Interlink 2018 Speakers
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Minimizing Suicide Risk Factors in Healthcare Design

Rodney Allison PhotoRodney Allison

Dir. Health Care Strategy and Business Development • Door Control Services, Inc.

Rodney Allison has been in the door industry for 6 years, specializing in life safety for the healthcare industry. For the last thee years, Mr. Allison has focused his efforts toward ligature detection in psychiatric hospitals and inpatient psychiatric patient areas in general hospitals nationwide. Mr. Allison has a passion and dedication for educating the healthcare industry to help save patient lives in the communities that you serve.

Abstract

Minimizing Suicide Risk Factors in Healthcare Design

This presentation is centered around the recent CMS and The Joint Commission's added emphasis on the assessment of ligature, suicide and self-harm observations in psychiatric hospitals and inpatient psychiatric patient areas in general hospitals. This comes at a time when there is national concern about the number of suicides in hospitals. Suicide is among the Top 5 sentinel events in The Joint Commission’s database. Research has shown that many suicide attempts are impulsive. There is little disagreement that a facility that can eliminate environmental risks is reducing the means and opportunities for patients to commit suicide and/or harm themselves. In 75% of inpatient suicides, the method used by the patient was a hanging on a bathroom, bedroom or closet door in the patient's room. This presentation helps to promote methods to deter this from happening and/or give hospitals an indication when a patient is in the act.

Learning Objectives

  1. Relate the frequency, location and method of in-patient suicide trends to the challenge of environmental safety design.
  2. Review The Joint Commission’s goals for patient safety, suicide alert notifications, and contributing physical environmental risk factors.
  3. Identify common environmental design patient safety risks and solutions.
  4. Source and reference recommended product safety solutions from industry publications

 


Patient Experience: The Shift to Consumerism

Laura Burnett photoLaura Burnett

Manager, Patient and Family Centered C • Texas Health Resources, Hurst-Euless-Bedford

With 23 years of acute care nursing experience and seven years dedicated to improving the patient experience, Laura’s enthusiasm and expertise has helped her hospital improve patient experience across all service lines. Laura has extensive training in patient experience and healthcare service. Her unique role within the organization allows her the opportunity to be involved in all aspects of hospital operations including patient employee engagement, service line experience design, patient safety, hospital construction, renovation and facility re-design. Laura has spoken at local, state and national conferences and in 2012 presented at the Studer Group Conference, "What's Right in Healthcare" and in 2014 & 2016 presented at the THAFM Interlink Conferences. Married for 35 years, Laura and her husband Phil enjoy traveling and she likes to spend her free time with her children and grandchildren.

Abstract

Patient Experience: The Shift to Consumerism

With declining reimbursement, a focus on reducing readmissions, improving safety, and the shift to community based care, healthcare organizations are forced to examine and optimize design and redesign of their existing facilities to meet the change in healthcare delivery. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys are only one component of the value based purchasing program impacting not only acute care inpatient hospitals, but many other healthcare services and service lines. During this presentation, an update will be provided on value based purchasing, the shift from the patient to the consumer and the financial impact on healthcare organizations as it relates to patient experience and patient safety.

 


Use of BIM, LEAN and other Collaborative Tools to deliver Complex Healthcare Projects

Eduardo Calderon PhotoEduardo Calderon

Principal • SSR

Eduardo Calderon has been with SSR for 26 years, working closely with Cook Children’s Medical Center on all projects large and small continuously for 21 years. He serves as senior project manager for the mechanical and electrical engineering consulting efforts, as well as interfacing with SSR’s Telecommunications and SSR Cx Sustainable Solutions groups. Eduardo received his Bachelor of Science degree from Trinity University in San Antonio.

 

Spencer Seals

Director of Construction and Facilties Planning • Cook Children's Medical Center

Spencer Seals: Spencer has been with Cook Children’s Medical Center for 6 years. He previously served as Administrative Resident, Facility Transition / Space Planning Coordinator, and Senior Construction Project Manager until his latest role which he began in 2012 as Director of the Construction Facilities Planning Department. Spencer has a Bachelor of Science Degrees in Psychology, Behavioral Science and Health and Organizational Behavior Studies from the University of Utah as well as a Masters in Hospital Administration from Trinity University in San Antonio.

 

Kevin Imming PhotoKevin Imming

Vice President • Linbeck

Kevin Imming has been with Linbeck for 18 years, leading projects in Dallas-Fort Worth and Houston, Texas. He has his MBA from University of Texas -Arlington and Bachelor of Construction Science and Management from Kansas State University.

 

 

Abstract

Use of BIM, LEAN and other Collaborative Tools to deliver Complex Healthcare Projects

  1. How to focus a team on the Owner's goals, tying performance and incentives to achieving those goals
  2. The work the team did to come together and perform
  3. The use of BIM, LEAN tools to enhance the team interaction and avoid mistakes in the field
  4. Other collaborative tools utilized on the project
  5. Results achieved from the Owner’s point of view

Learning Objectives

  1. Engagement of Team: poly-party IPD
  2. BIM and Laser Scanning
  3. Results in savings returned, early turnover and value added

XGen & Millenials - A Succession Plan for Leaders and Workers

Mike Canales photoMike Canales

Vice President Training and Education • Kentucky Society of Healthcare Engineers

Mike Canales is a 30 year Healthcare Engineering Professional, who has worked as a Healthcare Facilities Director for 21 years. Currently serving as the program director for the Healthcare Facilities Leadership degree program at Owensboro Community and Technical College. Mike has been a long time ASHE member, earned his CHFM certification in 2003, and is a founding member and past president of the Virginia Society of Healthcare Engineers(VSHE). Mike has expertise in Clinical Engineering, Maintenance & Plant Operations, Security, Emergency Management, Project Management, Environmental Services, Telecommunications, Public Water Works, Leadership Development and Education. Mike is passionate about the professional development and advancement of healthcare facilities leaders from the entry level to the seasoned veteran

Abstract

XGen & Millenials - A Succession Plan for Leaders and Workers

The presentation will identify the current and emerging trends that are demanding a very intentional response to growing shortages of qualified healthcare facility leadership and technicians. A closer look at identifying, establishing, and placing successful succession planning will be reviewed. The presentation will focus on the skills and qualities of Millenials and XGeneration who represent the next 15-35 years of the work force. The importance of career planning and education will be reviewed along with current and emerging offerings.


2017 Fire and Flood in the Hospital: John Sealy Hospital January 2017 Case Study

Charles Carlisle PhotoCharles Carlisle

Program Director, Fire and Life Safety • UTMB-Health

Charles (Chuck) Carlisle, CIH, CSP, CHMM. CHFM, CHC graduated from the university of Houston with a Bachelor’s of Science in 1994 and Masters of Science in Environmental Sciences in 1996. He is a Certified Industrial Hygienist, Certified Safety Professional, Certified Healthcare Constructor, Certified Healthcare Facilities Manager and Certified Hazardous Materials Manager. Chuck has over 27 years’ experience compliance programs development, emergency response, industrial hygiene and professional safety systems development in the petrochemical and healthcare industries. With more than 17 years’ experience with Joint Commission program development as the compliance lead, he has been integral to the Life Safety and Environment of Care compliance efforts at UTMB-Health. Additionally, he has had the experience of responding to major emergency events such as Hurricanes Ike and Harvey as well as response to major fire events. Todd Perry, CHMM, CFI graduated from Texas A&M University with a Bachelor’s of Science degree in Environmental Sciences in 1996. He is a Certified Hazardous Materials Manager, Certified Fire Inspector I and a Captain in the Friendswood Volunteer Fire Department. Todd has 21 years’ experience in emergency response, hazardous waste industry, fire, life safety and construction in the petrochemical and healthcare industries. With 10 years’ experience with Joint Commission program compliance and is the lead for the UTMB Health’s 2 regional Hospital in League City and Angleton Texas and multiple regional clinic locations. Additionally, he has experience responding to major emergency events such as Hurricane Ike and Harvey and major fire events for UTMB Health and the City of Friendswood Texas.

Todd Perry

EHS Technical Supervisor & Captain, Friendswood Volunteer Fire Department UTMB-Health • Fire and Life Safety

Bio coming soon.

Abstract

2017 Fire and Flood in the Hospital: John Sealy Hospital January 2017 Case Study

On January 4, 2017 at 1:18 pm UTMB-Health experienced a fire the scale of which destroyed the entire second floor elevator lobby, caused the evacuation of the entire John Sealy Hospital and resulted in smoke damage to most areas of the building. Emergency responders and staff’s rapid and sometimes heroic actions resulted in there being no patient injuries and only one reported, minor staff injury. This case study will examine the events of the day, contributions to fire damage caused by contents, response by staff and effects to the organization. UTMB-Health responded quickly, evacuated an entire hospital and Neonatal Intensive Care Unit in under 30 minutes and applied typical Incident Command System techniques to recover from this major fire event. Several very surprising lessons were learned from the coordinated formal investigation conducted by state, local and UTMB-Health professionals. Subsequent, recorded burn testing indicated surprising results from the contents and will be demonstrated. Material content, finish types and contribution to the overall damages will be reviewed along with operational challenges. Other topics reviewed include: infection control issues due to smoke damage, loss control activities, emergency response challenges, and early communication challenges during the first 15 minutes of chaos and coordination of emergency response improvement activities with the local fire department. Nine months later, Hurricane Harvey struck the Houston-Galveston area causing massive destruction. Ten years after Hurricane Ike, UTMB-Health had completed most of its mitigation measures from the devastation that Hurricane Ike wrought on the campus. While the campus sustained very little damage, several off-site clinics were damaged or completely destroyed. Additionally, with an employee population in excess of 12,000 many, if not most could not return to work due to flooding for about a week. UTMB-Health was forced to take unusual measures to adjust to demands such as temporary housing of employees, feeding them and getting additional supplies to and from the campus. Additionally, with three main campuses inter-campus supply and sample transfer required creative measures to accomplish. As soon as flood waters receded, the process of recovery had to begin on the damaged facilities. These recovery efforts required quick action and some novel techniques to muck-out and preserve facilities. Other topics reviewed include: managing leadership expectations and misconceptions about flood damage response, assistance/coping with employees personally impacted, transport of blood products by Blackhawk, when to obtain a “Duck boat”and “Thank goodness we have rednecks with jacked up trucks.

Learning Objectives

The participant will learn the following: 1. That some common room contents may be more combustible and produce significantly more products of combustion than typically anticipated. 2. Canned, prototypical fire response plans may not be adequate when a significant fire occurs 3. Lessons learned in coping with the first 15 minutes of chaos in a fire 4. Lessons learned from evacuating very vulnerable populations such as Neonatal Intensive Care unit and mothers in active labor. 5. Hurricane Harvey; when the hospital is dry, can you get your employees back? Some experiences and tips provided. 6. Some experiences and lessons learned from flooding in off-site clinics, such as maintaining supply lines, creative re-routing and working with local agencies to maintain services during high water events. 7. Effective response actions to flood-affected facilities.

 


Preparing your electrical power systems for weather-related events

Tom Kennedy photoTom Kennedy

Area Sales Manager - Healthcare • Eaton

19 Years with Eaton in numerous roles with the Eaton Electrical Services & Systems (EESS) division and General Sales (new construction) division.

Led Eaton’s service healthcare disaster relief sales support during Tropical Storm Allison at the Texas Medical Center in Houston June, 2001. EESS and my team were integrally involved in two large hospital’s power distribution system recovery plans due to massive flooding of the TMC. (Memorial Hermann, UT Health Science Center)

As lead sales engineer in Dallas, provided electrical distribution equipment, power system studies, and site acceptance testing on the new construction of several new healthcare facilities. (Presbyterian in Greenville, TX / Baylor, Scott, and White in McKinney, TX /Texoma Medical Center in Denison, TX / Parkland Hospital in Dallas, TX)

Selective Coordination subject matter expert on electrical power system emergency systems for healthcare.

Abstract

Preparing your electrical power systems for weather-related events

For any healthcare operation, it is always critical to minimize interruption to operations. However, electrical emergencies are often inevitable due to the unexpected nature of blackouts, equipment failures, hurricanes, lightning, floods, high winds and other natural disasters. With pre-established emergency procedures and proactive planning, the consequences of the loss of electrical power can be minimized if a disaster occurs. Pre-crisis planning also provides the opportunity to identify internal problems that could cause risk in the future, including overloaded or malfunctioning equipment, storage blocking equipment access and/or escape routes, missing breaker racking or lifting tools, missing drawings and more. This presentation will discuss how to perform a pre-crisis risk mitigation audit that can help your organization estimate the potential impact of credible disaster scenarios and identify ways of minimizing vulnerability in the event of a disaster. Attendees will also learn common areas where essential electrical and backup power systems can be modernized or upgraded to improve response time following a disaster. Finally, the presenter will provide an overview of how to assess equipment damage safely before weighing available options for equipment reclamation, life extension and/or replacement.

Learning Objectives

  1. Understand how proactive planning and modernization can help minimize downtime following a natural disaster
  2. Learn how a pre-crisis risk mitigation audit can help your organization estimate the potential impact of disaster scenarios while reducing vulnerability
  3. Discover how to plan ahead for rapid equipment reclamation, life extension and/or replacement to ensure your facility can return to service continuity following a weather-related event in a rapid and safe manner

 


CMS Emergrency Management - Key Complaince Items

Michael Crowley PhotoMichael Crowley

Vice President • Jensen Hughes

Mike Crowley holds a BS in Fire Protection and Safety Engineering from Illinois Institute of Technology, and an MBA from The University of Houston. Mike is a licensed professional engineer in 5 states. Professional organization involvement includes Fellow in Society of Fire Protection Engineers (SFPE), National Fire Protection Association (NFPA) Membership and activity on NFPA Technical Committees including NFPA 101 - Healthcare Occupancies and Means of Egress, and NFPA 99 - current Correlating Committee Chair, among others. He is a Life Safety Code and NFPA 99 instructor for NFPA. In addition, he is a Fellow Member of the American Society of Healthcare Engineers. Mike has authored numerous technical articles and made presentations at various conferences and symposiums. He is Vice President Development and healthcare practice leader for Jensen Hughes. Mike provides consulting to architects, facility managers and building owners around the world.

Abstract

CMS Emergrency Management - Key Complaince Items

This is a review of the November 2016 Emergency Management CMS rule and applications issues and citations related to emergency management. Recent K tag items from Texas and around the country will be presented . Compliance issues will be identified. Proposed solutions to the K Tag issues will be discussed.

Learning Objectives

Identify Major new emergency management requirements
Discuss recent K Tags related to emergency requirements
Review trends in emergency management related to recent storms
Discuss proposed K Tag solutions for emergency management.

 


Energy Code and Fan Efficiency: How ASHRAE 90.1 and IECC Codes Changed Fan System Design for Healthcare & Institutional Facilities

Mike Donovan photoMike Donovan

President • HTS Texas

Mike Donovan, a 2009, 2010 and 2015 Ernst & Young Entrepreneur of the Year finalist, is the president and owner of HTS Texas. In this role, he has incorporated market-changing, innovative concepts and personalized customer service, enabling the company to grow from start-up to gross $163 million in 2015, receive Houston Business Journal's Fast 100 award in 2010 and 2014, and Houston Chronicle's Best Workplaces Award in 2010 and 2011. Along with numerous top sales achievement awards from York International and Daikin Applied, Donovan has earned the Daikin Applied Pinnacle Award twice, a prestigious honor that commends leaders who help their companies grow and increase market presence and community involvement, while promoting employee and supplier relations.


Scott Sevigny PhotoScott Sevigny

Principal • Shah Smith & Associates, Inc.

Scott, who has been with Shah Smith & Associates, Inc. since 1998, brings over 20 years of experience as a professional engineer and currently serves as the firm’s mechanical engineering department head. His added expertise combined with his background in general contracting, as well as his leadership as a U.S. Naval Aviator have all contributed to him earning a reputation as an expert in leading challenging and complex projects.


Abstract

Energy Code and Fan Efficiency: How ASHRAE 90.1 and IECC Codes Changed Fan System Design for Healthcare & Institutional Facilities

Due to the state of Texas adoption of ASHRAE 90.1-2013 and/or IECC 2015, the application and design of mechanical equipment and mechanical systems within hospitals and institutional facilities have changed significantly. This specific presentation won't touch on EVERY mechanical system change but will attempt to dive deeper into the application and consideration of fans for all building applications. The design, selection, and application of air moving equipment (fans) within the new energy code and building standards requires an appreciable change in upfront building design from the earlier IECC /ASHRAE 90.1 energy codes. This presentation has been approved for use utilizing the non-commercial provisions associated with ASHRAE technical updates.

Learning Objectives

  1. Shed Light on the heightened awareness of the industry (codes and regulations) due to the significant energy consumption associated with fans distributing energy (transportation BTU expense) in healthcare & institutional buildings. Provide a quick history and background of subject detailing evolution of fan(s) and fan systems (fan efficiency and fan acoustic advancements) in last 25 years.
  2. Educate Facility Owners & Design & Construction participants in building healthcare and institutional projects on the applications of fans (for all applications in a healthcare or institutional building) as it relates to the already adopted energy codes (ASHRAE 90.1 and IECC - 2015), Introduce Terms FEG (Fan Efficiency Grade) and SFP (System Fan Performance -> BHP per CFM).
  3. Step in MEP design engineer's shoes and show real life applications that are simple and direct to understand how to comply with adopted code of maximum BHP (fan system brakehorse power) per CFM (Cubic Feet per minute of standard air) using today's methodology (AMCA 205 - FEG method) and tomorrow's methodology (AMCA 208 - FEI method that replaces FEG).
  4. Participants of seminar/presentation to leave with quantifiable meaning of fan efficiency in real terms (Watts(KW)/ CFM) and understanding of the impact of fan efficiency to the building's overall utility operations budget and to existing code regulations. This scenario would be no different than how other mechanical, capital intensive, elements are evaluated an applied to building and energy codes.

 


Dedication, Pride & Commitment: Leadership Lessons from Black Hawk Down for Business & For Life

Matt Eversmann PhotoMatt Eversmann

Hero of the Epic Film, Black Hawk Down, and the Battle of Mogadishu

A true American hero, First Sergeant Matt Eversmann illustrates the importance of leadership, courage and selfless service to succeed when ordinary circumstances become extraordinary challenges.

As an Army Ranger deployed to Somalia in 1993, Matt experienced the horrors of war when he and his fellow soldiers were trapped in a hostile district of Mogadishu and marked for death by an angry mob. His inspiring story of survival was immortalized in the epic film, “Black Hawk Down,” which recounts the harrowing experience.

Abstract

Dedication, Pride & Commitment: Leadership Lessons from Black Hawk Down for Business & For Life

Committed to sharing the lessons he learned in the military, Matt draws parallels from his experiences to highlight the importance of leadership, courage and responsibility within any team or organization. Unambiguously humble, gracious and warm, his powerful story and straightforward insights on instilling these values stay with business leaders longs after the applause has ended.

 


Sustaining the Reliability of your Facility through a Capital Renewal Program

Gary Fitzjarell photoGary Fitzjarrell

VP Facilities Management • Texas Health Resources

Gary Fitzjarrell, AIA, CHFM is the Vice President Facilities Management for Texas Health Resources. He is responsible for the teams that oversee the Plant Operations/Engineering functions of the 13 wholly-owned hospitals and multiple real estate facilities throughout the Dallas/Fort Worth metroplex, totaling 10.8 million square feet. He has been involved in healthcare architecture, construction, and facilities management for over 25 years in Louisiana and Texas as an owner’s representative, architect, and contractor. Gary holds a Master of Architecture degree from Tulane University and is a registered architect in both Louisiana and Texas. He joined THR in 2008 after moving to the Dallas Fort Worth area as an indirect result of Hurricane Katrina.

  

Brent Rutherford PhotoBrent Rutherford

Program Manager - System Engineering • Texas Health Resources

Brent Rutherford, CEM, CHFM is a Manager of System Engineering for Texas Health Resources (THR) in Arlington, Texas. Responsibilities include: Energy Management, MEP Infrastructure Consultation, and Infrastructure Capital Replacement Programs. In this role, he develops and implements Infrastructure Master Replacement projects as well as Utility conservation, reliability, and optimization procedures for the Plant Operations/Engineering departments of the 13 non-profit entities throughout the Dallas/Fort Worth metroplex. He has been involved in healthcare facilities management and construction for over 17 years in Louisiana and Texas as a Facilities Director, contractor and consultant. Brent holds 2 Bachelors of Science degrees in Environmental Science from Abilene Christian University and in Education from McMurry University and has obtained the designation of Certified Energy Manager and Certified Healthcare Facility Manager. He joined THR in 2013 after working for 12 years in Louisiana.

Abstract

Sustaining the Reliability of your Facility through a Capital Renewal Program

Sustaining the Reliability of your Facility through a Capital Renewal Program Infrastructure performance and reliability is the life blood of a HealthCare facility, and maintaining the proper operation of those essential systems is one of the most important functions of the Facilities Management Team. Developing an effective Capital Renewal Program is the basis of ensuring reliability. We will demonstrate through example how to develop and implement a capital renewal program and show how Texas Health Resources addressed this challenge and successfully developed a capital infrastructure replacement and enhancement program which has become one of the most admired programs in the industry. As an added benefit, we will also show how this program has contributed to the energy efficiency of our facilities. The presentation will outline the analysis process, prioritization process, and budget development process, in addition to selling the concept to the c-suite as a long term reliability benefit to the organization. Texas Health Resources is one of the largest faith-based, nonprofit health systems in the United States. The health system includes Texas Health Physicians Group and hospitals under the banners of Texas Health Presbyterian, Texas Health Arlington Memorial, and Texas Health Harris Methodist. It serves the 16 county area of North Texas and is primarily centered around the Dallas-Fort Worth metroplex. Facilities Management is responsible for plant operations and maintenance of 13 wholly-owned non-profit hospitals totaling 7.4 million square feet and multiple wholly-owned real estate facilities of 3.2 million square feet. As capital infrastructure was aging, requests for “emergency”capital funding of replacement equipment were increasing due to failing equipment. Seeing that there may be a problem developing, Texas Health Resources tried to be proactive and had an engineering firm perform a formal facilities condition assessment in 2006 which identified the condition of the major infrastructure equipment in each one of the entities. The initial assessment was completed and provided a comprehensive list of the infrastructure capital equipment including age, condition, and life expectancy under normal maintenance. The assessment also provided an estimated cost for the replacement of the equipment and a timeline based on the life expectancy. The facility condition assessment (FCA) reports were distributed to each entity, and told that they were financially responsible for these capital projects and to include them in your capital funding over the next few years. Over the following few years and to no one’s surprise, very few of the capital infrastructure projects were being planned and completed, finding it hard to compete for limited capital funding against a revenue producing capital improvement. As “emergency”capital requests rose again, another solution was identified. In 2010, THR created a new department know as System Engineering, and one of the major functions of the new department was the creation, coordination, and oversight of a new capital funding source known as FCA Capital. The purpose of this funding was to provide a resource for the replacement of the aging infrastructure in the wholly-owned non-profit hospitals and wholly-owned real estate buildings. Projects could be analyzed and prioritized across the system using the FCA as a guideline along with input from the entities. The initial steps in the process included the development of the FCA budget and the updating of the FCA which was now 4 years old, both of which happened in 2011. The Texas Health Infrastructure Capital Renewal Program, referred to as the FCA Program, was presented to the executive suite and approved. Our presentation will take you through this process, the benefits it has brought to our system, and how this can be duplicated in your facilities.

Learning Objectives

  1. Describe the value of an Infrastructure Assessment
  2. Understand the process of developing a capital renewal program
  3. Describe the importance of a reliable infrastructure network and how it supports the delivery of healthcare services.

 


House, MD - A Comparison of a Hospital to the Human Body

Dennis Ford PhotoDennis Ford

Attending Physician • Texas Children's Hospital

Dennis Ford is currently the Director of Facilities Engineering at Texas Children's Hospital in Houston TX. He has served in Health Care Facilities Engineering for over 20 yrs. He received his degree in Civil Engineering and started his career in the Air Force where he served in facility management roles and led the development of a Computerized Maintenance Management System currently used by all military hospitals. Prior to Texas Children's Hospital, Dennis served as Program Director of Property Services at the University of Texas Medical Branch (UTMB) in Galveston, TX, as Director of Facilities at Baptist Health System in San Antonio and as a facilities management consultant. While at UTMB, Dennis was involved in the construction of two new hospitals, managing FEMA projects as the result of Hurricane Ike, and in the transition of an existing hospital to UTMB operated -doubling program size to 4 MIL SF. Dennis is currently responsible for maintenance and operations of over 5.5 MIL SF, growing by 1.2 MIL SF in 2018. In 2018 he will complete his Masters of Health Administration from Texas A&M. Dennis is an active member of the Texas Association for Healthcare Facilities Management (TAHFM) and the American Society for Healthcare Engineering (ASHE). He is currently serving as TAHFM Region 4 Director and member of the ASHE Knowledge Based Designation Task Force. He brought Certified Healthcare Facility Manager (CHFM) training to UTMB, resulting in 20 new CHFMs and has presented at the 2014 ASHE PDC conference and the 2014, the 2017 ASHE annual conference and 2017 TAHFM Interlink. He has published articles in the 2013 and 2017 Inside ASHE Magazine and in the 2011 Critical Care Nursing Quarterly, “Does Proper Design of an ICU Affect Compliance with Isolation Practices?” Feedback from the 2017 ASHE conference presentation was received from 52 attendees with an average score of 4.72 out of a possible 5.

  

Brent Kaziny photoBrent D. Kaziny

Attending Physician • Texas Children's Hospital

Dr. Brent D. Kaziny obtained his Bachelor of Science degree at Duke University, majoring in both Biology and Philosophy. Upon completion of his undergraduate degree, Dr. Kaziny attended the Columbia University Graduate School of Arts and Sciences where he completed a Masters of Arts in Philosophy. He obtained his medical degree at the University of Texas -Houston, School of Medicine. He started his pediatric intern year at Tulane University, where he received the Hurricane Katrina Code Grey Hero Award for his efforts caring for patients and assisting with the evacuation of Tulane Hospital during the aftermath of Hurricane Katrina. His experience during Hurricane Katrina ignited his interest in pediatric disaster preparedness. After completing his intern year, he transferred to Baylor College of Medicine, where he completed his residency training in general pediatrics. At Baylor College of Medicine he was involved in a number of preparedness initiatives including review of the patients cared for at the Reliant Stadium shelter and work on the creation of shelters for individuals with functional access needs. He completed his fellowship in Pediatric Emergency Medicine at the University of Utah in Salt Lake City. While in fellowship, Dr. Kaziny served as a team physician for the State of Utah’s Pediatric Strike Team, a pediatric specific disaster response team, and as the American Academy of Pediatrics’ State disaster contact. He was also able to complete a variety of training programs in topics ranging from incident command to radiation emergencies and toxic chemical treatment. Upon completing fellowship, Dr. Kaziny took a position as an assistant professor at Baylor College of Medicine and Texas Children’s Hospital. He has served as a subject matter expert on the Texas A&M Engineering Extension Services curriculum development team for FEMA’s Pediatric Disaster Response and Emergency Preparedness Course, continues to serve as adjunct faculty teaching the course across the country, and is the current Medical Director for the course. At Texas Children’s Hospital he works in the Emergency Center, is Director of All Hazards Preparedness and Response for the Section of Emergency Medicine, and serves as the Physician Lead of the Emergency Management Committee. As Physician Lead of the Emergency Management Committee, he fills the role of Chief Medical Officer under the Incident Command Structure. Dr. Kaziny was also an instrumental team member in the training of hundreds of health care workers in the use of personal protective equipment during the Ebola outbreak of 2014. This work led to his involvement in the creation and development of Texas Children’s Hospital’s Special Isolation Unit, an 8-bed pediatric-specific bio containment unit. Regionally, he serves as a member of the board of directors for the Southeast Texas Regional Advisory Council, working to continue to improve the region’s readiness efforts. He also serves as Texas’s State Disaster Contact for the American Academy of Pediatrics and as the Disaster Advisor for the State of Texas EMSC State Partnership Advisory Council. He is the Co-Chair of the Committee on Pediatric Emergency Medicine for the Texas Pediatric Society. On a national level, he serves as the Domain Lead for the Disaster Preparedness domain of the EMSC Innovations and Improvement Center (EIIC). In this role, he interfaces with a number of national organizations working to improve the care of children in disasters. This work includes, but is not limited to, sitting on a number of expert panels. He is also an executive member of the National Pediatric Disaster Coalition. Ever since his first exposure to disaster work, during his first months as a physician in New Orleans during and after Hurricane Katrina, Dr. Kaziny has devoted much of his career to working to improve the care of children in disasters of all types. He continues this work on many levels as described above, hoping to improve his institution’s response to local man-made and natural disasters, but also hoping to affect change on a regional and national level as well.

Abstract

House, MD - A Comparison of a Hospital to the Human Body

Our House, MD today is Dr. Kaziny from Texas Children's Hospital in Houston, TX. Like many other doctors at Texas Children's Hospital, Dr. Kaziny spent his time as a resident trying to stump our past chairman and physician-in-chief, Dr. Feigin. Now, we have the opportunity to see if we can stump Dr. Kaziny! We are professionals charged with the management of facilities operations. We take care of buildings, which are made up of many systems, which have become more complex over time. Dr. Kaziny, an Emergency Room physician, takes care of patients who are also made up of complex systems. When these systems begin performing outside of their design intent, which one is the hardest to diagnosis, the building or the human body? This presentation will compare the infrastructure and interoperations of a hospital to the human body. Like a human body, a healthcare facility is a complex integration of several systems, all working in co-ordination according to specific sequence of operations. This involves various kinds of mechanisms including diverse types of inputs, processing and outputs, along with monitoring, feedback and control systems. The hospital building comprises of many components and systems analogous to organs and systems in the human body. These include, but are not limited to the skeleton, skin, sensory organs, nervous system, and respiratory system. We will present unusual cases within a hospital that were both difficult to diagnose and “treat”. These cases will be presented in a format familiar to Dr. Kaziny. A discussion of the history of present illness, past medical history, and physical exam will be made available. Dr. Kaziny will then discuss a list of potential diagnoses, a “differential diagnosis,”and discuss what tests will assist him in making a final diagnosis and what the treatment plan will be. These cases will have multiple symptoms and many possibilities. Through this exercise, the systems and symptoms experienced in the hospital facility will be compared to systems and symptoms in the body and presented to Dr. Kaziny to see if he can properly diagnose the problem and determine a practical solution. We will then walk Dr. Kaziny and the audience through the facility cases and see if we agree with his diagnosis! It is hoped that this presentation will be useful to help facilities staff bring a better understanding of the complexity of the systems we maintain to the clinical staff in a hospital so they will understand the functioning of the hospital building, and the complex relationships that exist between various building systems.

Learning Objectives

  1. To present the various systems and components of the building system in a hospital in a simplified manner.
  2. To help clinical staff in a hospital understand the functioning of the various building systems and the complex relationships that exist between them.
  3. To assist the clinical staff and hospital leadership appreciate the complexities of the various building systems and their impact on regulatory requirements and patient care.

 


Mitigating risk in your facility infrastructure systems

Sean Goings

President • DAC, Inc.

Sean brings over 20 years of experience delivering efficient solutions to the built environment. As the President of DAC, Inc., Sean leads a dynamic, multi-disciplinary company delivering growth and performance objectives, developing talent and maintaining standards for quality.

Holding a BBA from Sam Houston State University, Sean has spent the majority of his career working for global solutions providers. Joining Schneider Electric in 2008, he was most recently responsible for multi-business leadership in the US healthcare segment, including accountability for segment strategies and plans, business unit performance, marketing and marketing communications, strategic account management, business development and alignment with global customer solutions. Prior to Schneider Electric, Sean spent 12 years with Siemens serving in various technical, engineering, project management, and business development capacities.

Sean is a Senior Designee of the American Society of Healthcare Engineering (SASHE), a Certified Energy Manager (CEM) by the Association of Energy Engineers, and a Certified Healthcare Safety Professional (CHSP) by the International Board for Certification of Safety Managers. He is a featured conference speaker for numerous organizations including the Children’s Hospital Association, Texas Association of Healthcare Facilities Management, Arkansas Association of Healthcare Engineering, Oklahoma Association of Healthcare Engineering and the IFMA Health Care Institute.

He currently serves on the Board of Directors for the Texas Association of Healthcare Facilities Management (TAHFM), and is Past-President of the Houston Area Association of Hospital Engineering (HAAHE). He participates regularly in national committees, and taskforces supporting the strategic imperative of the healthcare facilities community.

Abstract

Mitigating risk in your facility infrastructure systems

The US will spend $101.6B on cyber security in 2020. That’s a 27% increase from the amount spent in 2017. Corporations, institutions, small businesses, governments and the average consumer are at a higher level of risk than any time in history.

Information technology and facility infrastructure systems are key components to helping hospitals manage the mounting pressures of reinventing delivery of care, regulatory scrutiny, competition, attracting the best staff, and improving patient outcomes and experience. They are a critical component to delivering patient care, and they too are vulnerable to cyber threats.

Understanding these looming threats and taking the correct preemptive measures to protect facility are critical to future success. This presentation will educate the facility manager on what this IT-centric topic means for their day-to-day operation, and what they can do to get ahead of the curve.

Learning Objectives

  1. Discuss what cyber-security means to facilities management and why it is a growing concern in the healthcare environment
  2. Dispel the myths around cyber-security, understand the differences between viruses, malware, spyware, and other threats to critical infrastructure
  3. Understand what infrastructure in your building is IT-based and how to talk to your IT managers about the functions of those systems.
  4. Learn how to properly architect systems to increase efficiency and reduce vulnerability to cyber and other IT related threats

 


Hurricane Harvey-Inside Logistics Command at Texas Children's

Bert Gumeringer PhotoBert Gumeringer

Vice President, Facilities Engineering & Support Services • Texas Children's

Bert M. Gumeringer, MBA, MSIT, CHFM, FASHE is the Vice President for Facilities Engineering & Support Services at Texas Children’s located in Houston, Texas. In this capacity Mr. Gumeringer is responsible for Facilities Engineering, Environmental Services, Security Services, Supply Chain, Patient Escort and Valet Parking Services. Mr. Gumeringer has over twenty-eight years of healthcare related experience with his last fourteen years at Texas Children’s. Mr. Gumeringer has also served as a Life Safety Code Consultant for Joint Commission Resources. Prior to joining Texas Children’s, Mr. Gumeringer served as the Regional Director of Operations-Western United States for Fluor Corp. and as the Director of Facilities Management at St. Joseph’s Hospital and Medical Center located in Phoenix, AZ. Mr. Gumeringer is the Past President of the Texas Association of Healthcare Facilities Management and a current member of the American Society for Healthcare Engineering. He currently sits on the Board of Directors for the Rise School of Houston.

Abstract

Hurricane Harvey-Inside Logistics Command at Texas Children's

Hurricane Harvey will go down in history as one of the deadliest storms to hit the Texas Gulf Coast in more than 100 years. Hurricane Harvey dropped more than 51 inches of rain in parts of Texas, destroyed more than 150,000 homes and killed 75 people in its wake. This session will provide a look into Texas Children’s Logistic Command and the activities required to prepare for a storm of this magnitude and the unusual events that occurred during the storm that required outside of the box thinking. This session will provide a broad overview of the damage sustained within Texas and how Texas Children’s Logistics Command responded to Hurricane Harvey before, during and after the storm. By attending this session attendees will be able to: - Understand the importance of the Hospital Incident Command Structure - Identify shortcomings within their current emergency management plans - Explore innovative ways to solve complex problems during the storm - Realize the importance of a broad network of contacts outside of your hospital On August 12, 2017 Texas Children’s began watching a tropical disturbance that began moving across the Atlantic Ocean toward the Caribbean. The tropical disturbance moved across the Yucatan Peninsula into the Bay of Campeche and began to intensify in strength. On August 25, Hurricane Harvey now a Category 4 storm packing 130 mph winds slammed into the Rockport area near Corpus Christi, TX. A little more than 100 miles away Houston residents were getting ready for a storm that appeared to be turning around and heading to Houston. Little did the residents of southeast Texas know that this would be one of the most deadly storms ever to make landfall on the Texas coast. Once the rain started in the Houston area it just kept coming for days. Rainfall was recorded in one part of the city at 51.4 inches. Eighteen counties were declared federal disaster areas, 6 million people living in the area received more than then 30 inches of rain, 136,000 buildings in Harris County were flooded, 500,000 vehicles were flooded, the death toll stands at 75, and officials estimate that 8 million cubic yards of debris from buildings will have to be cleared. While the storm raged on Texas Children’s implemented its incident command structure on Saturday, August 26, 2017 at 7:00am. The Texas Children’s Incident Command Structure includes five distinct commands or sub-commands: Main Command, Planning, Finance, Operations, and Logistics. Each of these commands has a unique mission and this presentation will focus on the Logistics sub-command. The Logistics Command is charged with the acquisition and provision of resources, deployment of critical resources, ongoing facilities operations and post storm damage assessment. The Logistics Sub-command is comprised of Facilities Operations, Facilities Planning & Development, Environmental Services, Biomedical Engineering, Security Services, Property Management, Food and Nutrition Services, Supply Chain and Information Systems. This presentation will discuss the importance of advance preparation and training for events such as Hurricane Harvey. An inside look at the Texas Children’s Logistics Sub-command will demonstrate the resourcefulness required to keep a hospital facility open for women and children when authorities were unable to render assistance. The presentation will also address the importance of internal and external relationships to accomplish tasks that seem unsolvable. We will also briefly discuss the commitment and resilience of staff and leaders who had flooded homes yet still came to work, we call this Texas Strong!

Learning Objectives

This session will provide a broad overview of the damage sustained within Texas and how Texas Children’s Logistics Command responded to Hurricane Harvey before, during and after the storm. By attending this session attendees will be able to: - Understand the importance of the Hospital Incident Command Structure - Identify shortcomings within their current emergency management plans - Explore innovative ways to solve complex problems during the storm - Realize the importance of a broad network of contacts outside of your hospital

 


A Primer on CMS' Condition of Participation

Patricia Hildebrand PhotoPatricia Hildebrand

Executive Director • Hlldebrand Healthcare Consulting LLC

With over 40 years' healthcare experience, Ms. Hildebrand brings a seasoned approach to regulatory compliance. She is nationally known for her expertise in regulatory RESCUE, survey readiness activities, revenue stream audit-coding-billing, and as a speaker in regulatory compliance. She is a Black Belt in Lean Six Sigma, a fellow of the American College of Healthcare Executives, a certified professional in healthcare quality, a certified professional in healthcare risk management, and a certified Joint Commission Professional. She opened her consulting agency a decade ago, and now has clients across the nation who depend on her expertise and collaborative approach.

Abstract

A Primer on CMS' Condition of Participation

CMS' Conditions of Participation (CoP) provide regulatory structure for care delivered to Medicare Beneficiaries, regardless of location of service. Those same CoP provide the foundation for most states' requirements of healthcare facilities. However, surveyors look for different aspects of compliance every year. This upcoming year, surveyors will be specifically looking for active involvement of facilities and engineering in all operations including clinical. This session provides a basic primer on the CoP and a discussion on those requirements that are under high scrutiny.

Learning Objectives

  1. recognize at least two CMS Conditions of Participation (CoP) affecting their organization
  2. identify at least one gap in their organization's current performance as compared to the CMS CoP 3) develop at least one concrete action they can take on returning to their facility to address the gap

 


Take Effective Infection Control Measures by Isolating and Containing Airborne Particles During Healthcare Construction, Renovation & Repair Activities

Jamie Jun-Wallace

Account Executive • Abatement Technologies

Jamie is a Certified Healthcare Manager specializing in working with hospitals and hospital contractors who are doing construction in healthcare facilities. She has over two years of experience in successfully assisting customers with all of their containment needs as it pertains to dust control and meeting infection control guidelines.

Abstract

Take Effective Infection Control Measures by Isolating and Containing Airborne Particles During Healthcare Construction, Renovation & Repair Activities

Abatement Technologies® high-efficiency, HEPA-filtered Portable Air Scrubbers, Mobile Containment Barriers and Additional Particle Control Products are used to effectively isolate, capture and control airborne dust particles and pathogens. Our cost-effective, time-saving products are used by contractors and maintenance departments in thousands of healthcare facilities to help protect sensitive patients and employees from exposure to construction particles that can potentially transmit airborne infectious diseases. Abatement Technologies particle control products can also help to increase productivity and reduce cleanup time during and after projects.

This presentation will cover solutions to help hospitals and hospital contractors save time and money while meeting Infection Control regulations:

  • Containment = Construction Barriers (Hard, Poly, Portable Modules) and Mobile Options
  • HEPA Filtration = Scrubbers and Vacuums
  • Continuous Monitoring = Differential Pressure, Particle, Temp & Humidity
  • Last Defense = Walk of Mats

 


Total Project Alignment, "Achieving the Owner's Project Requirements"

Mark Kenneday PhotoMark Kenneday

Vice Chancellor, Operations • University of Arkansas For Medical Sciences

Mr. Kenneday has a Bachelor’s Degree from the University of Houston in Construction Management and an MBA from UH with a concentration in Service Marketing. He currently holds the position of Vice Chancellor for Campus Operations at the University of Arkansas For Medical Sciences. Mark was elected to be the 2013 president for ASHE, The American Society for Healthcare Engineering of the American Hospital Association (AHA). He created and now serves as chair for the ASHE Healthcare Executive Leadership Council (HELC) whose responsibilities are the good stewardship and executive leadership for the industry. With 32 years of experience in healthcare facilities management, Mark has served in various committee and board roles including President of TAHFM, Texas Association of Healthcare Facilities Management, where he now serves on their Board of Directors with emeritus status. He has also served on the Board of Directors for the Arkansas Association of Healthcare Engineering (AAHE) as their ASHE liaison and chair of the Small Hospital/e-Learning task force. Mark led the ASHE Health Facilities Commissioning team, chaired the task force for the development of the both the Health Facilities Commissioning Guidelines and the Health Facilities Commissioning Handbook. In that role he co-authored both documents along with principal engineers from some of the leading healthcare design firms in the industry. For the past 22 years Mark has tirelessly championed the process for health facilities commissioning in his roles at Texas Children’s Hospital, M. D. Anderson Cancer Center and at the University of Arkansas For Medical Sciences. The success of these institutions in response to their owner’s project requirements, resiliency of operations, protection during tropical cyclones and management of capital projects is a direct result of their commitment to the ASHE Health Facilities Commissioning Process.

Abstract

Total Project Alignment, "Achieving the Owner's Project Requirements"

Total Project Alignment (TPA) is a process of prioritizing the Owner's Project Requirement and managing the change necessary to achieve success. TPA looks at the PDC process as a means to an end to improve operations from its current state and acellerate to a higher level of performance in the future state. To achieve TPA the collaborative must understand their goal is not just to deliver an amazing project on time and on budget, but to assure the owner's operations are significantly improved as a primary outcome. Total Project Alignment is an owner centric solution that brings the many technologies of Lean Design, High efficiency energy solutions, Lean construction, Health Facilities Commissioning and Lean Six Sigma (LSS) process of performance improvement into focus to support the Owner's Project Requirements. The model provides the Facility Manager with solutions that align the technologies of Revit, BIM, Construction Management Software and Computerized Maintenance Management Software to transition the Facility Manager from their current state to their future state as the project proceeds assuring the operational aspects of the project are functional in conjunction with Substantial Completion.

Learning Objectives

  1. Learn how TPA can give the Facility Manager solutions to assure that every project meets or exceeds the Owner's Project Requirements.
  2. Understanding of how the project collaborative can be aligned to assure the Facility Manager's team is properly engaged and prepared to support a higher level of outcomes once the project is complete.
  3. Identify the many advantages LSS brings to project management and the potential improved ROI from project and operational cost improvements.

 


Understanding Healthcare Water Management Risks – An Update on the Issues, Standards, and Best Practices.

Jim Lukanich photoJim Lukanich

Director of Applied Technology • US Water Services

Jim is the Director of Applied Technology for U.S. Water Services. In his position he is responsible for providing technical expertise related to water chemistry and microbiology, managing research and development, analytical laboratories, and consulting services. He has over 35 years experience in the field of water treatment. Jim is actively involved in providing training to the industry through the Association of Water Technologies and has served as a board member and officer and currently serves on the education committee.

Abstract

Understanding Healthcare Water Management Risks – An Update on the Issues, Standards, and Best Practices.

How hospitals and healthcare facilities manage risks associated with waterborne pathogens such as Legionella in building water systems has undergone a rapid evolution. In this presentation we will discuss the driving forces behind risk management changes. These are primarily being driven by several factors including: increased awareness and reporting, the development of ASHRAE Standard 188, potential for new regulations (New York City/State for example), and the requirements of The Joint Commission, CMS, and the VA. How and why there is a risk of exposure to pathogens, such as Legionella, from domestic water systems, HVAC systems with cooling towers, decorative waters, and other systems is reviewed as well as the current best practices for chemical or mechanical treatment being employed to minimizing those risks in domestic and cooling water systems.

 


Joint Commission Update

Tim Markijohn photoTim Markijohn

Field Director, Surveyor Management and Support, Division of Accreditation & Certification Operations • The Joint Commission

Tim Markijohn is a Field Director in the Hospital Program for the Life Safety Code Surveyors at The Joint Commission. In this role, he oversees half (approximately 40) of the surveyor cadre who specialize in surveying The Joint Commission’s life safety, environment of care, and emergency management standards. Mr. Markijohn was previously a Joint Commission surveyor from 2011 to 2016 surveying the Standards in the Accreditation Manual for Hospitals, Critical Access Hospitals, and Ambulatory Health Care. In this role, he performed Initial, Triennial, Med Def, Follow Up, ICM, OQPS, Critical Access, and Ambulatory surveys. Mr. Markijohn also served on The Joint Commission’s Surveyor Advisor Committee from 2012 to 2015 working on items that relate to customer satisfaction, process improvement, and survey/surveyor efficiency. Prior to joining The Joint Commission full time in 2016 as a Field Director, Mr. Markijohn worked for 25 years in the engineering and construction industry. He has been at the director level in health care for more than a decade for a 500-bed academic health care system in Pennsylvania, an 800-bed trauma center and children’s hospital in South Florida, a 200-bed community hospital in North Carolina, and most recently with a five-hospital academic health care system in Columbia, Missouri. He has experience managing Healthcare Engineering, Design/Construction, Environmental Services, and Clinical Engineering departments.

Abstract

Joint Commission Update

This presentation will include the latest information relative to the Joint Commission standards. Come hear about the latest insights and changes affecting the physical environment.

 


Airflow Distribution Strategies - Code and Reality

Kevin Miller PhotoKevin Miller

Senior Vice President • WSP USA

Kevin Miller is a Senior Vice President with WSP. He has been with the firm for 20 years as a mechanical engineer for healthcare. He has been responsible for 10 million SF of hospital MEP design in the last 10 years as project manager or principal in charge. He has been a group manager in charge of 25+ engineers and designers and is now overseeing a group dedicated to hospital owner direct infrastructure projects. HIs experience all across the United States has allowed him to bring lessons learned back to Texas where he does the majority of his work.

Abstract

Airflow Distribution Strategies - Code and Reality

Various codes and standards address airflow distribution and locations of returns in different types of spaces. This session will present the reality of different airflow distribution strategies with a focus on infection prevention. While prescriptive code requirements may dictate some of what is in our facilities, we all need to understand the actual performance of different strategies, and be able to communicate with inspectors and surveyors to show that we are meeting the intent in the best interest of the patients while also managing risk for the hospital.

Many types of spaces will be discussed, with a detailed analysis of neo-natal care as an example as is a hot topic in the state of Texas. With the care model of in-room nursing, TDSHS is, in some cases, requiring every post-partum room to be designed as a nursery with low returns, taking square footage and requiring additional maintenance. This presentation will include CFD modeling and actual laboratory mock-ups of newborn nurseries, NICUs, and post-partum rooms with different types of supply air distribution and return grille locations to illustrate the effect on comfort and air quality for the mother and baby.

Learning Objectives

  1. Understand the different supply air distribution types and the effect on human comfort and infection prevention.
  2. See reality of the impact of low returns and when it is effective.
  3. Understand the prescriptive code requirements related to airflow distribution strategies and TDSHS interpretations, specifically in neo-natal care.
  4. Reality versus modeling in airflow distribution.

 


Technology Trends Impacting Building Automation Systems in Healthcare Facilities

Drew Mire PhotoDrew Mire

CEO • Computrols, Inc

Drew Mire is the CEO of Computrols where he has been employed since 2008. Along with running the day-to-day operations of the company, Mire also secures strategic partnerships and develops new avenues for the company’s growth. Drew’s background has given him experience from the ground, up which has proven to be invaluable in his current position. In his time with Computrols, Mire has grown the number of branches and dealers, helped the company expand into international markets, and secured Computrols foothold as a leader in the building automation industry.

Abstract

Technology Trends Impacting Building Automation Systems in Healthcare Facilities

New technology is typically first seen in large-scale consumer products like cell phones and entertainment devices, but soon after, we start finding it in healthcare applications. This presentation will focus on three primary examples of technological advances in healthcare facility management: mobility + wireless, integration, and machine learning. Each example will be explained in layman’s terms along with examples of where we see them in our everyday lives. Participants will then learn how these new technologies are starting to be utilized in healthcare facilities, with a focus on building automation, lighting, and security (access control).

Learning Objectives

  1. Review the latest trends in technology
  2. Learn where we are seeing these trends in healthcare today
  3. Discover how to prepare for these new trends in your facility
  4. Discover what new technology is on the horizon and how it will affect healthcare facility management

 


Where You Can Shove Closeout Documentation

Mike Mostardi photoMike Mostardi

Regional Director, Healthcare • ATG, a JLL Company

Mike has 15 years of healthcare experience and has been with ATG, a JLL company since 2007. Mike is responsible for managing the facility information for over 170 healthcare facilities and 60 million square feet of space. As a result of his interaction with healthcare organizations across the country and his experience as a licensed mechanical engineer, Mike has a unique skill set that has assisted ATG in continuing to provide solutions to improving the planning, compliance, and management of healthcare campuses.

 

Robert Weber Photo

Robert Weber

Manager of Construction • Cook Children’s Health Care System

Robert has 22 years of healthcare experience and has been with Cook Children’s Medical Center since 1996. As the Construction Project Engineer, Robert serves as the building infrastructure and system representative on all construction/renovation projects that involve the assessment or modification to mechanical, electrical, plumbing, telecommunications and/or other service systems. Robert’s unique experience and collaboration with the construction/renovation project management team and organizational leaders on the development and execution of effective means and methods for designing, construction, quality, commissioning, and documentation of projects has provided a continuity of success for the growth and maintenance at Cook Children’s

Matthew Reyes

Project Coordinator • Linbeck Construction

Matthew has been with Linbeck for 8 years as a Model Coordinator/Model Manager. Most of this time has been at Cook Children’s coordinating over 1 million SF of new healthcare spaces from Schematic Design to closeout of projects. In 2014 Cook purchased Matthew’s full time to be an owner’s representative for all BIM/VDC related topics within Cook’s Construction and Facilities Planning Department. As a team member for the owner Matthew captures above ceiling conditions prior to Above Ceiling inspections via Laser Scanning, he uses this information for historical information but to also check to incoming asbuilts. All closeout packages received from the owner is reviewed though Robert and Matthew.

Eric Herrera photoEric Herrera

Director of Facilities • Memorial Hermann

In his 15 years in facilities management, Eric has held leadership roles in both for profit and not for profit facilities. He has worked for the Methodist Hospital, Texas Medical Center, Texas Children’s Hospital and Reliant Stadium.

Abstract

Where You Can Shove Closeout Documentation

Healthcare projects are typically designed and built with the latest BIM / 3D technology. However, when documentation is turned over to the facility teams managing and maintaining this information, there is a huge disconnect. A considerable amount of time and money is spent organizing submittals, cut sheets, and as-built documentation that, in theory, should be easy to find and use. Yet, the healthcare industry struggles to implement systematic, repeatable processes which all organizations can use regardless of the architect, engineer, or contactor involved in the project.

Learning Objectives

  1. Sharing real-world strategies used to manage closeout documentation
  2. Discussing opportunities to improve the process
  3. Offering tips and tricks on organizing closeout documentation, as well as traps to avoid

 


ASHRAE/TDSHS Ventilation Standards Update and Best Practices for Improved Patient Care while Saving Energy

Aric Murray PhotoAric Murray

Project Manager/Client Manager/Mechanical Engineer • SSR

Aric Murray, PE, LEED AP is a Mechanical Engineer and Principal with Smith, Seckman, Reid, Inc. His primary role is managing large healthcare projects for clients in and around the Houston area. Aric is a graduate of the University of Wyoming with a bachelor’s degree in Architectural Engineering and has almost 20 years of experience in the industry. He is a member of ASHRAE and HAAHE, the Houston Area Association for Hospital Engineering where he served past roles as Treasurer and President.

Abstract

ASHRAE/TDSHS Ventilation Standards Update and Best Practices for Improved Patient Care while Saving Energy

ASHRAE/TDSHS Ventilation Standards Update and Best Practices for Improved Patient Care while Saving Energy: Session will cover updates to ASHRAE 170-2017 and TDSHS ventilation tables and explain how to work within these parameters to improve patient care and still reduce hospital utility bills. Session will discuss some best practices to managing relative humidity and air changes, different technologies used, and the associated pros and cons. Session will also look at where to spend retro-commissioning dollars to best impact the bottom line.

Learning Objectives

  1. Attendees will gain a better understanding of the updates to the ASHRAE 170-2017 Ventilation Table, how it compares to the TDSHS ventilation table, and how to use this information to save energy.
  2. Attendees will learn some best practices for managing relative humidity and air change rates within hospitals, different technologies that can be used to achieve results, and the pros and cons of each.
  3. Attendees will leave with a few ideas of the best places to spend retro-commissioning dollars to help lower their utility bills.

 


Air-Cooled Chillers, Efficiency, Affordability and Life Cycle Cost Advantages for Healthcare

David Schurk PhotoDavid Schurk

Healthcare Strategic Account Manager • Carrier Corporation

David Schurk DES., CEM., LEED-AP., CDSM., CWEP., SFP., CIAQM., is the Healthcare Strategic Account Manager for Carrier Corporation, on of the worlds largest providers of HVAC products and solutions. He is a Licensed Designer of Engineering Systems and has over 30-years of experience in the design and analysis of complex heating, ventilating, and air-conditioning systems for a variety of market sectors, with a special focus on health care facilities. He is a LEED-AP and has been involved in the conception, design and selection of systems for over 10-projects achieving LEED certified status. He is a Certified Energy Manager, a Certified Demand Side Manager, a Certified Water Efficiency Professional, a Certified Sustainable Facilities Professional and a Board Certified Indoor Air Quality Manager. He is active in the Houston ASHRAE chapter, the Houston Area Association for Hospital Engineering, the Texas Association of Healthcare Facilities Management, the Association of Energy Engineers and serves on ASHRAE TC-9.6. David has authored various technical articles for a number of industry trade magazines and is a featured presenter at regional and national industry events.

Abstract

Air-Cooled Chillers, Efficiency, Affordability and Life Cycle Cost Advantages for Healthcare

Today’s owners are driven by “first-cost” concerns when it comes financing their new construction and replacement/renovation efforts. Their expectation for a “high-efficiency”building comes along with tight restraints on capital-expenses. Evolving technology has led to the development of Air-Cooled chiller products capable of standing “toe-to-toe” with their traditional water-cooled counterparts, while delivering outstanding efficiency, performance, and serviceability along with lower installed and life-cycle cost. This presentation will cover the recent efficiency-evolution in air-cooled chillers and discuss the various innovations (variable-speed compressors, refrigerant economizers, variable primary flow capability, etc.,) helping drive the air-cooled advantage. It will detail life-cycle cost differences between air-and-water cooled chilled water systems and it will speak to the “delivered-system”as a whole, pointing out that chiller-efficiency alone won’t produce the most efficient central plant.

 


ASHE Update

Anthony Suarez photoAntonio Suarez

Director, Facilities Services • Midland Memorial Hospital

Mr. Suárez is the Director of Facilities Services at Midland Memorial Hospital in Midland Texas. He holds a Bachelor of Science Degree in Industrial Technology and an MBA from the University of Texas at the Permian Basin, is designated a “Senior” in the American Society of Healthcare Engineers, is a Certified Healthcare Facility Manager (CHFM), and is an alumni of the ASHE Leadership Institute.

 

Sean Goings

President • DAC, Inc.

Sean brings over 20 years of experience delivering efficient solutions to the built environment. As the President of DAC, Inc., Sean leads a dynamic, multi-disciplinary company delivering growth and performance objectives, developing talent and maintaining standards for quality.

Holding a BBA from Sam Houston State University, Sean has spent the majority of his career working for global solutions providers. Joining Schneider Electric in 2008, he was most recently responsible for multi-business leadership in the US healthcare segment, including accountability for segment strategies and plans, business unit performance, marketing and marketing communications, strategic account management, business development and alignment with global customer solutions. Prior to Schneider Electric, Sean spent 12 years with Siemens serving in various technical, engineering, project management, and business development capacities.

Sean is a Senior Designee of the American Society of Healthcare Engineering (SASHE), a Certified Energy Manager (CEM) by the Association of Energy Engineers, and a Certified Healthcare Safety Professional (CHSP) by the International Board for Certification of Safety Managers. He is a featured conference speaker for numerous organizations including the Children’s Hospital Association, Texas Association of Healthcare Facilities Management, Arkansas Association of Healthcare Engineering, Oklahoma Association of Healthcare Engineering and the IFMA Health Care Institute.

He currently serves on the Board of Directors for the Texas Association of Healthcare Facilities Management (TAHFM), and is Past-President of the Houston Area Association of Hospital Engineering (HAAHE). He participates regularly in national committees, and taskforces supporting the strategic imperative of the healthcare facilities community.

Abstract

ASHE Update

ASHE Update on Strategic Imperatives and Regulatory Affairs

 


Indoor Air Hydration is Essential to Human Health

Stephanie Taylor PhotoStephanie Taylor

M Arch • Taylor Healthcare Consulting

Dr. Stephanie Taylor received her MD from Harvard Medical School, Boston, Massachusetts in 1984. For the next several decades, she practiced clinical medicine and did academic research in cellular growth mechanisms. During this time, she became increasingly concerned about the patients who were harmed by medical errors and new infections during their in-patient treatment. Determined to gain a better understanding of the impact of the built environment on patient wellbeing, she returned to school and obtained her Master's Degree in Architecture and Engineering from Norwich University in Northfield, Vermont. After working for several years in an architecture firm which focused on hospital design, she founded Taylor Healthcare Commissioning, Inc., a consulting company that specializes in designing, building and maintaining hospitals and other commercial buildings for optimal occupant safety. She finds that her physician insights help beyond understanding how spaces are used in healthcare facilities. Her knowledge of the human body helps her envision the ideal building infrastructure. For example, ventilation is needed for the respiratory system while information technology is a kind of neural network that provides sensory data about the hospital’s internal environment, with all systems working together to support patient healing. Dr. Taylor is currently working on projects that overlay engineering schematics on data about patient outcomes to identify building characteristics —especially management of indoor air quality—associated with changes in the rates of healthcare-associated infections or other adverse outcomes. She has recently expanded her focus to include occupant wellbeing in all commercial and residential buildings. Dr. Taylor is passionate about the construction industry understanding the tremendous impact of the built environment on occupant health. To communicate the importance of buildings on health, she writes a monthly column and bi-annual feature articles for Engineered Systems Magazine and other healthcare-related blogs. Dr. Taylor has designed hospitals globally, from the United States to Papua New Guinea to Vietnam. In addition to her Taylor Healthcare Commissioning work, she is a member of the Harvard Medical School Incite Health Fellowship, a program that brings together multidisciplinary teams from across the US, trains them in design thinking and entrepreneurship, and gives them the tools and resources to invent the future of primary care. Dr. Taylor lives in rural Stowe, Vermont with her husband and six dogs. In her spare time, she plays just about all sports. Skydiving, which she does with her son who is in both medical and business graduate school, is a favorite activity.

Abstract

Indoor Air Hydration is Essential to Human Health

Engineers put much thought and work into designing and managing building HVAC systems with the goals of preserving building materials, conserving energy consumption and keeping occupants comfortable. The primary function of most buildings, however, should be to protect the health and safety of the building occupants and the patients being treated. Paradoxically, the intersection of Indoor Air Quality (IAQ) and occupant health or disease is one of the least understood subjects in the field of public health! This is not from intentional neglect of engineers, but from lack of medical research on IAQ and health. This presentation is a step toward bringing together the medical community and the engineering community together to face the existing problems. Two significant trends are occurring in this century: people spend more and more time indoors, and the incidence of chronic disease is higher than ever before. Are these two factors related? If so, how can indoor air management support occupant health and not promote chronic illnesses? The problems we face with Healthcare Acquired infections (HAI's) and the indoor air quality have significantly impacted patient outcomes. The Micro-biome Study that will be presented was a direct result of looking for answers to the HAI problem. The methods used in this study were newer DNA identification tools, known as PCR testing. This method allowed us to closely identify specific pathogens and follow the path of travel throughout the facility and also their duration of travel under different conditions. The data collected gave us 8 million data points and allowed us to determine statistical significance of each variable measured.

Learning Objectives

Learn about cutting edge research at the intersection of health and indoor air quality. Learn how to manage your healthcare building, your office and your home environment to improve your health and performance, and create a research project with your findings. Learn the financial benefits of supporting occupant health.and improving patient outcomes Learn about the biology of indoor air and how vital your work is to human health.

 


Let's Talk Energy

Ed Tinsley photoEd Tinsley

CEO • Bernhard Energy

Ed Tinsley PE, LEED AP, CHFM, CHC, has more than 25 years of experience in facilities engineering, both as a consultant and as a representative of the building owner for hospital, university, commercial, and industrial clients. During his career, he has specialized in the field of energy conservation. Ed is the winner of eight energy awards from ASHRAE, Inc., for projects he has designed or managed. He has also been presented with two Presidential Awards for Leadership in Federal Energy Management (one in October 2003 and one in October 2006). In 2009, he also received an Engineering Excellence Award in the category of Building and Technology Systems from the American Council of Engineering Companies . In 2010, Ed was presented with the Crystal Eagle Award by the American Society of Healthcare Engineers.

Caleb Brantley

Director • Bernhard TME

Lindsey Brackett

Director • Bernhard TME

Abstract

Let's Talk Energy

It’s the old adage we’ve heard many times: “The healthcare business environment is changing!” Everyone involved in the healthcare industry is facing a perfect storm of higher costs, lower revenues and thinner margins. Overwhelmed healthcare facility managers are required to maintain their infrastructure with insufficient funding for upgrades and deferred maintenance. Pressure from budget cuts, increasing costs, and lower revenues are forcing healthcare facilities to closely examine their energy consumption, and find ways to create value in a sustainable manner.

Energy usage is the most accessible factor in the operations and maintenance (O&M) budget over which facility staff can have significant influence. With the cost of energy usage accounting for more than half of the typical O&M budget, reducing energy usage provides the best opportunity to decrease the cost structure of the enterprise, thereby increasing the ever-thin margins. The primary roadblock with this is acquiring the capital funds necessary to implement these energy conservation projects.

Industry professionals must understand the impacts of healthcare reform on the operating margins of hospitals and find ways to offset the loss of reimbursable expenses. Through understanding financial drivers, and incentives for financing options, a facility can find a tailored solution to fund energy conservation programs and address deferred maintenance. Through commissioning, retro-commissioning and “green” initiatives, a facility can realize initial savings. However, conventional facility operation will not sustain these savings. The most difficult aspect of reducing energy consumption is not the initial reduction, it is sustaining the decreased energy profile. Good operational practices are the most important part of lowering an energy cost structure, and there are plenty of new tools and techniques that can help healthcare facility managers achieve and sustain their goals.

In addition to continuing education for facilities management staff, new techniques have been developed to measure, monitor, and control energy consumption on a daily basis. Healthcare facilities frequently measure and benchmark clinical data, but rarely do the same for energy usage. Measurement and monitoring systems provide feedback to operational decisions, as well as fault detection capabilities. Integrating a measurement system into the Building Automation System enables healthcare facility managers to properly manage and maintain their building.

Through utilizing available financing methods, implementing energy conservation efforts, and equipping facility management staff, healthcare facility managers can take a proactive approach to weathering the perfect storm.

 


Facility Safety related to Behavioral Health

Moderator

Michael Wood PhotoMichael Wood

Director, Facilities Support Services • Parkland Health & Hospital System

Mr. Wood serves as the Director, Facilities Support Services for Parkland Health & Hospital System (PHHS). He is responsible for Engineering Service, Clinical Engineering, Sustainability, Environment of Care and Life Safety Compliance. In this role, he has direct oversight of 5.1 million square feet of healthcare occupied space including the acute care hospital and several outpatient facilities throughout Dallas County. In addition, for the past eight years, he served as a bridge between the current operations team and the Parkland Hospital design team to ensure operational input in an excellent design, build, and transition for the New Parkland campus replacement project.

Prior to joining the Parkland, Mr. Wood served as the Director of Engineering for University of Oklahoma (OU) Medical Center and served as a Director Consultant for various other health systems across the nation. Mr. Wood has extensive regulatory and facility operational management experience and has worked in a variety healthcare settings for the past twenty-three years.

Mr. Wood is a Certified Healthcare Facility Manager (CHFM), Certified Healthcare Safety Professional (CHSP) and Certified Healthcare Emergency Professional (CHEP).

Panelists

Gaylene Stengel photoGaylene Stengel

EOC Safety Manager • Texas Health Resources

Gaylene Stengel is employed at Texas Health Resources, one of the largest faith-based, nonprofit healthcare systems in the United States. With more than 24,000 employees, the health system includes 13 wholly-owned acute care hospitals, a Transitional Care hospital and multiple Behavioral Health and Outpatient Facilities. Gaylene serves as the Manager for Environment of Care & Life Safety. As a member of the Regulatory Operations team, Gaylene provides support to the entities, conducts Life Safety and Environment of Care Mock Surveys, reviews required regulatory documentaion, and provides educational programs. Ms. Stengel has worked in healthcare since 1982, with a focus on safety, life safety and environment of care for the past 13 years. Gaylene is a Certified Healthcare Facility Manager, (CHFM), a Certified Healthcare Safety Professional (CHSP), a Certified Healthcare Emergency Professional (CHEP), and an OSHA General Industry Outreach Trainer. She is a member of the National Fire Protection Association (NFPA), the American Society for Healthcare Engineering (ASHE), and currently serves as a Region 5 Representative for the Texas Association of Healthcare Facilities Management.

Celeste Johnson

Vice President • Parkland Psychiatric Services

Bio coming soon.

Alexis Johnson-Jones PhotoAlexis Johnson-Jones

Vice President Quality/Risk • Medical City Green Oaks Hospital

Alexis Johnson-Jones, MBA, RN, CPHRM - Since 1999 Alexis Johnson-Jones has served in several leadership roles at HCA Healthcare's Medical City Green Oaks Hospital. Starting as Director of Human Resources and Risk Management, she had the opportunity to begin her career with a clear focus on employee and patient safety. Ms. Johnson-Jones currently serves as Vice President of Quality/Risk and Ethics & Compliance Officer with oversight of Environment of Care, Plant Operations, Environmental Services, and Emergency Preparedness. She currently serves on the HCA Corporate Behavioral Health Quality Council, of which she was a founding member, providing a valuable resource for other HCA facilities regarding patient safety in the psychiatric setting. As an AHRQ TeamSTEPPS Master Trainer, she has presented at their National Conference and currently serves as an instructor for the TeamSTEPPS program at the local and national level. After earning a BS in Psychology from West Texas A & M and an MBA from Amberton she recently completed her BS in Nursing through the University of Texas at Arlington. Safe hospital environments and ensuring patient safety in the psychiatric hospital setting is a passion of Ms. Johnson-Jones.

Rick Scivally

Director - Engineering, Safety & Security • Texas Health Harris Methodist Hospital

President, TAHFM

Abstract

Facility Safety related to Behavioral Health Panel

Please join Michael Wood as moderator, panelist - Gaylene Stengel, Celeste Johnson, Alexis Johnson-Jones and Rick Scivally in a focused discussion related to how Facility Managers are coping with the complexities involved with behavioural issues within the heathcare environment. This discussion will encompass issues in dealing with physical construction, mitigation of existing ligature risks, regulatory differences related to behavior health and patient/employee safety. This forum will provide valuable resources to assist our managers in providing a quality environment for each of their facilities.

Thank you to our 2018 Diamond & Platinum Sponsors

TAHFM is the state chapter representing American Society of Healthcare Engineering & Association for the Healthcare Environment
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