2024 Annual Conference Speakers
Keynote Speaker
In a Hurry?
Chad Hymas, CSP, CPAE - Speaker, Author, & Influencer, Chad Hymas
Chad inspires, motivates, and moves audiences, creating an experience that touches hearts for a lifetime. He is one of the youngest ever to receive the Council of Peers Award for Excellence (CPAE) and to be inducted into the prestigious National Speaker
Hall of Fame.
In 2001, at the age of 27, Chad’s life changed in an instant when a 2,000-pound bale of hay shattered his neck, leaving him a quadriplegic. But Chad’s dreams were not paralyzed that day—he became an example of what is
possible.
Chad is a best-selling author, president of his own communications company, and recognized world-class wheelchair athlete. In 2003, Chad set a world record by wheeling his chair from Salt Lake City to Las Vegas (513
miles).
Chad’s speaking career in the areas of leadership, team building, customer service, and mastering change has brought him multiple honors. He served as president of the National Speakers Association Utah chapter and is
a member of the elite Speakers Roundtable (one of twenty of the world’s top speakers).
As a member of the National Speakers Association, Chad travels as many as 300,000 miles a year, captivating and entertaining audiences around the world. He has graced the stage of hundreds of professional and civic organizations,
including Wells Fargo, Blue Cross Blue Shield, AT&T, Rainbird, IHC, American Express, Prudential Life, Vast FX, and Merrill Lynch.
Abstract
What would you do if you found yourself trapped under 2,000 pounds? Chad shares his personal account of how his life changed in an instant because he was in a hurry. How taking short cuts can change your life and the life of the ones you love.
Hurry is the most common cause of injuries I have reviewed, investigated and advised on. Hurry is the reason we forgot to “follow the safety procedure.” Hurry is the reason we:
- Break the speed limit driving to the safety meeting
- Skip a pre-op
- Walk past something spilled and think, "somebody should clean that up"
- Fall off of ladders
We hurry when we are trying to catch up. Feeling rushed takes up space in your brain and can lead to a mistake. Being late on jobs continually may mean you are continually late getting started (imagine that). Some people feel rushed because the boss has
pushed the deadline for a job up and now it sounds like he or she is telling you to hurry up even though it may mean that you get hurt, but that’s not true. Schedules get pushed up for many reasons, but when it comes to doing
a safe and quality job, the ‘squeezed’ deadline might not be met. The reality of hurrying through any job is that it leads to mistakes. Mistakes lead to injuries and an inferior product.
Potential Changes to Texas DSHS & Adopting FGI
Rebecca Read, RA - Director of Architectural Review, Texas Health and Human Services - Regulatory Service Division - Architectural Review Unit
Rebecca Read has been with the Texas Health and Human Services (HHSC) Architectural Review Unit for 15 years and serves as Director of Architectural Review for Acute Healthcare. Before joining HHSC, Rebecca practiced healthcare and institutional architecture.
Abstract
Update on Health Care physical plant draft rules.
Learning Objectives
- Crosswalk of current and draft rules.
- Common construction deficiencies.
- Update on ARU policies.
General Session Speakers
ASHE Update & Energy Star Awards
Velayuthampillai (Skanda) Skandaverl, MBA,CHFM,CHC,FASHE - Division Director, Facilities Management, Energy & Infrastructure, CommonSpirit Health
Skanda Skandaverl has over thirty-two years of progressive experience in all stages of the healthcare industry and is currently serving as the Division Director of CommonSpirit Health. He oversees Facility Management, Energy and Infrastructure in Midwest
divisions. Skanda strives to enhance the healthcare industry to ensure that all healthcare services are delivered with efficiency. Prior to his career in healthcare, Skanda worked in the electrical construction industry, where
he acquired invaluable skills and extensive international experience in construction. He has demonstrated an unwavering dedication to improving the quality of the healthcare industry.
Skanda is active, regionally and nationally, in various healthcare organizations. He has been an active member of the American Society of Healthcare Engineering (ASHE) since 1990 and continues to hold various positions
with ASHE. He graduated from the ASHE Leadership Institute in 2008. Skanda was the President of the Kansas City Area Healthcare Engineers (KCAHE) and Kansas Hospital Engineers Association (KHEA) from 2003 to 2005 and 2005 to
2006 respectively. ASHE selected Skanda as the Region Eight Emerging Leader in 2004. When Skanda was in Virginia, working for Sentara Healthcare System, he served as the President of Virginia Society Healthcare Engineers (VSHE)
Hampton Chapter and represented region three on the ASHE board. Skanda was the president for Nebraska Society of Healthcare Engineers (NSHE) in 2017. He served on the ASHE Healthcare Executive Leadership Council, was on the
faculty of many healthcare engineering conferences, including ASHE. Skanda has written numerous articles, spoken at many conferences and served on the ASHE Board 2018 to 2021, representing region eight. Skanda continues to
serve on ASHE committees. Skanda is the current ASHE President
Skanda is an Electrical Engineer with a bachelor’s degree in Management and an MBA. He is a Certified Healthcare Facility Manager (CHFM), Certified Healthcare Constructor (CHC) and a Fellow Member of ASHE (FASHE). He
is a member of American College of Healthcare Executives (ACHE), American Society of Heating, Refrigerating and Air conditioning Engineers (ASHRAE), and a firm believer in continuing education and professional growth to further
his contributions within the healthcare industry.
Current ASHE status and what ASHE is doing to optimize the healthcare physical environment.
Learning Objectives
- What ASHE resources are available to ASHE members for their professional development.
What The Finding 2.0 !?!?
Alexander Zivnuska, PE, CHFM - Principal, Code Consultants, Inc.
Alex Zivnuska joined CCI in 2007 and is a Principal in the Health Care consultation division. Alex is a Professional Fire Protection Engineer (PE) and a Certified Healthcare Facility Manager (CHFM). He is a member of the National Fire Protection Association
(NFPA), the American Society for Healthcare Engineering (ASHE), the Society of Fire Protection Engineers (SFPE), and the Firestop Contractors International Association (FCIA). He also sits on the NFPA 101 Technical Committee
on Fire Protection Features and on the Health Care Occupancies Technical Committee. Primary responsibilities for fire protection and life safety consultation services include:
- Performing Life Safety Assessment surveys (this includes Statement of Conditions).
- Development of fire protection and life safety concepts used in the design of construction projects for both new and existing Health Care facilities.
- Engineering evaluations of performance-based design alternatives.
- Developing reports documenting building code requirements and fire protections concepts for presentation to building and fire officials, and for use by the project design team.
- Performing plan reviews of construction documents.
- Participating in testing and commissioning of building fire protection and life safety systems.
- Third Party Special Inspections of firestop penetrations and joints.
Are you tired of the typical code compliance presentation? We are too. Compliance with codes and standards is a necessary topic for the Health Care Facilities Innovation Conference, but that topic can be boring if the presenter is unable to capture the
audience’s attention. Alex Zivnuska, PE, CHFM a Principal Fire Protection Engineer with Code Consultants, Inc. is going to speak on the topic of code compliance. However, with an edgy title of WHAT THE FINDING 2.0 !?!?, this
common code compliance topic quickly gets one’s attention and sets itself apart. In this interactive discussion, the presenter will go over real findings from accreditation surveys that came to us as fire protection engineering
consultants. The topics include inconspicuous code sections and new interpretations that brought unexpected citations, and as a result, real frustrations. The current accreditation survey practice uses a “see it – cite it”
methodology, and in that moment of frustration, a healthcare professional has the option to accept the observation as a finding or challenge it. Healthcare professionals need to respond with professionalism. A review of the
observations will allow the audience to ponder whether they agree, and while utilizing comical tips and tricks for managing one’s code rage, will navigate the audience through real case studies. The presentation will engage
the audience to drill down into those observations and draw conclusions on whether the observations are supported by the applicable codes and standards. Every accreditation survey cycle brings new code interpretations and hot-button
citations. Through WHAT THE FINDING 2.0 !?!? healthcare professionals get their dose of codes and standards in a lighthearted, fun, and engaging way. Healthcare professionals having responsibilities in Administration, Assessing
Risk, Compliance, Healthcare Project Management, and Maintenance & Operations all need exposure to the industry’s latest greatest survey trends. WHAT THE FINDING 2.0 !?!? delivers it in a fresh and fun way.
Learning Objectives
- Conduct themselves professionally in response to difficult survey situations.
- Gain experience from other facilities’ surveys.
- Follow the code trail with code experts from NFPA 101 and NFPA 99 to locate the specific section associated with different survey observations.
- Draw conclusions from code discussions of interpretation and applicability.
Normalizing Conversations about Mental Health & Wellness of a Healthcare Facility Manager and a Healthcare Construction Contractor
Jesse Flores - Vice President of Operations, Acme Architectural Hardware
I aim to be an industry leader in developing the future of fire doors.
I have been in the Fire Door and Hardware Industry for over 20 years. Have successfully built the best fire door remediation team in Houston. Inventor/ Entrepreneur dedicated to the development of innovative tools and
ideas throughout the Door, Frames, Hardware industry
Ruben Garcia, CHFM, CHC, CFPS, CLSS-HC, CFI-I, NICET II in Fire Alarm - Market Director of Facilities Management, CommonSpirit Health
Ruben Garcia is a Life Safety and Physical Environment consultant who has been in the life safety and fire protection industry for over (15) years. He is a former life safety surveyor for HFAP and current life safety surveyor for AAAHC. He is currently
the Director of Facilities Management for Baylor St. Luke’s Medical Center in the Texas Medical Center. He is a Certified Healthcare Facility Manager, Certified Healthcare Constructor, Certified Fire Protection Specialist,
Certified Fire Inspector I, Certified Life Safety Healthcare Facility Manager, Certified Fire Door Inspector, and NICET Certified in Fire Alarms.
Thomas (TJ) Johnson - Behavioral Design Strategist for Resilient Relationships, Resilience Unpacked Collective
TJ's journey from understanding the foundational role of relationships in personal and community success, through his experience in data analytics and finance, to his ultimate calling as a Meaningful Connections Coach is both inspiring and impactful.
His background, marked by overcoming adversity in a single-parent, low-income household, provides him with a unique perspective on the challenges faced by individuals in both personal and professional spheres. This understanding
is crucial for his role in Resilient Relationships, where he dedicates himself to fostering environments that encourage vulnerability, authenticity, and healing.
His transition into this field, driven by witnessing the effects of stress, burnout, and unaddressed trauma among his colleagues, mirrors the resilience he cultivated in his own life. TJ's holistic approach to well-being,
which includes leading employee engagement initiatives, establishing wellness accountability groups, and creating spaces for men to express emotions authentically, showcases his commitment to addressing mental health and relationship
dynamics comprehensively.
Meaningful Connections Coaching, the cornerstone of TJ's practice, exemplifies his innovative integration of analytical skills and counseling knowledge. This method is tailored to reshape behaviors and habits, thereby
improving mental health and relationship dynamics. It's particularly impactful in underserved communities, offering practical, science-based, and philosophical tools that not only overcome barriers to access but also reduce
the stigma associated with mental health care.
TJ's work is a testament to the power of meaningful connections in healing and transforming lives. His dedication to this cause, rooted in his personal journey and professional experiences, makes him an invaluable asset
to those seeking to build resilience in their relationships and communities.
A key aspect of TJ's practice is Behavioral Design Coaching, a method that integrates his analytical skills with his counseling knowledge to tailor interventions that reshape behaviors and habits for improved mental
health and relationship dynamics. This approach is especially impactful in his work with underserved communities, as it offers practical, science-based, and philosophical tools for overcoming barriers to access and reducing
the stigma associated with mental health care.
Jackie Marroquin, CHFM, PMP - Director of Facilities Management, Methodist Healthcare System
Jacqueline is currently the Facilities Director at Methodist Hospital Specialty and Transplant, which is a 384 licensed bed facility located in San Antonio Tx. Her previous position as a Facilities Coordinator is what led her career into Facilities Management
and provided her with multiple opportunities to gain ample knowledge of the FM world and gain the leadership skill needed to promote within her organization.
Jacqueline firmly believes that the key to successful leadership is influence, not authority. She believes in using your vision and values as a compass to help guide and maintain a sense of what is important as you steer
towards your goals. Teamwork is a key aspect of her beliefs in the FM world, and strives to create a more supportive, positive culture which will create a climate of psychological safety promoting a learning environment for
all.
Jacqueline not only fosters a continuous learning culture, she leads by example. She obtained her CLSS-HC in April of 2022 and graduated with her Bachelor’s in Healthcare Administration in December of 2022. She is also
enrolled at Texas A&M for her MBA and is actively working on obtaining her CHFM and PMP.
Being apart of TAHFM has provided Jacqueline a plethora of educational opportunities, resources, and a network of friendships she has instilled on her career path allowing opportunity for growth and mentorship.
The word 'mental' has long been viewed as a negative connotation and rightfully so. However, in today's society the word 'mental' or 'mental health' to be specific is no longer taboo to discuss openly. One realizes that the mind can be your worst enemy
or your biggest ally. With inflation at all time high, overextended supply chain lead times, a shortage in the skilled labor force, and a culture of being asked to do more with less, healthcare facility managers and contractors
alike, are experiencing immense pressure to deliver results with minimal resources. In this presentation you will hear an open and honest discussion about the daily mental health and wellness challenges faced by a Healthcare
Facility Manager and a Healthcare Construction Contractor. You will also get some tips on how to cope and overcome common daily mental and health wellness challenges.
Learning Objectives
- Learn about the daily mental health and wellness challenges from a healthcare facility manager's perspective.
- Learn about the daily mental health and wellness challenges from a healthcare facility contractor perspective.
- Learn some tips on how to manage your mental health and wellness from a mental wellness professional.
Diversity and the Evolution of Facilities
Delba Barrios - Director, Facilities Management, HCA Houston - North Cypress
Delba Barrios is currently the Facility Director at HCA North Cypress, a 163 bed facility with 4 FSEDs and a few offsites with a total of just over 1 million square feet of property.
Delba has been in the healthcare industry since 2016; Previous to her roles in facilities management in 2020, she was an EOC and Life Safety specialist consulting and conducting mock TJC audits.
Delba serves the members of TAHFM as a board member as Director At-Large. As Chair of the Marketing committee, she oversees the LinkedIn and Facebook TAHFM pages, ensuring our members have information at the ready for
events and opportunities across the state.
Jamesha Castillo, CHFM, CHSP, CHEP - Facility Manager/ EOC/LS Professional, Independent
Speaker Bio Coming Soon.
Jason Lea, CHFM, CHC, SASHE - Director of Plant Operations, Safety, & Security, Wadley Regional Medical Center
Speaker Bio Coming Soon.
Jackie Marroquin, CHFM, PMP - Director of Facilities Management, Methodist Healthcare System - HCA
Jacqueline is currently the Facilities Director at Methodist Hospital Specialty and Transplant, which is a 384 licensed bed facility located in San Antonio Tx. Her previous position as a Facilities Coordinator is what led her career into Facilities Management
and provided her with multiple opportunities to gain ample knowledge of the FM world and gain the leadership skill needed to promote within her organization.
Jacqueline firmly believes that the key to successful leadership is influence, not authority. She believes in using your vision and values as a compass to help guide and maintain a sense of what is important as you steer
towards your goals. Teamwork is a key aspect of her beliefs in the FM world, and strives to create a more supportive, positive culture which will create a climate of psychological safety promoting a learning environment for
all.
Jacqueline not only fosters a continuous learning culture, she leads by example. She obtained her CLSS-HC in April of 2022 and graduated with her Bachelor’s in Healthcare Administration in December of 2022. She is also
enrolled at Texas A&M for her MBA and is actively working on obtaining her CHFM and PMP.
Being apart of TAHFM has provided Jacqueline a plethora of educational opportunities, resources, and a network of friendships she has instilled on her career path allowing opportunity for growth and mentorship.
Amanda Stephens - Director of Facilities Management, Methodist Hospital & Methodist Children's Hospital
Speaker Bio Coming Soon.
Roderick Stephens - Facilities Manager, Parkland Hospital
Speaker Bio Coming Soon.
Over the past decade Facilities have evolved tremendously, from the variations of diverse teams to the increasing technologies available for sustainability and efficiency. As we see these changes in both diversity and technology, it is important to evolve
together to ensure quality service and patient care. One of the most important parts of this evolution is to recognize the generational transition from Baby Boomer to Gen Z so we can absorb knowledge from each other to continue
excellent healthcare facilities management. As cliché as it may sound “Teamwork makes the Dream work.”
Learning Objectives
- Understanding Diversity
- Understanding the importance trust plays in communication with a diverse team
- Understanding the cost-benefit of retention that leads to succession as Facilities Management evolves
Compliance Catch-Up
Moderator: Taylor Vaughn, MBA, CHFM, CHC, SASHE - Facility Manager, Children's Health
Taylor Vaughn is a Facility Manager at the Dallas, Texas-based Children’s Health. In this role, she assumes responsibility for ensuring systemwide compliance with facilities-related regulatory compliance. Additionally, Taylor is an esteemed Subject Matter
Expert and Content Writer at Legacy FM, where she contributes her expertise to the development of tailored training materials for healthcare systems. Furthermore, she holds prestigious designations, including Senior status
at ASHE (SASHE), and certifications as a Healthcare Facilities Manager (CHFM) and a Healthcare Constructor (CHC). Notably, Taylor is actively engaged in professional leadership as the President-Elect for the Texas Association
of Healthcare Facilities Management (TAHFM).
Steve Lowe, CHFM - Facilities Compliance Officer, UT Health East Texas
Speaker Bio Coming Soon.
Ricky T. Yeates, BSIE, PE - Life Safety Code Surveyor, The Joint Commission
Ricky Yeates is currently a Life Safety Code Surveyor for The Joint Commission. In this role, he surveys the standards in the Comprehensive Accreditation Manuals for Ambulatory Care, Behavioral Health Care, Hospitals, Critical Access Hospitals, and Office-Based
Surgery Practices.
Prior to joining The Joint Commission, Mr. Yeates was Director of Facilities at Providence Medical Center in Waco, Texas. Previously, he served as the Director of Facilities Management, at Baylor Scott & White Medical
Center - Hillcrest, Waco, TX; Director of Facilities, at St. David’s Medical Center, Georgetown, TX; and Director of Facilities, at St. David’s Medical Center, Austin, TX.
Mr. Yeates has been active with the Texas Association of Healthcare Facilities Management (TAHFM) serving as an elected Board Member, President, and appointed Regional Board Representative. He also served on the committee
that helped review and revise the architectural and engineering standards of the Texas Department of State Health Services.
Mr. Yeates earned his Bachelor of Science degree in Industrial Engineering at the University of Houston, Texas, and is a Licensed Professional Engineer in the state of Texas. He is also a Certified Yellow Belt and supports
The Joint Commission’s activities associated with establishing and sustaining a Robust Process Improvement® (RPI®) culture. As a Certified Yellow Belt, he is trained in the foundational concepts and tools of problem-solving,
and makes improvements to better meet customer expectations and organization objectives.
Abstract
Abstract Coming Soon.
Joint Commission Update
Ricky T. Yeates, BSIE, PE - Life Safety Code Surveyor, The Joint Commission
Ricky Yeates is currently a Life Safety Code Surveyor for The Joint Commission. In this role, he surveys the standards in the Comprehensive Accreditation Manuals for Ambulatory Care, Behavioral Health Care, Hospitals, Critical Access Hospitals, and Office-Based
Surgery Practices.
Prior to joining The Joint Commission, Mr. Yeates was Director of Facilities at Providence Medical Center in Waco, Texas. Previously, he served as the Director of Facilities Management, at Baylor Scott & White Medical
Center - Hillcrest, Waco, TX; Director of Facilities, at St. David’s Medical Center, Georgetown, TX; and Director of Facilities, at St. David’s Medical Center, Austin, TX.
Mr. Yeates has been active with the Texas Association of Healthcare Facilities Management (TAHFM) serving as an elected Board Member, President, and appointed Regional Board Representative. He also served on the committee
that helped review and revise the architectural and engineering standards of the Texas Department of State Health Services.
Mr. Yeates earned his Bachelor of Science degree in Industrial Engineering at the University of Houston, Texas, and is a Licensed Professional Engineer in the state of Texas. He is also a Certified Yellow Belt and supports
The Joint Commission’s activities associated with establishing and sustaining a Robust Process Improvement® (RPI®) culture. As a Certified Yellow Belt, he is trained in the foundational concepts and tools of problem-solving,
and makes improvements to better meet customer expectations and organization objectives.
Abstract Coming Soon.
Educational Session Speakers
How do I make my CMMS better?
Dennis Ford, MHA, FASHE, CHFM, CHC - Corporate Support Services, Atrium Health
Dennis Ford has more than 25 years of experience in Healthcare Facilities Management (FM), engineering, design, and construction. He is currently working for Atrium Health, based out of Charlotte, NC, leading the Corporate Facilities Operations division.
His duties include representing Plant Operations and Maintenance (POM) on new hospital design and construction projects and overseeing emergency operational readiness. Atrium Health combined with Advocate Aurora Health, now
consisting of 67 hospitals and more than 1,400 care locations.
Dennis received a BS in Civil Engineering from UTSA, and started his career in the AF, where he served in FM roles and at headquarters where he led the development of a Computerized Maintenance Management System (CMMS)
currently in use at all military hospitals (DMLSS-FM). He has served as Director, Facilities Engineering at Baptist healthcare system in San Antonio, TX, the University of Texas Medical Branch (UTMB) in Galveston, TX and Texas
Children’s Hospital in Houston, TX.
Dennis frequently provides presentations at annual ASHE conferences. In 2021, Dennis was elected to the Advisory Board of ASHE, representing Region 3. He also serves on the Customer Advisory Board of Facility Survey
Incorporated (FSI) Services, a provider of healthcare CMMS used by Atrium Health.
Dennis received his Master of Health Administration from Texas A&M and teaches a 100% online course in the UTSA Masters of Facilities Management program.
Joe Stockman - Director of Product Experience, Facility Survey Inc. (FSI)
Joe Stockman is the Director of Product Experience at FSI, a healthcare industry leader in software and services for hospitals. He has implemented a variety of CMMS systems during his 25 years as a consultant, walked hundreds of thousands of square feet
of healthcare space to ensure data accuracy, and optimized workflow from the technician level up to the director and everyone in between.
Computerized Maintenance Management Systems (CMMS) can contain a wealth of information pertaining to all aspects of Healthcare Facilities Management and Operations. The presenters will walk you through the basics of a CMMS, requirements you may want to
have of your CMMS and provide best practices for maintaining quality data, reporting and data analytics within your CMMS. Dennis Ford, who is an adjunct professor at the University of Texas at San Antonio (UTSA) where he teaches
a master's course in Quality, Productivity and Technology in Facilities Management, will walk you through a case study of Atrium Health (Charlotte, NC) and Joe Stockman, a developer of CMMS, will discuss the basics of CMMS
and how to maintain and improve it over time.
Learning Objectives
- What are the basic elements of a CMMS
- What are common requirements of a CMMS
- How do you ensure your CMMS maintains quality data
- What are some examples of CMMS data analytics
Key EPA/TCEQ Compliance Laws and Risks to Assess Beyond EOC
Michael Jones - Chief Executive Officer & Principal Consultant, Covenant Rock Consulting
Michael Jones is CEO and Principal Consultant with Covenant Rock Consulting. Prior to founding Covenant Rock, Michael was the Division Safety Officer for Common Spirit Health in Texas. He enjoys helping healthcare facilities with organizational readiness
for licensing, certification, accreditation, and regulatory compliance specifically related to the Physical Environment, Life Safety, and Emergency Management requirements. Mike has more than 17 years of experience and expertise
in Physical Environment, Life Safety, and Emergency Management and is well-versed in CMS, Joint Commission, DNV, NFPA, OSHA, EPA, and DOT codes and standards.
Darrell Oman - Technical Director - Principal Engineer, Braun Intertec Corporation
Darrell has more than 35 years of experience in the Environmental, Health & Safety field and has presented at numerous national and regional professional and industry sector conferences and webinars, including for the American Health Lawyers Association
(AHLA), American Society for Healthcare Engineering (ASHE) and Association for the Healthcare Environment (AHE). Darrell is member of both ASHE and AHE and a nationally recognized environmental compliance and risk management
professional providing a wide range of consulting services. Over the past 15 years Darrell has directed and managed environmental compliance and consulting projects for over 100 healthcare systems covering 25 states including
consulting for over 350 hospitals and over 100 cancer treatment centers, surgery centers and clinics. Darrell obtained his B.S. engineering degree from Michigan Technological University and has complemented his EH&S consulting
experience with professional coursework and training in environmental auditing, information management systems, business management and organizational performance, team- building and strategic planning.
Gabriel Reardon, CHMM - Industrial Hygienist, Texas Children's Hospital
Environmental Health and Safety professional with over 23 years of professional experience, including over 15 years experience in healthcare EHS. I have general EHS experience across all aspects of the field, with particular expertise in the management
of hazardous materials. I have been a Certified Hazardous Materials Manager for over 11 years.
Environmental regulations in this country were first promulgated in the early 1970s and 50 years later facility, risk management, safety, environmental services leaders, and key associated clinical departments, like laboratory and pharmacy, are still
wrestling with compliance. While responsibility for compliance may default to a few individuals, it takes a team from your organization to successfully manage the various compliance requirements and minimize their associated
risks. Set your healthcare facility up for success by understanding the spectrum of environmental regulations, figuring out which ones apply to your campus, and developing a durable approach for assessing compliance risks.
Also, if in the unfortunate position of having to quickly respond to an unsatisfactory inspection or incident, the presenters will share experiences on efficiently managing the corrective action process – sometimes involving
legal counsel - to minimize potential fines and organizational disruption as well as set your team and campus up for keeping in compliance.
In addition to a brief review of the major Federal (USEPA) and Texas (TCEQ) environmental laws and regulations, we’ll provide an update on any recent changes that might apply to hospitals and healthcare facilities. Additionally,
healthcare facilities – especially hospitals – are subject to numerous federal, state, and city regulations and potential training, permitting, or reporting requirements for the following:
- On-site Storage of Hazardous Chemicals (both above and below ground)
- Tier II Reporting for Hazardous Substances
- Annual Waste Summaries for Hazardous Wastes
- Underground Storage Tank Operator Training
- Spill Prevention, Control, and Countermeasure (SPCC) Plans
- Air Permits for Heating Plants and Emergency Generators
- Wastewater and Stormwater
After the brief review of current regulations and significant recent changes, the speakers will present lessons learned and best management practices gained from 65 years of combined experience working in the healthcare and environmental industry. Attendees
will hear about environmental compliance risk assessment audit practices, recent examples of environmental compliance violations and corrective actions required, and additional suggestions to help sustain compliance and minimize
risks.
Learning Objectives
- Achieve a baseline understanding of the key USEPA and TCEQ environmental laws and regulations hospitals must assess and address.
- Review compliance and risk assessment strategies.
- Learn effective and efficient corrective action practices when responding to examples of actual government compliance violations.
Blending the Boundary of Old and New (MHHS TMC Surgical Suite Expansion)
Michael Hatton, MBA, CHFM, FASHE - Vice President Facilities Engineering & Construction, Memorial Hermann Health System
Michael Hatton, MBA, CHFM, FASHE, Vice President, manages “facilities” and construction from a corporate level for Memorial Hermann in Houston, Texas.
In the previous 48 months, Mike has delivered 6 major hospital expansions and Greenfield projects in the Houston suburbs with a total capital cost approaching $2.25 billion. Due to his leadership and continuous improvement
focus, Memorial Hermann’s Real Estate Portfolio has achieved a 39% decrease in emissions per square foot while implementing proven technologies and maintenance strategies that provide life-cycle cost reductions in operating
expenses across the portfolio.
Under his leadership, Memorial Hermann has driven over $184 million to the bottom line as a direct result of energy benchmarking and building tuning efforts both internally, via ASHE’s Energy to Care initiatives, and
via EPA’s Energy Star program. Memorial Hermann has been recognized as an ‘Energy Star Partner of the Year’ in 2013, 2014, 2015, 2016, 2017, 2018, 2019, 2020, 2021, 2022, and 2023.
Memorial Hermann currently has 10 Energy Star labeled (EPA) hospitals; 2 of which are currently ranked at an Energy Star 100 (nirvana) rating, 2 others at Energy Star 99, and 6 others above the 90th percentile! Memorial
Hermann has been awarded the Energy Star Label for its buildings on 123 occasions which demonstrates its Performance Improvement focus.
The American Hospital Association's ASHE has recognized Memorial Hermann for its environmental and sustainability leadership via its Energy To Care award and for its ‘Significant Energy Efficiency Achievements’ on approximately
55 occasions for its Hospitals and Medical Office Buildings.
Mike was instrumental in promoting the very first national benchmarking competition between ASHE chapters for energy efficiency (ASHE’s Chapter Challenge) with the TAHFM v Ohio Energy Challenge – won, of course, by TAHFM,
and as recognized at the EPA’s annual Energy Star awards banquet in Washington, D.C.
Even more important, Mike is very active in our industry focusing on hospital Facilities infrastructure, improving operations/maintenance outcomes, healthcare construction best practices, energy management, and sustainability
improvements via ASHE and other industry trade groups. Mike is ASHE’s 2024 President-Elect.
Paula Lewis - Designer, Curry Boudreaux Architects
Paula Lewis has been with Curry Boudreaux Architects for 20 years, and has worked on various projects at Memorial Hermann TMC campus during that time period.
Craig Newitt - Senior Project Manager, Kitchell
Craig Newitt has been with Kitchell for 18 years in which he has been part of healthcare projects totaling over $1billion. He has been part of the team at Memorial Hermann's Medical Center Campus the past three years performing multiple renovations.
The expansion of the Surgical Suite at Memorial Hermann occurred at the junction of the new Sarofim Tower and the existing Hermann Pavilion. This location received utilities from both buildings, necessitating the consolidation of these sources. The project
aimed to establish a uniform standard for space configuration and finishes, navigate the structural intricacies of both buildings, and ensure uninterrupted operation of neighboring active Operating Rooms (ORs). To achieve these
objectives, a meticulous phasing plan was crucial, along with the development of a dynamic Infection Prevention Plan. Cutting-edge technology, including Faro Scanning, Building Information Modeling (BIM), and Open Space, played
a pivotal role in addressing phasing challenges and implementing infection prevention measures, steering the project team toward successful project completion.
Learning Objectives
- Phasing the Project to work with the Facilities and Operations
- Maintaining a flexible and evolving Infection Prevention Plan
- Using Technology to to assist with planning
Revolutionizing Healthcare Emergency Management through AI: A New Frontier
Jason McClaren, CHFM, CHSP, CHEP, CSP - Advisory Member/Lead Instructor, Go Heroes Inc.
Jason McClaren, a seasoned expert in safety and emergency preparedness, boasts over two decades of experience, including service as an Air Force firefighter. With a background underscored by resilience and dedication, he has become a prominent figure
in emergency management, particularly in integrating Artificial Intelligence (AI) technologies. Jason's military background instilled in him a profound grasp of discipline, leadership, and precision in crisis situations, further
refined through his involvement in complex emergency response operations.
Transitioning from military to civilian life, Jason continued his pursuit of excellence in healthcare, contributing significantly to enhancing safety protocols and emergency preparedness. His dedication to innovation
and cutting-edge technologies has been evident in his efforts, alongside his recognized proficiency in AI applications for disaster response and resource allocation. Renowned as a captivating speaker, Jason seamlessly blends
personal anecdotes with professional insights, offering audiences a rich tapestry of inspiration and practical knowledge spanning leadership, resilience, and the evolving role of AI in emergency management.
The evolving landscape of healthcare requires innovative approaches to manage emergencies effectively. This presentation will explore the groundbreaking integration of Artificial Intelligence (AI) in healthcare emergency management. We will discuss how
AI technologies are transforming traditional emergency response mechanisms in healthcare facilities, offering improved efficiency, accuracy, and speed.
Key highlights will include case studies demonstrating the successful application of AI in predicting and managing healthcare emergencies, such as natural disasters impacting hospital operations or sudden health crises
like pandemics. We will delve into AI-driven predictive analytics for risk assessment, AI-enabled communication systems for swift coordination, and robotics in emergency response.
Furthermore, the presentation will address the challenges and ethical considerations in implementing AI in healthcare settings, providing a balanced view of this technological advancement. Attendees will gain insights
into the future of emergency management in healthcare, equipped with practical strategies to integrate AI into their emergency preparedness plans.
This session aims to equip healthcare facility managers and professionals with knowledge and tools to embrace AI, ensuring their facilities are at the forefront of emergency management technology and preparedness.
Learning Objectives
- Understanding the Role of AI in Healthcare Emergency Management:
Participants will gain a comprehensive understanding of how Artificial Intelligence (AI) is being integrated into emergency management within healthcare settings. This includes exploring AI's capabilities in risk
assessment, predictive analytics, and its role in enhancing the efficiency and effectiveness of emergency responses in healthcare facilities.
- Analyzing Case Studies and Real-World Applications:
Attendees will learn through detailed case studies and real-world examples how AI technologies have been successfully applied in various healthcare emergency scenarios. This objective aims to provide practical insights
into the outcomes, challenges, and benefits of AI implementations in healthcare emergencies, such as during natural disasters affecting hospital operations or in handling sudden health crises like epidemics.
- Navigating the Challenges and Ethical Considerations of AI in Healthcare:
The presentation will equip participants with the knowledge to identify and navigate the challenges and ethical considerations involved in implementing AI in healthcare emergency management. This includes understanding
the balance between technological innovation and ethical responsibility, addressing concerns about data privacy and security, and considering the human impact of automated decision-making in crisis situations.
Texas Children’s - Navigating the Path to De-carbonization and Climate Resiliency in Hospitals
Gary Brown, CHFM, CHSP - Director of Engineering, Texas Children's Hospital
Gary Brown has 37 years Healthcare experience, over 30 years in Healthcare Leadership. Both a CHFM and CHSP with a Bachelor of Applied Arts & Science Industrial Engineering. Gary has an extensive knowledge in Health Care Engineering, Facility Operations
and Construction, Gary has also had multiple successful Joint Commission surveys. Gary has been instrumental on energy reduction via the Building Management System and is a Co-Chair of Texas Children’s Hospital Green Team.
Neil MacNeil - Energy Manager, Texas Children's Hospital
Neil A. MacNeil, an expert Energy Manager with over 20 years of experience, leads energy initiatives at Texas Children’s Hospital. He specializes in critical system management, negotiating energy contracts, and implementing innovative sustainability programs.
At NASA JSC, Neil drove energy efficiency projects and supported SCADA systems. He holds a Master of Science in Finance, a Bachelor of Arts in History, and is a Certified Energy Manager. His work showcases his commitment to
environmental stewardship and technological innovation.
In an era where climate change poses significant challenges to public health and safety, the role of hospitals in mitigating environmental impact is increasingly vital. This presentation focuses on the journey towards de-carbonization and enhancing climate
resilience in hospital settings, a pressing concern in today's healthcare landscape.
Our objective is to explain the path Texas Children’s took for de-carbonization, which can be replicated by peer institutions. This includes adherence to the Health and Human Services (HHS) pledge, the development of
a robust Climate Resilience Plan, and a detailed audit of Scopes 1, 2, and 3 emissions. We will also explore energy-saving activities, reliability-centered maintenance, and safety programs, alongside risk and vulnerability
analysis. The presentation aims help peer institutions repeat the same effort or modify with their efforts with lessons we have learned.
The methodology adopted involves strategic team-building and a reorganization of existing groups within the hospital, infused with fresh direction and funding. This multi-disciplinary approach has enabled the collection
of diverse data and the establishment of a solid baseline for emissions. This has allowed us to define a clear road map forward with avenues for improvement along way with continual monitoring and evaluation.
Key findings highlight the importance of pooling expertise from various hospital departments. The collection and integration of data, information, policies, and procedures from these diverse disciplines have been pivotal
in forming a coherent de-carbonization strategy.
The relevance of this presentation lies in its timely focus on reducing organizational emissions and enhancing climate resilience – objectives that are increasingly recognized as urgent and necessary. Our contribution
is a structured, replicable model that addresses the confusion and elusive guidance for peer institutions regarding environmental sustainability in healthcare.
The intended audience comprises representatives from peer hospitals, whose understanding of these issues is, at present, varied and often disorganized. This presentation aims to offer clarity, direction, and a framework
for action in the crucial area of hospital sustainability and resilience against climate change.
Learning Objectives
- Explaining the HHS Pledge
- Understanding Hospital Scope 1, 2 & 3 emissions
- How to develop a Climate Resiliency Plan
Water Management in Sterile Processing: Water Quality and Processing Equipment
Ruben Garcia, CHFM, CHC, CFPS, CLSS-HC, CFI-I, NICET II in Fire Alarm - Market Director of Facilities Management, CommonSpirit Health
Ruben Garcia is a Life Safety and Physical Environment consultant who has been in the life safety and fire protection industry for over (15) years. He is a former life safety surveyor for HFAP and current life safety surveyor for AAAHC. He is currently
the Director of Facilities Management for Baylor St. Luke’s Medical Center in the Texas Medical Center. He is a Certified Healthcare Facility Manager, Certified
Healthcare Constructor, Certified Fire Protection Specialist, Certified Fire Inspector I, Certified Life Safety Healthcare Facility Manager, Certified Fire Door Inspector, and NICET Certified in Fire Alarms.
William McCombs - Account Manager, Phigenics
William joined Phigenics in June of 2019 in the Human Resources Department. From there he joined phiSAT as a Program Development Specialist in February 2021. Starting in January 2022, William shifted roles again to the Midsouth region as an Account Manager.
His primary responsibilities include the establishment and maintenance of Water Management Programs across the region. He has a B.S. in Business Administration and Business Management from the University of Arkansas.
Raymond Yosko - Area Manager, Phigenics
Raymond started with Phigenics January of 2019. He is responsible for clients in the Houston, Texas area. Raymond over 28 years industrial experience with 25 of those years involved with water treatment, including but not limited to: High Purity Water
applications (RO, UF, Demin, etc.), the Industrial Gas Industry, Pretreatment, Waste Water, Cooling, Boiler & Process Water Treatment, and Institutional - Hospitals and Commercial Buildings.
Education:
A.A.S Design and Drafting, Bee County College
B.S. Civil Engineering, Texas A&M University
MBA University of Houston
Sterile Processing departments support the primary revenue engine of any healthcare system: surgeries and other vital medical procedures. This presentation introduces the critical factor that water quality and its associated equipment have on sterile
processing (SP) operations to cost-effectively provide safe, reprocessed medical instruments. The discussion will focus on the key considerations a water management team should consider when addressing water in their SP departments.
These considerations include an overview of water's role in SP, recommendations from published guidance, including the upcoming ANSI/AAMI ST108 for water quality monitoring, how said quality affects SP equipment performance,
and integrating Sterile Processing into the scope of existing water management programs.
Learning Objectives
- Understand the importance of how water impacts Sterile Processing
- Assess what equipment is likely treating water and the associated monitoring that should be done to ensure they are running safely and efficiently
- Evaluate why you want to connect your monitoring and testing to a water management program
Workplace Violence Prevention & Mitigation
Bert Gumeringer, MBS, MSIT, FASHE, CHFM - Sr. Vice President, Texas Children's
Bert M. Gumeringer is the Sr. Vice President for Facilities Operations at Texas Children’s Hospital located in Houston, Texas. He is a Fellow of the American Society of Healthcare Engineering (FASHE) and a Certified Healthcare Facility Manager (CHFM).
In his current role, Bert is responsible for more than 8 million sf of space, 953 licensed beds and 1,200 FTE’s in the departments of Facilities Engineering, Environmental Services, Organizational Resilience, Patient
Escort, Security Services, Supply Chain Management, Sustainability, Visitor Management, Parking and Valet Parking at Texas Children’s. Bert has over 35 years of healthcare related experience with his last twenty years at Texas
Children’s.
Bert served as a Life Safety Code Consultant for Joint Commission Resources, is a member of the National Fire Protection Association and the ASHE Faculty teaching the CHFM Preparation, CHC and Healthcare Construction
Management programs. Bert is a Past President of the Texas Association of Healthcare Facilities Management (TAHFM) and is a lifetime member of TAHFM and ASHE.
Workplace violence in the healthcare industry has been increasing at an alarming rate across the United States. Annually there are more than 25,000 incidents of workplace violence with 75% of those incidents occurring in healthcare. The speaker will begin
the presentation with an overview of Texas SB 240-the Workplace Violence Prevention Act and the Joint Commission standards for workplace violence followed by a framework for mitigating workplace violence. This presentation
will describe the processes Texas Children’s has undertaken to mitigate workplace violence within their facilities including the use of technology to enhance staff and patient safety.
Learning Objectives
- Develop a framework for mitigating workplace violence in their facilities
- Analyze security staffing models that best fit for their facilities
- Understand the various technology solutions available to aid in workplace violence mitigation
Compliance Outside of the Hospital - ASCs, EDs, and Clinics
Michael Jones - Principle Consultant, Covenant Rock Consulting
Michael Jones is responsible for assessing healthcare organizational readiness for licensing, certification, accreditation, and regulatory compliance specifically related to the Environment of Care, Life Safety and Emergency Management requirements. He
assists organizations with survey preparation, educational needs, post survey activities, follow-up, patient safety strategies and quality improvement initiatives.
Mike has more than 17 years of experience and expertise in Physical Environment/ Environment of Care, Life Safety and Emergency Management and is well-versed in CMS, Joint Commission, DNV, CIHQ, AAAHC, NFPA, OSHA, EPA,
and DOT codes and standards.
He is also a AAAHC Life Safety Surveyor
Velayuthampillai (Skanda) Skandaverl, MBA,CHFM,CHC,FASHE - Division Director, Facilities Management, Energy & Infrastructure, CommonSpirit Health
Skanda Skandaverl has over thirty-two years of progressive experience in all stages of the healthcare industry and is currently serving as the Division Director of CommonSpirit Health. He oversees Facility Management, Energy and Infrastructure in Midwest
divisions. Skanda strives to enhance the healthcare industry to ensure that all healthcare services are delivered with efficiency. Prior to his career in healthcare, Skanda worked in the electrical construction industry, where
he acquired invaluable skills and extensive international experience in construction. He has demonstrated an unwavering dedication to improving the quality of the healthcare industry.
Skanda is active, regionally and nationally, in various healthcare organizations. He has been an active member of the American Society of Healthcare Engineering (ASHE) since 1990 and continues to hold various positions
with ASHE. He graduated from the ASHE Leadership Institute in 2008. Skanda was the President of the Kansas City Area Healthcare Engineers (KCAHE) and Kansas Hospital Engineers Association (KHEA) from 2003 to 2005 and 2005 to
2006 respectively. ASHE selected Skanda as the Region Eight Emerging Leader in 2004. When Skanda was in Virginia, working for Sentara Healthcare System, he served as the President of Virginia Society Healthcare Engineers (VSHE)
Hampton Chapter and represented region three on the ASHE board. Skanda was the president for Nebraska Society of Healthcare Engineers (NSHE) in 2017. He served on the ASHE Healthcare Executive Leadership Council, was on the
faculty of many healthcare engineering conferences, including ASHE. Skanda has written numerous articles, spoken at many conferences and served on the ASHE Board 2018 to 2021, representing region eight. Skanda continues to
serve on ASHE committees. Skanda is the current ASHE President
Skanda is an Electrical Engineer with a bachelor’s degree in Management and an MBA. He is a Certified Healthcare Facility Manager (CHFM), Certified Healthcare Constructor (CHC) and a Fellow Member of ASHE (FASHE). He
is a member of American College of Healthcare Executives (ACHE), American Society of Heating, Refrigerating and Air conditioning Engineers (ASHRAE), and a firm believer in continuing education and professional growth to further
his contributions within the healthcare industry.
Abstract
As Hospitals and Healthcare Systems adopt new business models, merge, and morph, we continue to see more Hospitals and Healthcare Systems turn to standalone Emergency Departments (EDs), Ambulatory Surgical Centers (ASCs), and Clinics to provide care outside
of the Hospital. Applying our acute care hospital codes and standards to these locations is a mistake that can waste our time, energy, and resources. In some cases it can even cause compliance issues.
In this session we will discuss the current landscape of Healthcare and new business models that impact Facility Managers. We will also examine the licensure differences between Hospitals, ASCs, standalone EDs, and Clinics.
We will discuss the different applicable codes and standards, as well as some of the nuisances that exist between the different Accreditation Organizations (AOs) and how they survey these facilities. We will share strategies
on how to create and maintain complaint Facility Management, Physical Environment, and Life Safety programs in these areas.
Learning Objectives
- Become familiar with the current and future business models in Healthcare that impact Facility Management
- Learn the licensure and code differences between Hospitals, ASCs, standalone EDs, and Clinics
- Acquire strategies on how to create and maintain complaint Facility Management, Physical Environment, and Life Safety programs in ASCs, EDs, and Clinics
Streamlining Construction Turnover Processes for Robust Project Closure: A Comprehensive Review
Stevi Alexander - Director of Real Estate and Construction, Cook Children's Healthcare System
Stevi Alexander is a seasoned professional in the healthcare industry, bringing a wealth of experience in project management and leadership to her role. With a background rooted in healthcare construction and facilities, Stevi has successfully overseen
numerous projects aimed at improving patient care and operational efficiency.
Currently serving as the Director of Real Estate and Construction at Cook Children's Healthcare System, Stevi plays a pivotal role in managing the infrastructure of the institution's north campus and offsite locations.
Her strategic leadership ensures that construction projects are executed seamlessly, meeting the evolving needs of the organization while maintaining the highest standards of quality and safety.
Rodney Ashmore, CxA, NICET - Founding Partner, Adaptive Commissioning Solutions
Rodney is an experienced professional with 10+ plus years of Commissioning specializing in Boilers, Chillers, Gen-Sets, and controls integration in Higher Education, Mission Critical Labs (BSL), Healthcare, Research, Manufacturing, and Commercial applications.
Rodney is involved in Engineering Consultation, Project Management, and Business Development on new, retro and energy efficiency projects.
Rodney is currently a Certified Commissioning Authority (CxA) and NICET Certified.
Michael Scott, PE, CxA, CEM - Founding Partner, Adaptive Commissioning Solutions
Michael is a technical leader in mechanical and building automation control systems with experience in commissioning, MEP design, facility assessments, energy audits, and project management. Michael’s experience includes new regional hospitals and major
renovations, data centers, 20+ story high rise, laboratory, pharmacy, academic, hospitality, municipal, multifamily, mixed-use commercial, and central plant replacements.
While working as a mechanical engineer, Michael was both MEP project manager and lead mechanical engineer for major hospital projects. He now leads commissioning teams and provides technical oversight for commissioning
new projects, retro-commissioning, facility assessments, and energy audits nationwide. Michael’s expansive experience includes designing 200,000+ SF hospitals, replacing 5,000+ ton central plants, writing custom control logic
for unique applications, testing renovated central plants in operating hospitals, and optimizing equipment operation. He successfully engages with all project parties, including Owners, design teams, contractors, and facilities
personnel, to improve the Owner’s final product.
This comprehensive review explores essential strategies for achieving a robust turnover from construction to operation in new projects. It encompasses key elements such as the development of a well-structured closeout package, focusing on documentation
precision, including as-built drawings, warranties, and certification records. The optimization of attic stock management is also examined, identifying the types and quantities of materials necessary for ongoing maintenance.
Additionally, the review delves into the significance of tailored training programs for facilities personnel, encompassing technical skills, safety protocols, and emergency procedures. Lastly, it underscores the critical role
of commissioning in ensuring seamless transitions by validating that systems are installed, tested, and documented according to project specifications. By addressing these aspects, stakeholders can enhance project efficiency
and promote sustainable, smooth operations post-construction.
Learning Objectives
- How a well-structured closeout package, including precise documentation of as-built drawings, equipment manuals, warranties, and certifications, is vital for a smooth transition from construction to operation.
- If there is strategic management of attic stock, considering project size, complexity, and specific facility needs, it can be crucial for minimizing downtime and disruptions during ongoing maintenance and repairs.
- How to specifically tailor training programs for facilities personnel, encompassing not only technical skills but also safety protocols, emergency procedures, and project-specific skills.
Investing in Your Career
Brent Rutherford, CHFM, CEM, CBCP - Director Facilities/EVS, Texas Health Resources
Brent has over 23 years of Healthcare Facility and Operations Experience. Brent joined Texas Health in 2013 as an Infrastructure Project Manager in the Corporate Offices. This role evolved over time to add Energy Management for all THR properties, and
eventually to become the Commissioning Manager for all Construction Projects including the new hospitals in Frisco and Mansfield. In 2019, Brent was asked to assume the role of Facility Director at Frisco and open the hospital,
where he has served for the past 4 years, before transferring to Flower Mound. Additionally, in 2022, he has added the role of Joint Commission Life Safety Surveyor. Prior to joining Texas Health, Brent has worked for St. Francis
Hospital in Monroe, Louisiana; Lincoln General Hospital in Ruston, Louisiana; Vantage Health in Monroe, Louisiana; Monroe Surgical Hospital in Monroe, Louisiana; and Sears Methodist Retirement Centers based in Abilene, Texas.
In these roles, he has developed and implemented Corrective and Preventative Maintenance programs, Water Management Plans, Life Safety and EOC Regulatory Compliance, Energy Reduction Strategies and overall campus master planning.
Brent holds 2 Bachelors of Science degrees in Agricultural & Environmental Science from Abilene Christian University and in Education from McMurry University and has obtained the designation of Certified Energy Manager, Certified
Building Commissioning Professional and Certified Healthcare Facility Manager. Brent has been active as a speaker with presentations that include webinars for TAHFM and ASHE in Commissioning Hospitals of the future, conference
presentations at ASHE Annual Conventions, Premier Innovations Summit, Schneider Electric Digital Summit, AEE World Energy Engineers Congress, and TAHFM Annual Conferences on topics ranging from Capital Planning to Commissioning
and Energy Management programs.
Brent and his wife Lea have been married for 33 years have 3 sons. They enjoy time with family and traveling to explore God’s creation.
How do you grow as a leader? How do we ensure the future of Healthcare Facility Management has a sustainable Pipeline of candidates as our leaders are aging out? These are questions we face to ensure the future of Healthcare Facility Management will continue.
Across the nation, there is an aging workforce and the number of applicants looking to enter our workforce is shrinking. We need to be very intentional with the staff we currently have in our hospitals and find new ways to
bring a younger group of applicants to our opportunities.
Learning Objectives
- Invest in the development of your current staff to show them the growth opportunities afforded by advancing in Facility Management.
- Build an Internship/Mentoring program in conjunction with your local high schools and community colleges.
- Develop dialog with other avenues, such as: Texas Workforce Commission, Government agencies and public assistance programs to find candidates that are not job searching the typical Indeed or LinkedIn job boards.
From Chaos to Clarity: The Hidden Costs of Hospital Bed Maintenance
Webb Clark - Senior Sales Manager, Emeritus Clinical Solutions
Webb Clark has worked in healthcare technology management since 2017. He has a passion for helping hospitals advance their own processes so that patient care can be continuously improved. Webb has been recognized as one of the “40 Under 40” Young Professionals
in the HTM Industry by Tech Nation.
Abstract
In the realm of healthcare, hospital bed maintenance is often an overlooked yet crucial process that significantly impacts patient care, operational efficiency, and budget. As healthcare technology leaders, it's clear that understanding and addressing
the subtleties and hidden costs is key to managing our healthcare facility efficiently and effectively. In this presentation, we reimagine conventional strategies and invite you to challenge the status quo through an analysis
of industry trends and an examination of successful systems implemented by proactive planners to help alleviate the stress and mess associated with bed maintenance.
Learning Objectives
- Maintenance & Financial Planning,
- Analysis of Industry Trends,
- Strategies for Workflow Optimization and Reduced Downtime
The Risk of Inaction, The New Facilities ROI
Mark Kenneday, MBA, CHFM, FASHE, CHC, CM-Lean - Director Market Strategy and Development - Gordian
Mark Kenneday has 40 years in healthcare, working at some of the most interesting facilities in the world, TCH, MDACC and UAMS, where he was Vice Chancellor of Campus Operations from 2008-2018. Mark has spent the past 5 1/2 years working with Gordian
customers across the country to improve their capital management systems and better understand their facilities portfolios. He is a past president of TAHFM, a Bob Paul recipient, the 2013 ASHE President and was honored with
their Crystal Eagle award for lifetime achievement in 2016.
Terry Scott, MBA, FASHE, CHFM, CHC, CHSP - Associate Vice President Facilities, Memorial Hermann TMC Campus Texas Medical Center
Terry Scott is a experience leader with a demonstrated history of working in the hospital and health care industry. Skilled in Healthcare Consulting Compliance, Performance improvement, Budgeting, HVAC, and Operations Management. Terry is a strong business
development professional with an MBA, a FASHE, and CHFM, CHC, and CHSP certifications from ASHE. His focus is on business administration and management. Terry is a past president of TAHFM, a Bob Paul recipient for lifetime
achievement, and the 2016 ASHE President.
Abstract
Net Asset Value (NAV) is the percent good left in the physical or system plant portfolios. Simply put, it is the remaining life cycle within each building and its components. Historical behaviors and chronic under-funding have led to a declining NAV in
most health facilities, and we have reached a tipping point where ROI, “Return on Investment”, should be re-defined in terms of the “Risk of Inaction”. Without additional investments or a more focused application of increasingly
restricted resources, all buildings will age at an accelerated rate and become less effective in serving mission critical priorities. Consequently, these assets will not remain safe or practical solutions for patient care,
and risk management will become unsustainable; the Risk of Inaction.
Learning Objectives
- Describe the process and procedure to evaluate portfolio Net Asset Value (NAV)
- Learn from peers and industry experts about the “Risk of Inaction.”
- Describe/review the tools to become the agent to change the ROI dialogue to the “Risk of Inaction”.
Strengthening Healthcare Resilience: Empowering Hospitals with Strategic Planning and Microgrid Solutions
Brooke Bohme - Director of Engineering, Children's Health
Brooke Bohme currently holds the position of Director of Engineering at Children's Health in Dallas, Texas. As a licensed mechanical engineer, she brings twelve years of expertise in healthcare design to her role. With a solid foundation in design, construction,
and facilities operations, Brooke offers valuable perspectives on both the design and operational aspects of healthcare facilities. She is passionate about energy efficiency and leveraging cutting-edge technology and innovation
to optimize facility operations.
Abigail Lipperman, PE, LEED AP, CHFM, CHEPP, SFP - Manager Engineering Infrastructure, Children's Health
Abigail (Abby) Lipperman is a Professional Electrical Engineer and Manager of Engineering Infrastructure at Children’s Health. With 20 years of experience in the healthcare sector, Abby has transitioned from designing complex hospital lighting and electrical
distribution systems to overseeing the MEP infrastructure for the Children’s Health system. She currently leads a dynamic team responsible for executing multi-million dollar upgrades to critical hospital systems. Abby also
served as the Chair for Children’s Health Sustainability Council, which provides leadership and direction for the sustainability goals and initiatives of the organization.
In times of crisis, hospitals play a pivotal role in communities, providing critical care and support. However, ensuring their uninterrupted operation during emergencies, maintenance procedures, and natural disasters is a complex challenge. This presentation
delves into the crucial realm of resiliency planning for hospitals, equipping healthcare facilities with the tools and strategies to withstand unforeseen disruptions. A portion of this presentation will revolve around the integration
of microgrid solutions to enhance hospital resiliency. Children’s Health will explore the concept of resiliency and its significance in the healthcare sector, focusing on the importance of proactive planning and adaptation
to overcome future operational challenges.
Learning Objectives
- Understand the critical role hospitals play in communities during crises and the challenges they face in maintaining uninterrupted operation during emergencies, maintenance procedures, and natural disasters.
- Explore the concept of resiliency in the healthcare sector and its significance, emphasizing proactive planning and adaptation as essential components in overcoming future operational challenges for hospitals.
- Gain insights into the integration of microgrid solutions as a strategy to enhance hospital resiliency.
USP 797/800 and Commissioning
Bryan Garza, PE - Sr. Engineer, University of Texas MD Anderson Cancer Center
Bryan is a licensed Professional Engineer and has a Bachelor of Science in Mechanical Engineering from Lamar University. Bryan is currently a Sr. Engineer with UTMD Anderson under the Engineering and Building Systems Management department. Bryan has 13
years of experience in MEP design and installation.
Jared Llewellyn, CCE, RCP-SCF CEC - Manager, Engineered Air Balance Inc.
Jared joined the EAB team in 2008. Over the years, Jared acquired the technical knowledge and training needed to perform Testing and Balancing services at the highest level. He found his niche in healthcare and laboratory environments. Jared served as
the Project Lead for the Critical Environment Semi-Annual Certifications for the University of Texas MD Anderson Cancer Center. The program involves the testing and semi-annual certification of all their most critical on-site
and satellite facilities, including all operating rooms, airborne isolation rooms, sterile compounding pharmacies, radio pharmacies, vivarium, cGMP facilities, sterile processing departments, and many other critical sites.
In 2022, Critical Environment Certification (CEC) services were officially added to EAB’s list of services due in large part to Jared’s leadership in developing this new business unit. Jared received his Cleanroom Certification
Engineer accreditation through AABC in 2022 and was essential in bringing CEC services to EAB’s Houston clients. Jared has also achieved the prestigious certification as a Registered Certification Professional for Sterile Compounding
Facilities (RCP-SCF) through the CETA National Board of Testing (CNBT).
This session will provide an overview of USP Chapters (797) and (800) specifically addressing design conditions and infrastructure required in pharmacies. In addition, we will walk through the challenges and processes in commissioning pharmacies based
on USP 797 and 800. USP Chapters
<797> and
<800> are critical standards for operating sterile compounding pharmacies in healthcare facilities. These standards mandate stringent requirements for ventilation rates, filtration, and pressurization relationships among many
other operational parameters for the pharmacy and facility personnel. From a compliance standpoint, this can be very confusing for Facility Managers, Design Engineers, and Pharmacy Managers. Moreover, if not implemented
correctly according to USP standards, there could be heavy liabilities for the pharmacy and facility management. This presentation will demystify USP Chapters
<797> and
<800>. Our goal is to help Facility Managers understand the facility design, commissioning, and certification requirements to reduce or eliminate excess compliance liability and achieve an optimum operating facility.
Learning Objectives
- To become familiar with USP Chapters 797/800 including facility design, certification, and commissioning requirements.
- To understand the challenges in commissioning USP pharmacies and mitigate compliance liability.
- To capture best practices in design, implementation and operations for pharmacies in healthcare.
Building Enclosure Air Leakage and Impacts to Healthcare Facilities
Barton Tate - Building Enclosure Regional Manager, SSR
Bart Tate is a Building Enclosure Consultant in SSR’s Houston office and oversees projects across the State of Texas. His primary experience during his twenty -year career as an Enclosure Consultant has been focused in the institutional and healthcare
markets. While Bart’s focus is on the restoration and repair of existing buildings, his experience on new construction projects and building enclosure commissioning has afforded him a diverse skill set from preconstruction
services to construction contract administration to field testing of facade elements. Bart is past president of the Gulf Coast chapter of IIBEC (International Institute of Building Enclosure Consultants).
Abstract
Water leaks are often associated with the biggest risk posed by the building enclosure but exterior air leakage can significantly impact healthcare facility’s energy usage, patient comfort, indoor air quality, and infection control measures. This presentation
will discuss real-world examples of air leakage issues we’ve encountered and how they were addressed and could have been prevented. We will review recent code changes related to building enclosure air leakage verification and
the use of Building Enclosure Commissioning (BECx) as a risk mitigation strategy including diagnostic techniques that can be used at existing facilities to identify issues.
Learning Objectives
- Provide practical examples of exterior air leakage and impacts to healthcare facilities.
- Provide an update to new exterior air leakage requirements in the IECC.
- Provide risk mitigation strategies that can be used on new facilities and diagnostic techniques for existing facilities.
Industry Showcase Session Speakers
Unplanned Event - Response and Recovery
Dan Bedregal - Senior Vice President for Healthcare, First Onsite Property Restoration
Dan Bedregal, Senior Vice President for Healthcare with First Onsite has been actively supporting and restoring healthcare facilities for over 18 years, managing projects, training, and enforcing compliance and regulatory practices throughout his growth
with the company. Prior to entering the restoration industry, Dan served 10 years in the Fire Service within the United States Air Force. His military background has helped to provide keen attention to detail and structure,
as needed when servicing Healthcare clients.
Tom Pasisis - Vice President for Healthcare, First Onsite Property Restoration
Healthcare Vice President, Tom Pasisis specializes in facilitating and coordinating master service agreements and education and training to Facility Directors and C-Suite administrators on behalf of the restoration, facilities maintenance and remediation
services that First Onsite provides. He has been in the Restoration industry for over 25 years and is actively involved in TAHFM as well as ASHE.
Whitney Reynolds - General Manager - San Antonio, TX, First Onsite Property Restoration
Whitney Reynolds, General Manager of the San Antonio, Texas branch of First Onsite brings a unique perspective to her involvement within TAHFM as a former Project Director and Regional Account Manager. She and her team have worked on several large scale
healthcare restoration projects throughout central and south Texas.
Abstract
This session will focus on how facilities and contractors should collaboratively work to ensure a seamless response and recovery process during an unplanned event. Involvement from all departments that are affected by the loss - each with unique needs
and requirements must have input in the response and planning of the recovery. It highlights the importance of partnering with an emergency response provider who understands the importance of the facility's contingency plan,
along with monitoring and enforcing the ICRA and ILSM plans.
Key takeaways include the expectation that both the facility and the contractor will be focused on:
Learning Objectives
- Maintaining Occupant Safety
- Minimizing Additional Damage to the Facility
- Reduce risk/liabiity to all parties
- Maintain continuity of operations
- Reduce financial impact of Business Interruption (BI) to the Facility
- Return the facility to normal operations and provide thorough documentation
The Price is Right - Electrical Safety In OR's
Benjamin Kazimier - National Healthcare Channel Manager, Bender Inc.
Benjamin Kazimier is the National Healthcare Channel Manager for Bender Inc. Prior to working for Bender, Benjamin served as a Regional Sales Manager for Beckwith Electric, a Principal Application Engineer with Basler Electric Company, and a Lead Field
and Customer Service Engineer with GE Industrial Solutions.
Benjamin has broad experience in both the industrial and utility industries. His work experience includes the design, installation, testing, and commissioning of protective relaying equipment and a diverse range of power
system apparatus. He has worked within high, low, and medium voltage power substations, power generation facilities, hospitals, petro-chem facilities, casinos, pulp and paper, water (fresh and waste), various electric utility
facilities, and most large end users of electric power.
Benjamin is a member of ASHE and the IEEE and he holds a bachelor’s degree in Electrical Engineering Technology from Purdue University.
Philip Ndahi - Consulting Sales Engineer Specialist, Bender Inc.
Philip Ndahi has a B.S. in Electrical Engineering from Old Dominion University and currently holds the position of Consulting Sales Engineer Specialist at Bender Inc.
Before joining Bender, Philip was an engineer for Jo-Kell in Virginia, where he worked on power systems for the Navy and other government organizations. He then transitioned to being a contractor for CAT (Caterpillar).
Philip's primary focus as the Consulting Sales Engineer Specialist at Bender is to serve as a technical consultant for anyone who plans to use Bender technology in their healthcare facilities. This includes answering
questions related to isolated power codes. A good portion of his time is spent traveling with Bender's manufacturers' representatives and attending tradeshows and healthcare conferences, where he is able to expand Bender's
reach and education.
Abstract
Health Care Facility’s Governing Bodies are often faced with making decisions to reduce cost while mitigating avoidable risks. A study was conducted by a consulting engineer to explore the cost differences for the different electrical power protection
techniques, for operating rooms and other wet procedure locations, as governed by NFPA 99. The results presented in this session will help stakeholders make more informed decisions regarding which type of electrical safety
equipment to integrate into their critical care spaces.
Historically, power distribution in wet procedure locations, operating rooms, and other critical care spaces have created confusion in the engineering and construction marketplace given the various techniques, codes
(changes to the codes), and perceptions about the efficacy and cost of the various options. A cost study was conducted to explore the costs associated with the different power distribution methods employed to meet the requirements
of NFPA 99 in wet procedure locations. The answers provided by this study are applicable to a wide range of facilities, from small outpatient facilities to fully integrated hospitals. This study is of particular interest to
facility owners and the designers of healthcare spaces such as operating rooms, cardiac catheterization labs, labor & delivery rooms, and intensive care units.
This study was completed by a tenured engineer specializing in hospital design. The purpose of this study is to better understand the true cost differences between three different types of electrical installations for
operating rooms. The first type of system studied was an isolated power system (IPS), installed to meet modern code requirements and to enhance patient and staff safety. The second system evaluated was a grounded power system,
with GFCI devices installed in lieu of IPS. The third system considered was a grounded power system, installed without special shock protection. This study presents the cost differences as calculated by an electrical contractor
and reviewed by an engineer.
It is the responsibility of the Health Care Facility’s Governing Body to ensure the highest levels of safety to patients and staff however, there are often cost constraints when building a new facility or renovating
an existing facility. The decisions are made to keep, remove, or modify building systems to fit budgets. By analyzing the cost benefit at a high level for the electrical distribution options in critical care spaces, while also
considering the risks associated with the different options, this session will leave the participants better equipped to decide if a minor cost premium is justified for the highest level of electrical safety for the clinical
staff and patients.
Learning Objectives
- Develop a baseline understanding of the power systems utilized in operating rooms and critical care spaces.
- Develop an understanding of the safety risks associated with each power system.
- Understanding of the code requirements for power systems utilized in operating rooms and critical care spaces.
- The cost-benefit analysis will allow attendees to make more informed decisions in selecting the proper power system for an operating room or critical care space.
Generator Maintenance for Healthcare: Keeping You in Compliance
Michael McChesney - Director of Service Sales, Clifford Power Systems, Inc.
Michael McChesney is the Director of Service Sales at Clifford Power Systems, Inc. As Director of Service Sales, he manages a team dedicated to an exemplary standard of customer experience, ensuring they receive superior, dedicated service. Michael and
his team offer customized maintenance plans to meet your specific generator system needs and ensure your company meets all NFPA 110 and Joint Commission standards.
Michael McChesney attended Southwestern Oklahoma State University from 2005 to 2009, where he obtained a Bachelor of Arts (BA) degree in Mass Communication/Media Studies.
Abstract
Generator Maintenance for Healthcare: Keeping You in Compliance will cover the importance of having safeguards in place to prevent interruption of healthcare services, the healthcare codes and standards required for standby systems, as well as how Clifford
Power Systems can help you remain compliant.
Learning Objectives
- Understanding healthcare codes & standards
- NFPA and The Joint Commission
- Understanding why it is important to have a plan to maintain compliance requirements
- Benefits of generator maintenance and load banking