Evaluating the Evaluation Process: What Is the Cost? What Is the Value?

Mar 19, 2014 6:30am ‐ Mar 19, 2014 7:30am
The gap between conducting functional performance evaluations (FPEs) and integrating the findings into design and operation begs the question, are FPEs worth the investment? To address this concern, this session will weigh the cost against the value of conducting FPEs. Use of Lean principles to reduce cost, and use of communication and dissemination strategies to increase value to firm, facility, and industry will be discussed. This session will enable attendees to:
  • Assess the cost of conducting FPEs and identify strategies to reduce this cost.
  • Discover Lean approaches to streamlining standard FPEs.
  • Discuss the value of FPEs, and how it can be maximized by simple and strategic communication and open sharing of information.
  • Identify opportunities to use FPEs as benchmarking data to inform design and the health care practice.

The Future of Health Care Facility Codes and Standards

Mar 19, 2014 6:30am ‐ Mar 19, 2014 7:30am
Nearly 200 codes and standards affect the design and construction of health care facilities. ASHE's advocacy team monitors and advocates on behalf of hospitals to keep these codes and standards current with technology and health care trends. In this session, learn about the latest codes, standards, and guidelines that pertain to the health care built environment; which regulatory editions apply; anticipated adoption dates; and new trends for health care regulations, such as the FGI Guidelines, ASHRAE, NFPA, ICC, and other codes and standards. This session will enable you to:
  • Identify important regulatory changes required for health care design and construction.
  • Describe the regulatory process and how to get involved.
  • Discuss the latest design trends in health care and how the regulations may affect outcomes.
  • Identify anticipated deadlines for compliance, adoption, and grandfathering of the requirements.

Flow, Functionality, Flexibility: Designing for a Multi-Generational Workforce

Mar 19, 2014 6:30am ‐ Mar 19, 2014 7:30am
A design process that is collaborative and inclusive incorporates a wide range of generational perspectives and can yield measurable improvements. Addressing the priorities of the patients, families, caregivers, and the C-Suite, this session features a new building project at Reading Hospital as a case study. Evaluating patient/staff flow, facility flexibility, and technology integration, the presenters take a multi-generational approach for the best patient care delivery model. This session will enable attendees to:
  • Demonstrate the benefits of a collaborative planning process engaging diverse user groups.
  • Identify design concepts that improve outcomes for generationally diverse staff.
  • Explain the importance of flexible design that allows for future change.
  • Illustrate the effect caregiver satisfaction has on the patient experience and, ultimately, the success of the institution.

Human Commissioning: Establishing and Maintaining Effective Operations in a New Facility

Mar 19, 2014 6:30am ‐ Mar 19, 2014 7:30am
The systems have been tested and commissioned, but what about the staff? When staff moves into a new facility, they often attempt to adapt their current processes and procedures to a space that was created to accommodate more advanced and efficient processes. Creating and documenting new processes is critical to efficient, safe, and effective operations from Day 1. Drawing from their experience moving into the 310-bed Eskenazi Hospital, the presenters will highlight the timelines and tactics they used to smoothly transition staff. This session will enable attendees to:
  • Identify the key components and deliverables of transition planning during design and construction.
  • Explain the importance of sequencing and scheduling timelines during design and construction.
  • Specify the tools to be employed in transition planning.
  • Address the change management and cultural considerations associated with moving and transitioning to a new space.

Ageless Compliance: Designing to Ensure Compliance for Years to Come

Mar 19, 2014 7:40am ‐ Mar 19, 2014 8:40am
Health care facility design professionals must consider the long-term effects their designs will have on facilities with ever-changing operational needs at the same time the designs must comply with current code requirements. This presentation will use real-life examples to review the biggest design problems in health care facilities related to the application of code requirements to new and existing facilities. Significant changes to reference codes in light of the pending CMS and Joint Commission adoption of the 2012 edition of NFPA 101: Life Safety CodeĀ® will be highlighted. The session will enable attendees to:
  • Identify the top ten health care facility design problems caused by inconsistent code requirements.
  • Describe how to apply conflicting code requirements to multiple occupancy types.
  • Outline significant changes to NFPA 13, NFPA 25, NFPA 72, and NFPA 80 that impact compliance with NFPA 101.
  • Apply the code compliance information presented to current and future design project as well as existing facilities.

Hardening Choices: A Continuation of the Joplin Story

Mar 19, 2014 7:40am ‐ Mar 19, 2014 8:40am
Mercy Joplin hospital is an iconic example of the devastation that can be inflicted by a tornado strike or other natural disaster. How far to go with hardening is a question facing many owners of health care facilities. The panel will explore the choices made at Joplin to recover and move forward and look at the options available to facilities for hardening building systems. This session will enable attendees to:
  • Examine the dilemmas facing owners of health care facilities in areas where natural disasters are likely.
  • Identify current code and regulatory blind spots.
  • Discuss issues related to operational continuity.
  • Assess currently available storm hardening building system choices.

Removing the Barriers to Exceptional Patient-Centered Care

Mar 19, 2014 7:40am ‐ Mar 19, 2014 8:40am
Based on the Planetree model of care, Elmhurst Memorial Replacement Hospital included design innovations that have increased patient and staff satisfaction and safety metrics, while achieving exceptionally high operating efficiencies. This session will present a case study of the project, including the project's goals, the effort to design Lean processes to improve efficiency and performance, and the design innovations created to remove the barriers to exceptional operations. This session will enable attendees to:
  • Examine Elmhurst's unique approach to patient-centered care.
  • Acquire tools for improving patient satisfaction scores.
  • Apply Elmhurst's approach to Lean operations redesign to your facility.
  • Review the planning, design, and construction innovations that removed the barriers to exceptional outcomes.

Fort Benning-Martin Army Community Hospital Replacement: A Model for Design Build

Mar 19, 2014 7:40am ‐ Mar 19, 2014 8:40am
Martin Army Community Hospital was recently replaced with a 745,000-square foot facility split almost evenly between inpatient and outpatient programs. The design team and Health Facility Planning Agency members collaborated to create a facility that met the long-term needs of a military community hospital. The presenters will discuss the pros and cons of providing a design build health care facility of this size and complexity and how adjusting the methodology streamlined the process. This session will enable attendees to:
  • Evaluate the effectiveness of a design build delivery method for similar facilities.
  • Discuss how a design competition can enhance collaboration and creativity.
  • Mix standard facility design concepts with cutting-edge planning and design concepts.
  • Apply the lessons learned to your facility.

Effective Building Enclosure Commissioning

Mar 19, 2014 7:40am ‐ Mar 19, 2014 8:40am
Modern health care facilities have stringent energy and performance requirements and strictly controlled interior environments. In combination with fast paced schedules, complex materials and designs, and an increased number of trades, achieving the owner's project requirements is more challenging than ever before. Implementation of an effective building enclosure commissioning (BECx) process can help minimize performance problems associated with the building enclosure, such as occupant discomfort, moisture issues, increased energy consumption, and other system failures. This session will enable attendees to:
  • Discover the history and applicable codes and guidelines related to BECx.
  • Identify key principles to effectively implement the BECx process.
  • Use mock-up and field functional performance testing to verify performance.
  • Explain how the building enclosure influences other building systems and how air infiltration and thermal insulation are associated with energy savings.

Interior Finish Specification for Performance Over Time: Accessing Metrics from Industry Standards

Mar 19, 2014 7:40am ‐ Mar 19, 2014 8:40am
Identifying environmental variables that affect patient outcomes has never been more crucial, as the shift in Medicare and Medicaid reimbursement creates a new world of accountability. The presenters will discuss how to take advantage of industry standards and research to choose building materials with performance characteristics that can meet owner expectations for safety, durability, and aesthetics over time. This session will enable attendees to:
  • Apply current industry testing results to the selection of surface materials for health care projects.
  • Explain why scientific testing results are important tools for addressing patient safety.
  • Discuss how using scientific data in discussions with owners can help designers achieve projects that meet owner expectations.
  • List surface characteristics that will facilitate infection prevention efforts, provide safe walking surfaces, and extend functional performance of surface materials over time.