NCHEA ENERGY to CARE & SUSTAINABILITY
Parking on campus- Investing in the long-term performance of pavements.
Parking on campus- Investing in the long-term performance of pavements.
Explore the Path Forward in Fall Protection
Transitioning Sites of Care: When you move services to the off-site, how do you handle new environments of care and vacant space?
Transitioning Sites of Care: When you move services to the off-site, how do you handle new environments of care and vacant space?
Applying Hospital Standards to Long-Term Care Facilities
Applying Hospital Standards to Long-Term Care Facilities
Applying Hospital Standards to Long-Term Care Facilities
Applying Hospital Standards to Long-Term Care Facilities
SCOTT BLOOM | Keynote
It’s A Funny Thing
How Laughter Connects People and Cultivates Engagement
A customized, entertaining, laugh out loud, comedic keynote that builds relationships.
Principally known for delivering business humor, Scott’s success has been built on the Power of Laughter and the Language of Business™. And more importantly, it’s been driven by making it his business to know yours. He does deep dives into your people, products, buzzwords and
acronyms: and surfaces with custom content that provides fresh, funny perspectives on topics like teamwork, customer and client engagement, connecting, and more.
As a corporate entertainer, comedian, author and personal growth advocate, Scott draws from his professional and personal world to deliver a hilarious and insightful talk that illustrates the importance of connecting with colleagues, co-workers and customers that goes beyond the perfunctory.
Thomas Reoch, Administrative Director, FirstHealth of the Carolinas
John Ganley, Director of Facility Services, FirstHealth of the Carolinas
Corey Roberts, Director of Safety and Emergency Management, FirstHealth of the Carolinas
Session Description:
On the afternoon of May 18, 2023, a concrete truck delivering a new load of concrete to our new Energy Plant inadvertently entered our ED entrance off Rt 211. This driveway feeds directly onto our ED Parking Deck within 75 feet off the main entrance. As a result, two prefab planks collapsed, and the truck fell approximately 15 feet to the next level. The truck had to be craned out of the hole, while ED traffic had to rerouted to an alternate driveway and ED patient access was directed to a new entry point into our hospital.
Abstract:
This was the 38th concrete delivery on this day and all previous deliveries were made to the correct site on our property. The driver of this truck was a new member of the delivery team on this day. Instead of following specific directions to the construction site from the contractor, the drive decided to utilize a GPS app on his mobile phone. Unfortunately, the GPS device delivered him straight to our ED Entrance. Despite the low clearance warning bar he passed under, he continued up the driveway near the ED Main Entrance door. Our Security Team seeing the truck approaching the main entrance, immediately ran out, stopped the truck and warned the driver of his mistake. In an attempt to turn his truck around to exit the parking deck, the driver maneuvered the truck so that it was now parallel with the structural “T’s” of the prefab plank. As soon as the truck was completely parallel with the planks, the deck gave way and the truck immediately dropped approximately 15 feet to 2ndlevel below. The amazing story to tell is that miraculously no one was injured (other than minor injuries to the driver) and no cars were damaged.
We will discuss during our panel session the Action Plan that was put into place to provide an emergency crane to remove the truck from the 2ndlevel parking deck (same day), the moving of patient cars off the deck so they could return home that night, the plan to reroute incoming ED patients to a new driveway, setting up a new Triage area in our Administration Building, and the plan to rebuild the damaged parking deck. This incident caused major disruption to the campus, but we will demonstrate how we successfully navigated many obstacles and overcame incredible challenges during the 2-3 months proceeding the accident.
Summary:
This case study will look at how FirstHealth Moore Regional Hospital continued critical operations of their Emergency Room over the ensuing 60-90 days after the collapse. This case study is a timely conversation for other healthcare organizations that have parking deck structures and multiple major construction projects occurring on their campus’s. Specific lessons learned include how to ensure staff communication on and off campus, how to continue essential operations, and how to manage patient & staff needs immediately after the event.
Tom Reoch Bio:
Tom currently serves as Administrative Director for FirstHealth of the Carolinas, a private, not-for-profit health care network headquartered in Pinehurst, NC. The network employees 5,300 people and serves 15 counties. Tom has more than 30 years of experience as a project manager, estimator, and commercial construction executive, which he leverages to help make strategic, long-term capital investment plans for the healthcare system. Tom earned his Bachelor of Science in Communications from Michigan State University, and he holds a certificate for Construction Management from New York University. Tom currently serves as District II Chair and is the current Vendor Chair with NCHEA. Tom also serves as a VP with AMFP (Raleigh Chapter) where he is actively involved with that startup of the new Chapter.
John Ganley Bio:
John Ganley has 35+ years in Healthcare Engineering, Safety, Emergency Management and Compliance experience. He has had the opportunity to see and help develop codes and standards throughout the years. He has been involved in Healthcare most of his life, as an EMT on a volunteer Fire Department, as a Police Officer and Healthcare Management. He has a bachelor’s degree in safety management, CHFM and CHSP designations. He is currently the Director of Facility Services at FirstHealth of the Carolina’s – Moore Regional, Pinehurst NC.
He has been an ASHE member since 2001 and has associated in numerous activities, he has seen substantial growth within ASHE. He was a member of Hospital Engineering Society of Northern Illinois (HENSI) and then transferred to North Carolina Health Care Engineers Association (NCHEA) and has been as active as possible.
Corey Roberts Bio:
Corey Roberts is the Director of Safety and Emergency Management for FirstHealth of the Carolinas. Corey is a dedicated safety and emergency management professional that believes in strong customer service and preparing for the what ifs. Corey’s vision is to create a safe environment for patients, visitors, and staff while ensuring preparedness for continuity of business for the health system. He has Associate of Applied Science Degrees from Forsyth Technical Community College in Fire Protection and Emergency Preparedness Technology and a Bachelor of Science degree in Emergency and Disaster Management from Western Carolina University. He is a certified Associate Emergency Manager from the North Carolina Emergency Management Association, a certified Healthcare Emergency Manager from the North Carolina Office of Emergency Medical Services, Certified Life Safety Specialist from NFPA, and a Certified Healthcare Safety Professional from IBFCSM. Corey has twenty plus years’ experience as a public servant to his community serving as a firefighter, emergency medical technician, emergency manager for local government and a regional healthcare coalition planner. He has responded to several local, state, and federally declared disasters such as the Stoneville, NC tornado (1998), Hurricane Floyd (1999), Evans Road Fire (2008), Hurricane Ike (2008), Hurricane Matthew (2016), Hurricane Florence (2018), and Hurricane Michael (2018) along with many non-declared events.
Tyler Means
Our technology-focused, fast-paced world has created increased demand to deliver consumer goods in an efficient and expedient manner. Truck delivery logistics depends heavily on our nation’s roadway infrastructure, which are comprised of different types of paved highways, roads, and bridges. Paved roadway surfaces require consistent maintenance using proactive pavement management plans to avoid significant deterioration and repair costs, and to maintain human welfare and safety standards for all vehicle users. In 2021, the American Society of Civil Engineers (ASCE) compiled an infrastructure report card that rated our country’s roadways as a “D,” and further estimated that over 40% of our roads are in poor to mediocre condition.
Simultaneously, businesses, school systems, universities, and hospitals that own paved surfaces (i.e., parking lots, drive lanes, walking surfaces, etc.), are faced with several challenges in managing their assets. Facility owners balance many things: daily operations, purchasing equipment, maintaining their facility, employee satisfaction, safety, and more. Pavement assets are rarely considered for annual budgets when potholes or cracks are limited. The reality is that a failure to plan and invest in routine pavement maintenance through a master management plan typically yields expensive repair and reconstruction costs along with extensive disruptions to the operation.
Pavement maintenance might be little more than an afterthought, but degrading pavement conditions can adversely affect businesses in a variety of ways. Potholes and large ruts can damage trucks and other equipment, affecting the serviceability of these assets. Poor pavement conditions will also slow down traffic, which can ultimately lead to service delays. In addition, damaged walking surfaces create a larger probability of injury to pedestrians. How are owners and consultants addressing these issues?
Investing in the long-term performance of pavements A pavement management plan uses a scientific and scalable ASTM approach to first objectively assess existing assets, then develop maintenance and rehabilitation plans followed by estimated budgetary needs. Pavement engineers and consultants perform Pavement Condition Index (PCI) surveys to understand the types and severity of distresses present on a pavement and provide recommendations to address them.
Our pavement experts advise clients to invest in pavements early to ensure the assets remain serviceable and safe for end-users while optimizing capital expenditures to prolong asset life. This effort will help avoid the cost and delays associated with complete reconstruction of failed pavement systems.
Four Measurable Learning Outcomes:
1. Identify the current condition of pavement assets by first understanding how to quantify
pavement condition index (PCI).
2. Assess current budgets and funding allocations for pavement preventative maintenance and
repair.
3. Explain how a pavement management plan can extend the life of pavement assets and save
clients' money, avoid risk of injury of patients traversing a parking lot and reduce delays for
extensive repairs.
4. Understand the importance of exploring beneath the pavement surface and a proper pavement design to ensure properly constructed pavements for a given use.
Speaker Bios
Tyler Means is a Senior Project Manager and Pavement Services Lead for the Eastern United
States at Terracon. He began his career in May 2015 following his completion of a bachelor's
degree at the University of Kentucky. Tyler started in his current role at Terracon in 2016.
Since beginning work for Terracon, he has been involved in a wide variety of projects
including forensic studies associated with the premature failure of asphalt and concrete
pavements, pavement management programming for national clients, pavement
maintenance and rehabilitation projects, and the design and construction oversight of new
pavements at various facilities.
Transitioning Sites of Care: When you move services to the off-site, how do you handle new environments of care and vacant space?
Jamie Norwood, AIA, EDAC, LEED AP BD+C - Rhonda Malone Wyskiel, RN, MSN
As services are moving from the hospital to the ambulatory environment it is becoming important for facilities to consider the implications and priorities for change. The service lines that are functionally able to leave the hospital are creating new typologies of care space that come with unique challenges for staffing and physical space. In addition to the concerns that come from the new ambulatory sites are also to realities of how to address vacated space effectively to expand, grow or optimize other needs.
Learning Objectives:
1. Discuss regulatory and funding pressures driving more growth in Ambulatory Sights
2. Evaluate the considerations for staffing, physical space and compliance for leaving the hospital.
3. Identify specific challenges for planning a new site with physical and operational concerns
4. Assess new space typologies and comprehensive care center models for ambulatory patient care
ABSTRACT:
It is no secret that the number of reasons to move from the hospital to off-site for procedural spaces continues to grow. As regulations and reimbursements continue to promote growth in ambulatory sites of care, facilities must re-align services and prepare to find new locations to meet patients where they are. The cost-drivers and time to market are key decision points in evaluating new locations and expansion outside of the hospital and by pushing forward more effective and equally safe care models.
Inside the hospital, there are often many land-locked spaces that limit growth or renovation potential and the cost impact of shuttering services to renovate are too great an obstacle. Beyond the concerns of the space and time impact are also the logistical concerns for patients and visitors for quicker and more routine services. From ease of access to establishment of comprehensive care centers, the ambulatory environment allows for greater potential in new typologies.
Financial pressures and demand for efficiency has also been a significant rationale for a migration to the outpatient area as states are able to quantify and reward facilities who are able to treat more efficiently. The benefits of moving healthier and lower acuity patients out of the hospital accounts for the opportunity to increase throughputs and reduce overall patient risks. Moreover, the transition away from the hospital allows for services that are already off-site to co-locate with new services in service-line specific facilities, including sites like Cardiovascular Centers housing testing, clinical care, diagnostic treatment, procedural space and rehabilitation all at one site.
Migrating to an outpatient site does come with unique challenges that may force facilities to evaluate many standard practices, including:
-Staffing Ratios
-Equipment Specificity and Redundancy
-Infrastructure Investment
-Patient Acuity
-Strategic Service Line Groupings.
-Additional amenities and extension of ancillary services.
-Clinical Team Satisfaction
More importantly, as services begin to vacate space in the hospital there is valuable real estate that is able to be evaluated for growth and expansion of other services. Looking to examples of areas that are left vacant by ambulatory growth, hospitals have options for critical care services lines, increased acuity treatment areas, and overall growth that position for the future. Building within these vacant spaces, facilities have been able to consider Comprehensive Centers of Excellence, new Interventional/ Hybrid Procedural spaces and even expanded service for Behavioral Units and Crisis centers, where previously they had no viable real estate.
Speaker Bios
Jamie Norwood, AIA, EDAC, LEED AP BD+C As a leader of the Healthcare team at Hord
Coplan Macht, Jamie is actively engaged in a number of design and construction projects
running the full spectrum of healing environments. Jamie has committed his career to health
and wellness, with a focus on improving the places and processes for the continuum of care. He
is an award-winning healthcare architect, and his experience includes a wide range of both new
and renovated inpatient and outpatient projects that support his clients' strategic goals,
operational objectives, and clinical outcomes. One of Jamie's biggest motivators is finding
innovative and effective ways to improve human-centered design and make healing spaces that
promote better outcomes.
Rhonda Malone Wyskiel, RN, MSN, As a Clinician, Rhonda previously served as the Senior
Director of Performance Improvement & Innovation and was responsible for leading a health
system transformation toward a Lean Management System. The work focused primarily on
strategically aligned process redesign of key workflows across each of three connected health
systems. Rhonda played a key role in contributing to and leading work which was recognized as
innovating and transformative for GBMC Health as they achieved the 2020 Malcom Baldridge
National Quality Award.
Previously, Rhonda held a leadership role with The Johns Hopkins Hospital and the Armstrong
Institute for Patient Safety & Quality. Combining her clinical knowledge with applied research,
she led design, implementation, and evaluation of multi-institutional safety cohort programs both nationally and internationally. Additionally, she co-led implementation of safety and quality
programs in more that 1,700 ICUs across the United States, leading to a 30% reduction in
central line infections. She was the nurse lead of a project to design and deploy integrated tools
and techniques reducing medical errors in ICUs and putting patients and families at the center
of the healthcare team through creating system integration and interoperability in clinical work
flows.
THOMAS MICHEL
ABSTRACT
In the ever-evolving landscape of fall protection, the well-being of people is paramount, ensuring robust fall protection measures is not just a priority but a necessity. This presentation, titled "Shape of the Future: Exploring the Path Forward in Fall Protection," delves into key aspects of fall protection that healthcare engineers, facility managers, and safety professionals should be well-versed in.
Compliance and Standards: Keeping pace with regulatory changes and industry standards is crucial for healthcare facilities. Gain insights into evolving regulations and standards related to fall protection, ensuring your facility remains compliant. Staying abreast of these requirements not only safeguards against potential legal issues but also ensures the highest level of safety for all stakeholders.
Know What to Look For: Identifying fall hazards is the first step in effective fall protection. Our presentation equips you with the knowledge and tools necessary to identify these hazards. We provide a comprehensive checklist for you to use on your building's walking-working surfaces, helping you pinpoint the most common fall hazards. This practical approach empowers healthcare engineers and facility managers to take proactive measures to mitigate risks.
Apply the Fall Protection Hierarchy: While identifying fall hazards is essential, knowing how to address them effectively is equally critical. We guide you through the Fall Protection Hierarchy, a framework that prioritizes safety measures. By understanding and applying best practices in fall protection, you can implement solutions that align with the specific needs and challenges of your healthcare facility.
Cost-Effective Solutions: Balancing safety and budget constraints can be challenging. That's why our presentation emphasizes the identification of cost-effective strategies for implementing cutting-edge fall protection measures.
By optimizing resource allocation and leveraging innovative technologies and design solutions, healthcare facilities can enhance safety without compromising financial sustainability.
Through a series of case studies and real-world examples, we illustrate how healthcare engineering can adapt to these principles. Learn from successful implementations where compliance, hazard identification, and cost efficiency converged to create safer healthcare environments.
In addition to the key takeaways mentioned above, this presentation explores the broader context of fall protection in healthcare engineering. It addresses the holistic approach to safety, including the importance of staff training and education.
Attendees will leave with a comprehensive understanding of the current regulatory landscape, a practical toolkit for hazard identification, and a strategic mindset for cost-effective fall protection solutions. Our goal is to empower healthcare engineers and facility managers to make informed decisions that prioritize safety while maximizing the value of their resources.
Join us in "Shape of the Future: Exploring the Path Forward in Fall Protection" to take a proactive step toward shaping a safer and more secure future for healthcare facilities, where compliance, hazard identification, and cost-efficiency converge to protect lives and enhance the quality of care.
Speaker Bio
THOMAS MICHEL
Thomas Michel is a Fall Protection Specialist for Valcourt Safety Systems. With a wealth of experience, Thomas consults with clients on anchors and fall protection systems throughout all phases, from initial design to seamless installation. His extensive knowledge of OSHA Fall Protection requirements is invaluable in assisting clients in navigating compliance standards effectively.
A true advocate for safety, Thomas is deeply passionate about elevating fall protection measures at heights to ensure a safer environment for workers. He possesses hands-on experience in designing, installing, and providing comprehensive training to end-users. With over six years of training experience in Personal Protective Equipment {PPE) and industrial safety, Thomas is committed to advancing safety practices and creating secure working environments for all.
Moving into long term care for a health system can provide an opportunity to explore how to implement hospital standards into a residential setting and remain competitive with other long term care providers. This session will review the decision-making process to investigate how to evaluate the necessity of these systems for the efficiency of the health system operations against the value provided to patients.
In the evolving landscape of healthcare infrastructure, some healthcare systems are considering the development of their own long term care facilities to continue the care they provide. The fusion of hospital standards for system operational efficiencies into the Long-Term Care (LTC) facility presents a unique set of challenges and opportunities. This conference session delves into the intricacies of this integration, focusing on key aspects including code adherence, robust systems, lighting solutions, wood frame construction, multi-story considerations, mechanical and generator systems, medical gas provisions, and the pivotal Target Value Design (TVD) process. Participants will gain valuable insights into the nuanced application of hospital standards in LTC settings, with a focus on measurable outcomes to optimize the design and construction process.
Session Overview:
The session will commence with a detailed exploration of code items, particularly fire and smoke barriers, unraveling the complexities associated with compliance from sources like the Facility Guidelines Institute (FGI) and others. Attendees will learn how to identify relevant codes and implement them effectively within LTC facilities, ensuring safety and regulatory adherence.
Addressing the robustness of systems, the session will highlight the delicate balance between meeting hospital standards and judiciously deviating from them. Participants will gain a profound understanding of how to create resilient systems in LTC facilities, emphasizing reliability and redundancy while managing costs.
The integration of lighting solutions will be another focal point, emphasizing the need for a residential aesthetic coupled with sophisticated control systems. Practical strategies for achieving this balance will be discussed, ensuring that LTC environments are not only functional but also aesthetically pleasing and conducive to the well-being of residents.
Wood frame construction, a cost-effective and versatile choice, will be explored in depth. Attendees will learn how to accommodate infrastructure needs within wood frame structures, addressing challenges such as taller/sloped bottom chords and exploring cost-saving measures without compromising safety or quality.
For multi-story LTC facilities, the session will delve into the intricacies of distribution costs, offering strategies to optimize vertical expansion projects efficiently.
Mechanical systems will be examined with a focus on redundancies and reliability, ensuring
uninterrupted service delivery to residents.
Generator systems, a cornerstone of healthcare facilities, will be explored in detail, comparing natural gas and diesel options while addressing capacity needs and maintenance services. Medical gas provisions will be demystified, providing attendees with tools to accurately determine size and requirements based on LTC facility needs.
The session will conclude with an in-depth discussion of the Target Value Design process, illuminating how it guides the LTC design process. Attendees will gain actionable insights into differentiating between healthcare and residential standards, understanding where and why deviations are necessary, and determining appropriate standards for LTC facilities.
Measurable Outcomes:
This conference session promises to be an enlightening experience, providing participants with practical knowledge and actionable strategies to elevate the standards of Long-Term Care facilities, ultimately enhancing the quality of care for residents.
Speaker Bios
Jonathan Clark, AIA, ACHA, EDAC, LEED AP
As Architecture and Engineering Firm Progressive AE's Regional Practice Leader for Health and Wellness, Jonathan specializes in the architectural planning of complex healthcare and medical environments. This targeted focus has allowed him to develop expertise and experience working with a variety of client and project types within the industry. From comprehensive master planning and design to visioning and planning, his keen attention to detail makes him a successful project designer of multimillion dollar projects. By building strong relationships, Jonathan is able to move projects forward quickly and successfully.
Maureen Kozel, PE, LEED AP
As senior mechanical engineer, Maureen serves as Progressive AE's mechanical engineering discipline leader. She has more than 14 years of experience in the industry and provides HVAC consulting from site selection and lease negotiations to design and construction administration. Maureen enjoys the design challenge of meeting client goals and patient comfort with the appropriate mechanical systems.
Brian Crissman
As the Vice President of National Healthcare for The Christman Company, Brian is client and relationship focused and dedicated to leading and expanding the vital healthcare market segment which accounts for approximately 30 percent of Christman's revenue. Throughout his impressive 26-year tenure at Christman, he has overseen numerous landmark healthcare initiatives, showcasing his exceptional leadership skills. Notably, Brian has successfully overseen the completion of hundreds of millions of dollars in new construction and expansion projects nationally. His extensive knowledge of the unique requirements of healthcare construction allows him to provide innovative solutions early in each of his projects. Additionally, as a LEED Accredited Professional, Brian prioritizes the integration of sustainable design and construction principles into his projects, striving to optimize their value on a national scale.
Michael D. Roberts, PE, SASHE, CHFM, SrHE
Director – Energy Services
Facilities Management Group, Corporate
Atrium Health | Design Collaborative
ASHE continues to enhance the Energy to Care program and has improved it with new sustainability tools and awards. This program will review existing tools and present the new tools including the new Sustainability Roadmap. New awards programs will be discussed, and this year’s winners will be announced.
Michael Roberts has over 35 years in facility management, operations and design and over 25 years of experience working directly for healthcare systems in a variety of leadership roles. He is currently working with Atrium Health as Director, Enterprise Energy Services, and leads their enterprise energy management program. Mr. Roberts earned his Bachelor of Science in Mechanical Engineering from Virginia Tech and is a registered Professional Engineer, SASHE, and AHA Certified Healthcare Facilities Manager. Michael is an active member of the American Society of Healthcare Engineers (ASHE) and served two terms on the ASHE Advisory Board as the Region 3 Representative and chaired their Sustainability Committee. He is a North Carolina Healthcare Engineers Association Past President and past NCHEA Sustainability Liaison to ASHE.
The Evolution of EV Vehicles, Scooters and other devices that use Lithium-Ion Batteries bring
with it Hazards and Design Challenges that in many cases have not been contemplated.
Lauren Schrumpf-Atrium
John M. Booth Atrium
Brian Taylor-NC State Fire Marshall
Jennifer Williams – Atrium/Wake Forest
1. SECTION ONE WILL COVER:
a. EV Fire
b. What Is The Difference Between A Lithium-Ion Battery Fire and A “Normal” Fire?
c. How Do You Extinguish A Battery Fire?
d. How Does This Impact Where Charging Stations Should Be Located?
e. How Should A Facility Respond.
Thomas Harper-Adams Electric
Mark Miller-WSP
Daniel Edwards-Brasfield & Gorrie
Wyatt Lee-Whiting Turner
Thomas Berton-ABM
Kerry Bennett - HKS
2. Section Two Will Cover:
a. Construction And Design considerations of Parking and Storage Structures
b. Codes & Standards Current and Future expected
c. Weight considerations of EV Vehicles
d. Installation and Upkeep and Maintaining Charging Stations
Terry L Fair CHE, CHFM, SrHE
System Director of Life Safety
Accreditation and Regulatory
Novant Health, Inc.
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