ASHE’s Energy to Care program helps participants improve energy management practices and reallocate energy resources into improving patient care. ASHE and the AHA are expanding the program by incorporating a real-time energy management solution. This panel discussion will discuss the good, the bad, and the ugly involved in the development and implementation of the technology. The panel will briefly discuss the development and implementation of the tool before moving on to a robust discussion of the benefits and challenges each panelist has seen when piloting the technology. The panelists will discuss how the tool helped them improve operations and facility management as well as the patient experience.

Learning Objectives:

• Identify lessons learned from the development and implementation of the new Energy to Care solution.
• Explain best practices for implementing the new solution in health care facilities.
• List key aspects of how this technology helped save energy, and how show how savings can be reallocated into patient care.
• Discuss how using advanced technology can improve the patient experience.

The health care industry is currently experiencing a change in how health care services are delivered. The patient and visitor experience is becoming a critical factor for reimbursement. Designers must shift their focus to factors that directly affect the patient experience and look to the hospitality sector for innovative solutions. This strategic session will present the challenges and drivers behind this movement as well as possible solutions. Attendees will participate in brainstorming solutions inspired by the hospitality sector.

Learning Objectives:

• Describe the key drivers that are requiring the hospital’s shift to a hospitality perspective.
• Assess the impact of this shift on the health care industry as a whole and the facility management department specifically.
• Examine the challenges that this change presents for future health care facility design and management.
• Identify potential solutions and innovations that could improve the patient’s satisfaction with the health care facility.

Many health care facility professionals have “inherited” older HVAC systems that were installed in their hospital’s original construction. These systems may be incapable of delivering the critical level of environmental control necessary in today’s ever-demanding patient care model. This technical session will give these professionals a fundamental understanding of the basic principles that must be considered in order to properly control their hospital OR. It will establish how temperature and humidity interact to create a satisfying and productive health care environment and provide information to assist the health care facility professional in analyzing a hospital OR when troubleshooting the space. Various HVAC retrofit scenarios to remedy ailing ORs will also be discussed.

Learning Objectives:

• Understand a typical OR’s various AC load components and what to take into account to ensure a successful environment in such a complex space.
• Learn how minimum code and compliance requirements for temperature and relative humidly align within the limitations of legacy HVAC systems.
• Discover what surgeons really mean when they ask you to make the OR “colder” and what issues may arise when attempting to satisfy their requests.
• Identify various HVAC system retrofit scenarios to remedy ailing ORs, including traditional AC upgrades, glycol chillers and both solid and liquid desiccant dehumidification units.

Healthcare facilities generate thousands of unique wastes and waste streams and leaders constantly struggle with their waste management program’s cost and compliance requirements. Often compliance issues are only uncovered during a government agency compliance inspection or a waste or chemical management incident. As no single department typically is responsible for the campus or system waste program compliance leaders should consider a campus-wide hazardous waste management approach that connects departments and makes safe and compliant program management a reality.

Learning Objectives:

• Differentiate USEPA, DOT, and OSHA regulatory compliance requirements for health care facility waste streams and waste stream management programs.
• Link safety and environmental compliance requirements with accreditation organization standards and requirements.
• Recognize the five primary steps for implementing a health care hazardous waste management program.
• Compare your health care system’s or facility’s environmental compliance readiness with case studies from expert panelists.

Employee engagement is at an all-time low, and it is a condition that is amplified by limited resources and funding with an increasing workload.

The goal of this presentation is to introduce an innovative approach to leadership. This intent-based empowerment model increases employee engagement by moving authority to the information instead of moving information to the authority. By giving attendees the skills they need to teach their teams intent, managers can create higher-performing teams with existing employees, all while building future leaders.

Learning Objectives:

• Improve your current management structure.
• Provide clarity and identify competence of your team.
• Give operational intent to your team.
• Describe the benefits of engaged employees.

The Joint Commission (TJC) issued a letter in 2018 informing hospitals that due to recurring issues pertaining to the certification process for Pharmacy Sterile Compounding Clean rooms, this will be a focus of 2018-2019 TJC surveys. The Central Division of Atrium Health, with over 1,000 patient beds and 20 pharmacy clean rooms, was surveyed in 2018. We conducted a multidisciplinary review of requirements and roles and responsibilities around clean rooms and will provide you with a roadmap for developing a program for continual certification and share lessons learned from our TJC survey.

Learning Objectives:

• Identify the pharmacy sterile compounding clean room environmental certification requirements per USP 797, USP 800, and CAG-003-2006 (Sterile Compounding Facilities).
• Develop a roles and responsibility matrix and flow chart.
• Define when certification is required, above and beyond every 6 months.
• Provide requirements to the agency performing the certifications.

Do you really think you understand Reliability Centered Maintenance? This case study brought in the original developer from the 1960 United Airlines development of RCM. After numerous successful implementations in many other industries, this was his first application and implementation of classical RCM in the healthcare industry facilitated by Anthony "Mac" Smith. Learn about the use of a pareto chart, FMEA and risk analysis to develop a program using the most effective maintenance techniques that will stand up to AEM requirements. This presentation will share critical insight and learnings about the proper use of your CMMS to gather important data that confirms your operations effectiveness in maintaining your facilities. Classical RCM uses a 7-step process that guides the users through documented processes that will engage your staff in systems operation as it works to identify failure modes that effect your reliability and cost-effective operation. Come learn what RCM really means.

Learning Objectives:

• Explain how classical RCM plays a critical role in health care.
• Identify the seven step process of classical RCM.
• List critical documentation needed for CMMS to provide essential KPIs.
• Describe how FMEA and risk assessment meets AEM requirements.

There are increasing opportunities for young professionals to engage in careers that create and support the physical health care environment. This interactive forum explores those opportunities. Young professionals will have an opportunity to network and share their experiences in starting and growing their careers. If you are interested in bringing young professionals into your organization, this forum is also an excellent opportunity to learn what young professionals are looking for when making career choices.

Learning Objectives:

• Explore career opportunities for young professionals.
• Network with young professionals and experienced professionals.
• Highlight ASHE programs, products and services that bring value to young professionals.
• Gain insight on engaging young professionals within your organization.