Healthcare Owners Roundtable: Pressing Issues in 2022

Mar 21, 2022 6:00am ‐ Mar 21, 2022 7:00am

Credits: None available.

The Health Care Owners Roundtable is a platform for health care administrators, operators, and design and construction leaders to openly exchange ideas with each other as well as engage with planning, design and construction professionals. Through a moderated discussion and active audience participation, this session will provide opportunities to better understand the pressing issues that are on the owners’ minds. It will create an environment for all participants to learn from each other and help us structure our design and construction industry to serve the needs of health care providers and owners.
Learning Objectives:
  • Become familiar with owner perspectives on key current issues in health care design, construction and operations.
  • Discuss multiple approaches for soliciting professional services and selecting project delivery methodologies.
  • Examine relevant project case studies and success stories experienced by the panelists.
  • Explore collaborative approaches for multi-stakeholder collaborations and their influence on project success.
  • N/A

Medical Equipment and Technology Forum

Mar 21, 2022 6:00am ‐ Mar 21, 2022 7:00am

Credits: None available.

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 vendors. Today’s health care facilities are challenged with meeting schedules and budgets to bring projects to successful conclusion. Speakers will provide insight on the latest technologies including hybrid ORs, intraoperative MRI and other advanced procedure suites to ensure systems can be planned, procured and installed to meet facility timelines to remain at the forefront of innovation while also considering connectivity and standards across a campus or larger health system.
Learning Objectives:
  • Explore a range of high-tech rooms, the terminology used for different solutions and degrees of integration within rooms and connectivity outside the room.
  • Apply lessons learned from new construction and renovations and relocations.
  • Review strategies and the broad impact of future flexibility versus retrofit.
  • Envision future state amid growing technologies, artificial intelligence, telemedicine, etc.
  • N/A

Impacts of the Variability of NICU Design

Mar 21, 2022 8:45am ‐ Mar 21, 2022 9:45am

Credits: None available.

Neonatal intensive care units (NICUs) serve some of the most fragile hospital patients, who need unique support for healthy development and stabilization. The variability of design within NICUs has significant planning and operational impacts. The analysis of three different planning models demonstrates their direct impact on family experience/perception, infection control, pandemic readiness, staffing considerations and acoustics, as well as families’ desire for socialization, privacy and normalcy.
Learning Objectives:
  • Demonstrate the direct impacts of NICU design that improve the physical, emotional and social well-being of the unit's occupants.
  • Explain clinical staff's desires for increased peer-to-peer connections while maintaining individual areas to work and focus.
  • Assess safety implications both actual and perceived among the clinical staff.
  • Identify planning methodologies that support the fragile social structures that exist within NICU environments for families.
  • N/A

Quarantine, Flip‐Flops, and Target Value Design = Success

Mar 21, 2022 8:45am ‐ Mar 21, 2022 9:45am

Credits: None available.

What do you do when you have a $400 million spending cap on a new flagship county hospital, while in the midst of a global pandemic? For starters, make sure your preconstruction leader is managing the money from his garage, wearing shorts and flip-flops, and surrounded by pink flamingos!

During this lively panel discussion, you will hear about the many challenges posed throughout the hospital's design and construction during a worldwide pandemic. You will hear how the team achieved project certainty in an uncertain time. You will also learn how collaboration, transparency, technology and team culture played a huge role in successfully navigating these challenges to deliver a world-class facility.

Panelists will share administrative programming strategies and solutions, as well as their varying perspectives on the benefits of:
• Early BIM engagement
• Weekly cluster approach
• Early trade partner engagement
• Real-time estimating
• Budget transparency

Panelists will also talk about communication strategies that made a real difference, as well as their thoughts on how team camaraderie fosters an environment of trust.
Learning Objectives:
  • Determine the target value and at what point in time it is set.
  • Calculate the time commitment it takes to successfully implement target value design.
  • Decide if bringing trade partners on the team early is necessary for success.
  • Explore why contractors or design firms would want to participate in this process as opposed to other tried & true processes.
  • N/A

Harnessing the Power of Your Facilities’ Technology Transformation

Mar 21, 2022 8:45am ‐ Mar 21, 2022 9:45am

Credits: None available.

A highly interactive panel of experts from UF Health, MD Anderson and BayCare Health will be moderated by Affiliated Engineers’ Intelligent Buildings Practice Leader Sanjyot Bhusari in an illuminating discussion on how modern health care campuses can harness the power of technology transformation in their infrastructure and building systems management. Empowered by AI and machine learning capabilities, we have more pathways available than ever before to integrate BAS, CMMS and FDD systems with dynamic financial models that inform predictive maintenance, space usage efficiency, labor productivity and capital improvement planning. This session will highlight individual perspectives from three leading health care organizations demonstrating how they continue to thrive in an ecosystem of rapidly changing technology and the fundamentals anchoring their respective best practices, lessons learned and preparedness for the challenges yet to come, including the evaluation, financing and deployment of solutions that remain self-sustaining.
Learning Objectives:
  • Apply the fundamentals of a strong vision to help organizations navigate the landscape of constantly changing technology.
  • Identify differing perspectives around best-in-class applications and the management of a common unified platform.
  • Support the development of people strategies that will need to be in place prior to a technological investment.
  • Leverage data management to empower operators to drive business decisions that self-sustain the future transformation of campus infrastructure.
  • N/A

Therapeutic Emergency Care for Mental Health Patients

Mar 21, 2022 8:45am ‐ Mar 21, 2022 9:45am

Credits: None available.

This session will review mental health policies and their consequences, which impact where and how people with mental illnesses are treated. Lack of follow-through funding has resulted in a lack of resources for this patient population along a continuum of care. Sample solutions to treat mental health patients in an emergent setting will be reviewed as well as statistics of behavioral/mental health visit trends to the emergency department (ED). The ramifications of the increase of this patient type on ED operations and the associated financial repercussions will be discussed. Solutions for behavioral health crisis units (BHCUs) have been independently developed across the United States. Sample projects will be reviewed to convey a variety of solutions to address this issue. These units were evaluated and analyzed with clinicians, architects, interior designers, designers, facility directors, security personal and AHJs. Minimum standards were developed based on this work and are part of the FGI 2022 Guidelines for the Design and Construction of Hospitals and Outpatient Facilities.
Learning Objectives:
  • Identify the historical and ongoing problem of treating mental health patients in a traditional ED.
  • Review facility-driven solutions.
  • Summarize the intent of the BHCU.
  • Describe FGI 2022 BHCU guidelines and resources.
  • N/A

Brain Break: The Benefits of a Project Pause

Mar 21, 2022 8:45am ‐ Mar 21, 2022 9:45am

Credits: None available.

Would a pause result in a better design or building? What would that look like and how would it be included in projects? The pandemic provided a unique opportunity to examine the impact of design on the physical, emotional and mental well-being of patients and staff. For Yale New Haven Health (YNHH) and Shepley Bulfinch, COVID-19 presented an opportunity for a “brain break” in the design of over one billion dollars in projects at YNHH’s Saint Raphael Campus (SRC). This unexpected and extended case study had a heightened focus on building resiliency and flexibility, illustrating how a pause during design is an essential tool in designing more resilient spaces that are better equipped to face the unknown.
Learning Objectives:
  • Explain the benefits of a “brain break” for clients and the project team, its impact on resilient design, and how to approach a brain break and navigate related conversations with clients.
  • Ask designers effective questions regarding how a space and buildings systems adapt to changes in patient populations and patient care requirements.
  • Identify lessons learned from an extended and unprecedented case study, which can be implemented on future projects to create more resilient health care buildings.
  • Heighten focus on building resiliency and flexibility and its impact on the physical, emotional and mental well-being of users.
  • N/A

Prime Delivery: Adaptive Reuse of Retail for Healthcare

Mar 21, 2022 8:45am ‐ Mar 21, 2022 9:45am

Credits: None available.

With the increasing availability of vacant retail buildings across the country, we will discuss the opportunities and challenges of repurposing these buildings for health care use. This session will explore the strategic rationale, and how these facilities can support expansion of health care services into key markets along with the economic, timing and market factors that should be evaluated when considering a vacant retail location. Since most retail buildings were designed to sell products, they may bring positive attributes such as visibility and access to main thoroughfares and negative attributes such as deficient structural and mechanical systems. We will share our lessons learned and best practices from recent projects with some of the nation’s leading health systems to help you determine if repurposing retail spaces is the right facility strategy for you.
Learning Objectives:
  • Describe the opportunities and intricacies with identifying and purchasing vacant retail centers.
  • Discuss the challenges of adapting retail centers into health care facilities.
  • Demonstrate the impact and importance of retail conversion to pandemic/endemic delivery of health care to communities (e.g., proximity of care, telehealth, decreased waiting areas, etc.).
  • Assess the current market conditions nationally for similar retail-to-health care conversions.
  • N/A

Community‐Based Health: Improving Telemedicine in Underserved Areas

Mar 21, 2022 12:45pm ‐ Mar 21, 2022 1:45pm

Credits: None available.

Telemedicine has been an increasingly important development during the COVID-19 pandemic. However, the pandemic has highlighted the uneven viability and adaptability of existing health care systems. Julie Mendoza and Mario Sanchez of CallisonRTKL conducted a study that investigated the feasibility of applying telehealth technology to medically underserved areas to improve access to specialized care, evaluating novel approaches such as freestanding telemedicine stations in areas where many residents lack internet connections in their homes. Through data collection and observations in Pleasant Grove, a socioeconomically underserved community within Dallas County, Texas, CallisonRTKL identified gas station convenience stores as an important and abundant element within the community infrastructure. This session will discuss how the CallisonRTKL research team was determined to understand how the use of telemedicine in underserved areas can improve access to specialized care. Walking through the details of the study, session attendees will learn more about communities that deal with low levels of health infrastructure, personal mobility, economic resources and access to the internet, and ways to bring health care to these communities.
Learning Objectives:
  • Assess socioeconomically underserved communities to enable equitable access to health care systems.
  • Identify technologies that have been released that are smaller, cheaper and faster to produce than nonmobile medical equipment.
  • Describe that although there are many community health concerns such as health access and quality, social concerns, education access and quality impacts, and neighborhood and built environment challenges, the greatest impact on this community is related to the social determinants of health is healthcare access and quality.
  • Identify the often overlooked opportunity for telemedicine integration within communities
  • N/A

Sometimes There’s Nowhere Else To Go But Up!

Mar 21, 2022 12:45pm ‐ Mar 21, 2022 1:45pm

Credits: None available.

Many hospitals are designed for future expansion in anticipation of the ever-changing needs of patient populations. However, what happens when additional floors are needed to meet the needs of a community, and the only option is to build up upon an existing footprint? A vertical expansion to an operating hospital is among the most complex types of health care construction. Learn how VCU Health Children's Hospital of Richmond and Banner Desert Medical Center Women's Tower Expansion design and construction teams coordinated with owners and stakeholders to combine existing facilities with new construction, change existing building occupancy ratings in occupied facilities, and create strategies to communicate the sequence of work to mitigate the impact on hospital operations. All this while keeping staff focused on what they do best: providing exceptional care for patients.
Learning Objectives:
  • Use tools and techniques for sequencing work, elevatoring and deliveries so hospitals can remain fully operational during all phases of a project.
  • Recognize areas of concern in occupancy codes when upgrading to comply with hospital requirements in an active facility.
  • Work with the unique challenges of hospital vertical expansions, including detailing the structure to accommodate future expansion, and helping the team plan for the intended use and functionality of the additional floors.
  • Apply best practices for controlling noise, water intrusion, dust and debris when expanding above a current roofline while mitigating risk to sensitive equipment and patients.
  • N/A