For many years, ASHE has been a leader in the call for more scientific rigor in creating (and sunsetting) code requirements. That philosophy has been heard. In the past two years, ASHE has worked with the FGI and ASHRAE to do a disciplined dive into the evidentiary foundation for the requirements in ASHRAE 170. The study is now complete, and moving into publication. This session will provide an overview of the process, the results, and the next steps.

Learning Objectives:

1.) Identify the need for evidence in policy making.

2.)  Describe the methodology designed by the FGI and later applied by the FGI-ASHE-ASHRAE team to undergird both documents with an evidentiary foundation.

3.)   Describe the results of the evidence gathering process as applied to ASHRAE 170 requirements.

4.) Help prioritize research needs for this part of health care buildings.

How can a design team collaborate with a historically underserved community to develop trust and understanding while improving health services and acknowledging unique culture? This session will explore the historical context of Native American health service delivery. Case studies representing a spectrum of scale and context will feature best practices in delivery, design, and incorporation of Native American culture. The presentation will highlight successful collaboration techniques for driving design consensus among large diverse constituent groups.

Learning Objectives:

1.) Discover the historical context of Native American health services and how to deliver design services through both tribal health and the Indian Health Service.

2.) Appreciate how aspects of Native medicinal practices affect building design.

3.) Review case studies of three differently scaled Native American projects including best practices in delivery, design, and incorporation of Native culture with humility and respect.

4.) Learn successful collaboration techniques for driving design consensus among large, diverse, underserved constituent groups.

After hurricane Irene struck Florida, the governor enacted an emergency power rule requiring nursing homes and assisted living facilities to provide a cool environment for patients on loss of utility power. Lourdes McKeen Towers in West Palm Beach was forced to add additional power generation to their facility. The facility turned to a team of engineers, contractors, and equipment suppliers for a timely, robust solution. Their blueprint may help other facilities comply with similar emergency power rules.

Learning Objectives:

1.) Recognize the drive behind and the technical requirements of the Florida emergency power rule and how they may propagate to other states.

2.) Identify site design challenges based on local and state codes in conjunction with the rule.

3.) List the three primary solution options for the cooling rule based on whole-house, cooling load only, and "lifeboat" solutions.

4.) Recognize how a collaborative approach with the owner, designer, installer, and equipment supplier provided a more robust and flexible system to the owner. 

This session is a panel presentation of the 3 Armand Burgun Fellowship recipients who will present their respective studies & the lessons coming from them. Bill Eide, Texas A&M, Phase 2 of Burgun 2017-18 Fellowship "Most Common Healthcare Design Review Deficiencies.

Hui Cai, University of Kansas, To Validate Facility Guidelines for Critical Access Hospitals (CAH): A Collaborative Benchmarking Post-Occupancy Evaluation Study on CAHs

Christopher Kiss, Clemson University, The Influence of Windows on Surgeons' Stress

Learning Objectives:

1.) Information and mitigations on the most common healthcare design review deficiencies.

2.) Facility Guideline recommendations on Critical Access Hospitals.

3.) Benchmarking and key outcomes of Post Occupancy Evaluation of Critical Access Hospitals.

4.) Factors in determining stress in surgical staff, and impacts of windows and views to daylight.