tools that will generate a value-driven return on investment in pursuit of health care business.

Learning Objectives:

• Identify the needs of the varied professionals who belong to the Associate Member population.
• Describe further actions that could be taken by the ASHE Board to support Associate Members.
• Share successful chapter initiatives that support Associate Members.
• Discuss opportunities for Associate Members to become more involved in ASHE.