Addressing Alarm Fatigue Through Facility Design

Mar 18, 2015 7:30am ‐ Mar 18, 2015 8:30am

Identification: 620

Several national regulatory and standard-setting bodies (including the Joint Commission, ECRI, the FDA, and the National Patient Safety Foundation) have designated alarm fatigue as the #1 technology hazard in hospitals due to its contribution to hundreds of patient deaths. Further, national HCAHPS scores and an independent survey of more than 600 hospital executives reinforce that noise is the #1 challenge hospitals must address to improve the patient experience. Representatives of the Facility Guidelines Institute's Acoustics Working Group/Task Force on Alarm Fatigue will discuss how simple, cost-effective modifications to the built environment can help reduce the noise problem.

This session will enable participants to:
  • Discuss how failure to provide patients with quiet rooms affects clinical outcomes and staff well-being.
  • Explain how facility design is one part of the response to alarm fatigue.
  • Describe several physical environment features that can be applied to help reduce alarm fatigue.
  • Explain the Joint Commission requirements instituted by the organization’s National Patient Safety Goal on managing alarm fatigue.

Reduce the Cost Structure: Develop and Implement PDC Standards

Mar 18, 2015 7:30am ‐ Mar 18, 2015 8:30am

Identification: 870

While standardization is present in most industries, the health care field tends to lag behind. Centralizing the approach to the PDC process can reap many benefits for health care organizations, including lower cost, higher quality design, and improved operational and clinical outcomes. In this presentation, the Ascension Health team will discuss how they developed and implemented standards and will describe the benefits, challenges, and lessons learned through a case study example of Ascension's community hospital in Jacksonville, Fla.

This session will enable attendees to:
  • Describe the areas in which standardization can benefit a facility or system.
  • Explain how standardization can be applied across a diverse system.
  • List the unique challenges to standardizing design and operational processes and apply lessons learned.
  • Explain how performance metrics are impacted by centralizing the PDC process.

CMS Update: Emergency Preparedness

Mar 18, 2015 7:30am ‐ Mar 18, 2015 8:30am

Identification: 869

The Centers for Medicare & Medicaid Services (CMS) has revised its emergency preparedness checklist to provide more detailed guidance. Areas affected by these changes include procedures for addressing a patient going missing during an evacuation, determining whether staff's family members may shelter at the facility, and collaborating with providers at the state and local level to increase response capabilities.

This session will enable attendees to:  
  • Examine the federal rule process.
  • Discover how the updates to this rule affect the physical environment.
  • Prepare and document necessary risk assessments.
  • Incorporate lessons learned into facility policy and procedures.

Field Research and Parametric Design: How Current State Analysis Leads to Future Optimization

Mar 18, 2015 7:30am ‐ Mar 18, 2015 8:30am

Identification: 648

This session will present a case study showing how a combination of field research with simulation can enable design teams to rapidly generate, and operationally evaluate, multiple future state scenarios. This allows clients and teams to make data-driven decisions and arrive at an ideal state that works for the unique project, while enhancing the speed and quality of the decision-making process.

This session will enable attendees to:
  • Combine field research and simulation tools.
  • Explore how research and analytics can be rapidly deployed for design.
  • Describe how parametric models are created and the importance of good data to inform these models.
  • Explain how design decision making can be fundamentally transformed through data and performance driven approaches.

Fire and Life Safety Barriers and Dampers for Engineers

Mar 18, 2015 7:30am ‐ Mar 18, 2015 8:30am

Identification: 764

This presentation will identify the components of the passive fire/life safety systems in health care facilities. It will address why these features are required and  provide strategies to treat penetrations by mechanical, electrical, and plumbing systems. The requirements of both NFPA 101, the Life Safety Code, and the International Building Code will be covered. Common areas of confusion will be addressed and clarified.

This session will enable attendees to:
  • Identify the components of a passive fire protection system on a fire/life safety plan.
  • Determine why barriers are required.
  • Determine how to treat penetrations by MEP systems.
  • Avoid common areas of confusion.

Transforming a Health System to Support Population Health and Community

Mar 18, 2015 7:30am ‐ Mar 18, 2015 8:30am

Identification: 590

In an era when improving population health and well-being is imperative, the 176-year-old MetroHealth System in Cleveland is poised to capitalize on needed rebuilding to transform its aging campus into a community wellness destination. The presenters will provide an overview of the open and transparent process being used to plan development that will support and help invigorate surrounding neighborhoods, in response to the MetroHealth vision of creating the “most admired public health system in the nation, renowned for our innovation, outcomes, service and financial strength.”

This session will enable attendees to:
  • Discuss how emphasis on community health can affect project design and the delivery of health care.
  • Describe how to develop and organize a robust mechanism for gathering input from internal and external community stakeholders.
  • Explain how MetroHealth is leveraging its transformation project to benefit its neighborhood and catalyze additional community development.
  • Assess how local health issues can be addressed through design decisions, including health impact and health design assessments.

Interior Material Selections for Optimum Reimbursement: Accessing FGI Guidelines

Mar 18, 2015 8:40am ‐ Mar 18, 2015 9:40am

Identification: 742

Research reveals that patient/caregiver behavior modification alone cannot address patient safety issues and improve consumers’ appraisals of health care settings. Physical features of the health care environment, including interior surfaces and furnishings, are pivotal to success in improving clinical environment performance and regulated survey data. This presentation will review the new FGI Guidelines language, written to guide owners in meeting the new regulatory/reimbursement requirements. Case studies from academic medical centers will reveal owners’ methodology in meeting these key measures.

This session will enable attendees to:
  • List two design elements that will assist in the prevention of medication administration errors.
  • Describe changes in the 2014 FGI Guidelines regarding surfaces and furnishings appendix language that clarifies safe walking surfaces.
  • State three specification opportunities to reduce noise and glare.
  • Identify key specifications that reduce contaminating recently sanitized hands.

A Value Analysis of Lean IPD: Lessons Learned in the Development of a Framework

Mar 18, 2015 8:40am ‐ Mar 18, 2015 9:40am

Identification: 595

Integrated project delivery (IPD) and lean methodologies are increasingly used for the design and construction of health care facilities. However, an in-depth analysis in terms of the value to the organization, and potential cost/benefit or return on investment analyses remains a challenge. To meet this challenge, a health care facility, an academic institution, and an architectural firm came together to share insights on the plus/delta of a lean IPD process and develop an inventory of metrics to facilitate systematic benefit/cost analyses. The presentation will share phase one findings from a multi-phase study.

This session will enable attendees to:
  • Identify the advantages and disadvantages of using Lean thinking in the IPD process.
  • Define “value” and track quality metrics.
  • Put together a framework for collecting quality metrics that can allow cost/benefit and/or ROI calculations, based on metrics currently tracked. 
  • Determine how implicit costs and benefits can be made explicit.

Confessions of an Owner's Rep: When Should the Owner Spend More Money?

Mar 18, 2015 8:40am ‐ Mar 18, 2015 9:40am

Identification: 695

Not quite a kiss and tell, this session is really a short dollar vs. long dollar discussion and an exploration of when to choose which. The presentation will look at real-life examples of budget cuts that led to increased costs in the long run. We will explore each phase of planning, design, and construction and examine our decision-making process and the role money should play. Finally, the audience will be invited to share their experiences.

This session will enable attendees to:
  • Examine the owner’s budget-balancing act.
  • Avoid the sins of the past by factoring in the lessons of others’ experiences.
  • Assess how much to push vendors on price.
  • Evaluate which consultants are worth the cost.

The Ribbon ED: A Model for Safety, Efficiency, and Flexibility in the Emergency Department

Mar 18, 2015 8:40am ‐ Mar 18, 2015 9:40am

Identification: 705

The Ribbon ED is the evolutionary result of working with many ED physicians, nurses, and administrators to combine several maxims in emergency department planning. The Ribbon ED is a concept that maximizes visualization and observation of patients, decentralizes supplies to minimize walking, establishes a configuration that allows the flexing of patient volume with optimized staffing ratios, and creates a flexible environment that can handle overflow surges safely and minimize chaos.

This session will enable attendees to:
  • Assess how the Ribbon ED concept promotes flexible, effective staffing in low as well as high census.
  • Decentralize supplies and support components to reduce steps and improve efficiency, and therefore improve patient care.
  • Identify how the open core/team center maximizes visualization and observation throughout, enhancing patient and staff safety.
  • Describe how the Ribbon ED flexes up to handle overflow surge patient volume.