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PLEASE NOTE: Workshops require an additional fee to participate.

SPEAKERS:

Tama Duffy Day, FASID, FIIDA, LEED AP, Principal and National Interior Design Healthcare Practice Leader, Perkins+Will

Simon Henderson, Head of Cancer Environments, Macmillan Cancer Support

Annette Ridenour, President & CEO, Aesthetics Inc

Dr Mark Rowe, Rowe Creavin Medical Practice

Wayne Ruga, PhD, AIA, FIIDA, Hon. FASID, Founder and President, The CARITAS Project

How can you expand when your strategic objectives leave you with no other choice but a challenging and sensitive site? How can you build from ground up when project demands are changing underfoot? The session presents how an integrated team of parallel professionals addressed sensitive site issues and changing program needs. Speakers discuss public-private partnership and project delivery solutions to matching business to budget, implementing sustainable development, and designing for future phases. Highlighted is Cleveland Clinic’s Twinsburg Campus, a new 80-acre Family Health Center & Ambulatory Surgery Center/ED designed to LEED Gold. Attendees learn how this internationally-renown healthcare provider collaborated with development, regulatory, design, and construction partners to overcome key obstacles, and correlate facilities development with strategic development. The result is a progressive project that supports wellness, preserves wetlands, and minimizes impact on environment.

LEARNING OBJECTIVES:
1. Assess the challenges in developing in emerging and environmentally-sensitive areas
2. Learn the benefits of an integrated team approach and public private partnerships to addressing limited options and changing program needs
3. Benchmark Cleveland Clinic’s Twinsburg campus, LEED-designed, supporting wellness, preserving wetlands, minimizing impact on environment
4. Learn innovative solutions: match business to budget; sustainable development; plan for future; project delivery

SPEAKERS:

Philip LiBassi AIA, ACHA, Principal, Westlake Reed Leskosky

Brian Smith, Director, Strategic Project Development, Cleveland Clinic Foundation

Leon Medical Centers was established to meet the needs of Medicare Advantage patients within South Florida’s Hispanic community. To attain this goal LMC works collaboratively with one Medicare HMO: Leon Medical Centers Health Plans. Together these entities seek to improve outcomes in quality of life while also controlling costs. The synergy of this partnership has resulted in a comprehensive approach designed to encourage preventive care and patient compliance. With membership increasing steadily and the need to expand geographically, LMC set about constructing a flagship medical center that would increase operational efficiency, incorporate an electronic medical record, and allow expansion of services. The facility also respects the patients’ cultural bias, provides a comfortable and healing environment (with a fountain and healing gardens), and incorporates the hospitality aspects of the healthcare industry. The facility was designed and constructed in 16 months.

LEARNING OBJECTIVES:
1. Understand the LMC model of care and how it varies from traditional ambulatory care.
2. Understand the unique needs of the Hispanic geriatric population.
3. Understand the importance of utilizing workload data to define patient flow and space needs.
4. Learn how a collaborative approach can shorten project schedule.

SPEAKERS:

Rolando Conesa AIA, Principal, MGE Architects

Deborah Groner D'Agostino FACHE, President, P4H, Inc

Aristides Pallin, Chief Operating Officer, Leon Medical Centers

Generative Space, a new paradigm in healthcare design, not only contributes toward the improvement of patient outcomes, but can enrich the quality of life for everyone who works or interacts within the space.  This concept can also be applied to all types of work environments, not just healthcare.  What makes space generative? More importantly, how can you transform various types of work environments into places where people flourish?
This session will look at Generative Space, where to find it, and how to implement it in different work arenas.  We will examine the process of discovery, and look at the lasting benefits.  Generative Space is a valuable tool to use in all work environments.

LEARNING OBJECTIVES:
1. What is Generative Space?
2. Where can Generative Space be applied?
3. What are the Benefits of Generative Space?
4. How can you make your space Generative?

SPEAKERS:

Heather Fennimore, President, North America, Humanscale

James Lesslie, President, BOLYU Contract

Danat Al Emarat-Pearl of the Emirates, is a 150 bed, twelve level, 981,100 s.f. Women’s and Children’s hospital and the flagship facility for United Eastern Medical (UEM) in Abu Dhabi, UAE. The HKS design and planning team incorporated Evidence Based Design principles for the design of the patient care units including the NICU. The designers and planners overlaid these principles with a culturally based heightened sensitivity for patient and family privacy while meeting the objectives of reducing staff and patient stress; providing peer line of sight and exterior views for visual relief; controlling noise and reducing medication errors. By integrating hospitality design strategies to support these goals, Danat Al Emarat is designed to transform the experience of healthcare for women and children in the United Arab Emirates.

LEARNING OBJECTIVES:
1. Highlight specific Evidence Based Design principles applied at Danat Al Emart
2. Understand how a successful design parti is informed by local and regional social and cultural expectations and EBD strategies
3. Evaluate the impact of the integration of EBD principles with privacy expectations and hospitality design strategies on patient care unit design
4. Understand how defining specific local and regional hospitality expectations influence hospital experience design

SPEAKERS:

Rick Franz, AIA, ACHA, LEED GA, Vice President, HKS Architects, P.C.

Steven G. Jacobson AIA, LEED AP, Principal, HKS Architects, P.C.

Carol Johnson Kartje, AIA IIDA, LEED AP, Vice President, Director of Interior Design, HKS Architects, P.C.

Structural steel has continued to be the material of choice for many healthcare projects around the country, including the Ann & Robert H. Lurie Children’s Memorial Hospital of Chicago. Structural steel can contribute to the sustainable goals of a healthcare project. For example, structural steel produced in the United States contains 93.3% recycled steel scrap. Building Information Modeling (BIM) and Integrated Project Delivery (IPD) has made its mark in building construction. BIM has enabled design teams to recognize construction conflicts virtually in a 3-D model so that they can find a solution before wasting costly field construction time. At 22 stories, Children’s Memorial is the tallest children’s hospital in the world. The design team faced many challenges and successes with this project, including large transfer trusses, a 42’-0" mechanical level, and cantilever patient levels. BIM and IPD provided the owner with a successful and sustainable healthcare facility.

LEARNING OBJECTIVES:
1. Learn the advantages of building with steel - fast schedule, offsite fabrication, low cost, and efficient framing systems.
2. Realize the inherent sustainable characteristics of structural steel and see what the future of the sustainable movement may look like.
3. Realize the inherent sustainable characteristics of structural steel and see what the future of the sustainable movement may look like.
4. Children’s Memorial used BIM and IPD to achieve the world’s tallest children’s hospital ahead of schedule and on track to be LEED certified.

SPEAKERS:

Lanny J. Flynn P.E., S.E, Principal, Magnusson Klemencic Associates

Monica Stockmann, Upper Midwest Regional Engineer, American Institute of Steel Construction

Hospitals are faced with the daily challenge of meeting the needs of patients, clinicians and environmental service staff. These challenges include safety, independence, choice and quality of care. Added regulatory requirements, reimbursement pressures and evolving treatment methods contribute to the long list of competing objectives for the design of hospital environments. We will explore three of the leading concerns surrounding the various users of healthcare facilities which are patient well-being, infection control and patient choice. These topics will be evaluated by a panel consisting of a healthcare planner and architect, a hospital Vice President of Operations and Chief Nursing Officer, and a District Manager for Aramark's Healthcare Division to understand the determining factors for best practice solutions.

LEARNING OBJECTIVES:
1. Understand three external drivers having significant impact on the design of Healthcare Facilities.
2. Review competing concerns and objectives from clinicians, designers and environmental service staff.
3. Discuss the evolution of Healthcare Environments based on changing regulatory requirements and technology.
4. Evaluate practical applications and design strategies within a hospital facility.

SPEAKERS:

Collin L. Beers AIA, Principal, Stantec

Susan A. Duchman MBA, BSN, RN, Vice President of Operations/CNO, The Williamsport Regional Medical Center - Susquehanna Health

Marc Fahringer, District Manager, Aramark Healthcare

This team presentation, including owner, designer, and contractor, will focus on the challenges and opportunities that arose in the process of designing and constructing a LEED-Gold building on a tight budget. The case study discussed is a LEED-Gold county-owned psychiatric hospital and detox unit, outpatient mental health clinic, and long term care facility in Green Bay, Wisconsin. We will discuss strategies to identify sustainable design measures that will have minimal impact on the cost of a project. We will discuss one of the key solutions to designing a sustainable building--the collaborative, team approach and process used. The mechanical engineer on the project will discuss the challenges and solutions he discovered in the process of meeting code-related challenges. The team will explore and discuss synchronicities between goals for designing a facility centered on patients and residents and sustainability goals.

LEARNING OBJECTIVES:
1. Understand challenges and opportunities in LEED certification in a healthcare setting
2. Evaluate the pros and cons of seeking LEED certification
3. Understand that sustainable design is affordable, if you start early in the process, and employ a collaborative approach
4. Specify successful sustainable design strategies that have little to no financial impact on a project

SPEAKERS:

Alanna Carter AIA, LEED-AP, Project Designer, Horty Elving

Todd Paider, Project Manager, Boldt

George Strand PE, MECHANICAL ENGINEER, Horty Elving

Jeri Zuber AIA, LEED-AP, Chief Executive Officer, Horty Elving

Now that HIPAA has a "no-excuses" rule, what should happen?
Two experts invite you to join in a lively debate about Obama’s revival of HIPAA Privacy. Last December, the administration’s ARRA and HITECH Act resurrected HIPAA, imposing a ‘no-excuses’ policy and serious $1.5MM fines. But taking HIPAA literally means most hospitals will never fully comply and, for the most part, breaches will be in the best interest of patients. In opening remarks, expert #1 Susan Mazer challenges you to consider how the design and maintenance of your facilities is a major key to complying with the intent HIPAA Privacy while enabling fluid communication among doctors and nurses—a difficult balance to achieve. Expert #2 David Sykes invites you to consider the “carrot and stick” in the new 2010 AIA/ASHE Guidelines for Design and Construction of Health Care Facilities (drafted by Mr. Sykes’ ANSI committee and published in January). The Guidelines contain the first precise, measureable HIPAA Privacy criteria for enforcing the oral communication requirement. How do they work? What are the incentives for HIPAA compliance beyond avoiding fines and penalties?  What is the relationship between LEED and HIPAA? The audience is invited to participate in this discussion of HIPAA Privacy, an issue that has reared its head again.

LEARNING  OBJECTIVES:
1. Identify three building factors that impact privacy and confidentiality 
2. List three facility modifications that will improve patient privacy 
3. List three risk factors related to patient privacy and confidentiality 
4. Define the balance between privacy and accessibility 

SPEAKERS:

Susan E. Mazer, President/CEO, Healing HealthCare Systems, Inc.

David M. Sykes, Co-chairman, ANSI S12 WG44 - healthcare acoustics

Gone are the days of the mega-facilities with half-billion dollar price tags. In are the days of smaller, targeted projects. With tighter capital budgets, the healthcare industry must be innovative in achieving quality patient care. From partnering with major retail chains for clinic space, to allowing the staff decisive input over management procedures, there are creative planning strategies being pioneered. This talk will feature evaluating consumer preference data in selecting optimal locations for outpatient service. As reimbursement rates continue to decline, efficient and effective design methodologies are making a difference in the success of healthcare organizations. Exploring this new planning dynamic thru case studies and proven implementation techniques will be of great benefit.

LEARNING OBJECTIVES:
1. Find out how to partner with outside companies.
2. Methods to incentivize staff in critical decision-making
3. How to interpret consumer data for healthcare services
4. Learn from actual case studies the do’s and don’ts.

SPEAKERS:

Jennifer Christmann, Assistant Director of Facilities Planning & Development, University of Kentucky Healthcare

Tim Marcum, Director of Planning, Baptist Hospital East

Steve Wiser, Director of Healthcare Design, JRA Architects

A recent survey taken by ACHE revealed that one of the major concerns for hospital CEOs is patient safety. As in the behavioral healthcare environment, many factors and influences come together that influence patient safety. These include changing approaches to care, training and education, applicable policies, technologies, new materials and devices. However, patient safety must be viewed in a holistic manner and must take into account many more influential contributors such as changing social structure, demographics, patient mix, shifting demands and the opportunities for effective management. Aging infrastructure, increasing demand, changes in reimbursement structures in the U.S., state/provincial and federal legislative changes are all contributing to an increased demand for behavioral healthcare facilities. New facilities are being planned at a greater rate than ever before—many substantially different than any of their predecessors in terms of function and design.

LEARNING OBJECTIVES:
1. Explore the factors that are driving the explosion in the redevelopment of behavioral healthcare facilities across North America.
2. Learn the importance of safety as one of the preeminent factors shaping how behavioral healthcare will be delivered in a more effective environment.
3. Understand different attitudes and approaches towards safety around the world to better understand the existing possibilities in our own environments.
4. Discuss new guidelines for planning and designing behavioral healthcare facilities.

SPEAKERS:

Yuri Ma, Planning Advisor, Redevelopment, Centre for Addiction and Mental Health

James Kent Muirhead AIA, Associate Principal, Cannon Design

Timothy M. Rommel, AIA, RAIC, ACHA, Principal, Cannon Design

Marisa Tacconelli-Termine, Director, Risk Management, Quality & Patient Safety, Centre for Addiction and Mental Health

Creating a collaborative team of key owner stakeholders and design team members contributes to success in the design of complex healthcare environments. It is customary to include nurses in user groups during the architectural planning and design phases of a project. Rarely, however, are they adequately prepared for the many decisions they will need to make or how to weave design with their model of patient care. Thoughtful owner participant selection, education, and thoughtful guidance with applied research contributes to keeping groups energized, on schedule and creative. Using Boone Hospital Center’s new model of patient centered care, fueled by Magnet credentials and passionate leadership, this case study illustrates design decisions approached from the patient, family and nurse perspective and the mantra “nothing about me without me”. This session provides practical tools and a decision-making framework for right decisions made at the right time by the right people.

LEARNING OBJECTIVES:
1. Understand the key attributes for successful user/process group participants.
2. Describe key educational framework to prepare users for the design process.
3. Provide tools to help owner teams make thoughtful and evidence informed decisions.
4. Help owner teams design to their desired model of care.

SPEAKERS:

Mary Beck, DNP, RN, NE-BC, Vice President, Patient Care Services, Boone Hospital Center

Carol Johnson Kartje, AIA IIDA, LEED AP, Vice President, Director of Interior Design, HKS Architects, P.C.

Robert Piatek AIA, LEED AP, Associate Principal and Senior Vice President, HKS Architects, P.C.

Terry J. Ritchey RN, BSN, MBA, Vice President, Manager of Clinical Solutions and Research, HKS Architect

The Longwave group originally formed as a voluntary team of multidisciplinary subject matter experts in the design and construction field with a mission to identify advantages for componentized fabrication and assembly of hospital construction. Given the voluntary nature of the endeavor, time was spent building environments of trust, alignment and deep collaboration. The synergy created during the initial planning stages of the project led the team expand their goals far beyond initial expectations. Their combined problem resolution led to revolutionary ideas in system integration across technology, care delivery and built environments, resulting in transformative thinking about healthcare delivery. Explore how a team required a new way of looking at problems outside of the traditional transactional environment to provide cross discipline collaboration to provide in depth understanding and resolution to tough problems.

LEARNING OBJECTIVES:
1. Distinguish between environments of transactional cooperation and relational collaboration.
2. Develop environments of trust to increase performance and innovation in multi-disciplinary team environments.
3. Utilize deep collaboration to explore and multiply opportunities, optimizing the benefits of the team as a whole more than the sum of its parts
4. Produce superior results by developing solutions that optimize the value proposition over perceived interests of individual team members.

SPEAKERS:

Clay Goser, President, Symphony LLC

This session will begin with a brief description of the "Medical Home Model" and an overview of its importance in proposed healthcare reform. The D'Amour Center for Cancer Care will be used as a specialty case study and provide valuable insights into this model drawn from over 5 years of operational experience. Wilson Mertens will discuss how to overcome staff resistance to change and how to energize your team. He will discuss systems integration challenges and successes, as well as how the cancer program proceeded with work process re-engineering. He will discuss staffing implications at start-up and over the course of time. Roberta Young will discuss the change management process from a facilities design and management perspective. Linda Haggerty will present how the physical environment will need to reinforce the concepts of team care management. Together this team of presenters will share a new patient care experience in line with current thinking of the "medical home model".

LEARNING OBJECTIVES:
1. Attendees will be presented with an assessment of an example medical home model in operation for over five years.
2. Attendees may ask questions of presenters regarding work flow processes, environmental enhancements or other implementation issues.
3. Specific care improvements and outcomes will be presented along with challenges and solutions that occurred over time.
4. Attendees will have an outline to begin discussions about the implications, challenges, and benefits of the medical home within their organizations.

SPEAKERS:

Linda Haggerty, AAHID, LEEP AP, Principal, Steffian Bradley Architects

Wilson Mertens MD, Medical Director, Cancer Services, Baystate Health Systems

Roberta Young, LtCol (Ret), BS, MA, Principal, Sterling Planning Alliance

What is a healthcare organization to do when faced with an expensive seismic compliance requirement to replace acute care services and the campaign for a publically funded bond measure fails to pass? Go back to the drawing boards, of course, but with the notion to arrive at an innovative structural solution in collaboration with the State, develop a financial model that works, reschedule exposure to construction expenses over an extended timeline and work within a previously approved, yet flexible, 25-year facility master plan. This was the challenge that was successfully accomplished at Salinas Valley Memorial Healthcare System in Salinas, California. To initiate implementation, the phased work commenced with the design of a LEED Platinum Welcome Center, a new hospital entrance that serves as a commitment for sustainability, an educational tool, and a potential research model focused on retaining and recruiting talented medical staff.

LEARNING OBJECTIVES:
1. Learn techniques for flexible healthcare campus master planning
2. Discover solution opportunities when faced with financial obstacles
3. Discover opportunities for sustainable design, education and research
4. Learn techniques for integrating regulatory agencies into innovative design solutions.

SPEAKERS:

Michelle Malone Keith, MPA, Executive Director, Hospital Construction & Plant Operations, Salinas Valley Memorial Healthcare System

Douglas Strout AIA, LEED AP, Principal, Director of Healthcare, Kaplan McLaughlin Diaz

As the Single Patient Room NICU is fast becoming the norm, and hospital closings are pushing the boundaries to accommodate more with less, hospitals and designers must create flexible NICUs to accommodate the growing need. Hospitals can creatively design their space to flex up and down the care levels to maximize their use. Wanting to use a Family Centered Design approach, Geisinger put these new strategies to the test in the new NICU design at Geisinger's Wyoming Valley Medical Center which had to use creative strategies to maximize both space and budget. This presentation will focus on their application both in the community hospital and larger Academic Medical Center settings. The next generation of NICUs will need to utilize Evidence Based Design to implement changes in acoustic, lighting and color applications to improve patient outcomes.

LEARNING OBJECTIVES:
1. Review Key Trends in NICU Design including concepts in lighting, color, and acoustic design
2. Learn ways to apply Evidence Based Design in NICU design
3. Explore the NICU Single Patient Room model and realize ways that it can translate to flexible designed NICU
4. Understand ways to translate these key Trends into thoughtful NICU design

SPEAKERS:

James A. Cook M.D., Director, Neonatology, Geisinger Health System - Janet Weis Children's Hospital

Catherine L. Gow AIA, Principal - Health Facilities Planning, Francis Cauffman

Eric Lautzenheiser AIA, ACHA, Director, Health Facilities Planning, Francis Cauffman

A recent newspaper article stated: “In the world of technology, inventors are hailed as heroes. Yet it is more subtle forms of innovation that typically determine the impact of a technology in the marketplace and on society. Clever engineering, smart business models and favorable economics are the key ingredients of widespread adoption and commercial success. Medical experts agree that electronic medical records (EMR), when used wisely, can help curb costs and improve care.    EMR is about a single, ubiquitously accessible patient record, but serving as a platform for process flow of patient orders, it becomes a powerful tool to improve flow by eliminating unnecessary steps in the care process by improving the flow of patient care.  This session will discuss the how to load EMR into your facility from planning the implementation and required infrastructure and systems integration opportunities.  It will discuss a new LEAN based concept - an EMR based centralized Control Center that can be used to improve throughput and take care to a more cellular based delivery mode.

LEARNING OBJECTIVES:
1.  How to plan for EMR – systems analysis, infrastructure impact, space planning and budgeting; how different EMR systems impact your facility
2.  Discuss how the control center concept combined with EHR contributes to lean management of resources in the healthcare environment.
3.  Understand the key 'process flow' issues and how EMR can be used to create optimization of flow.
4.  Identify technologies, systems and equipment integration strategies needed for a viable control center.

SPEAKERS:

Tom Leonidas. Jr., PE, Vice President, Healthcare Practice Leader, Sparling

Grant Ramsay, Principal, Director of Technology Design, X-nth

Karla Schnell RN, National Healthcare Provider Lead, North Highland Company

The Princess Margaret Hospital, Canada's Largest Comprehensive Cancer Centre, houses 130 in-patient beds, with majority dedicated to Malignant Hematology. Recently, visible breakdown of material within in-room patient showers became evident. There was concern that any progressive deterioration could pose a risk to this immunocompromised patient population. Through extensive consultations with facilities management, clinicians, infection control experts, environmental consultants and project managers, a managed-risk approach was undertaken to tackle this concern. Maintaining clinical operations while addressing each room safely required a series of investigative reviews and careful monitoring protocols. The repair process has evolved into an effective project management approach that manages risk while maintaining clinical operations. This case review will highlight a unique project methodology to safely tackle environmental risks in a highly sensitive environment.

LEARNING OBJECTIVES:
1. Understand how environmental damage can pose a risk to immunocompromised patient populations & identify an innovative approach to plan for safe repair
2. Learn complexities of project monitoring in high-risk patient areas, and explore what environmental monitoring can reveal and how to interpret results
3. Explore a project management approach that has allowed for expedited repair, without compromising safety, while maintaining full clinical operations
4. Reviewing opportunities for better use of materials in a high volume high-risk setting

SPEAKERS:

Farid Atrash, MHSc., CIH, ROH, Director/Senior Consultant, OHE Consultants

Rudy J. Dahdal MHSc.(HPME), Senior Manager, Princess Margaret Hospital

Karen Stockton MHSc., CIC, Director, Infection Prevention & Control, University Health Network

Facility managers need to be able to discuss financial issues in language of the C-level. This session will focus on the basics of healthcare finance by looking at the ways healthcare institutions receive revenues, and how these revenues line up with expenses. Important issues regarding public funding of healthcare systems will be examined, as well as reimbursement from the private sector. The session will look briefly at balance sheet issues for healthcare organizations, and how outside forces can affect the fiscal health of the organization. The session will look at some of the recent impacts of the current US fiscal crisis. It will take some of these impacts and show how they have affected the health of the healthcare sector of the economy. We'll will look at trends in healthcare finance and demographics, and examine ways in which healthcare systems are likely to have their finances impacted by external forces over the longer-run.

LEARNING OBJECTIVES:
1. Discuss/assess specific health care revenue streams
2. Discuss the various health care reimbursement systems
3. State impact that the current financial crisis has on health care financing (i.e. bonds, investment income, bad debt)
4. Learn how to understand, and discuss the costs and value of their operations

SPEAKERS:

Walter N. Vernon, IV, PE, LEED AP, Principal, Mazzetti Nash Lipsey Burch

Wendy M. Weitzner FACHE, The Innova Group

Statement of Deficiencies reports can be a daunting task to resolve. There are many items to coordinate when preparing a response including the following: 1. Understanding the deficiency. 2. Resolving the deficiency and communicating with the Illinois Department of Public Health clearly for speedy approval. 3. Budgeting for these resolutions. 4. Documenting the resolutions and assigning a timeline for completion. 5. Managing the facility modifications and reporting to CMS. The presentation will discuss when a facility should take on these tasks alone and when is it important to ask an expert to assist in the creation of a Plan of Correction. It will also address the appropriate approach to creating a plan of correction and completing it successfully.

LEARNNG OBJECTIVES:
1. Gain knowledge of when a facility should take on SOD's on their own and when to contact an architect/engineering team.
2. Learn how to assemble an appropriate team for creating the Plan of Correction.
3. Learn how to categorize the extent of issues and prioritize resolutions.
4. Learn how to coordinate the response with CMS, IDPH, and the facility. Explore strategies for implementing corrections.

SPEAKERS:

Mark A. Nichols, AIA, ACHA, LEED AP, Principal, Loebl Schlossman & Hackl

Tim Vander Molen, President, Integrated Facilities Solutions, Inc.

Flexible care space found rough going in the millennium’s first decade as awkward dispersion of patients and displaced caregivers caused staff/physicians to revolt. Partnering with HOK, Lafayette, La.-based Our Lady of Lourdes Regional Medical Center resurrected universal rooms with space that eliminates waste (reducing 9,000 SF), creates more efficient and productive patient/caregiver interactions and streamlines patient movement through the system. Lourdes Universal Care Unit (UCU) sensibly unites diagnostics, procedures and the emergency department (ED) in a shared configuration of three ten-bed units for procedures and examinations. It minimizes travel distances between procedure, treatment and imaging rooms, standardizes cross-functionality, and provides optimal flexibility to accommodate the busiest pre- and post-procedure and ED shifts. A Patient Control Center unites multiple areas to coordinate seamlessly all aspects of the patient stay.

LEARNING OBJECTIVES:
1. Compare and contrast square footages to show how space was and can be reduced and allocated.
2. Discover training plans that can be used to both prepare staff and get them on board with the new unit.
3. Learn how to improve the patient experience and reduce capital costs with the Universal Care Unit.
4. Analyze the keys needed to make the Universal Care Unit successful, from patient flow to proper staffing.

SPEAKERS:

Barbara Feske, Vice President, Management & Support, Our Lady of Lourdes Regional Medical Center

Don Lemonds, Vice President and Senior Medical Planner, HOK

Sinai Health System and DQI Healthcare, Inc. will present ways to improve building quality, functionality and impact through the use of a new assessment tool that measures all building qualities relating to those attributes. We will present case studies and learning examples based on strategic planning, communications, and stakeholder input processes in use at the hospital system. Lastly, we will share process improvements that can be applied directly to your organization.

LEARNING OBJECTIVES:
1. Learn how Sinai Health System has created an innovative process to assist their strategic planning processes.
2. Understand how Healthcare Executives use the Design Quality Indicator (DQI) methodology to improve communication, efficiency and process improvements.
3. Establish new ways to set capital expenditure priorities.
4. Learn how to evaluate multiple stakeholder group input for use in the planning process for new and existing building projects.

SPEAKERS:

Alan Channing FACHE, CEO, Sinai Health System

Rosalyn Ryan, Principal in Charge, DQI Healthcare, Inc.

We ask the question – How can architecture help heal patients? The practice of Healthcare design can improve healthcare operations and clinical outcomes by reducing errors, minimizing the spread of infectious disease and increasing safety. Studies suggest that the patient’s environment can have a direct impact on their length of stay and overall healing. The purpose of this lecture is to reveal new design innovations within HDR’s Cleveland Clinic Abu Dhabi and other projects that focus not only on efficiencies, but the impact of design on the human emotion. In this discussion we will assess the design aspects of Cleveland Clinic that heal the human body and spirit. We will also look to the innovative Sustainable Design Solutions that heal patients and support this building in achieving a LEED Silver rating. Lastly, we will examine how globalization and out intertwined world economy has changed the face of healthcare delivery. Cleveland Clinic Abu Dhabi will serve as a case study.

LEARNING OBJECTIVES:
1. Learn how Healthcare Design and the architecture of a patient’s environment measurably improves patient outcomes.
2.   Introduction to the intangibles that heal - the results are difficult to quantify, but these design features undeniably help save lives.
3.  Assess the innovative sustainable design solutions that heal patients and allow for energy efficiency in an extreme climate.
4. Examine how globalization and our intertwined world economy is changing the face of healthcare delivery - case study Cleveland Clinic Abu Dhabi

SPEAKERS:

James J. Atkinson AIA, Programmer/Planner, HDR Architecture, Inc.

Michael W. Street, RA, LEED AP, EDAC, Design Principal, HDR Architecture, Inc.

SPEAKERS:

George Pressler, ACHA,FHFI,AIA, President, Planning Decision Resources, Inc

David Chambers, Director of Healthcare Facility Research, Rice University

Deborah Groner D'Agostino FACHE, President, P4H, Inc

Tony Freitas, Criterion Systems

Annette L. Valenta DrPH, Professor and Associate Dean for Health Informatics and Technology, University of Illinois at Chicago

Hospitals and healthcare facilities will need to accommodate the rising number of obese patrons supporting dignified care that is effective and safe for both the patient and the provider. The 2010 Edition of the Guidelines for Design and Construction of Health Care Facilities (FGI Guidelines) presents new guidelines for designing bariatric patient environments. The purpose of this presentation is to introduce pertinent statistics and facts on obesity and bariatric care as it relates to designing healthcare environments, present research on safe handling and design implications for accommodating obese patients, and review the new bariatric guidelines from the 2010 FGI Guidelines for the design of safe and healthy environmenta. A presentation illustrating successful design of patient environments and products that accommodate obese patients will provide real solutions including patient handling, space and environment considerations, equipment needs, and staff related issues.

LEARNING OBJECTIVES:
1. Demonstrate knowledge related to obesity & bariatric patient populations for determining design direction for accommodating the obese patient
2. Understand research related to bariatrics and the design of environments supporting a safe and comfortable environment for patients & staff
3. Demonstrate an understanding of the new bariatric guidelines as presented in the 2010 Ed. FGI Guidelines
4. Utilize design guidelines and experience to design and specify safe environments for patients and staff

SPEAKERS:

Debra Harris Ph.D., CEO & Director of Research, RAD Consultants

Opening with an overview of critical care in the USA, this session will share the intensivist/user’s perspective of the political and design processes of our new ICU, winner of the 2009 ICU design citation award. Our innovative approaches to promote privacy, infection control (ID), error reduction and efficiency (E-glass, bi-directional nurse servers, bedside bar code readers & lab label printers, and twin mobile booms) will be discussed. We will show how advanced wireless connectivity and time synchronization is applied (monitors, ventilators, pumps, webcams, clocks & RFID tags) and used to distribute data & communicate & track personnel & technology. We will show how a challenged space was reconfigured into a waiting room with private, comfortable and high-tech surroundings. We will “re-look” at the ICU 2 years after its opening to see what worked and what did not. Finally, we will close by peering into the future of ID control through the prism of our self-cleaning rooms.

LEARNING OBJECTIVES:
1. Understand the spectrum of ICU activity in USA
2. Integrate enhanced connectivity and communications to track ICU data, technology, and people
3. Evaluate advanced approaches to controlling ICU privacy, infection control and logistics
4. Learn how to time synchronize diverse ICU systems and to enhance ICU efficiency and safety

SPEAKERS:

Neil A. Halpern, Chief Critical Care Medicine, Memorial Sloan-Kettering Cancer Center

Imaging procedures like Angiography and Electro-Physiology are invasive, involve anesthesia, and require prep and recovery areas - similar to surgery. Similarly, we're seeing more use of imaging modalities like Intra-operative MRI during surgical procedures. Are these rooms Imaging Rooms or Operating Rooms? One result of this convergence has been the advent of Hybrid OR's - rooms that are designed and equipped to serve as fully functioning Angiography Labs, fully functioning operating rooms, or allow a combination of both capabilities during a single procedure. Using examples from projects currently in design, this session will discuss the challenges presented by Hybrid OR's.

LEARNING OBJECTIVES:
1. Technology overview of the last 20 yrs - how far have we come - what has changed - how has this effected facility planning, design and construction
2. Hybrid Operating Rooms and other Multi-purpose Rooms - what are the special challenges
3. Design Considerations
4. How multi-purpose rooms effect clinical applications, building design, workflow, and information management

SPEAKERS:

Terry Miller B.S., E.E., EVP and COO, Gene Burton & Associates

SPEAKERS:

George Pressler, ACHA,FHFI,AIA, President, Planning Decision Resources, Inc

Susan Black, Principal and Director, Perkins Eastman Black Architects Inc

Orest Burdiak, Principal Interior Designer, Department of Veterans Affairs

Dave Kievet, Group President, California Operations, The Boldt Company

Ann M. McGauran, NCARB, MMHC, Senior Operations Engineer, Performance Improvement, Vanderbilt University Medical Center

Russ Wenzel, Vice President, Healthcare, McCarthy Building Company

This session will provide the attendee a list of the Top 100 solutions for today and the future that can be applied to inpatient care environments on every new and many renovation projects. Based on almost three years’ of development with 35 national healthcare industry partners on the Green Patient Lab 2.0 and 3.0, the 2010 GPL 4.0 breaks down the many elements and integrated approach of the Lab into an easy-to-use matrix tool for identifying top strategies in evidence-based outcomes, safety, sustainability, flexible planning and operational efficiency, innovative building systems and technology, and advanced research on safer and healthier interior materials.

LEARNING OBJJECTIVES:
1. Explore building and room configuration solutions
2. Understand Functional and Operational Solutions
3. Learn evidence-informed outcome solutions
4. Explore safety and sustainability solutions

SPEAKERS:

Marty Waldron AIA, ACHA, Principal, GPL Principal in Charge, Anshen + Allen

In May 2007, a mile-and-a-half wide EF5 tornado struck the heart of Greensburg, Kansas and destroyed 95% of the small rural community. The storm system killed 13 people, and demolished the hospital. Miraculously, no one in the hospital was hurt, but they were trapped by rubble in the basement. The community decided to make the most of the terrible situation and chose to turn Greensburg into a "green" town. As part of this decision, it was decided to design the hospital as a LEED Platinum facility. When it's certified, it will be the first Critical Access Hospital in the nation to achieve this status. This presentation will guide the audience through the challenges of rebuilding from disaster, with an emphasis on safety and the challenges of achieving LEED certification in a rural hospital environment.

LEARNING OBJECTIVES:
1. Managing a hospital through a crisis situation
2. Planning a hospital under extraordinary circumstances
3. Integrating a FEMA shelter within a hospital
4. Considerations for designing a LEED certified hospital

SPEAKERS:

Tim Dudte, Project Manager, Health Facilities Group

Steve Lewallen, President & CEO, Health Facilities Group

Shanti Pless, Building Energy Efficiency Engineer, National Renewable Energy Laboratory (NREL)

Mary Sweet, Administrator, Kiowa County Memorial Hospital

Some of America’s most severely wounded soldiers are treated at Brooke Army Medical Center in San Antonio. Now, due to Base Realignment and Closure legislation, this premier military hospital is undergoing a significant expansion to become San Antonio Military Medical Center. In this session, representatives from the project’s design team, engineering firm, and the Army will describe lessons learned during their efforts to optimize the planning, design, and delivery of this important Department of Defense project. They will explain how, together, they re-evaluated basic assumptions for consolidating two military hospitals in order to improve this military medical campus. Among the topics that will be discussed are: designing an addition compatible with existing structures; using sustainable design to create outdoor areas of respite and healing environments; ensuring future adaptability via MEP interstitial spaces; and promoting operational and caregiving efficiency.

LEARNING OBJECTIVES:
1. Learn how the USACE’s choice of delivery methods for large complex Medical Centers is evolving and what to expect going forward.
2. Hear why pre-established project parameters were challenged and eventually changed to further consolidate an already efficient two-campus integration.
3. Understand ways consultant teams can successfully navigate the labyrinth of building criteria that multi-agency collaborations can generate.
4. Discover the engineering efficiencies and design solutions that were adopted to enhance sustainability and meet a LEED® Silver rating.

SPEAKERS:

Eurico R. Francisco AIA, LEED AP, Vice President, RTKL Associates Inc.

Jonas McBride, Vice President, Smith Seckman Reid

H. Alan Sneed AIA, NCARB, CSI, Principal, RTKL Associates Inc.

Lt Col Jonathan R. Sylvie, Central Texas Program Manager, U.S. Army Health Facility Planning Agency

BIM is being hailed by some as the panacea to address the constantly reoccurring lack of coordinated communication ills that afflict the design and construction industry. However just like any sort of experimental cure or medicine, too much or bad timing can make the patient even sicker. The BIM concept is great, the technology better, so what can go wrong? Plenty, and there is plenty of uncharted territory. This session will share industry consultants’ insights on BIM from perspectives of owners, designers, and the contractor community. Topics relating to BIM will include implied (and increasingly express) contract risk allocation concepts, implementation issues, cost factors, and other factors that may face a surety in a default situation. The panelists include principals of Construction Process Solutions, Ltd, a nationwide constructing consulting firm. The panelists all bring their own perspectives to assessing the impact of BIM.

LEARNING OBJECTIVES:
1. Implied and expressed contract risk allocation concepts
2. Implementation Issues. Why Owner's and Contractor's want to use BIM.
3. Evaluating and assessing cost factors
4. Affect on Bond Claims and what Owner's need to know

SPEAKERS:

Andrew Englehart, President, Construction Process Solutions, Ltd.

Eric Kohls, CPC, LEED AP, Director of Project Specific Support Services, Construction Process Solutions, Ltd.

Timothy Schap AIA, COO, Construction Process Solutions, Ltd.

Excess noise and vibration have adverse effects on patients, staff, and profitability of healthcare facilities. They have had negative influence on patients’ overall wellbeing while they have been potential sources of distraction and fatigue for staff. Today’s medical facilities rely on high-tech imaging equipment and operating rooms that are very sensitive to floor vibrations. One of the main sources of revenue for most medical facilities depends on properly functioning imaging and operating rooms. Therefore, it has become critical to build medical facilities that can generate revenue and become profitable in the shortest period. The most cost effective methods to address these dynamic issues will be discussed. The presenters will provide information on the importance of noise and vibration, their root causes, preventive and reactive measures, and consequences of doing nothing. Floor vibrations in imaging areas and operating rooms in a hospital will be discussed.

LEARNING OBJECTIVES:
1. Learn how important noise and vibration are to your customers, patients, and staff.
2. Learn how reduced noise and vibration could be a cost reduction measure resulting in increased profit.
3. Understand the preventive and reactive measures and their influence on healthcare facilities.
4. Acquire cost effective ways to address these dynamic issues.

SPEAKERS:

Dr. Daryoush Allaei, Director of R&D, QRDC, Inc.

Jon C. Scholz, President, RAVINE MANAGEMENT LLC.

David Tarnowski, VP of Operations, QRDC, Inc.,

As Evidence Based Design gains popularity a consciousness towards careful art selection has developed. Compelling evidence on positive health outcomes has resulted in a common assumption: evidence based art is limited to nature images. In this presentation we will discuss how all nature images are not appropriate for all populations, visit guidelines for evidence based art, explain the argument behind each of the criteria and discuss the specific contexts within which these criteria are not appropriate. We will address how different patient populations and cultures may have different needs. We will discuss other kind of visual images such as figurative art, and positive cultural artifacts, which are also supported by evidence. Finally we will address the issue of abstract art- what the evidence tells us, what additional criteria need to be considered, and how it can be incorporated into a hospital art program without adversely affecting vulnerable populations.

LEARNING OBJECTIVES:
1. Overview and Critical Analysis of Literature on Evidence-based Art
2. Dispelling some common myths about evidence based visual art
3. Sharing examples of appropriate and inappropriate application of evidence-based guidelines
4. Discussing the scope of abstract art in healthcare environments

SPEAKERS:

Kathy Hathorn, CEO & Creative Director, American Art Resources

Upali Nanda PhD, VP Director of Research, American Art Resources

The number one priority on the top ten list of healthcare technology issues is electronic medical records or electronic health record (EHR). On February 17, President Obama’s signature on the 1,100-page American Recovery and Reinvestment Act (ARRA) was hailed as a watershed moment for healthcare information technologies (IT). The financial provisions exceed $20 billion. They are intended to incentivize the development of IT infrastructure, as well as the implementation and utilization of EHR over the next five to seven years. However, the imbalance between the huge amount of funding and the narrow disbursement window leaves many healthcare IT executives doubtful. In an industry that desperately needs leadership, this is an unprecedented call to action. ARRA is an opportunity to redefine the application of technology within the healthcare environment. However, if healthcare organizations get lost in the cloud of confusion surrounding the act, they may find the ship has already sailed.

LEARNING OBJECTIVES:
1. Discuss that state of healthcare in America today, as well as top issues, goals and legislation affecting healthcare organizations.
2. Discuss and evaluate the top technological issues and uses of technology in the patient care environment, including EHR.
3. Discuss advantages, disadvantages, applications, and desired outcomes of the technologies will also be reviewed.
4. Learn about specific cases that look at the integration examples and opportunities of these technologies today and in the future.

SPEAKERS:

Rebecca G. Hathaway RN, MSN, Senior VP Healthcare, HMC Architects

Nathan T. Larmore, Principal & IT Architecture Practice Leader, Sparling

Session begins with a review of statistics on healthcare foodservice. It will cover current trends in patient tray services, retail operation trends, food preparation and menu trends as related to kitchen design and layout, most adopted sustainability and green practices and retail foodservice financial and satisfaction benchmarks for top operators in the business. The panel is comprised of operators and chefs who have recently undergone a renovation or new construction and the effects of a good kitchen design on their operational efficiency, customer satisfaction and increased revenue from retail sales. The session concludes with the importance of the right mix for the design team to ensure a unique customer opportunity, operational efficiency in space and equipment, long term accommodation of creative menu visions and an investment befitting the organizational future goals.

LEARNING OBJECTIVES:
1. Understanding the extent that a healthcare foodservice is an essential "touch point" for guests and patients and as staff satisfaction.
2. Panel discussion of an experience of a renovation designed with retail sales and patient room service. Discussion of the design goals outcomes.
3. Panel discussion of a corporate brand/multiple venue with an adaptive design plan and how it was instituted at Ft Hood, TX medical center.
4. Panel discussion of a renovation that involved a cook/chill or other type of patient feeding system. Discussion of design goals and outcomes.

SPEAKERS:

LTC Colleen Kesselring, Chief of Nutrition Care Division, Blanchfield Army Community Hospital

Sheryl Searle RD, LD, Foodservice Director, Independence Regional Health Center (HCA)

Maria Worley, Director, Business Development, Inman Foodservice Group

The presentation will address key phases of the project evolution for the Cincinnati Children's Liberty campus, primarily a freestanding ED and outpatient facility, for Cincinnati Children’s Hospital Medical Center. Freestanding EDs are a relatively new trend in healthcare facilities. The planning, design and operational parameters of this project were presented at conferences in 2007. Located on a brand new site, the physical plan and design will be presented, and now that the facility opened in August 2008, this presentation will compare actual clinical and operational outcomes to those projected during the planning and design process. Lessons learned about this special facility will be shared, including how the base campus has responded to these changes.

LEARNING OBJECTIVES:
1. Understand the drivers, and the anticipated and actual operational impacts of this new facility and the base hospital.
2. Learn about the operational approach to the new trend of freestanding Emergency Departments, and their effects on the hospital’s market share.
3. Discover the special requirements for the physical development of a freestanding, high-volume pediatric ED and its associated services.
4. Share results of the operational and physical planning since patients first started to use the facility in August 2008.

SPEAKERS:

Jane H. Peters, AIA, ACHA, LEED® AP, NCARB, Vice President, Senior Architectural Designer, Karlsberger

Nancy C. Zahradnik, MSN, RN, CEN, NE-BC, Clinical Director, Emergency Department, Cincinnati Children’s Liberty Campus

Learn how to introduce Culture Change in small ways to improve life for residents and staff. Our presentation will show unique ways you can accomplish Culture Change by means other than massive physical changes to the built environment, or a complete overhaul of current operational methodology. You will see how operations, architects and residents working together can achieve strong results through minor changes that vastly improve the quality of life for your residents and staff.

LEARNING OBJECTIVES:
1. Explain how well intended regulations have led to a universal call for Culture Change in our Long Term Care industry.
2. Identify how small operational changes in conjunction with minor facility renovations will improve the quality of life & well being for residents.
3. Demonstrate Objective #2 by analyzing three examples of combined architectural and operational applications of Culture Change to existing facilities.
4. Summarize how architects, operations, and residents are all part of a trinity when applying Culture Change during renovations of facilities.

SPEAKERS:

Cathie Coleman, Life Enhancement Specialist, The MediLodge Group

Nelson Keeler, CAD/IT/Project & Business Development Manager(s), JW Design Architectural Studio

Hospitals are one of the largest energy use building types in the US. Not only do they use a lot of electricity, they also use more natural gas than most other building types. Their cooling loads are typically a significant portion of their electrical usage, but it is the heating processes which drive their large natural gas use. This session will show how GEOEXCHANGE can be implemented to save considerable energy and water; improve the aesthetic; and enhance the healing environment of a hospital campus. By using the earth as a heat synch, ground-coupled geothermal can provide high-performance cooling and heating in hospitals. You will see why acute care hospitals, in particular, are such good geoexchange applications and how this strategy can significantly reduce the maintenance headaches and cost of hospital HVAC systems. We will also discuss cost models and financing alternatives to make these approaches a reality. Our findings related to two current case studies will be shared.

LEARNING OBJECTIVES:
1. Learn why acute care hospitals are such a good geoexchange application
2. Save millions of gallons of water each year with this approach
3. Eliminate a major infection control problem from your hospital
4. Benefit from net positive cash flow by financing a geoexchange project

SPEAKERS:

Matt Ebejer, PE, LEED® AP, Vice President, West Regional Manager Healthcare-Health Sciences, Syska Hennessy Group, Inc.

William Scrantom PE, Senior Vice President, National Director Healthcare-Health Sciences, Syska Hennessy Group, Inc.

NorthShore University HealthSystem’s new LEED-certified Kellogg Cancer Center is located on the Evanston Hospital campus. Its design supports Kellogg’s collaborative model of treatment, which places patients at the center of a multidisciplinary team led by a nurse “Navigator” who serves as the patient’s advocate and primary point of contact. A series of clinical pods—each dedicated to a different type of cancer—contain exam, treatment, and nurse support areas and offer patients a variety of options for privacy. The center also has a library, education and consultation rooms, oncology pharmacy, integrated medicine, nutrition counseling, oral health counseling, financial assistance, psychosocial support, and genetics counseling. The architect was challenged to integrate the five-story cancer treatment center into a highly developed campus. Located adjacent to two inpatient wings, the building was designed to not block patient views and to enhance the campus aesthetic.

LEARNING OBJECTIVES:
1. Review the programmatic requirements for multidisciplinary cancer care, including clinical pods to treat different types of the disease.
2. Discuss the costs/benefits of locating an outpatient center adjacent to an inpatient hospital with regards to efficiency and sharing of resources.
3. Learn about innovative ways to create patient-focused environments when daylight is scarce.
4. Learn about the role of pharmaceutical and psychosocial oncology in the treatment of cancer.

SPEAKERS:

George Carro, PPh, MS, BCOP, Senior Director, Oncology Pharmacy Services, NorthShore University HealthSystem

Walter L. Eckenhoff FAIA, ACHA, Principal, Eckenhoff Saunders Architects

Christine Van De Wege MA, FACHE, Senior Director, Kellogg Cancer Center, NorthShore University HealthSystem

Tim Vander Molen, President, Integrated Facilities Solutions, Inc.

There is such a thing as healthy lighting. Circadian based lighting stimulation of people boosts cognitive functioning and effectiveness of treatment. Attendees will be exposed to current research and discovery on how light affects well being. At the University of Wisconsin Hospitals and Clinics, balancing the needs of medical staff and healthcare recipients often within windowless spaces presents design challenges and opportunities for a coalition of design invention. Teaming together interior, architectural, and lighting design ensures that accurate budgets are formed, specifications are standardized and outcomes are attractive, calming, appropriate and effective for a large and diverse population, energy efficient and easy to maintain.

LEARNING OBJECTIVES:
1. Attendees will learn the basics of how to correctly utilize appropriate lighting to make health care spaces better for the people in them.
2. See successful examples of “pretend day lighting” and realize how to integrate many techniques to “bring the outside in” for the well being of all.
3. Gain perspective from facility architect / interior designer and lighting pro discussing the difficulties and successes of integrated light effects.
4. Understand how maintenance and management can happily coexist when components are standardized; up-keep is streamlined; and projects arrive on budget.

SPEAKERS:

Ardis C. Hutchins, AIA, IIDA, AAHID, Interior Architect, UW Hospitals and Clinics

Steven L. Klein, LC, IALD, IESNA, President, Klein Lighting, LLC

Jeff Gertgen, Electrical Trades Supervisor, UW Hospital & Clinics

Certain design materials and furnishings selected for healthcare environments can affect indoor air quality. Many can emit volatile organic compounds (VOCs) or respirable particles into the air and some can harbor microbiologicals, potentially creating unhealthy environments for patients, staff, and medical personnel. Research has shown that a patient's health may be compromised by certain environmental factors. Architects, designers, and healthcare personnel are faced with making key decisions on the selection and use of materials which can contribute to high quality indoor environmental quality. This presentation will address the basics of selecting the right materials including identifying priority materials; how to select and specify low, emitting, non-toxic materials; and how to navigate through the various labeling programs and "green claims" for success. One case study of a NICU area will demonstrate how good IAQ was achieved.

SPEAKERS:

Dr. Marilyn Black, Founder, GREENGUARD Environmental Insitute

SPEAKERS:

Jon Adams, Director, Wireless Technology and Strategy, Freescale

Victor J. Berrios, Manager, WCO Business Development, Freescale

How can we persuade healthcare organisations to make systemic improvements their physical environments that optimise the wellbeing of their users over time? How can we demonstrate the interdependencies between physical and social space, and the role of quality in each? The Macmillan Quality Environment Mark (MQEM) was launched in the UK in January 2010 as a nationwide benchmark for environmental quality in British cancer treatment and support facilities. The MQEM was developed by Macmillan Cancer Support, the UK’s largest cancer care charity, and is backed by the UK Government’s Department of Health. It melds the evidence base for therapeutic environments with extensive service user consultation to combine physical and behavioural criteria in a single standard.

Having now been awarded to around twenty facilities to date, the MQEM is already demonstrating that improvements to healthcare environments involve changes to attitudes and practice as much as to structure and finishes. Although a UK initiative, the underlying principles behind MQEM are applicable across nations and health conditions.

LEARNING OBJECTIVES:
1.  Understand how generative space principles can leverage both systemic and sustainable improvements
2.  Review an environmental quality standard in practice
3.  Evaluate the lessons learned to date
4.  See how such an approach can be adapted to your own area of work or facilit

SPEAKERS:

Simon Henderson, Head of Cancer Environments, Macmillan Cancer Support

Because of the high incidence of traumatic injuries sustained by today’s armed services, the VA and DOD are at the vanguard of caring for and rehabilitating patients with multiple traumas and disabilities. This presentation will highlight the discoveries and methodologies learned in the design of ground-breaking polytrauma and rehabilitation facilities across the country, including advances in lighting, acoustics, wayfinding, and safety for patients dealing with a wide range of physical, sensory, and psychological injuries. Rehabilitation within this context needs to balance the provision of customized sensory assistance (especially for patients with new disabilities) against the mission of teaching these patients how to navigate the real, non-clinical world. But the lessons of designing environments for concurrent and diverse acuities apply to the entire spectrum of healthcare delivery.

LEARNING OBJECTIVES:
1. Identify innovative multi-sensory design strategies, planning solutions, and construction details to help patients navigate clinical environments
2. Discover the benefits to facility wayfinding for the general population when specific disabilities, such as vision impairment, are taken into account
3. Explore the potential synergies among seemingly contradictory patient needs when divergent treatment modalities must be addressed in tandem
4. Learn how the environment can support a patient’s mobility and/or sensory impairments without reinforcing a reliance upon environmental crutches

SPEAKERS:

Christopher Downey RA, Architect, SmithGroup

Debra Gitter RN CRRN, Nurse Manager for Rehabilitation Services, VA Palo Alto Health Care System

Eric Meub AIA, LEED AP, Vice President, SmithGroup

Natale Ward Assoc. AIA,, Designer/Planner, The Design Partnership, LLP

SPEAKERS:

Charles Bickel RA, Director Facilities Management, Cooper University Hospital

John L. Capelli, Principal, EwingCole

In this session we will review an active case study of the Integrated Program Controls Management (PCM) System developed for Parkland Dallas' New Hospital and Campus Program. The system utilizes several best-in-class tools to reduce risk and ensure successful on-schedule, on-budget delivery of Parkland’s $1.27 billion replacement program. The entire program has a total of 2.5M GSF, and parking planned for 6,000 cars. The presentation will show how Parkland has taken charge to demand a high level of collaboration and visualization for the program. The PCM system leverages several project management tools including BIM as part of the integrated technology suite to enable construction controls processes; reduce conflicts, changes and rework during construction; provide more accurate estimates and coordinate construction scheduling. The presentation will highlight productivity benefits realized through innovative use of off-the-shelf software on an Integrated Project Delivery (IPD) Team.

LEARNING OBJECTIVES:
1. Understand how best practice program controls processes can be enabled with integrated technologies for a large capital program.
2. Understand how integrated BIM can enable more accurate cost and schedule management, construction estimates and facilities management.
3. Understand how a web portal can enable secure program collaboration for all design and construction parties
4. Understand how the use of these tools and an integrated project delivery model is a road-map for success

SPEAKERS:

Hank Adams AIA ACHA, Vice President, Healthcare Principal, HDR

Patrick M. Casey AIA, Senior Program Controls Manager, Parkland Hospital and Health System

Shelly Sipes PMP, Easter Regional Manager - Enterprise Collaboration Solutions, CH2MHILL/CRITIGEN

Dan Mergen, Director, Facilities Contracts & Administration, Parkland Health & Hospital System

From New York State to the Netherlands, with several stops along the way, this session will provide an overview of recently constructed inpatient psychiatric facilities. Several unique case studies such as the dramatic downsizing of America’s first psychiatric hospital and the construction of Canada’s first Forensic Mental Health facility attached to an Acute Care Hospital will be presented. Case studies will be followed by a panel discussion focusing on cross-cultural similarities and differences.  At its’ conclusion this session will provide a cohesive strategy for applying the principals of healing design to the behavioral environment.

Learning objectives:
1. Provide strategies for applying the “healing environment model” to behavioral health facilities
2. Understand how demographics and culture impact and differentiate the design of mental health facilities
3. Learn to balance risk management while maintaining as homelike atmosphere
4. Share lessons learned when designers propose “first of it’s kind” facilities

SPEAKERS:

Deborah Groner D'Agostino FACHE, President, P4H, Inc

Brian Bertrand, Principle, EBHW Architecture Inc.

Fiona de Vos, Owner, De Vos Associates

Francis Murdock Pitts FACHA, AIA, OAA, President, architecture+

Marc Shaw AIA, LEED AP, Principal, EYP Architecture & Engineering

The Midwest Orthopaedics building at Rush University Medical Center, recently completed in late 2009 and certified LEED Gold, is a case study in the challenges of effectively implementing integrated project delivery and the delicate balance required when dealing with a diverse contingent of stakeholders. Designed as the gateway to Rush University Medical Center, the MOR building was uniquely positioned to influence the direction of the larger medical campus transformation project. Some of its greatest complexities arose from the necessity of addressing the needs of the building’s two ownership constituencies, a nationally acclaimed physician group and a highly regarded academic medical center. Representatives from the major participants in the project will share lessons learned in navigating intricate communication, design, cost and real estate issues to successfully bring about consensus in an integrated project delivery setting.

LEARNING OBJECTIVES:
1. Learn how to establish efficient communication protocols and project approvals between multiple stakeholders and owners.
2. Explore the design challenges of developing a new building within the context of an urban medical campus transformation.
3. Learn how to implement cost control measures and allocate project costs in a dual ownership.
4. Gain insight into lessons learned on effectively dealing with real estate ownership rights and regulatory compliance issues.

SPEAKERS:

Jerry Johnson, Design Principal, Perkins+Will

Mick Metzger, Project Executive, Pepper Construction

Michael F. O'Keefe, Director, Navigant Consulting

Dennis Viellieu, CEO, Midwest Orthopaedics at Rush

This session will provide three different views on the development and success of the new Arlington Free Clinic; vision, strategy and research. The Arlington Free Clinic (AFC) is a private, nonprofit organization that provides medical care at no charge to the uninsured. Nancy Pallesen, the Executive Director of AFC, will provide her view of their clinic growth and expansion. She will address methods used to develop and fund a sustainable and generative space. Tama Duffy Day, Perkins+Will, will discuss the process of design, illustrating the quantitative and qualitative data used to program and design this generative space. Mardelle Shepley from Texas A&M University will share results of their independent pre- and post occupancy evaluations. Since opening, the clinic has been recognized through a number of awards in design, sustainability and sustainable leadership. In addition, Arlington Free Clinic and Perkins+Will won the Team Award, presented during the 2009 Healthcare Facilities Symposium.

LEARNING OBJECTIVES:
1. Hear how to establish an organizational strategic vision of generative space that is transformed through both social and physical means.
2. See the application of action research strategies including behavioral mapping, observation, questionnaires, programming and reflective study.
3. Develop skills for comparison evaluations assessing the effectiveness of design decisions for human users.
4. Establish strategies in how a facility can engage its community with regard to demonstrating respect for their clients.

SPEAKERS:

Tama Duffy Day, FASID, FIIDA, LEED AP, Principal and National Interior Design Healthcare Practice Leader, Perkins+Will

Nancy Sanger Pallesen, Executive Director, Arlington Free Clinic

Mardelle McCuskey Shepley, D. Arch., Professor of Architecture and Director, Texas A & M University - Center for Health Systems & Design

A focused presentation on how imaging suite planning and design can impact, shielding, suite safety and patient throughput.  This session will include a primer about on the proper planning and implementation of x-ray shielding, including information about how layout can effect the cost, effectiveness and complexity of shielding design, with special emphasis on the shielding needs for newer advance modalities such as PET, PET/CT and multi-slice helical CT.  This session will look at the effects that layout has on patient safety and the implications for both x-ray and magnetic shielding requirements.

This session will breakdown the common elements in the patient flow process of imaging suites and shine a spotlight on the areas of operations and facility design that can negatively impact throughput. This presentation will zero-in on the problem areas, give tools to evaluate a department’s performance, as well as suggestions of ways to improve.

This session will be followed by a brief round table discussion with the presenters and the session participants.

LEARNING OBJECTIVES:
1.  Understand the legal and regulatory framework, which requires and governs xray and magnetic shielding in medical facilities.
2.  Understand the particular challenges with shielding PET and PET/CT facilities.
3.  Understand the effect that “after thought” support spaces have on patient throughput and how they can cripple a facility design.
4. Understand how to develop a plan to provide “right sized” and “right placed” support services to optimize operational efficiency.

SPEAKERS:

Dr. David W. Jordan DABR, PhD, Senior Medical Physicist, West Physics Consulting, LLC

Robert P. Junk,AIA,AHRA, Principal, RAD-Planning

SPEAKERS:

Harold Michels, Senior VP, Copper Development Association

SPEAKERS:

Andrew Meyers, Sr. Associate, Electrical Engineer, Mazzetti Nash Lipsey Burch

SPEAKERS:

Laurie Pawli, Director/Founder, Feng Shui School of Chicago

Responding to a turbulent environment and executive team requests for clarity, Sauvé frames the future of healthcare in America with uncanny accuracy and unsettling insight. The most engaging opening in the industry, frames the evolution of healthcare over the last 200 years. An international comparison highlights the best and worst aspects of international healthcare systems, aided by a visual tour of key european hospitals. Beyond the latest death & disease rates, the benefits of better treatments and the costs of longevity are quantified. Associated key trends in cardiovascular & cancer services are detailed. Marginal reform will not deter the catastrophic trends: state budget crisis, inadequate manpower, aging boomers and federal deficits have intensified the coming implosion. The culprits of "Dollar-Driven Healthcare" are exposed with new revelations. The Battle Plan details an attack strategy for survival; board & mgt. mandates, & the mindset required to fire-up your team.

LEARNING OBJECTIVES:
1. Visually review the last 200 years of American healthcare and experience the accelerating speed of innovation, in a stunning multi-media opening.
2. Explore the impact of new technology & treatments on our aging population. The connection between the leading causes of death & the cost of longevity.
3. Learn why Hospitals should think of their array of services as an investment portfolio, which must be regularly and boldly rebalanced.
4. Define the real time line for major healthcare reform, the loss of America’s AAA bond rating, Medicare’s insolvency, and other key crisis points.

SPEAKERS:

Marc Sauvé MBA, Senior Healthcare Strategist, Gresham Smith & Partners

In this session we will explore why an innovative design and construction solution is only the first step in developing a successful project. The operations of the clinics moving also need to have the same level of scrutiny that the physical space receives.

Vanderbilt Health at One Hundred Oaks is a 40-year-old mall recently renovated into a mixed-use development with Vanderbilt University Medical Center as the major tenant (with 450,000 sq ft). The addition of the One Hundred Oaks campus allowed Vanderbilt to expand 22 specialty clinics and administrative support operations while reducing congestion on their main campus. The facility’s suburban location, easily accessed by Interstate 65, offers an added convenience for patients throughout Middle Tennessee. This innovative approach to expansion through rehabilitating an existing building in a strategically located but underutilized area of Nashville enhanced the economic vitality of the area and supports a more sustainable approach to development. The Vanderbilt tenant space is currently pending LEED certification.

But that is only beginning of the story; this session will also explore the stories of two clinics that relocated to this new facility. The Center for Women’s Health consolidated from 5 separate locations on the main Vanderbilt Campus with the approach that the simplified processes would be self evident due to the consolidated design. The Vanderbilt Breast Center expanded into their new location with the approach that their operations needed the same degree of detailed focus that the space design was receiving. This session will reveal the resulting pros and cons of these choices.

LEARING OBJECTIVES:
1. Learn how the reuse of abandoned malls and big box retail for healthcare outpatient services can achieve the following:
    1. Better access for the patients
    2. Connects with the patients in their community
    3. Embraces the idea of sustainability
    4. Accelerates “speed to market”
2. Learn why an operations redesign is critical when any space design is considered.

SPEAKERS:

Evan Giovanello MPH, Senior Operations Engineer, Performance Improvement, Vanderbilt University Medical Center

Ann M. McGauran, NCARB, MMHC, Senior Operations Engineer, Performance Improvement, Vanderbilt University Medical Center

Ingrid Meszoely MD, Asst. Professor Surgical Oncology,Clinical Director for Vanderbilt Breast Center, Vanderbilt University Medical Center

Jeffery E. Morris, AIA, NCARB, EDAC, LEED AP, Division Vice President of Healthcare Design, Gresham, Smith and Partners

Janice M. Smith, RN, M.Ed., Chief Administrative Officer of Vanderbilt Health One Hundred Oaks, Vanderbilt University Medical Center

Children’s Hospital and Clinics of Minnesota is embarking on its most significant campus development throughout its history and – in doing so – is integrating science, care, architecture, landscape, urban design, art, philanthropy, and community engagement in innovative ways that will transform the experience of all who visit this campus, as well as establishing a new ‘sense of place’ to revitalize Chicago Avenue.  This session will demonstrate how the practice of ‘health design leadership’ is enabling the cultivation of a more ‘generative space’ that uses the environment as a catalyst to communicate the overall cultural value of ‘generosity’, the strategic goals of the organization, and its branding message.  Project representatives will present an account of their respective roles in how this organization is preparing to deliver a totally integrated care experience by engaging the full spectrum of their project-related constituents in a meaningful dialogue.

LEARNING OBJECTIVES:
1.  Learn how the project vision was articulated through the exercising of health design leadership
2.  Learn how the environment will be used to deliver a coherent set of strategic messages
3.  Learn how the art program serves as a facilitative devise for the setting of environmental goals
4.  Learn how the philanthropic project component both leads these activities and benefits from them

SPEAKERS:

Patricia J. Grazzini, Deputy Director, Minneapolis Institute of Arts

Mic Johnson AIA, NCARB, Design Principal, Ellerbe Becket, an AECOM Company

Theresa Pesch, Executive Director, Children’s Foundation, Vice President, Development Children’s of MN

Annette Ridenour, President & CEO, Aesthetics Inc

This session is the personal account of Dr. Mark Rowe, a primary care physician in Waterford, Ireland, who has developed the Waterford Health Park to serve as an international real-time learning laboratory for the optimal delivery of local primary care resources.  Dr. Rowe, a lifelong resident of Waterford, purchased the historically significant Presentation Convent and has both preserved its Pugin-designed grandeur, as well as sensitively extending it to serve the purposes of modern healthcare delivery.  In seeking innovative methods to improve upon all existing models of primary care practice and delivery, Dr. Rowe read about the paradigm-shifting work that practitioners of ‘generative space’ have accomplished.  The Waterford Health Park opened in May 2009, after Dr. Rowe had spent a year learning and practicing the cultivation of ‘generative space’.  Now, with the Waterford Health Park having been in operation for more than a complete year, Dr. Rowe has conducted pre- and post-occupancy research to determine where local health improvements have been made.  This is a unique opportunity to learn directly from Dr. Rowe’s experience, as he candidly shares his journey into the frontiers of both systemically and sustainably improving the health of Waterford.

LEARNING OBJECTIVES:
1.  Creating a new paradigm of exercising active health design leadership
2.  Improving health and healthcare outcomes through the cultivation of ‘generative space’
3.  Improving the patient experience of care
4.  New understandings of the meaning of health and leadership

SPEAKERS:

Dr Mark Rowe, Rowe Creavin Medical Practice

This session is intended to use the recent experience of Northwest Community Hospital's activation of their new inpatient bed tower as a case study to illustrate how proper planning and execution can help to prepare an organization to safely and predictably occupy and begin operations in a new healthcare facility. We will demonstrate how the structures, people, processes and tools involved in this initiative were utilized to coordinate activities and build confidence across the organization to enhance patient care. We will highlight key aspects of the planning activities and actual move that led to NCH's successful bed tower activation. In this session, we will focus not only on the positives, but also note many of the opportunities and lessons learned from aspects of their experience and others' that, despite a highly successful activation, could have been improved upon.

LEARNING OBJECTIVES:
1. Understand the importance that a well developed project structure plays in the successful activation of a new healthcare facility.
2. Appreciate the time, effort and resources required in effectively planning and carrying out a successful healthcare facility activation initiative.
3. Comprehend and visualize many of the processes and tools that were employed throughout the course of the planning and move initiatives.
4. Benefit from lessons learned from some of the most common mistakes made in the activation planning and execution of a new healthcare facility.

SPEAKERS:

Diane Rodriguez, Executive Director for Transition Planning, Northwest Community Hospital

Pat Stack, Vice President Transition Planning, Northwest Community Hospital

Charles Stevenson, Director Project Planning and Development, Northwest Community Hospital

Stephen Straka, Principal, CSC

Healing gardens are maturing in terms of their response to evidence based design, and their quality. This session will focus on recent developments in both of these areas. The Healing Garden at the Ann & Robert H. Lurie Children’s Hospital of Chicago is set on an urban site adjacent to the renowned Northwestern Memorial Health Care Campus. Rethinking traditional hospital massing generated a 10-story bed tower stacked on top of a 9-story diagnostic block, with a 2-story service and amenity transition zone. The opportunity presented itself to capture 4,500 sf of roof space for a garden. Recognizing the opportunity, marshalling Ownership and Board support, commissioning a landscape architect for the design, and nurturing it into the construction sequence will be discussed. The patient-focused aspects of the garden, its support spaces, natural light, connection to the city and lake, and constructions and plantings are part of the next generation of healing environments.

LEARNING OBJECTIVES:
1. Describe clinical outcomes supported by healing gardens and the unique solutions to evidence based design requirements.
2. Describe successful Owner and Board collaboration in securing the necessary resources and talent to bring unique program spaces to a hospital
3. Describe how healing gardens, which enhance the hospital experience for patients, staff and visitors, can be woven into unique spaces.
4. Describe the challenges that healing gardens pose to the construction process and how they are budgeted.

SPEAKERS:

Sue Ann Barton, AIA, EDAC, LEED AP, Principal, ZGF Architects LLP

Sean Bowker, Senior Project Manager, Mortenson/Power J.V.

Mikyoung Kim, President, Mikyoung Kim Design

Bruce Komiske, Chief - New Hospital Project, Childrens Memorial Hospital

Martin F. Wolf FAIA, Principal-in-Charge of Design, Solomon Cordwell Buenz

In America today, the relationship between a patient's health and architecture's physical form has been greatly blurred by an uncompromising faith in technology and the requisite machines of contemporary medicine. An holistic approach to the quality of space, natural light, a patient’s sense of autonomy, and strong connections to the landscape are needed now. From architect and owner perspectives, we will explore new campus and expansion projects ranging from tight urban sites with embedded hanging gardens and courtyards, to suburban/semi-rural environments organized around healing gardens. Case studies of current projects in the northeastern United States and Europe use robust sustainable agendas. Topics include programming accessible healthcare landscapes; defining garden hospitals through courtyards and novel building configurations; providing daylight through transparency; and implementation of natural and displacement ventilation in healthcare facilities.

LEARNING OBJECTIVES:
1. Explore an holistic approach to green healthcare design with basic planning principles for practitioners and providers to establish goals.
2. Evaluate the benefits of access to daylight and the natural environment against the requirements to design efficient, economical, adaptable buildings.
3. Explore the integration of green roofs and gardens with various building types, occupants and age groups using case studies and research.
4. Evaluate shared access to nature using post-occupancy and patient satisfaction surveys to understand patient privacy needs within shared amenities.

SPEAKERS:

Leon Drachman AIA, Principal, Payette

Kevin B. Sullivan AIA, Principal, Payette

Dr. Henry Wagner Jr., Professor of Radiology and Director of the Division of Radiation Oncology, Penn State Hershey Cancer Institute

As part of the Rush University Medical Center Transformation Project, two special technologies were used to modernize and improve the flow of materials in the facility. A fleet of 22 unmanned, robotic vehicles, called automatic guided vehicles (AGVs), efficiently deliver linen, surgical, medical supplies and meals. In addition, a system of two large 20” round pneumatic tubes provides single point of contact while moving trash and soiled linen at 60mph. This session will review planning, financial analysis/business case, design options/challenges, assembling the project team, lessons learned, and what’s in store for the future. It will illustrate how the project team modified operational processes to successfully implement these technologies and how the stakeholders from across the organization actively participated in shaping Rush’s future.

LEARNING OBJECTIVES:
1. Review the general flow of materials in the facility and describe how this material flow was analyzed/quantified before starting the project.
2. Review the financial analysis and business cases used for justifying the projects which provided an acceptable return on investment.
3. Describe the benefits that these systems deliver to the hospital and how operations for employees has changed.
4. Identify special challenges that had to be overcome, including the cultural changes which allowed hospital staff to effectively utilize these systems.

SPEAKERS:

Patrick J. Conway, Director, Product Development, JBT Corporation – Automated Systems

Eileen M. Dwyer MS, RN., Director, Office of Transformation, Rush University Medical Center

Craig L. Miller CCM, Managing Director, HospitaLogix

Harry Pliskin, President, TransVac Systems, LLC

SPEAKERS:

Keith Gray, Director, Technical Marketing, The Mohawk Group

Debra Harris Ph.D., CEO & Director of Research, RAD Consultants

SPEAKERS:

Randy Cooper, President, CS&G

LEARNING OBJECTIVES:
1. Learn about Gundersen Lutheran s quest towards energy independence.
2. Understand supply-side strategies and the creative funding opportunities they represent, and which can be replicated in other places.
3. Have a roadmap for development of an energy strategy
4. Understand demand-side strategies and the ways in which they can be applied to your facility.

SPEAKERS:

Walter N. Vernon, IV, PE, LEED AP, Principal, Mazzetti Nash Lipsey Burch

Corey Zarecki, Efficiency Improvement Leader, Gundersen Lutheran Health System

Today’s credit crisis has put traditional financing out of reach for many businesses. For a healthcare facility looking to borrow tens or hundreds of millions of dollars, it can be virtually impossible to obtain a conventional loan or secure credit enhancement for a fixed-rate bond financing. In response, many healthcare facilities are turning to a previously little-known, government-backed form of financing: FHA hospital mortgage insurance. Known to lenders as the FHA Section 242 program after the section of the National Housing Act under which it was created, FHA has supported the development of hundreds of communities across America by insuring 358 hospital mortgages totaling $13.5 billion since its inception. This session discusses the FHA 242 program and its application through a case study of Western Maryland Health System’s experience with one of the largest FHA hospital loans ever structured to consolidate two operating hospital campuses into one health care campus.

LEARNING OBJECTIVES:
1. Learn about FHA Section 242 mortgage insurance, HUD's requirements and the advantages as well as the challenges of this type of financing.
2. Hear first hand the Owner, Financer and Designer perspectives - receive a candid description of the process and results of a such an effort.
3. Compare your needs to 242 benefits - receive enough information from these experts to evaluate your own needs and potential benefits of this program.
4. Gain an understanding of design issues related to FHA mortgage Insurance, and benefit of lessons learned, including input the team received from HUD.

SPEAKERS:

Rolf Haarstad AIA, LEED AP, Principal and Vice President, Hord Coplan Macht

Steven R. Pack, President, Armadale Capital, Inc.

Kimberly S. Repac, Senior Vice President/Chief Financial Officer, Western Maryland Health System

Every project tells a story. UCSD’s Sulpizio Family Cardiovascular Center tells a story about teamwork. In California’s highly regulated healthcare arena, participants understood that to deliver superior and inspiring results, they needed to develop the project through relationships based on trust and communication. To accomplish this, the team set up a "Board of Directors" leadership model using Patrick Lencioni's, "The Five Dysfunctions of a Team", as a foundation to build the principals to guide this process. This included conflict management, facilitating productive meetings, and exhibiting effective team leadership. As unexpected and  highly complex issues arose, this foundation allowed the team to find creative, timely, and non-traditional solutions to problems. The team discovered the impact that both relationships and trust can have on the 3 critical project success factors: cost, schedule, and quality. This 130,000sf OSHPD facility will finish in late 2010, 2.5 months ahead of schedule and below budget.

LEARNING OBJECTIVES:
1. Identify innovative Project Delivery methods applicable to the public works sector & how to apply budget strategies in a Lump Sum low bid environment.
2. Provide enough ideas to allow others to explore new and different ways to deliver projects.
3. Demonstrate and discuss how trust was promoted between the team members; what does "trust" mean in the cut-throat world of design and construction.
4. Define metrics that help satisfy objectives from all stakeholders.

SPEAKERS:

John R. Gavan, Managing Principal – Los Angeles, KPFF Consulting Engineers

Jay Leopold, Regional Manager, DPR Construction

Randy Leopold LEED, Principal Architect, University of California San Diego

Joe Ross, Vice President, X-nth

This presentation will examine the myriad value that 3 distinct nursing roles can bring the table from a Healthcare Design perspective. A Chief nurse executive, will share her perspective of the value of nursing and ancillary participation in design from the owner's perspective. A nurse turned Architectural Firm CEO will present the unique approach she offers to the design and construction process, and thirdly, a nurse who serves as a clinical expert to a healthcare system's Design and construction service will present the successes she's demonstrated in driving functional planning and templating.

LEARNING OBJECTIVES:
1. Summarize the benefits of involving a nurse in healthcare planning and design; and expand upon 3 distinct nursing roles.
2. Highlight the specific responsibilities and benefits of including the Chief Nursing Officer on the design team.
3. Explore the role of a nurse and hospital administrator in a healthcare design firm; and the demonstrable impact that can have on a design project.
4. Describe the role of an expert clinician as an owners representative to the facility planning, design and construction process.

SPEAKERS:

Julie Barkenbush, CEO, Devenney Group Ltd., Architects

Susie Faz-McCann RN, System Clinical Director, Design & Construction, Banner Health

Marilyn K. Mariani RN, MM, Chief Nursing Officer, Lakeview Hospital

SPEAKERS:

Fred Sharff, Director Northeast Operations, Medical Venture Properties, LLC

Marcie R. Shrom, CEO & Founder, MVP Holdings, LLC

Do you feel uncomfortable when you hear that a Medical Gas system modification is approaching? That’s okay; you’re not alone. This program will prepare you to implement new techniques to simplify the process. Strategic Planning – use proven methods that will eliminate unnecessary surprises. Shorten the Shutdown – reduce the inspection and reactivation time. Alternate Supply – allow your patients to continue using the room outlets. Document the Event – prepare for your next Regulatory Agency visit and reduce liability.

LEARNING OBJECTIVES:
1. Distinguish the characteristics and uses of the most common Medical Gas and Vacuum systems found within Healthcare facilities.
2. Create and manage an effective Interruption Plan.
3. Effectively minimize the duration of the system interruption.
4. Understand and implement a record keeping program to comply with NFPA 99 standards and to prepare for Regulatory Agency inspection.

SPEAKERS:

Tom Spremo, Executive Director, Med Gas Solutions

Dave Stout, Director of Facilities & Engineering, Northwestern Memorial Hospital

The redesign of a Long Term Acute Care Hospital (LTACH) is challenging. Occupancy during construction, tight budgets and evolving code requirements all present unique design opportunities when developing spaces for patients with acute brain injury. Typically, there are three types of patients admitted a LTACH: • Patients with a recent injury requiring rehabilitation and recovery—i.e., victims of a car crash or fall • Patients in crises who need stabilization for neurological behavior or who are waiting for space to be available in a long term care environment or nursing home • Patients with long term neurological injury, who are susceptible to aggressive behavior and self injury, and who are in the facility of up to a year HealthEast Care system and HGA will present a detailed case study of the design, construction and occupancy of a new Long Term Acute Care Hospital in St. Paul, Minnesota, to illustrate this unique facility type

LEARNING OBJECTIVES:
1. Learn the challenges and successes in the renovation of an LTACH involving phased construction, changing patient volumes, and three types of patients.
2. Learn strategies to reduce anxiety and agitation of patients suffering from a neurological injury or disorder.
3. Explore strategies to provide respite and reduce anxiety for family members affected by the impact of a loved ones life-changing accident.
4. Learn key design drivers that affect patient safety in an environment where the patients are at risk for self injury.

SPEAKERS:

Beth A. Bohnsack BSN, MA, RN, Clinical Director, Brain Injury Services, Bethesda Hospital

Christine Guzzo Vickery CID, Associate Vice President/Senior Interior Designer, HGA Architects and Engineers

Peggy Ryden NCIDQ, Project Manager, Real Estate Services, HealthEast Care System

Dennis Vonasek, Vice President/Principal, HGA Architects and Engineers

A wayfinding system enhances the arrival and creates a “Sense of Place.” Health care campuses need to have unified messages for users, circulating as vehicular and pedestrians under stress into multiple buildings. Identifying requirements for 1) Circulation Flow, 2) Terminology, 3) Signage Design Criteria and 4) Branding are critical to a successful program. Understanding Issues: 1. No comprehensive system of sign types. Rooms are identified but there are no directionals that lead users. 2. Signs are not placed at appropriate locations which need a wayfinding cue, of what are to the left, what is to the right. 3. Illogical numbering system that do not allow for growth, are not sequential and do not stack vertically in the building. 4. Inconsistent use of terminology on exterior and interior signs, such as Emergency Room or Emergency Department. 5. No consistent use of branding, resulting in missed opportunities to communicate the mission, values and history.

LEARNING OBJECTIVES:
1. SITE & BUILDING CIRCULATION FLOW - Existing signage - Exterior Circulation - Vehicular/ Pedestrian - Interior Circulation - Patients/Visitors
2. TERMINOLOGY - Master Terminology & hierarchy of messages - Exterior for Site, Entrances, Parking - Interior for Levels, Elevators, Depts.
3. SIGNAGE DESIGN CRITERIA - All Codes /ADA - Size, colors, materials - Changeable vs. permanent - Fabrication - Vandal resistance, maintenance
4. BRANDING - Review of brand - Determine opportunities to communicate institution’s mission a. Donor b. Mission Statement c. History

SPEAKERS:

Kim Cardosi, President, Cardosi Kiper Design Group

Using research findings from its affiliate firm, fathom, Astorino translated the needs and experiences of patients, families and staff of the Children’s Hospital of Pittsburgh into a world class facility where design, culture and operating systems enforce the family-centered care philosophy. As this philosophy evolves, it is imperative to include parents and patients in hospital operations. Astorino used fathom's work for insight, creating an environment that plays an active role in the healing process. Findings were integrated into Astorino’s process to identify their corresponding design and operating cues. Results were shared with key stakeholders and family advocates, who consulted as the plans took shape. The outcomes are evident in operational choices in the facility, like the Town Square, a family-oriented space in the middle of the hospital. This presentation will describe this process, outline the adaptations to design, operations and culture, and share feedback.

LEARNING OBJECTIVES:
1. Learn how input from patients, families and staff informed the design process and enhanced both the healing process and facility.
2. Learn how organizational structure and programming for families/children changed as a result of this process.
3. Hear the early feedback that will be available from the patients and families who will begin to use the hospital they helped design.

SPEAKERS:

Elizabeth Lewis M.Ed., Director Family Service and Resources, Children's Hospital of Pittsburgh of UPMC

Roger Oxendale, Past CEO, Children's Hospital of Pittsburgh of UPMC

Tim Powers, Senior Vice President, Healthcare, Astorino

NFPA 101 and IBC are the two main design parameters for Healthcare design in the United States. These Codes have evolved from different beginnings but are moving closer to compatibility. The 2009 edition of IBC has fewer conflicts with NFPA 101 than previous editions. This presentation will outline the issues between the two required codes. Proposed code changes and trends will be discussed. Examples of conflict solutions will be presented.

LEARNING OBJECTIVES:
1. Summarize the major differences between NFPA 101 ( Life Safety Code ) requirements and International Building Coe (IBC)
2. Identify areas of compatibility in the 2009 edition of IBC and NFPA 101.
3. Discuss the methods of resolving conflicts with the authorities having jurisdiction over the project.
4. Recognize options for resolving conflicts without adversely affecting the design

SPEAKERS:

Michael Crowley P.E., Senior Vice President, Rolf Jensen & Associates

The U.S. population is aging, with 12% of citizens over age 65 and growing. Today, the U.S. has 70,000 centenarians; by 2050 estimates rise to 700,000. Hospitals are seeing more elderly patients. 35% of all hospital stays are those over age 65. 36-58% of those older adults suffer iatrogenic illness during their stay. These patients present hospitals a unique set of concerns, including co-morbidities, chronic illnesses, cognitive and psychiatric needs, which differ from younger adult patients. When Ocean Medical Center moved its 40-bed acute care for the elderly (ACE) unit to a larger open space, it presented an opportunity to use evidence-based design principles to address issues specific to elderly patients, such as increasing safety, reducing falls, improving way finding and increasing social interactions. This presentation will share the lessons learned from a post-occupancy evaluation of the unit, as well as perspectives and analysis of the data comparing the old and new units.

LEARNING OBJECTIVES:
1. Identify issues important in designing an Acute Care for the Elderly Unit
2. Learn how nurses and clinicians can influence the design of patient care spaces they work in
3. Interpret results from an evidence based design project
4. Summarize lessons learned from the design of an Acute Care for the Elderly Unit

SPEAKERS:

Ellen Barrington, MSN, RN, BC, Nurse Manager, Meridian Health - Ocean Medical Center

Bhargav Goswami, Principal, WHR Architects

Explore how one of the nation’s largest LEED Gold certified healthcare facilities went “beyond the points” to create an exceptional sustainable environment. Designing a healthcare facility to achieve LEED certification presents many unique challenges. The 284,000 sq. ft. Lemmen-Holton Cancer Pavilion was recently awarded LEED Gold certification. It is the state of Michigan’s first LEED Gold certified facility and to date one of the nation’s largest LEED Gold facilities.

LEARNING OBJECTIVES:
1. Participants will be familiarized with the steps to achieving LEED Gold certification.
2. Investigate how sustainable design holistically impacts the HC environment and yields a positive result for the facility patrons (patients/staff).
3. Participants will be able to correlate how P3 (public private partnerships) can have impact in aiding in the development of sustainable facilities.
4. Participants will be able to objectively measure the post occupancy impact/outcome of the LEED Gold certification on patients and care givers.

SPEAKERS:

Ryan Archer AIA, LEED AP, Design Architect/LEED Coordinator, URS Corporation

Richard Funnell, Senior Director, Oncology Program, Spectrum Health Lemmen-Holton Cancer Pavilion

Frederick W. Gore, AIA, LEED AP, Senior Design Architect, URS Corporation

Establishing a measured design process ensures that completed projects meet or exceed the original strategic goals. What are the metrics that drive project success in today’s marketplace? The alignment of capital, operational, environmental and customer loyalty metrics is essential to rise above the competition and deliver exceptional healthcare value. The resulting market advantage belongs to the organization that aligns an engages the community with superior health resources, ideal patient experiences and the resulting benefits of a strong bottom line. This panel discussion provides a roadmap to the strategies, teamwork and tools required to integrate metrics in to holistic transformative design process. Clinical innovations, delivered metrics and improved outcomes as they relate to metrics-based design process will be provided.

LEARNING OBJECTIVES:
1. Articulate an understanding of the synergy between capital, operations, environment and loyalty within a health care capital project.
2. Establish and validate the connection of asset alignment to improve the care processes, patient experiences, staff retention and facility design.
3. Delineate effective strategies, model and tools for sustainable Return on Investment, Return on Operations, Return on Design and Return on Loyalty.
4. Demonstrate an understanding of smart team integration with the value-based design methodology.

SPEAKERS:

Tanya K. Hahn CPA, MBA, Senior Vice President, Lancaster Pollard & Co

Tony Ollman, Director, Baker Tilly

Jeffrey Remsik, President, Bottom Line Marketing & Public Relations

Michael H. Scherbel AIA, NCARB, Partner of Healthcare Design, Plunkett Raysich Architects, LLP

The design of the new Orthopaedic Ambulatory Building (OAB) at Rush University Medical Center (RUMC) powerfully expresses formal simplicity with careful attention to detail. The building is basically rectilinear in form with compositional variations that respond to site and environmental conditions. The building core and associated services were organized to the west to maximize dramatic views of the Chicago skyline for the building's occupants. The eastern face also has a distinctive curtain wall pattern that was designed in tandem with the new hospital across the street to form a gateway to the Rush campus. Sustainable strategies were incorporated throughout the building, including a green roof that covers nearly 50% of the roof and thereby aids in the reduction of stormwater run-off.

Midwest Orthopaedics at Rush offers comprehensive outpatient care in orthopedics and sports medicine. Four of the five floors occupied by Midwest Orthopaedics feature 60 examination rooms, six x-ray and imaging suites, an imaging center with CT and two MRIs, fullservice physical and occupational therapy facilities, orthotics and prosthetic services, and research facilities of the RUMC Department of Orthopaedic Surgery. These include laboratories for Human Motion Analysis, Biomechanics, Tribology (the study of friction, lubrication and wear) and Implant Retrieval. The new facility also contains offices for all orthopedic surgeons, researchers and staff, a conference and learning center, and retail space on the ground floor. Bridges from the OAB to the existing parking garages to the west allow easy access to the OAB for ambulatory patients and visitors.

The building’s unique design allows it to fit in among existing buildings on the 13-acre urban medical center campus that includes a Veterans Benefits Administration regional office, a 1560-space parking garage and an energy center. The Bed Tower, constructed by Walsh/DeMaria Joint Venture, is environmentally friendly and utilizes recycled materials for woodwork and flooring, thermal windows for temperature control and a green roof that controls storm water runoff and returns oxygen to the atmosphere.

Jesse Brown VAMC opened in 1953 and is one of the most active VA medical centers in the nation, serving over 58,000 veterans and providing a half-million outpatient visits annually.

The Care Studio^TM project was developed from the task of joining together as professionals to fashion a healthcare system of the future, a system that can avoid the unsustainable models we deal with today.  The LongWave Group^TM has spent the last year looking at the effects of system integration across care delivery, built environment, and technology.  What would it mean to have acute care platforms mobile throughout the hospital?  What would happen if the patient never had to leave the care platform?  Could hospitals be built simply without the cost of complicated material, allowing capital spending to focus on technology upgrades to equipment that evolves faster than our buildings?  Why can’t we build with components cutting the time for construction by fractions.  During natural disasters, could we deliver buildings in weeks to provide that provide disaster care and leave them behind with a quality of permanence?  What are the limits?  Have you ever wondered what it would look like if you could have it be any way you wanted?
Join the LongWave Group^TM in three exciting sessions as we continue to explore systems integration across healthcare delivery.  The second will look at how we use existing technology to create new and innovative products.  The third session identifies ways to remove the walls in a fragmented industry, increasing the power of engaged collaboration.
Now is the time to ride the wave.  Let your voice be heard.  Join us in making a difference.  The only rule is, there are no rules!  Anything can happen, but only if you participate.

Achievable Benefits to the Industry and workshops participants:
The  workshop will provide opportunity to work alongside your peers to:
1.  Identify additional opportunities of systems integration across technology, the built environment, and operational healthcare delivery. 
2.  Identify new and creative uses of existing technology to produce alternative healthcare products.
3.  Promote the ability for increased collaboration through new operational models, technology, and environments.  
4.  Formulate ideas for future research and presentations at the Healthcare Facilities Symposium and Expo.

PLEASE NOTE:  Workshops require an additional fee to participate.

SPEAKERS:

Suzanne Currie, Senior Associate, Human Factors and User Experience Specialist, HGA Architects and Engineers

Clay Goser, President, Symphony LLC

Matthew E. Hanson Ph.D., Vice President, Integrated Medical Systems, Inc.