Conference By Track

KEYNOTES

Tuesday, September 17, 2019  |  8:30 AM - 9:45 AM

Opening Keynote

KEYNOTES

Wednesday, September 18, 2019  |  7:00 AM - 8:00 AM

Breakfast and Sunrise Keynote: American Healthcare: At the Crossroads Again

SPEAKER
 
Marc Sauve LEAN MBA
Strategist

Kick off your day with breakfast and a keynote that will leave you thinking! 

 

America's healthcare system remains at a crossroads with mounting pressure from all directions. At the intersection of partisan gamesmanship, regulatory ridicule, & demographic realities, stand the merchants of medicine holding us hostage. Once again Sauve weaves a provocative fact-based narrative of our American healthcare journey. Each vignette leads to a deep understanding of industry components, the connective tissue, & remaining tumors. Combining the latest research and a front line planning role, Sauve provides an informed, insightful view of the state of the industry. Unlike the academics, he pulls no punches on why healthcare solutions are slow to melt legacy business models. In addition to the causes of death and coming pandemic; the international update compares women's health and healthcare. The journey concludes with a perspective on strategic master planning; locating facility assets as chess pieces on a real-world game board, where competitors & rules constantly evolve.

 

Learning Objectives:

1. Weave the critical components of healthcare 2020 into a cohesive fabric; connecting the political, regulatory & socioeconomic in a comprehensive story
2. Assess the current state of AI promises and sacred barriers to the unlimited resources of Amazon-JPMorgan-Berkshire-Gawande & other epic organizations
3. Benchmark innovation across our 50 States, as well as U.S. women’s health, healthcare, and progress compared to societies & systems around the world.
4. Learn the secrets of successful strategic master planning 2030; the critical components of segmentation and sequence of meeting engagement.

KEYNOTES

Wednesday, September 18, 2019  |  9:30 AM - 10:45 AM

Creating a Healthcare Experience for New Generations

SPEAKERS
 
Gina Bleedorn
Chief Experience Officer, Adrenaline

As digital disruption continues to shift the paradigm of physical healthcare experiences, no consumers are more demanding of providers to meet them on their terms than Gen Y (Millennials) and Gen Z. These new generations are armed with more power and choice than ever as they decide how they want to receive medical care. Highly discerning of brands, Millennials and their Gen Z juniors expect the same experiences from healthcare that they get from other industries - often those that are far more advanced in consumer-centricity. The new normal of experience expectations is already here, and the transformation of healthcare is at a tipping point in adapting (or failing) to meet them. In this session, discover what new generations want and how you can evolve your facilities to stay relevant to them - and not get left behind.


Learning Objectives:

  1. Connect new generation consumer expectations to the experience of your healthcare facilities
  2. Identify future trends inspiring the patient/customer experience in healthcare facilities and why this is critical to your vision and strategy.
  3. Discover how other industries (retail, financial) have elevated consumer experience in physical environments and how this can be applied to healthcare experience
  4. Learn how to leverage digital innovation while infusing your brand into your facilities environments—from main campus to satellite locations

KEYNOTES

Thursday, September 19, 2019  |  11:00 AM - 12:15 PM

Closing Keynote

Please check back in May when this keynote will be announced.
ROOM A
Tuesday, September 17
10:00 AM - 11:00 AM

A01: Healthcare Facility Master Planning 101: A Comprehensive Overview

Open to Conference Attendees Only

SPEAKERS
 
Sheila F. Cahnman, FAIA, FACHA, LEED AP
President, JumpGarden Consulting, LLC

Our clients are increasingly challenged to create facility expansions and renovations based on sound strategic planning and budgeting. It is important for healthcare architects and planners to understand the fundamental process of master planning and how it informs future development.

This 101-level session will define the basic process and terminologies associated with master planning including strategic plan integration, data analysis, benchmarking tools and key room departmental sizing. We will review major healthcare trends that affect facility planning and feature how careful master planning can allow incremental change and growth without limiting future options in uncertain times. Case studies will highlight how healthcare systems has incorporated these values into their planning. The session will include a checklist of issues to be considered when developing a facility master plan including the principles of adaptability, convertibility and expandability.

Learning Objectives:

  1. Understand the basics of facility master planning including terminology and step-by-step process.
  2. Learn where to access benchmarking data and other resources to develop a master plan.
  3. Identify key healthcare trends that will affect facility planning in the next decade.
  4. Understand how adaptability, convertibility and expandability can provide facility future-proofing based on current case studies.
11:15 AM - 12:15 PM

A02: Strategies to Create a Meaningful & Wholistic Wayfinding Experience

Open to Conference Attendees Only

SPEAKERS
 
Tina Larsen, AIA, LEED AP, EDAC
Managing Principal, Healthcare Sector Lead, Corgan
Angie Morgan
Director of Design and Construction, JPS Health Network
Paige Terrell
Vice President/Branded Environments Leade, Corgan
Tammy Testa, AIA-AAH, LEED AP, EDAC
Vice President, Corgan

Is there a universal language? Patients of diverse backgrounds, languages, abilities, and ages often find themselves at a healthcare facility during the most critical and stressful moments of their lives. In this session we will examine how the design of the space can simultaneously communicate critical information to all patients, while remaining welcoming, soothing, and easing navigation. The ability for a patient to easily self-guide within a space leads to empowerment and supports their emotional and social aspects of healing. How do we create an environment that empowers and supports every visitor, no matter their background? Through case studies: Children’s Health Rehabilitation Clinic and JPS Health Medical Home Clinic, and Parkland Hospital we will show research and tools, such as eye-tracking technology, and how to strategically use the results in design to not only effectively communicate direction, but also allows the patient to engage with the space.

Learning Objectives:

  1. Define the many different users of a healthcare facility and their different needs to best understand the need for a wholistic approach to wayfinding
  2. Learn how designers on the Parkland Hospital project incorporated eye-tracking technology to better understand the visitor.
  3. Learn how the Children's Health clinic design was implemented to serve several purposes: positive distraction, engagement, therapy and wayfinding.
  4. Explore how JPS integrated intuitive wayfinding to engage with and provide a comfortable experience the diverse population they serve.
1:45 PM - 2:45 PM

A03: The Continuous Present of the Patient Room

Open to Conference Attendees Only

SPEAKERS
Kevin Fox
Director, University of Virginia
Mark A. Harris
Chief Planning Officer, MaineHealth, Maine Medical Center
Jeffrey Keilman
, Perkins+Will
Brian Sykes
Associate Principal, Perkins+Will

The ever evolving hospital patient room is at the core of the mission to improve the healthcare delivery. In 1997, patient rooms were on average 230 sf and in 2008 they were 345 sf. That is a 40% increase. In the last 10 years they have held fairly steady. Today, patient rooms are beginning to average 350 sf. This panel will present two contemporary examples of the current generation of patient rooms. One case study is the University of Virginia (UVA), University Hospital Expansion and the other is the Maine Medical Center, Hospital Expansion. In each case study, these universal patient rooms are designed and engineered to support intensive care unit (ICU) patients. Operationally, the room will not be limited to ICU patients. The room may also be used for acute care patients on a regular basis. Both case studies will address the different design solutions that demonstrate the operational and strategic ambitions of the client.

Learning Objectives:

  1. Review the strategic considerations for universal patient rooms at both Maine Medical at UVA
  2. Assess the patient room design implications for each case study
  3. Describe the impact to the nursing unit design
  4. Identify staffing differences between universal rooms, acuity adaptable rooms and traditional ICU patient units.
3:00 PM - 4:00 PM

A04: Designing Furniture Standards for Sameness and Individuality

Open to Conference Attendees Only

SPEAKERS
 
David Cozier PE
Vice President, Facilities & Construction, Mount Carmel Health
Karla Kaelin
Vice President Strategic Accounts, Herman Miller
Nicole Wood, LEED AP, CHID
Principal & Senior Interior Designer, Array Architects

When design firms are engaged on different campuses for the same healthcare client, priorities need to include open communication and a spirit of collaboration. System leadership needs to have a high level of confidence with the teams for a comprehensive set of furniture guidelines that will benefit not only new capital projects, but renovation and refresh of existing facilities as well. Mount Carmel Health System successfully engaged NBBJ and Array Architects in the design assist process. Through this multi-year endeavor, the teams learned best practices for sharing ideas, tools and technology. A guiding principle was to provide a sameness across the System’s furniture selection, while providing the opportunity for options and individuality. While parity across campuses was a priority, each campus also can customize their image inside the approved palette. The consumer’s perception of quality, comfort and access is paramount, but the team also provided each location their own voice.

Learning Objectives:

  1. Learn how to engage a health system in creating a toolkit of furniture and finishes to deploy across multiple facilities.
  2. Takeaway a how-to for creating a palette of material selections that allows each site to customize their facility while staying “on brand.”
  3. Learn how to leverage buying agreements and engage dealers and manufacturers in a design assist process.
  4. Learn how to create sameness without having to make everything look the same.
Wednesday, September 18
8:15 AM - 9:15 AM

A05: Under Duress: How Environmental Design Affects Staff Security in Healthcare Facilities

Open to Conference Attendees Only

SPEAKERS
 
Sheila J. Bosch, PhD, EDAC
Assistant Professor, Department of Interior Design, University of Florida
Soheyla Mohammadigorji
, University of Florida
Shabboo Valipoor
Assistant Professor, University of Florida

Statistics show an alarming increase in violence against healthcare providers. One study showed that over 78% of physicians experienced some degree of workplace violence over 12-month period. Physical violence against nurses has been called “an endemic problem affecting nurses in all settings” around the world. Poor environmental design has been identified as a risk factor for violence toward employees in healthcare settings. NIOSH recommends environmental factors be considered to reduce risk of violence against healthcare workers. Presenters will share design strategies, identified through a systematic literature review, that you can utilize to help prevent or mitigate violence against healthcare workers and improve their physical and psychological safety.

Learning Objectives:

  1. Review current literature related to workplace violence against healthcare workers, including in emergency departments
  2. Review environmental design attributes that impact type II workplace violence
  3. Discuss implications of healthcare facility design guidelines to reduce violence
  4. Identify environmental attributes in your (or your client’s) facilities that may increase the risk of violence against healthcare providers

 

1:00 PM - 2:00 PM

A06: Eliminating Harmful Chemicals from Health Care Interiors

Open to Conference Attendees Only

SPEAKERS
Sarah Fackler
Program Manager of Sustainability and Environmental Health, Partners HealthCare
Rachel Gibson, JD, MPP
Director of the Safer Chemicals Program, Health Care Without Harm
Rich Ruhlin
Chief Marketing Officer, Mats Inc

Every day patients and workers are exposed to harmful chemicals in hospitals and medical facilities. Many of these chemicals can be found in building materials such as flooring and furnishings. These materials can contribute to poor indoor air quality and exposures that endanger human health and the environment. Healthcare facilities are progressively implementing practices to avoid chemicals and materials of concern, and purchasers look to standards, like Healthier Hospitals, and organizations, such as Health Care Without Harm, to inform their decisions. This session will provide tools and resources for designers and healthcare organizations to specify and purchase environmentally sustainable and healthy materials, and prevent purchases that undermine organizational goals. Attendees will hear from Partners HealthCare about a handful of interiors projects, including lessons learned and best practices, in pursuit of their sustainability goals.

LEARNING OBJECTIVES:
 
1.  Understand the rationale for targeting specific chemicals and materials for elimination in flooring and furnishings in the health care setting
2.  Learn how to identify more sustainable interiors products
3.  Hear case studies and learn about obstacles and best practices for implementing key health-focused sustainability principles
4.  Describe tools and resources available to implement health-focused sustainability criteria
3:00 PM - 4:00 PM

A07: Creating a program to identify and monitor pressurized spaces in hospitals

Open to Conference Attendees Only

SPEAKERS
Dino Coliano
North American Healthcare Business Leader, Siemens
Dennis Ford
Director of Facilities Operations, Central Division, Atrium Health

To support the infection control team, and to satisfy accreditation requirements, the facilities staff in a hospital operates and maintains a variety of pressurized spaces. Each space is designed to reduce the risk of infection, with the flow of air from clean to less clean. positively pressurized spaces includes Operation Rooms; negatively pressurized spaces includes Airborne Infectious Isolation Rooms. National standards, including ASHRAE/ANSI/ASHE 170, and state standards may apply. In addition, there are standards or guidelines by professional organizations like AAMI and AORN that provide requirements for spaces in order to minimize infections. Hospital staff need to inventory the spaces and identify the most stringent requirements. In some cases, a risk assessment is required to resolve conflicts. Finally, the staff need a program to continuously monitor and maintain performance of these critical spaces.

Learning Objectives:

  1. Explain the standard requirements for various pressurized spaces from the viewpoint of a facilities engineer.
  2. Specify systems and equipment that support a monitoring plan for pressurized spaces.
  3. Create a ongoing program to manage the hospital's pressurized spaces with support from a multi-disciplinary team of hospital staff.
  4. Train the facilities staff about monitoring of pressurized spaces and the requirements as specified in the standards.
4:15 PM - 5:15 PM

A08: Is Choosing Green Costing You Green?

Open to Conference Attendees Only

SPEAKERS
Ann Dougherty, PE
General Manager of Sustainability, Roppe Holding Company
Andrea Hyde
Senior Project Manager - Interiors, Stanford Health Care - Planning Design + Construction Department

No one would knowingly want to hurt the planet we live on, let alone health care providers whose mission is to improve the health its patients and protect staff. However, most commercial surfaces and furnishing products – are not being tested under the rigorous use (and abuse) codified requirements for CDC/ US EPA transference of infection prevention cleaning methodologies used everyday within HC facilities. We have been flooded with products claiming to be green/sustainable with little impact to the earths ecology. Many of these "green" products achieve these standards are of organic origin or organic chemistry manufactured materials and are soft, porous and prone to rapid decay by their inherent nature. We will discuss current end-user performance concerns and epic failures that being found through trial and error testing on patients and staff in health care facilities, with products susceptible to breakdown during cleaning with highly corrosive agents.

LEARNING OBJECTIVES: 
1.  Summarize safety & operational challenges to health facility designers/owners selecting high performance products using current commercial testing
2.  Evaluate the US CDC/EPA cleaning modalities required for health facilities, and the effect they have on operations, performance, and patient safety
3.  Recognize root issues of sustainability vs. maintainability in three diverse healthcare facility case study examples
4.  Integrate guidance and required new testing methods to setup successful surface and furnishing specifications for future

Thursday, September 19
8:30 AM - 9:30 AM

A09: Aspiring to 'Zero Delay Treatment' in Emergency Department

Open to Conference Attendees Only

SPEAKERS
Basel Abdulaal
Chair, Royal Architectural Institute of Canada (RAIC) - Alberta Chapter
Mohamed Al-Hussein
Professor, Construction Engineering and Management, University of Alberta

Long waiting times in Emergency Departments (ED) have been an issue in Canadian hospitals for years. Many factors have contributed to the excessive waiting time, including the current design scheme which is known architecturally as the “Funnel Design Scheme.â€Ã‚ Current architectural and engineering practice lacks standards to quantify the effect of ED design and ancillary departments on waiting time and Length of Stay (LOS). This research focuses on assessing the architectural standards of ED on the basis of a patient-focused environment. The objective is to optimize the space requirement to reduce waiting time following what is called “universal zero delay treatment.â€Ã‚ The proposed methodology uses two techniques: a) a statistical analysis of forty two ED architectural designs, and b) the application of Lean Healthcare combined with Post Lean Simulation which offers an opportunity to evaluate the potential impact of different interventions on patient flow and throughput.

Learning Objectives:

  1. Demonstrating what methods researchers have proposed to manage ED congestion and patient flow, and strategies that decrease ED waiting times and LOS.
  2. Testing a proposed Streamlined Design Scheme to replace the existing Funnel Design Scheme on the basis of a patient-focused environment.
  3. Assessing current standards through a statistical analysis of 42 ED architectural designs to quantify the effect of ED design on waiting time and LOS
  4. Assessing the application of Lean Healthcare and Post Lean Simulation to evaluate different interventions to arrive at "Zero Delay Treatment" in ED.
9:45 AM - 10:45 AM

A10: The Leading Edge in Design for Interventional Imaging

Open to Conference Attendees Only

SPEAKERS
Justin Miller
Designer, Payette
Sam Walusimbi
Designer, Payette

A rapid increase in procedures that can be performed within minimally invasive environments through the use of interventional imaging equipment is prompting room upgrades and procedure room conversations. The balance between a functional space and patient centered experience creates new opportunities for design innovation. MGH has recently completed a series of renovation projects that utilize innovative design techniques to respond to this evolving clinical landscape. The result was a seamless integration of equipment and architecture that works to the overall benefit of the patient’s experience. In this session, learn how new strategies for the integration of radiation shielding were developed to minimize the disruption of adjacent spaces and its potential impact on the dimensions of the room. This collaborative approach resulted in rooms that are a seamless expression of design and equipment and reflect leading edge thinking on the future Interventional Imaging.

Learning Objectives:

  1. Demonstrate Basic Principles for Interventional Imaging
  2. Learn Fundamentals of Equipment Coordination
  3. Design Innovation in Procedural Environments
  4. Technology Integration in Clinical Environments
ROOM B
Tuesday, September 17
10:00 AM - 11:00 AM

B01: Building in Place: Boston Medical Center's Transformative Redesign

Open to Conference Attendees Only

SPEAKERS
Denge Agola, NCIDQ LEED AP
Interior Design Discipline Leader, SmithGroup
Timothy LeGage
Associate Designer, SmithGroup
Brendan Whalen
Director, Design and Construction, Boston Medical Center

In 2013, Boston Medical Center (BMC) launched a clinical campus redesign project to prepare the hospital to thrive well into the future. This overall effort transformed a busy urban thoroughfare and created a welcoming front door for BMC. With the completion of the Menino Additions and Renovation project earlier this year, all inpatient operations have been consolidated to the Menino side of the campus. The consolidated hospital design is expected to save BMC more than $25 million in annual operating costs and has dramatically increased the number of private rooms. This presentation will explore how patient-centered care remained the primary focus throughout the transformation. We will address how BMC’s mission: “exceptional care without exception” was integrated into the transition process and informed all design decisions. And discover how, the integrated project team ensured the redesign is tailored for the needs of the surrounding inner-city, Boston community.

Learning Objectives:

  1. Summarize the real estate positioning efforts for Boston Medical Center’s hospital campus
  2. Observe the pivotal role BMC’s mission: “exceptional care without exception” plays in the hospital campus redesign
  3. Integrate tactics for rapid and responsive design during an IPD renovation effort
  4. Understand lessons learned through 3 diverse project team perspectives
11:15 AM - 12:15 PM

B02: Integrated System Facilities Master Planning From Multiple Perspectives

Open to Conference Attendees Only

SPEAKERS
Michael Monaldo
Vice President, John Muir Health
Wendy M. Weitzner FACHE
Partner, The Innova Group

John Muir Health includes two medical centers, a psych hospital, 30 outpatient sites, a physician network, and a health plan. JMH completed a $2B integrated system-wide strategic facility master plan that incorporated strategy, operations, finance, regulatory, and end-of-life facility needs. This case study will review how John Muir incorporated a breadth of perspectives into this complex plan:

  • Coordinated with Financial & Strategic Planning and the Innovation team to align “top down” strategic intent and financial capabilities with “bottom up” Operations & Facilities needs
  • Assembled data-driven Architectural, Engineering, Operational and Strategic assessments and analyses into a comprehensive fact base for decision making
  • Integrated the Acute Care/Hospital master plans with the Ambulatory/Off Campus master plans
  • Researched opportunities for consolidation or redistribution of clinical, logistical, ancillary, and ambulatory services across the system
  • Developed a $2B plan

Learning Objectives:

  1. Gain insight into methods to partner with Strategy, Operations, Innovations and Finance in master planning.
  2. Observe data driven tools to create an integrated master plan “fact base” for decision making--both inputs and output
  3. Hear lessons learned about successful and unsuccessful tactics in integrating a system wide plan
  4. Understand a population-based method for forecasting ambulatory care needs
1:45 PM - 2:45 PM

B03: Repainting the Portrait: Hospital Replacement and Corporate Culture

Open to Conference Attendees Only

SPEAKERS
Adam Jensen, RA
Executive Director, Design and Construction, Intermountain Healthcare
Eric Meub AIA, LEED AP
Vice President, HDR
Zeke Triana, AIA, LEED AP
Vice President, Facilities Planning, Design and Construction, Cedars-Sinai Medical Center
Amy Williams, AIA, LEED AP
Vice President, Managing Principal, HDR

There is no more disruptive activity for a healthcare campus than an on-site, full-hospital replacement. It requires a decision-making rigor and prioritization beyond that of greenfield construction, with profound impacts on a system and its member campuses. In the end, the very identity of the system--its priorities, brand and engagement with local communities--are positively affected. Two replacement projects--Intermountain Healthcare's Utah Valley Hospital and Cedars-Sinai's Marina Del Rey Hospital--illustrate how a single campus overhaul helps revision its general respective culture. Impacts include branding, new standards for patient care, new health service options, and even changes to the corporate structure. While all new construction paints a portrait of the parent system, a replacement project balances the new vision with the needs of staff, patients and visitors who have to survive the transition. That balance is where the real personality of a healing culture shines most.

Learning Objectives:

  1. Brand/Community: How to tailor the brand to a new generation of community priorities and apply local lessons to a spectrum of campuses
  2. Design standards: How to find opportunities to prototype and refine standards within the array of make-ready projects and departmental moves
  3. Clinical priorities: How to help the client base the tough decisions of site/constructability constraints on the institutional mission
  4. Patient Experience: How design priorities can mitigate and/or transform disruption and confusion during multiple phases of demolition/construction

 

3:00 PM - 4:00 PM

B04: Healthcare expansion is the name of the game - insights from the real world

Open to Conference Attendees Only

SPEAKERS
Gene D. Barber
System Vice President, Facilities & Support Services, Henry Ford Health System
 
Bonny Slater, ASID, NCIDQ, LEED AP
Regional Health & Wellness Leader, Gensler

Creating a new vision for ambulatory care is one thing, but what does it take to operationalize it? The Henry Ford Health System developed an ambitious vision to transform ambulatory care in the Detroit region and construct multiple ambulatory care centers in rapid succession. Their vision included massive operational and cultural changes to move them from a collection of siloed practices with dedicated resources to a fully integrated system with shared resources. Operational changes included everything from new staffing models and roles to space utilization and billing structures. With the first building going online in a year, this meant strategies to allow the phased adoption of new processes, services, and technologies. Learn about Henry Ford Health System's vision, the challenges they faced in changing their culture and operations, the importance of change management, and how design played a role.

Learning Objectives:

  1. Explain Henry Ford Health System's vision for the future of ambulatory care in the Detroit region.
  2. Examine the challenges associated with rapid adoption of a new ambulatory care model, and specific strategies for engaging stakeholders in the development of solutions.
  3. Evaluate the change management strategies employed throughout the process and the success of various efforts.
  4. Demonstrate how design plays a role in facilitating operational and cultural change in the ambulatory care setting.
Wednesday, September 18
8:15 AM - 9:15 AM

B05: Phoenix Rising: Re-purposing Old Facilities for New Healthcare

Open to Conference Attendees Only

SPEAKERS
 
Bob Gesing AIA
Principal, Trinity: Planning, Design, Architecture
Jason Mueller
Assistant VP Facility Development & Capital Planning, MedStar Health

With the emergence of the Affordable Care Act and Population Based Healthcare, the need for an evolved ambulatory care delivery platform is necessary to better align care and economics. The ambulatory care center will become the primary venue through which health systems provide care to their community. Population health will require a new model of delivery that transforms the way consumers and providers view, deliver and receive healthcare. While new facility design offers the best opportunity to accomplish transformation, creating ground up facilities is most often neither economically or logistically feasible. MedStar Health has been developing an integrated population based ambulatory delivery network in Baltimore, Southern Maryland, Northern Maryland and the Washington DC metropolitan area. This session will outline the process, challenges and lessons learned in transforming several 1980's commercial buildings in Washington DC into progressive integrated health centers.

Learning Objectives:

  1. Outline programmatic, planning, infrastructure and leasing/economic issues to consider when evaluating existing facilities for ambulatory care.
  2. Introduce programming and planning ideas and metrics for integrated service delivery platforms that drive ambulatory delivery in less space.
  3. Provide insight on the challenges and techniques to help transform the expectations of medical staff to deliver care in non-traditional, "less" space.
  4. Provide "lessons learned" and real-life examples where such approaches resulted in significant and measurable results.
1:00 PM - 2:00 PM

B06: Maintaining healthcare operations, safety and satisfaction while detonating

Open to Conference Attendees Only

SPEAKERS
John Anania
Project Executive, Mid-Atlantic Healthcare Core Market Leader, DPR Construction
Jason Beshore
Healthcare Principal, CDT, HDR
 
John Eaton
Director, Design & Construction, Inova Health System
Kim Shumaker
Senior Project Manager, DPR Construction
Is it possible to detonate 5556 sticks of dynamite in the center of an active, acute-care hospital campus while maintaining operations, patient safety and satisfaction? In an environment where patients and staff are integral members of the design and construction team, the most disruptive construction activities can be overcome. Scheduled for completion in 2020, the 382,000-sq.-ft. new patient tower on Inova Health System’s Loudoun Hospital campus, ranked as one of U.S. News & World Report "Best Hospitals”, is the next phase of the $300M master plan expansion of facilities and services. Maintaining an environment conducive to excellence in patient care and safety has been a primary concern for the entire team. Normal construction activities include risks to a healthy and safe environment. Diabase rock, some of the hardest in the world, provided a unique challenge on this site. What could have been a great disruption to the hospital’s function, became a 3 p.m. pastime!
3:00 PM - 4:00 PM

B07: Replacement hospital with new care models and post-occupancy lessons.

Open to Conference Attendees Only

SPEAKERS
 
Carrie McGovern RID
Director of Interior Design, Indianapolis, BSA LifeStructures
 
Derek Selke AIA, ACHA
Principal | Architect, BSA LifeStructures
 
Linda Wessic RN, BSN, MBA
Vice President and Chief Operating Officer/Chief Nursing Officer, Major Hospital

When Major Hospital began planning to replace their existing hospital on the heels of the ACA, they recognized that future healthcare would be heavily focused on ambulatory care. The Hospital and design team recognized that they needed to be on the forefront of new technologies and be innovative with models of care. From patient and guest arrival welcomed by a navigator to discharge via an offstage door, the experience is thoughtfully patient-centric. Innovations include the 38-bed Ambulatory Care Center that serves outpatients and all observation patients, and provider clinics vertically stacked with the patient care units. The team will share operational planning strategies before design, lessons learned and metrics on patient outcomes, readmissions, observation length of stay, energy savings and patient and provider satisfaction.

Learning Objectives:

  1. Understand how early operations planning before design can shorten the traditional design process and lead to innovation
  2. Learn how length of stay can be managed and reduced for observation patients while improving ED throughput and improving the patient experience
  3. Appreciate the importance of challenging traditional design concepts and “the way we’ve always done it” and having outcome metrics that support them
  4. Learn about ways to preserve the rich cultural history and integrate art into replacement hospitals
4:15 PM - 5:15 PM

B08: Remodels & Renovations-Lessons learned when building in an active hospital

Open to Conference Attendees Only

SPEAKERS
 
Lynn Aguilera, MSNEd, RN, PMP
Director, Yellow Brick Consulting
Jill Sullivan
Vice President, Strategic Space Planning, Transition Strategy & General Service, Lucile Packard Children's Hospital at Stanford

In 2017 and 2018, Lucile Packard Children’s’ Hospital at Stanford opened its doors to their new 521K sq. ft. patient care towers and treatment center. But the construction didn’t stop there. Now their Space Planning and Transition Strategy department is tasked with renovating, remodeling, and repurposing the unoccupied spaces to ready them for patient care, in an active hospital! The team will discuss and share their standard approach and project plan for managing the complexities involved with construction, regulatory, building fit-up, and people readiness when activating multiple projects at a time. The presenters will review their strategy for key success elements including: implementing daily touch base calls with construction, biomed, IT teams, architects, transition planning, and others; weekly focused meetings with the clinical teams; support from executive leadership; and the value of completing dress rehearsal simulations before each activation no matter how small the project.

Learning Objectives:

  1. Discuss and share the standard approach to manage multiple renovation, remodel, and repurposing projects
  2. Discuss the critical elements for success related to communication and collaboration
  3. Discuss the value of completing dress rehearsal simulations before each activation
  4. Discuss the management and engagement strategy for multiple key stakeholders
Thursday, September 19
8:30 AM - 9:30 AM

B09: Here We GROW Again: The Expansion of the Ohio State Wexner Medical Center

Open to Conference Attendees Only

SPEAKERS
Garth Dahdah MBA
Director, Strategic Growth and Facility Operations, The Ohio State University Wexner Medical Center Ambulatory Services
Tom Dieterle AIA
Healthcare Leader | Principal, DLR Group|WRL
Amy Farrell NCIDQ
Senior Interior Designer | Associate, DLR Group|WRL
 
Philip LiBassi FAIA, FACHA
Global Healthcare Leader | Senior Principal, DLR Group|Westlake Reed Leskosky

The Ohio State University Wexner Medical Center is embarking on a major five-year expansion, a key aspect of which includes construction of a network of medical office / ambulatory surgery centers along the outer belt of the Columbus metropolitan area. The initial project, which is serving as the prototype, is under construction with two additional sites currently under consideration. All sites are master planned for the addition of an acute care hospital. This presentation will be the first in a series of lectures that outline the process of expansion, methodologies of site selection, the development of the prototype building, and related regulatory considerations; in addition, the series will address the larger context of the growth of the academic medical campus and how the use of brand and processes can support integration across the entire enterprise. Subsequent lectures will discuss the completed project, how initial objectives were achieved, and lessons learned.

Learning Objectives:

  1. Outline the process that underpinned the expansion plans.
  2. Review the methodology that determined the site selection, program for the building, and related regulatory considerations.
  3. Discuss the development of the prototype building.
  4. Explore how brand and process considerations support the broader enterprise goals.
9:45 AM - 10:45 AM

B10: Benefits of Implementing an Integrated Design Process

Open to Conference Attendees Only

SPEAKERS
Shannon Burke
Project Manager, Mortenson Construction
Kent Davidson AIA
Senior Associate, Stantec
David Hehemann
Senior Project Manager, Facility Services, Ann & Robert H. Lurie Children's Hospital
Ryan Kallies PE, LEED AP
Electrical Engineer, AEI (Affiliated Engineers, Inc.)

As one of the top pediatric caregivers in the nation, Ann & Robert H. Lurie Children’s Hospital quickly outgrew its space and required more space for patient care. Stantec utilized an integrated design process to reimagine their former office space on the 22nd floor to accommodate the critical care needs for children and their families. When designing an intensive care for children, the role of the family and the integrity of function are at the forefront. Lurie Children’s Hospital, Stantec, Mortenson, and AEI had to work cohesively in order to successfully renovate the 22nd floor within an active, 24-hour hospital environment. By maintaining a strong relationship with all team members and staying flexible, Lurie Children’s Hospital is now well-equipped with a fully-functioning ICU floor for the children and their families. Our presentation will provide multiple points of view on the joint effort of the clinical users in developing a successful project.

Learning Objectives:

  1. Share how to develop an integrated design process that is inclusive of the design team, contractor and client representative.
  2. Summarize challenges and solutions of integrating a major project into an active hospital.
  3. Define the challenges of implementing a project in a high-rise institution and how to overcome these challenges.
  4. Share how to integrate new work within existing systems while operating in an active hospital environment.
ROOM C
Tuesday, September 17
10:00 AM - 11:00 AM

C01: Disrupting the Status Quo: A Case Study in Innovative, Patient-Centric Design

Open to Conference Attendees Only

SPEAKERS
Sam W. Burnette, AIA, NCARB, EDAC
Principal, Earl Swensson Associates
Katie Jacoby
Executive Vice President, Strategy and Development, Anchor Health Properties
Braulio Vicente
Executive Director, Specialty Care, The Villages Health

As the healthcare landscape evolves, it is time we look at the design of medical facilities through a new lens and “re-think” their implementation from a patient-centric perspective. This session will focus on The Villages Health’s unique approach and dedicated commitment to a patient-centered, primary-care driven model and how their ambulatory real estate supports their mission and vision. The priority is to create a place to deliver excellent patient care in an environment that feels like home. Create a place where patients intuitively understand that they receive integrated care with minimal confusion. A facility where the focus is on wellness and living an active lifestyle, and how the outpatient center functions to facilitate and enhance the service being provided. A facility whose design is driven by the patient experience – positively impacting the health outcomes of the community. 

Learning Objectives:

1. Review a case study of The Villages Health ambulatory real estate strategy and development of their primary and specialty care network
2. Distinguish between traditional and patient-centric design principles where best practices are integrated to enhance patient satisfaction 
3.Describe how patient-centric planning and design offer the opportunity to competitively address rapidly evolving care options
4. Create a new vision for healthcare systems focusing on patient-centered paradigm of care where components revolve around the patient’s experience

11:15 AM - 12:15 PM

C02: A Guest House That Knows No Age

Open to Conference Attendees Only

SPEAKERS
Eric Brown
Chief Operating Officer, Ronald McDonald House Charities | Oregon and Southwest
Stephanie O'Brien, MS
Director Operations, Women's & Children's, Oregon Health and Science University
David Staczek
Principal, ZGF Architects

Every year, thousands of patients come to Oregon Health and Science University and Doernbecher Children’s Hospital to receive long-term, specialty care unavailable in their home communities. These patients leave their homes and jobs behind. They face not only a medical crisis, but also the logistical and financial demands of finding housing. OHSU partnered with Ronald McDonald House Charities (RMHC) to create a first of its kind five-story guest house for pediatric and adult patients and their families to rest, work, prepare meals and gather. Centrally located on Portland’s waterfront and adjacent to public transit, the guest house offers enhanced convenience and accessibility. OHSU created a unique partnership with RMHC to provide philanthropic support for pediatric families and a business management model to support adult families. The teams presented their vision to stakeholders, developed a sustainable financial model, and designed and built this innovative housing facility.

Learning Objectives:

  1. Understand how to develop unique partnerships to achieve not only project but operational goals.
  2. Understand how facility design addressed mixing healthcare space with non-licensed space while incorporating neighborhood and city needs.
  3. Learn how to develop a guest house design that is patient-centered for both pediatric and adult experiences while addressing safety concerns.
  4. Understand creative financial models to afford projects that provide larger community benefit.
1:45 PM - 2:45 PM

C03: The Low Hanging Fruit: Low/No cost operational and quality improvements

Open to Conference Attendees Only

SPEAKERS
Tina Wu MD/MBA
Associate Chief of Service, NYU Langone Health
Does your greeter nurse give patients a urine cup when they walk in the ED? Do your Physician Assistants or Nurse Practitioners treat and release patients? Do all your teams run to a code blue? This session is a highly interactive, fun, innovative workshop that allows participants to share how they have improved their healthcare facilities in a highly effective, low cost way. Many of these ideas can be brought back and implemented immediately.
3:00 PM - 4:00 PM

C04: Creating Optimal Integration of Biophilic Design in Healthcare Environments

Open to Conference Attendees Only

SPEAKERS
Sonja Bochart, IIDA, LEED AP BD&C, WELL AP
Principal, Shepley Bulfinch
Richard V. Piacentini, MS, MBA, RPh, WELL AP
President and CEO, Phipps Conservatory and Botanical Gardens
Paula Quan
Vice President of Capital Planning and Design, Boston Children's Hospital
Uma Ramanathan, AIA, LEED AP
Principal, Shepley Bulfinch

Biophilic design (connecting people and the natural world) provides numerous and lasting physical and physiological health benefits to healthcare building occupants. Rapidly emerging research demonstrates the efficacy of biophilic design in increased healing rates, productivity, cognitive restoration, mood improvement, and staff wellness and retention. The speakers will present biophilic design patterns that demonstrates optimal human-nature connections in a case study of the new Hale Family Clinical Building at Boston Children’s Hospital. Related research findings to the design strategies for the case study and specific methods and instruction for conducting a successful experiential integrative-biophilic design project workshop for design team and occupants will be provided. Additional case studies will enable attendees to understand the importance of early biophilic intervention and the process for designing for optimal health and wellness. An interactive exercise will be included.

Learning Objectives:

  1. Understand how to successfully integrate biophilic design, by demonstration of a recently completed project for Boston Children’s Hospital.
  2. Develop skills for creating experiential workshops for staff and design team that are fully assimilated into an integrative design process.
  3. Gain an understanding of the emerging research related to biophilic design for patient, family, caregiver and staff health and well-being.
  4. Recognize the value of, and ideal processes, timing and method for implementing a successful healthcare biophilic design healthcare-project workshop.
Wednesday, September 18
8:15 AM - 9:15 AM

C05: Generative Construction - Improving Lives During Hospital Construction

Open to Conference Attendees Only

SPEAKERS
 
Robert Christopher-Strayhorn
Senior Construction Contracts Administrator, an Associate, HKS Architects
 
Eric Groat
Operations Manager, Robins & Morton
 
Jeff Jones
Superintendent, Robins & Morton
 
Missi Upshaw
Service Line Director for Pediatrics & Women's Services/Project Manager, Navicent Health

A Generative Space is one which functions as intended and from which its users can articulate how their health, healthcare, and lives are improved by it. In this session, we will explore these concepts and how they apply to the entire project delivery team during construction. A Generative Construction project is one in which the performance efficiency of the entire group is improved and allowed to flourish through honest collaboration, tracking outcomes, measuring results, creating a learning environment, and looking for continuous improvement opportunities. By focusing on the culture of the project and aligning everyone’s goals, the participants in the process – the owner, the design team, and the builders – are provided an environment in which each can reach their full potential and, consequently, their lives are improved by the process.

Learning Objectives:

  1. Understand why it’s important to establish real trust among all project stakeholders, from the owner to the craft workers.
  2. Learn why creating the right culture before any work is put in place is a critical component to the project’s success.
  3. Understand how the lives of participants are improved by fostering a project environment in which everyone can flourish.
  4. Learn an implementation approach that can transcend all projects sizes and types.
1:00 PM - 2:00 PM

C06: American College of Healthcare Architects Exam Prep Seminar

Open to Conference Attendees Only

SPEAKERS
 
R. Gregg Moon, AIA, ACHA, EDAC
President, rgmoon consulting
 
Craig Puccetti, AIA, EDAC, ACHA
Director of Architecture Austin, BSA Lifestructures

ACHA’s professional credential in healthcare architecture is the only specialty certification program recognized by the AIA. This workshop will provide healthcare architects with useful information to submit their credentials and prepare for the ACHA Exam. The seminar covers: application materials, exam topics, sample questions, scoring criteria and exam schedules.

3:00 PM - 4:00 PM

C07: Sustaining Motivation by Design - A Caregiver Perspective

Open to Conference Attendees Only

SPEAKERS
Colleen Borrelli
Vice President, Patient Experience, Burke Rehabilitation Hospital, a member of the Montefiore Health System

The Caregiver Center at Burke Rehabilitation Hospital is the first caregiver support center within a rehab hospital in the U.S. Burke’s patients have often experienced a life-changing illness or injury that affects not only the patient, but also their support system. The Center was created to provide much-needed respite, resources, and motivational guidance for the patient’s care team. Caregivers can experience the emotional and mental anguish associated with their responsibilities which can create a negative impact on the patient’s recovery process. To help combat this stress, a dated clinical setting in the heart of the hospital was transformed to celebrate the patient-centered-care Burke is known for. Collaboration with focus groups, patients, caregivers and the design team brought in the healing power of nature, joyful elegance, engaging visuals, and custom-tailored support programs resulting in an uplifting center where visitors leave empowered to embark on their recovery journey.

Leraning Objectives:

  1. Understand why designing for caregivers is a vital undertaking to deliver effective patient recovery.
  2. Discover new design strategies to invite playful moments in times of stress and sadness.
  3. Explore how motivating architectural features nudge caregivers towards a more joyful state of being.
  4. Observe the effects of user-centered design methods and how to apply them to your facility.
4:15 PM - 5:15 PM

C08: Inspiring Change - Social and Design Determinants in Health Care Delivery

Open to Conference Attendees Only

SPEAKERS
 
Rada Doytcheva, PhD, FAIA, LEED AP BD+C
Principal, RADA Architects Ltd
 
Randy Oostra, DM, FACHE
President/CEO, ProMedica

This session brings to light ideas shared by a major hospital system leader and an architect – both at the “cross section” of recent work for ProMedica Toledo Hospital. Highlighting the recently completed Heart Rhythm Center and ProMedica’s success in influencing social factors in their community – there is a story to tell, for a better future. Randy Oostra, DM, FACHE, CEO of ProMedica, is passionate about social determinants. He sees them not as a sideline but as key strategic imperative. Under his leadership ProMedica undertakes programs that strive to improve community health outcomes. Rada Doytcheva, PhD, FAIA is leading with a movement for “Better Lives by Design” in her diverse architectural practice. She dissects the need for overhaul of health care facilities design with streamlined planning and set functional criteria. She demonstrates the benefit of borrowing design elements from other building types, which are simulating for the human perception of comfort and healing.

Learning Objectives:

  1. Learn how to translate social determinants of health data into measurable benchmarks to identify key targets for change.
  2. Utilize examples of programs and strategies applied by a major health care system to improve health outcomes in its community.
  3. In a future of rising health care costs, recognize the importance of applying fundamental planning principals in design of healthcare facilities.
  4. Learn about the benefit of borrowing design elements from other building types in creating a more stimulating patient and staff environment.
Thursday, September 19
8:30 AM - 9:30 AM

C09: Designing and Operationalizing a Children's Treatment Centre

Open to Conference Attendees Only

SPEAKERS
Christina Djokoto
VP Quality Performance and Operational Excellence, ErinoakKids Centre for Treatment and Development
Robert Hofmann
Principal, Hofmann PM Inc.

When Ontario’s largest Children’s Treatment Centre was faced with the opportunity to create three new purpose built facilities, they were enfranchised with a new horizon of possibilities and challenges. The ambit of new technology and variety of new spaces far exceeded anything to which the organization previously had access and the opportunities for transforming service delivery were staggering. To fully capitalize on the opportunity, a sizeable transformation was required to not only design these facilities but to also operationalize them through re-designing operations and reorganizing staff from their existing structures, spread across 11 smaller buildings.

The organization undertook a journey rooted heavily in staff engagement and dialogue to prepare for and support the coming change. This presentation explores first how the design caused the building itself to be developed as a tool for therapy, learning and teaching and then explores how process redesign lead to the successful development of workflow validation techniques.

Learning Objectives:

  1. Examine how the building introduced innovative approaches to learning through integrated technology such as the use of multi-sensory engagement
  2. Measure the value of outdoor landscaping in the treatment of 5 different therapy typologies
  3. Transform daily routine and activity into a learning opportunity such as creative play and gross motor development through the use of climbing walls
  4. Expose key building elements to reveal inner components for educational value through the use of truth windows and interactive play
9:45 AM - 10:45 AM

C10: Low-Trauma Construction at a Level 1 Trauma Center Proposed Session

Open to Conference Attendees Only

SPEAKERS
Jerry North
Senior Director, Facilities and Engineering, University of Utah Health
Tracy Stocking
President, TSA Architects

Like most major urban medical centers, the University of Utah Hospital is landlocked and desperate for expansion space. This was compounded by the need to decant the adjacent 500,000 sf School of Medicine prior to its demolition and relocation. The INFILL project created 22,000 sf of found space in a former courtyard surrounded by highly sensitive patient care areas such as the NICU, the Burn Trauma ICU, and the Emergency Department. This location demanded a “surgical” approach to design and construction Although relatively small this project is a critical step in the complex process of the University of Utah Health Sciences Transformation Project. This session will describe how a highly collaborative project team worked together to establish a project vision then successfully deliver the project – without any “trauma” - based on the guiding principles established by the Owner and embraced by the entire team.

Learning Objectives:

  1. Learn how to share the Owner’s vision so that all stakeholders and participants support the project goals and guiding principles.
  2. Gain insight into how the team innovated and collaborated with Facilities & Engineering and the Contractor to design with constructability in mind.
  3. Learn how constant contact between the contractor and patient unit managers, built trust and reduce potential disruption to patients in the hospital.
  4. Learn how to gang-tackle problems – the entire project team working together to quickly solve problems as issues arise – without turf battles.
ROOM D
Tuesday, September 17
10:00 AM - 11:00 AM

D01: Healthcare Providers Only Roundtable Part I

Separate Registration Required

SPEAKERS
 
Lynn Murphy
Director, Planning and Construction, Northwestern Memorial HealthCare
 
Donna Ware
Executive Director, Planning and Design, BJC HealthCare
 
David J. Vitka, R.A., M. Arch, M.B.A.
Vice President Facility Planning, Design & Construction, Catholic Health

For the second year in a row, we are offering the Healthcare Providers Only Roundtable.  The purpose of this roundtable is to create an environment for individuals employed by a hospital or healthcare system who oversee capital construction projects to gather and openly exchange ideas.

Last year we discussed the following topics: 

  • Departmental organizational structure and administration 
  • Departmental services and standards
  • Management of information
  • Professional services, contracts and project execution

This year we are looking for input from healthcare providers on topics they would like to discuss.

This session will run from 10:00 am to 12:15 pm with no break.

This session will only be open to those attendees employed by hospitals or health care systems. Information on how to sign up for this session will be sent to paid registrants who are employed by a hospital or health care system. If you have any questions please email jenabeth@jdevents.com

11:15 AM - 12:15 PM

D02: Healthcare Providers Only Roundtable Part II

Separate Registration Required

SPEAKERS
 
Lynn Murphy
Director, Planning and Construction, Northwestern Memorial HealthCare
 
Donna Ware
Executive Director, Planning and Design, BJC HealthCare
 
David J. Vitka, R.A., M. Arch, M.B.A.
Vice President Facility Planning, Design & Construction, Catholic Health

For the second year in a row, we are offering the Healthcare Providers Only Roundtable.  The purpose of this roundtable is to create an environment for individuals employed by a hospital or healthcare system who oversee capital construction projects to gather and openly exchange ideas.

Last year we discussed the following topics: 

  • Departmental organizational structure and administration 
  • Departmental services and standards
  • Management of information
  • Professional services, contracts and project execution

This year we are looking for input from healthcare providers on topics they would like to discuss.

This session will run from 10:00 am to 12:15 pm with no break.

This session will only be open to those attendees employed by hospitals or health care systems. Information on how to sign up for this session will be sent to paid registrants who are employed by a hospital or health care system. If you have any questions please email jenabeth@jdevents.com

 

1:45 PM - 2:45 PM

D03: The Owner's Notebook: AE and Contractor Selection

Open to Conference Attendees Only

SPEAKERS
Leonard Taylor
SVP Asset Planning, University of Maryland Medical System

Ever wonder how owners select their AE’s and construction partners? Come get a peek into the black box that is AE and contractor selection as practiced by the facility and construction professionals at a large health system. The session will draw from specific examples and aggregate analysis from both recent procurements, anonymized to protect the innocent and the guilty and from years of experience. Mr. Taylor will walk through the AE and contractor selection process with a focus on the information that drives their selection decision. Look for the session to answer the following questions: What is the process for making the selection? Does the process change from project to project? How and why? How do you select the “criteria?” Are the criterion ranked? If so where does the ranking come from? How are the submissions reviewed? How important is the cost? What are you really looking for? Are there some things that are “deadly?”

Learning Objectives:

  1. Gain insight into the actual process used by a large owner to select design professionals and construction partners
  2. Know what “best value” means the an owner as the basis for an award
  3. Have a better understanding of what should/should not be included in a response to an RFP
  4. Appreciate what are the attributes that distinguish a “winning” response from an “also ran” submission.
3:00 PM - 4:00 PM

D04: Inside the Mind of an Authority Having Jurisdiction (AHJ)

Open to Conference Attendees Only

SPEAKERS
Bob Dehler, PE
Engineering Manager, Minnesota Department of Health

Have you ever wondered why your authority having jurisdiction (AHJ) is so hard headed? Why do they lack feelings? This presentations will hopefully give everyone a look behind the curtain and understand how an AHJ thinks. After we discuss the thought process and understand how and why AHJ's think the way they do, we will discuss a way to break through their hard exterior and speak in terms they understand. We will end by discussing a 5 step process to justify your code interpretation to your AHJ and hopefully have them see it your way.

Learning Objectives:

  1. Gain an understanding why AHJ's think the way they do
  2. Recognize that conflict with your AHJ is good (or why it should be)
  3. Discuss why your AHJ behaves like a robot vs. a person with a brain or common sense
  4. Explain a 5 step process to justify a code interpretation to your AHJ and hopefully get them to see it your way
Wednesday, September 18
8:15 AM - 9:15 AM

D05: Home Base: Embracing High Performance Workspace in Behavioral Health

Open to Conference Attendees Only

SPEAKERS
Amy Fitzpatrick
Senior Administrative and Finance Director, Home Base
Joseph Flynn, LEED AP
Senior Project Director, Margulies Perruzzi Architects

Behavioral health institutions face challenges when aligning the human needs of patients with the professional requirements of clinicians. The mandate of privacy in counseling usually dictates a facility plan densely populated with offices, which often sit vacant due to varying office hours. To address this, Home Base, an MGH behavioral health program serving veterans with PTSD, decided to embrace a high-performance design for a new clinic. After a practice usage analysis, Home Base pursued an address-free environment that carefully separated patient/public and staff/private spaces. All therapy rooms are unassigned consult spaces for clinicians, who abandoned the private office model in favor of sharing treatment and respite areas with patients. The design provides flexible space with technology, promotes a "living room" feel, and maximizes patient privacy. This session will use Home Base as a case study for pursuing innovative workplace strategies in behavioral health environments.

Learning Objectives:

  1. Explore what clinical and administrative factors must be considered when adopting a high-performance based behavioral health center.
  2. Evaluate specific design tools that can be used to ensure security and privacy are achieved when designing a more open, flexible clinic.
  3. Understand how built-in design flexibility enables a variety of clinical and administrative functions to integrate more seamlessly.
  4. Learn how technology supports a successful user experience for both patients and staff/caregivers.
1:00 PM - 2:00 PM

D06: Be Well, Get Well, and Stay Well - The Evolution of Cancer Care

Open to Conference Attendees Only

SPEAKERS
Julie Herb
Assistant Vice President, Facilities Development, Virtua Health
 
David Jaeger, AIA, LEED AP BD+C, EDAC
Principal & Healthcare Design Studio Director, Harley Ellis Devereaux (HED)
Aran A. McCarthy, AIA NCARB
Principal, Healthcare, FCA - Francis Cauffman Architects
Sandra McCullough, RN, MBA
Director Ambulatory & Practice Development, Loyola University Health System
Michael Tan, AIA NCARB LEED AP
Associate Project Designer, FCA - Francis Cauffman Architects

Historically, cancer treatment facilities were focused on “poisoning, burning and cutting” the body. Now, with the availability of personalized therapies, new technologies, integrative approaches and better outcomes the environment of care has shifted to less institutional and more community -based settings. Additionally, the flexibility to adapt to changing science has become increasingly important in positioning for the future.

Our panel has worked closely with clinicians, patients and survivors to reimagine the paradigm of cancer care. They will discuss what they learned and will explore the design response at several facilities which include Loyola Medicine in Chicago, IL, St. Joseph Mercy Hospital in Ann Arbor, MI and Virtua’s new Samson Cancer Center in Moorestown, NJ.

LEARNING OBJECTIVES:

1. Understand the current and future changes in cancer care delivery
2. Identify the functional requirements and environmental preferences of patients, families and staff
3. Explore how the evolution of care has shaped the design response
3:00 PM - 4:00 PM

D07: Is your Emergency Department sending an SOS?

Open to Conference Attendees Only

SPEAKERS
Anthony Bucki, DNP, MSN, RN
Director of Emergency Services, Trauma Morris Hospital
 
Christopher Haedt, AIA, NCARB, LEED AP BD+C
Designer, Project Architect, DesignGroup
Regina J. Hymer, RN, DNP, CENP
VP, Patient Care Services / CNO, Norton Brownsboro Hospital
 
Angela Kolosky, AIA, NCARB, LEED AP BD+C
Project Architect/Healthcare Planner, DesignGroup

First impressions are critical and they are often formed during a patient’s trip to the Emergency Department. It’s in the Emergency Department where patients make judgements about the overall hospital’s level of care and patient experience. Yet, overcrowding, inadequate communication, a lack of patient privacy, poor pain control, and uncomfortable ED environments all continue to be issues that impact patients’ experiences of care and as a result remain areas of focus for ED leaders. So how does a system know if their current model is working and aligns with the healthcare brand and clinical goals? This in-depth presentation focuses on clinical innovation and efficiencies that are happening inside Emergency Departments at two different healthcare systems – and the architectural response to each. Important considerations to delivering care will be shared with a focus on aligning with your hospital goals while responding to the patient experience.

Learning Objectives:

  1. Learn to evaluate different operational models relative to key demographics based on your healthcare system
  2. Be able to evaluate ED models on patient-centered metrics, including door to provider time, left without being seen rate, and number of movements per patient to make the right decisions for your system.
  3. Understand the impact of the operational changes beyond the built environment and solving your ED issues may not be a “one size fits all approach”.
  4. Understand the business case for how the ED serves as the gateway to other parts of the facility, as well as how it reinforces the overall brand for the system.
4:15 PM - 5:15 PM

D08: Meeting Your Operating Room Environmental Requirements in 2020

Open to Conference Attendees Only

SPEAKERS
Francis Connelly
Assistant Executive Hospital Director, Penn Medicine, Hospital of the University of Pennsylvania
John Patten, CIPE, LEED AP
Principal, Stantec Architecture Inc.
Carl Shilling, PE, CEM
Principal / Discipline Leader, Engineering, Stantec Architecture Inc.

Our team designed a replacement AHU and relocated the unit to the rooftop from the existing location in the 2nd floor mechanical room. The structural and constructability requirements of moving the AHU to the roof created project cost challenges. We discovered the existing terminal units serving 23 ORs had issues that needed to be addressed. To adhere to the original budget, we developed 6 options to provide an understanding of existing conditions and available opportunities to modify the system to allow for code compliant operational system. We will explore how developing multiple options cannot only help resolve budget issues but also give a clearer picture of project conditions and objectives. Penn will explain how administration utilized the 6 options to make an informed decision, as well as explain how a new surgical platform coming online in '21 drove their decisions for a '18 project. Patient safety was paramount in the decision process as the project was reviewed and approved.

Learning Objectives:

  1. Developing metrics to inform Administration on pro’s and con’s of design options.
  2. Phasing of project within an existing operating platform.
  3. Meeting humidification requirements.
  4. Testing procedures during phasing conditions to meet DAAC requirements.
Thursday, September 19
8:30 AM - 9:30 AM

D09: Swimming Upstream: Redefining Healthcare through Non-Traditional Facilities

Open to Conference Attendees Only

SPEAKERS
 
Zachary Benedict
Principal, MKM architecture + design
 
Jeremy Fortier, PMP CHC LEED AP
Planning Design and Construction (PDC), Ascension - Medxcel
 
Matt Sparling, AIA, LEED AP
Principal, MKM architecture + design

Less than twenty percent of population health drivers are a result of clinical care or our genetic makeup. The remaining determinants result from the socio-economic factors that frame our everyday lives. In order to impact health and well-being beyond the limitations of conventional healthcare strategies, facility design will need to focus their efforts more upstream - taking a more innovative look at how they can engage the communities they serve in new and sustainable ways. This presentation will outline empirical research on the impact nontraditional care settings can have on clinical outcomes (e.g., public libraries, cafés) and describe their ability to supplement population health management strategies. Facility administrators and architects will share some best practices in envisioning these nontraditional settings as well as share a case study illustrating Ascension Health’s partnership with Kroger grocery stores to provide preventive care to marginalized populations.

Learning Objectives:

  1. Outline the factors that define social determinants of health and explain the need for healthcare providers to consider effective upstream solutions.
  2. Present research assessing the impact nontraditional care settings can have on population health management (esp. in rural communities).
  3. Discuss the unique strategies Ascension Health is pursuing (i.e., Kroger grocery store) to broaden their capacity to impact community health.
  4. Define best practices for the planning, design, and operation of effective nontraditional care settings and their impact on facility management.
9:45 AM - 10:45 AM

D10: Informing Best Practice for NICU Design

Open to Conference Attendees Only

SPEAKERS
Jennifer Christmann FACHE
Director of Facilities Planning & Development, University of Kentucky Healthcare
Thomas M. Gormley, AIA, NCARB, LEED AP
Principal, GBBN Architects, Inc.
 
Rebecca Kleinbaum Sanders AIA
Project Principal, HGA
Mark Reckin
Senior Medical Planner, HGA

Neonatal Intensive Care Units (NICU) contain some of the most vulnerable patient populations. Many NICU babies have little ability to regulate their bodily systems, heightening the importance of their immediate environment in their development. Support for this fragile patient population is not limited to their physical and cognitive needs, but also extends to their families and caregivers. This presentation will focus on the design process of moving from a 48 open-bay to a 70 private-room NICU. Typical design stages were enhanced with the voice of the customer, evidence-based design, extreme schemes, and finally a pre/post research study. This presentation discusses findings related to the design. Careful attention was paid to lighting, acoustics and design elements that support neonatal needs, family needs, and staff work environment. Presenters include the facilities director and three design team members, who will share their lessons learned from this collaborative design project.

Learning Objectives:

  1. Learn how design can address the special needs of NICU babies, their family members and NICU staff.
  2. Understand how to enhance the design process with research.
  3. Discuss the challenges of moving from a 48 open-bay to 70 private-room NICU design.
  4. State lessons learned of a large reconstruction project, including results of the post-occupancy evaluation.
ROOM E
Tuesday, September 17
10:00 AM - 11:00 AM

E01: Lessons From The Country's Most Energy Efficient New Hospitals

Open to Conference Attendees Only

SPEAKERS
David Sine
Retired Chief Risk Officer, Department of Veterans Affairs

Philosophically, codes are attempts to enforce a risk-management calculation across all situations. That is, code-writers attempt to assess risks and benefits of certain practices, and, in a line-drawing process, establish risk levels that they mandate across all installations. But, such processes necessarily ignore the situations of particular installations, inevitably over-spending in order to achieve universal compliance. Cautious AHJs, unversed in risk management processes, tend to frown upon variations, regardless of particular risks. And, more and more codes are beginning to experiment with explicit requirements for risk analysis, and crafting alternate compliance pathways, as the authors become more and more aware of the over-caution that can creep into the code-making process. This session will examine various trends for crafting better codes using a more explicit risk management process.

Learning Objectives:

  1. Learn how the “philosophy” of code development inherently substitutes itself for a particularized risk assessment.
  2. Learn how a dynamic risk management process, properly applied can produce better outcomes as compared to a one-size fits all code process.
  3. Learn how the codes are beginning to implement risk-analysis into their requirements.
  4. Learn how to apply a risk-management process in design, and not worry about liability.
11:15 AM - 12:15 PM

E02: Health Care Facility Security - How to lock the doors.

Open to Conference Attendees Only

SPEAKERS
 
Michael A. Crowley, PE, FSFPE, FASHE
VP Industry Relations, Jensen Hughes

Health care occupancies have always needed special locking arrangements for the clinical needs of patients. The security needs of the patients are also important. Over the past cycles of NFPA 101 and the International Building Code, have made allowances for securing doors within a health care facility. These secured doors address crowd control, infection control, civil unrest, contamination, elopement, potential abduction, active shooter / hostile event and general safety. This presentation will address how to secure the hospital doors and comply with the Codes. NFPA 3000 is a new Standard for Active SHooter /Hostile event response. The impact on hospitals and operations will be discussed.

Learning Objectives:

  1. Recognize the acceptable methods for locking doors in health care facilities
  2. Observe other egress issues created by locking doors
  3. Assess the need to secure doors in both directions.
  4. State the general application of NFPA 3000 in the health care facility.
1:45 PM - 2:45 PM

E03: Late Breaking Session

Open to Conference Attendees Only

Please check back in late April for this session to be announced.
3:00 PM - 4:00 PM

E04: Late Breaking Session

Open to Conference Attendees Only

Please check back in late April 2019 when this session will be announced.
Wednesday, September 18
8:15 AM - 9:15 AM

E05: Cedars Sinai Surgical Expansion - An Operational and Physical Solution

Open to Conference Attendees Only

SPEAKERS
Sean Collins, AIA, LEED AP
Executive Director, Facilities Planning, Design and Construction, CEDARS-SINAI
Kevin McCausland
Associate Principal, CO Architects
Parini Mehta, AIA, LEED AP
Associate Principal CO Architects, CO Architects
Eyal Perchik, AIA, ACHA, DBIA
Principal, CO Architects

In 2016 Cedars Sinai began implementation of an ambitious Surgical Master Plan. The critical first step was the consolidation and expansion of their outpatient surgery program from 8 OR’s to 23 OR’s in the recently completed Advanced Health Science Pavilion (AHSP). Challenges included fitting the program for 15-OR’s on a floor designed to support 12, an already stressed vertical transportations system, a fragmented sterile processing operation and the accepted notion that larger OR’s were needed. The project’s success required both an operational and a physical solution. The planning team utilized lean process improvement exercises targeting patient, staff and material flows that led to new operational models. Innovative solutions include a “modified” clean core concept, and “right-sized,” universal operating rooms. Virtual reality, physical mock-ups and surgical simulations were the interactive tools used in the design process to gain the trust buy-in from key stakeholders.

Learning Objectives:

  1. Illustrate how a projects success ultimately depends on a on a clear strategic, but flexible master plan.
  2. Learn how focused and targeted lean process improvement strategies can positively impact operations and patient safety.
  3. Define the functional, operational, technological and physical requirements necessary for the design of a universal operating room.
  4. Demonstrate how virtual reality, mock-ups and simulations can be used as experiential tools to help the end user make informed decisions.
1:00 PM - 2:00 PM

E06: Planning for Future Technology while living in the Present

Open to Conference Attendees Only

SPEAKERS
Stuart Baur
Associate Principal, PAYETTE Architects
Sarah Holton, AIA, LEED AP, CLSS
Manager of Space Planning and Drawing Controls, Beth Israel Deaconess Medical Center Facilities Planning Design & Construction
Peter O'Connor
Associate Principal, Director of Technology Design, Hoefer Wysocki

As a Hub of Patient Care, BIDMC’s new inpatient building incorporates the expansion of hospital departments in the adjacent Rosenberg Building, while allowing it to remain in operation throughout construction. The new building is designed to seamlessly expand and enhance the existing programs on the perioperative and radiology floors while providing a new state-of-the-art 158 single patient room bed tower. Public corridors and spaces tie the new inpatient building into the existing campus-wide circulation system, allowing it to serve as a new hub of advanced patient care that will benefit patients and families hospital-wide. As the New Inpatient Building is the first major construction project in nearly 20 years for BIDMC, this session focuses on the challenges of planning for and implementing technologies designed to create a state-of-the art experience while navigating the challenges of an existing technology ecosystem, and culture within an existing campus environment.

Learning Objectives:

  1. Learn how to develop an overarching technology theme that sets the tone for all downstream decisions and how to use it as sounding board during design
  2. Understand the technological, process and financial ripple effects that affect not only the project but also the campus technological ecosystem.
  3. Creating a complete structure and process to facilitate informed decision making and collaboration between users and stakeholders.
  4. Develop an enabling strategy for technologies that will not be deployed day 1.

 

3:00 PM - 4:00 PM

E07: The Impact of Big Data and Blockchain on Project Delivery in Healthcare

Open to Conference Attendees Only

MODERATOR
 
Lisa Feeley
Vice President of Healthcare Advisory Project Management & Construction Services, Transwestern
SPEAKERS
 
Dick Escue
CIO/Innovation Leader and Technology Executive, Healthcare Expertise
 
Jason Lee
Partner, E4H Architects
 
Daina Pitzenberger
Senior Vice President, Transwestern
Denton Wilson
VP Planning, Design, and Construction, Atrium Health

Blockchain is frequently mentioned as a technology that will absolutely impact healthcare but it appears to be in its infancy and many people feel it is really geared toward Electronic Medical Records only. This session will bring together experts in Blockchain, Planning Construction & Design, and AEC to discuss what they believe is coming for the benefits of Blockchain in impacting how we will deliver healthcare projects for hospitals and outlying facilities. Blockchain, while still in the early stages, we believe, will ramp up much quicker than anticipated. There will be definite benefits of being an early adopter when it comes to trying to secure rapid process optimization, efficiencies, cost savings, etc. in healthcare projects. Can we deliver a perfect project - early, under budget and have a great experience? Maybe not perfect, but with blockchain and Lean Construction, we believe the formula is out there to get us really close!

Learning Objectives:

  1. Learn about the newest potential uses of blockchain in healthcare
  2. Understand how some of these uses can positively impact how we deliver healthcare projects in facilities & planning construction & design
  3. Gain new perspectives on how combining Blockchain technology with Lean Construction methods can lead to realizing expansive cost and time savings
  4. From thought leaders in AEC and Blockchain, hear about leading edge ideas on the ways to integrate blockchain in facilities and PDC procurement.
4:15 PM - 5:15 PM

E08: A Look Inside of America's Newest Biocontainment Patient Unit

Open to Conference Attendees Only

SPEAKERS
Chad Connally BSN, RN, CEN
Biocontainment & Emergency Management Program Manager, University of Texas Medical Branch - Galveston
Greg Johnson, AIA LEED AP
Partner, Project Lead Planner, PhiloWilke Partnership
Don Marshall
Project Director, The Walsh Group - Archer Western

This case study will focus on the efficient design and construction of one of the largest treatment centers for infectious disease in the U.S. The University of Texas Medical Branch Galveston's new 6-Bed Bio-Containment Critical Care Unit serves as a multi-functional patient care space that is equipped to treat patients with the most highly contagious diseases. Presenters will outline the unique parameters of caring for patients affected by special pathogens, such as Ebola, and planning, design and construction considerations that were taken to create a healing environment that is safe, functional and comfortable. If you are involved in health care or looking for insight designing sensitive healing environments, this is the session for you.

Learning Objectives:

  1. Understanding the unique considerations associated with the treatment of highly infectious diseases.
  2. Guiding principles for programming a unit for treatment.
  3. Integrating the Bio-Containment Unit with the Emergency Department
  4. Realities of the project design and construction for UTMB.
Thursday, September 19
8:30 AM - 9:30 AM

E09: Rebuilding Rural Healthcare

Open to Conference Attendees Only

SPEAKERS
Jim Albert, AIA, ACHA, LEED AP
Principal, Hord Coplan Macht, Inc.
Michael Erickson, MS, MBA, CHFM
Vice President Facilities and Construction, MidMichigan Health
Ray Stover, MSHAL
President of MidMichigan Medical Centers in Clare and Gladwin, MidMichigan Health

Since 2005 more than 120 rural hospitals have closed, with more than 200 others showing a significant financial risk to close in the near future. Moving against that trend, MidMichigan Health has acquired two at-risk hospitals in recent years and made strategic investments to revitalize them within their local communities. This session will study why MidMichigan Health acquired these hospitals, and how they are deciding which investments to make throughout their five rural hospitals. We will share our hospital facility master plans that demonstrate future service line projections, and tools to evaluate what investments to make. These plans prioritize revenue generating space, and flexibility and evaluate renovating a rural hospital in place versus completely replacing the facility. Finally, we will demonstrate the tangible benefits these hospitals provide to their local communities, and the importance of keeping full-service acute care hospitals close to where people live.

Learning Objectives:

  1. Understand the external challenges that rural hospitals face.
  2. Demonstrate the patient and community benefits of keeping rural hospitals open.
  3. Evaluate the types of capital investments that are most likely to support long-term success.
  4. Learn how to maximize the impact of new construction projects.
9:45 AM - 10:45 AM

E10: The First VA Healthcare Facility Project Under the C.H.I.P.I.N. for Veterans Act

Open to Conference Attendees Only

SPEAKERS
 
John Andrews AIA, NCARB
Vice President, Senior Project Manager, Leo A Daly
 
Jeff Monzu AIA, NCARB
Vice President, Senior Project Manager, LEO A DALY
Todd Sanders, CFM
Director, U.S. Department of Veterans Affairs

With a co-presenter from the Veterans Administration in Chicago, this session will examine how private-healthcare design processes can influence a VA medical project. Presenters will illuminate outcomes from a trailblazing VA Ambulatory Care Center project in Omaha, Nebraska, expected to open in mid 2020. Its $86 million price tag saves taxpayers roughly $30 million by using donations from the non-profit Veterans Ambulatory Center Development Corporation (VACDC), but the donations came with conditions. The benefactor prescribed innovative delivery, which encouraged congress to pass the new law. The law’s title stands for Communities Helping Invest through Property and Improvements Needed for Veterans Act of 2016. It paved the way for Veterans Administration hospitals to take advantage of the technical and economic innovations commonly used in private-sector projects, including performance specifications, modern QA/QC processes, and strategic partnerships.

Learning Objectives:

  1. Compare and contrast timelines and outcomes between traditional VA healthcare projects and the new VA Omaha Ambulatory Care Center
  2. Understand events leading congress to pass the “CHIP IN for Vets Act”
  3. Differentiate between what the law does and does not allow.
  4. Apply lessons learned when partnering with the VA and private entities on projects.
ROOM F
Tuesday, September 17
10:00 AM - 11:00 AM

F01: How modular technology & design will shape commercial construction in 2020

Open to Conference Attendees Only

SPEAKERS
 
Brad Earl, AIA
Managing Principal, NELSON
Grant Geiger
Founder & CEO, EIR Healthcare
Mauri Lawler
Chief Clinical Officer, EIR Healthcare

The construction industry is the one of the only parts of the economy that haven't improved it’s productivity in over 50 years. With a rapidly aging population, we are at a critical time for innovation in healthcare construction. Healthcare construction is one of the most expensive capital project undertakings for a hospital. With the national average between $400/square foot and $1000/square foot in some locations, it is time for change in the industry. The healthcare constructionindustry is finally looking elsewhere and taking a page from industrial engineering, looking for ways to shorten development times, cost, and control. Grant will dive into the hospital construction industry and the “perfect storm” of factors that keep innovation slowly crawling. He will discuss different ways to speed up innovation in healthcare design and construction, including pre-fab manufacturing and modular design. These innovations will allow hospitals to be able to open quicker, recognize revenue faster and provide state of the art facilities while improving the patient experience.

Learning Objectives:

  1. To educate people on modular technology in the building and design sector of the healthcare industry.

  2. To explore the plethora of benefits that modular technology offers in terms of construction, cost efficiency, and patient experience.

  3. To explain the trajectory of the healthcare industry, what changes are occurring, and what we can expect in the future.

  4. To explore innovation in the healthcare sector and envision what the average hospital experience will be like 30 years from now.

11:15 AM - 12:15 PM

F02: Capital Planning - Anticipating Project Cost

Open to Conference Attendees Only

SPEAKERS
Dana Klinepeter
Director Capital Projects Planning, Penn Medicine Lancaster General Health
Nicole Morson
Associate, NORR

Delivering a project on time and in budget is a challenge for all. However, we don’t want to simply deliver projects on time and in budget. We want to deliver excellent projects which support clinicians, patients and visitors with maximum impact. At the onset of project planning, when little is truly known about the potential project, hospital administrators and facilities management leaders are tasked with estimating the capital and resources required to fund these potential projects. If the anticipated project cost is not in alignment with the actual project cost, there are repercussions. So how do we better anticipate cost and create a capital request framework which sets our project delivery teams up for success? This session will discuss pros and cons of various capital improvement allocation processes. Then dive into how benchmarking, design standards, and lean collaboration can set projects up for successful delivery and design excellence.

 

Learning Objectives:

1.  Evaluate different in place capital improvement request processes.
2.  Review effective means of quickly scoping projects beyond the data submitted within the capital request.
3.  Learn about effective benchmarks for clinical environments: geography, existing infrastructure, project type, standards, cost per square foot, etc.
4.  Review how lean processes and multi-disciplinary collaboration can lead to more accurate cost estimating.

1:45 PM - 2:45 PM

F03: The Need to be Nimble: Building Activation and Transition Tools

Open to Conference Attendees Only

SPEAKERS
 
Roxanne Butler, MSOD, BSN, RNC
Clinical Manager, Blue Cottage of Cannon Design, Inc.
 
Julia Ingram Fetzer, MBA
Chief Operating Officer, Blue Cottage of Cannon Design

Transitioning to a new hospital is one of the most monumental efforts an organization will undertake. Significant effort is made to ensure the facility can open on time and under budget with minimal impacts to existing operations. Due to compressed schedules, organizations often need to fast track new building activation measures. This timeline can be challenged further with multiple building opening on a similar timeline. This session will illustrate how one organization decided to fast track new building activation utilizing key tools and standard processes. MSMC partnered with Blue Cottage to share lessons from the opening of their freestanding ED in Hialeah, FL, followed by the activation of the new Skolnick Surgical Tower in Miami Beach. This was done with a focus on standardization, coordinated training, and shared operational user groups. The results were cross-trained staff that were informed about their workflows and ready to work in both locations upon opening.

Learning Objectives:

  1. Evaluate a model of integrated building activation and staff training efforts to ensure successful staff training before the transition to facilities
  2. Assess tools and processes to successfully fast track a facility activation with minimal impacts to operations
  3. Summarize key lessons learned from activating two new facilities within six months with shared staff
  4. Provide a framework for project teams to be both effective and flexible in building activation efforts while not sacrificing training or patient care
3:00 PM - 4:00 PM

F04: Data, Metrics and Sessions Mapping: Analysis for a Multi-Specialty Clinic

Open to Conference Attendees Only

SPEAKERS
Jason Harper, AIA, LEED AP
Principal, Principal Perkins Eastman
Manjiri Paprikar AIA, LEED AP
Associate, Healthcare Planner, Perkins Eastman
Ramon Rodriguez
President and CEO, Wyckoff Heights Medical Center

With escalating healthcare operating and capital costs, facilities are seeking profitable strategies to improve scheduling efficiency and room utilization by restructuring process, flow and operations while providing quality healthcare services. This session will examine a planned outpatient clinic reconfiguration at Wyckoff Heights Medical Center in Brooklyn, NY to uncover the relationship between space allocation and need projections for multiple clinical specialty groups sharing a large group practice. The speakers will demonstrate their explorations in quantitative analysis of clinical volume data, in order to understand the relationships between utilization, scheduling, and sessional mapping, and their application to space programming and planning. They will discuss how these methods measured and balanced complex needs between multiple specialty practices and helped leadership strategize to achieve greater efficiencies, operational advantage, and improved outcomes.

Learning Objectives:

  1. Become familiar with concepts of quantitative data analysis, growth projections, utilization rates, and sessional mapping.
  2. Review methodology and applications utilized for a multi-specialty outpatient clinic and how it can be applied to other clinical settings.
  3. Summarize analytical results to demonstrate future utilization,capacity and efficiencies of shared use of clinical exam modules on a sessional basis.
  4. Understand how programmers and planners can aid healthcare institutions to create a more efficient and stronger financial operating model.
Wednesday, September 18
8:15 AM - 9:15 AM

F05: How Much Escalation is Enough?

Open to Conference Attendees Only

SPEAKERS
 
Patrick M. Casey
Executive Director – Facilities Operations, Planning & Real Estate, University of Mississippi Medical Center
 
Eric Gunn
Chief Preconstruction Manager, Brasfield & Gorrie L.L.C
 
Bradley Pollitt, AIA
Vice President, Facilities, UF Health Shands Hospital
Rania Sadrack
Principal/Director of National Healthcare Strategy, TLC Engineering Solutions

One of the most difficult parts of determining a budget for a project is determining how much escalation to apply to the cost estimate. The construction industry has recently seen a rapid escalation in pricing, plus challenges concerning supply and demand for the required goods or services. The panelists will share a number of factors driving escalation in their region as well as challenges they are facing with limited resources. This panel discussion will explore the various ways of coping with these challenges.

Learning Objectives:

  1. Understand the number of factors driving project cost escalation
  2. Better understand the factors contributing to the limited resources needed for projects
  3. Understand how to provide better cost estimates of construction projects
  4. Learn various methods of coping with the challenges of project cost escalation and limited resources
1:00 PM - 2:00 PM

F06: Adapting Workplace Strategies in Non-Clinical Healthcare Environments

Open to Conference Attendees Only

SPEAKERS
 
Emily Bateman
Project Manager, Perkins+Will
 
Joe Connell
Design Principal, Perkins+Will
Tricia Smith
Program Manager, Space Allocation for Northwestern Memorial HealthCare
 
Christine Strom
Project Manager, Northwestern Medicine

Changes in employee composition and changing professional styles translate into specific workplace expectations. Contemporary business models now emphasize diverse professional skills, flexible work schedules and greater social responsibility within the workplace. Healthcare administrations, who have traditionally worked in discrete office units, now employ staff who prioritize job diversification, technological connectivity and mobility. A key challenge for healthcare leaders, therefore, is balancing the needs and expectations of diverse employee types, while maximizing workplace productivity and retention. This session will focus on implementing a successful workplace strategy by addressing specific spatial, programmatic, and social needs, to reconfigure office space while maximizing employee productivity and retention. Strategies include documenting goals, evaluating current functions and best practices, providing recommendations and creating a business case for each recommendation.

Learning Objectives:

  1. Discuss the emergence of leading workplace strategies in non-clinical healthcare environments.
  2. Learn tools, methods and processes to better align work and culture in the organization.
  3. Review trends and themes effecting workplaces in non-clinical healthcare environments.
  4. Learn from an owner’s perspective how workplace trends effected their culture.
3:00 PM - 4:00 PM

F07: Reimagining Lean Design - Process Neutral Looks to the Future at MetroHealth

Open to Conference Attendees Only

SPEAKERS
 
Mark Bultman
Vice President/Healthcare Principal, HGA
Walter Jones, Jr., AIA, LEED, EDAC
Senior Vice President, Campus Transformation, The MetroHealth System
 
Kurt Spiering FAIA, ACHA
Vice President/Healthcare Principal, HGA
 
Terri Zborowsky, PhD, EDAC
Research Specialist, HGA

Traditionally, Lean seeks to eliminate waste and optimize operations. Applying Lean, MetroHealth in Cleveland developed an innovative “process neutral” approach for its Campus Transformation that anticipates changes in technology and care delivery, now and in the future. To achieve process neutral goals, MetroHealth and HGA formed an Innovation Team focused on Lean operational improvement, space optimization, evidence-based design, environmental sociology, and technology. Through pre-design workshops, the team rethought everything about flexibility in space and operations. This included new care delivery methods and processes, eliminating over-specialized spaces, and looking for synergies between clinical areas and operations to think universally. This session focuses on the I-Team’s Lean, process-neutral approach to achieve outcomes aligned to organizational values, as illustrated through several design challenges and solutions for the new campus—a gift to the community.

Learning Objectives:

  1. Understand how to apply Lean to plan for operational efficiency now and in the future.
  2. Leverage “Process Neutral” to increase your capital investment value.
  3. Develop your own Innovation Team to create cost-effective flexibility.
  4. Preview the planning outcomes that fulfills the promise to the community with an elegant, cost-effective, sustainable, and patient-focused hospital and Campus Transformation.
4:15 PM - 5:15 PM

F08: Rebuilding an Ambulatory Care Network: The Results of Starting from Scratch

Open to Conference Attendees Only

SPEAKERS
 
John Duggan
Vice President Real Estate Operations, Reliant Medical Group Inc.
Michael Gerhardt
Vice President L, Leggat McCall Properties LLC
Richard Pizzi, AIA
CEO, Healthcare Studio Leader, Lavallee Brensinger Architects
Danielle Santos, AIA, EDAC, LEED AP
Principal, Principal Lavallee Brensinger Architects

The Reliant Medical Group embarked on an ambitious patient care transformation project to evaluate and change its healthcare delivery system and develop facilities to support this new care model. This presentation will share the results of creating over 400,000 square feet of space across 9 locations to support 14 ambulatory practices in a new, innovative care model in 36 months. Team members will share their implemented process and approach, how they addressed site selection, the effective use of a multifaceted prototype tied to a dynamic project cost model, and how they dealt with unforeseen challenges along the way. Resulting construction projects include both ground-up new construction and adaptive reuse of nontraditional healthcare structures, specifically retail locations. Locations across Central Massachusetts include: Auburn, Holden, Leominster, Milford, Shrewsbury, Webster, Westborough, and Worcester.

Learning Objectives:

  1. Evaluate innovative, flexible ambulatory care planning models and state-of-the art systems.
  2. Obtain a multifaceted prototype to evaluate multiple locations and critical financial and site/building due diligence considerations.
  3. Identify the economic, operational, and organizational brand opportunities typically achieved on a large project.
  4. Hear lessons learned from integrating stakeholders, transforming traditional retail space, and staggering occupancy across multiple sites & practices.
ROOM G
Tuesday, September 17
10:00 AM - 11:00 AM

G01: Outside/In and Inside/Out

Open to Conference Attendees Only

SPEAKER

Discovering the Opportunity of the Conventional Healthcare Design Problem and the Metaphysical/Historic Human Problem

Participants will use stories, sketching, discussion, and exercises to deeply explore the possibilities inherent in the ‘Form and/or Function dialogue’.  A challenging building type, the psychiatric hospital, will be set upon a virtual autopsy table for the purpose of: (1) learning about why we tend to approach problems with a focus that blocks our ability to achieve integrated and (w)holistic design; and (2) how to engage, explore, and overcome the false dualities of ‘form versus function’ or ‘Outside/In and Inside/Out’ thinking.  Participants will help the Program Facilitator re-navigate a case study as a way of improving his own generative capabilities as well as those of the participants. (PS: Even if you have never designed a psychiatric hospital, and/or anticipate that you never will, you are welcomed to attend this session - its program will be a valuable learning experience for everyone who attends).

LEARNING OUTCOMES:
1. Participants will explore and learn about how psychiatric hospitals have historically been formed; both in terms of their outward appearances and their internal dynamics. 
 
2. Participants will learn about many of the design and planning drivers that are weighed, balanced, and accommodated in the design of a successful mental health project.

3. Participants will sharpen their own thinking about how to balance internal and external forces in planning and design.        

4. Participants will learn to see the possibilities inherent in themselves and their teams that can lead to the development of a more generative outlook, a more generative workspace, and more generative projects.
11:15 AM - 12:15 PM

G02: Pinking the Pendulum: Progressing a New Future for Healthcare

Open to Conference Attendees Only

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

There is a Diva in our midst: Behold her, a Queen no less than any other – set in time immemorial, a mythical creator whose legend is increasing in its significance today.  She is the unquestioned ruler of our planet, embracing the plant, animal, and human kingdoms with an exalted presence.  Indeed, we owe our life - here on earth - to her.  

 

She is the Great Mother, our very own Mother Nature – however, she is displeased: our existence no longer seems to be unconditionally supported on her once bountiful earth.  She had high hopes that humans, encouraged through their intelligence, enhanced through evolution, might magnanimously solve earthly dilemmas once and for all.  But abuse has become a way of life - against women in particular, acutely mirrored by exploitation of the homeland. 

 

We all fear this downward spiral, and yet measure our daily lives in incremental duties and accomplishments with barely a pause for our futures.  We forfeit the resolve for our children and their children to have the same opportunities we have experienced, forgetting that the fate of daughters and the very earth is one of abuse.  Our Diva wonders why women have attained so little status over the millennia – perceiving this failing as an untapped advantage and a dishonour to the balancing principles in nature.

 

Advocating for women does not infer an intention to disregard or, indeed, marginalize men.  This would be an unworkable imbalance, flying in the face of the disequilibrium we strive to correct.   Recognizing women as major contributors in society would begin a healthy rebalancing of masculine and feminine attributes, innate and important in all of us.

 

The built environment has played its part – often of abusive arrogance.  Our potential to make amends to the Diva have been thwarted by the marginalization of feminine contributions.  Nevertheless, our built environment can become a worthy catalyst and an integrated agent toward a new paradigm.  As architects and citizens, we have an enormous responsibility to reform our established ways.  Crucially, this reform must involve engaging the perspectives of women toward collective contributions to influence the powerful pervasiveness of how we formulate our built environment.  

 

Today, we have an unprecedented opportunity to get it right.  We can liberate the proverbial pendulum to find its true center and, in our doing so, rebalance the asymmetry of our current trajectory.  The Diva deserves a heartfelt response.

 

This presentation is an overt ‘call to action’.  Susan Black will engage, challenge, and inspire attendees to transform the future of healthcare design to consistently be more balanced, generative, and ‘on purpose’.  Susan will draw upon her decades of professional experience, as well as specific project exemplars, to demonstrate the practical benefits of realizing this vision.  All are welcome to participate.   

LEARNING OBJECTIVES:
 

  1. Learn principles for redressing the disconnect between humans and nature by examining the histories of prehistoric societies and their built environments.
  1. Consider the question of: How much time do we really have to make amends to Mother Nature?
  1. Learn key facts from the disciplines of neuroscience and brain research about men and women, and explore how these can be translated into more generative approaches to formulating our built environments.
  1. Learn how feminine principles, incorporated in the built environment, can support wellbeing, allay chronic suffering, increase flourishing, and meet the unique needs of women – while considering the larger question of: Whether a more balanced built environment can better contribute to world peace?
1:45 PM - 2:45 PM

G03: Generative Space Award Presentation

Open to Conference Attendees Only

SPEAKERS
 
Jessica Gutierrez-Rodriguez
Hospital CEO, Texas Center for Infectious Disease

This program has three elements: (1) a brief overview of the innovative, research-based design concept of ‘Generative Space’ by Jessica Gutierrez-Rodriguez, a Hospital CEO and practitioner of Generative Space; (2) a presentation by the recipients of the newly-announced 2019 Generative Space Award, highlighting those aspects of the design that are actively generative; and (3) time for detailed attendee questions and discussion about the design and its merits.

LEARNING OBJECTIVES:

1. Learn how ‘action research’ can be applied to healthcare design projects
2. Understand how to make systemic and sustainable improvements with generative space
3. Explore how generative space can improve lives, organizations, and communities
4. Understand how to make an award-winning submittal to the ‘Generative Space Award’
5. Learn how to design more caring environments with Generative Space

3:00 PM - 4:00 PM

G04: Last Building Standing: Advancing Climate Resiliency for Healthcare Design

Open to Conference Attendees Only

SPEAKERS
Margot Hartmann
President & CEO, Nantucket Cottage Hospital
Brian McKenna, AIA, NCARB, LEED AP
Boston Health Market Leader, CannonDesign
Dennis Patnaude
Facilities Director, Nantucket Cottage Hospital
 
Jocelyn Stroupe, ASID, CHID, EDAC, IIDA
Director of Healthcare Interiors, CannonDesign

Located 30 miles from mainland, residents of Nantucket Island embrace resiliency as a cultural norm. The unique challenges they face influence their attitude about design and buildings - and the new Nantucket Cottage Hospital (NCH) is tangible evidence. Given its location, NCH must regularly deal with inclement weather. The new 120,000-sf hospital is designed to withstand potentially catastrophic conditions and provide all necessary services to serve as a safe haven while “off-the-grid” when weather cuts off mainland access. Engineered be the “last building standing,” NCH is transforming the patient experience and increasing access to providers, while integrating artifacts from the site and simplicity of design Its commitment to environmental sustainability – Partners Healthcare as a founding member of the Healthier Hospitals Initiative with NCH targeting LEED for Healthcare v4 – provides resiliency for future generations and serves as a model for other critical access hospitals.

Learning Objectives:

  1. Understand leading-edge principles for resilient healthcare design rooted in operational and planning standards that reflect a client’s unique culture and context
  2. Review different climate, weather, power and business occurrences that can endanger a health facility’s ability to function and remain operable
  3. Demonstrate how research and data, forecasting and predictive analytics can inform future resilient design projects
  4. Takeaway best practices to inform high-level resilient design for healthcare projects across the country
Wednesday, September 18
8:15 AM - 9:15 AM

G05: Creating New Active Learning Spaces At Rush University From Thin Air

Open to Conference Attendees Only

SPEAKERS
Cheston Brauer, MBA
Chief of Staff, Rush University
Dominick Demonica, AIA, LEED AP
Principal | Director of Higher Education, Demonica Kemper Architects
Burcu Kuscu
Project Manager, Jacobs

To address the need for additional learning space at Rush University, multiple options were evaluated on and off campus. With the majority of existing space already at capacity, and short of building new construction, the evaluation team was forced to “create” new space within an existing structure to meet the program needs. This was accomplished by identifying an existing two-story volume connecting the fourth and fifth floors in the heart of the university’s academic building and filling it in while the rest of the building remained operational. This transformative project involved the development of a highly flexible, engaging, active learning environment on campus, which represents a completely new pedagogy for the university. As a result, the project was faced with multiple design challenges as well as logistical challenges during construction. This session will describe these challenges and discuss how the solutions led to a highly successful project that will change the way instruction is delivered for years to come.

Learning Objectives:

  1. Analyze the creation of previously non-existent space within a fully occupied facility
  2. Define the design criteria for the development of active learning space within an existing structure
  3. Review logistical issues associated with the construction of new learning space within a fully operational facility
  4. Recognize the challenges of adopting a new learning pedagogy on campus and manage this change
1:00 PM - 2:00 PM

G06: Design and the Spirit of Place III

Open to Conference Attendees Only

SPEAKER
 
Renee Kemp Rotan
Master Planner,/Urban Designer; CEO, studiorotan

‘Spirit of Place’ is the third ‘chapter’ in an ongoing series of annual Symposium programs that explore design, spirit of place, and health as inseparable from the healing process. This year’s presentation will: (1) Examine various world spiritual beliefs; (2) Explore the impact of these beliefs on the design of the world’s most sacred places. (3) Investigate spiritual principles and environments that affect the healing process; (4) Provide interactive discussion about kinesthetic principles that influence “how we feel, act and behave” in time, space and architecture; (5) Explore principles of design that make environments more magical; (6) Acknowledge the purposeful nature of well-designed places that nurture the spirit and heal; and (7) Offer stimulating audience discussion to further explore this rare approach to design. Participating in previous years’ programs is not a requirement for participation in this year’s.

LEARNING OUTCOMES:                                   
1.  Examining various world spiritual beliefs and the sacred places designed by these beliefs.
2.  Acknowledging impact of architecture on mental, physical, spiritual health. 
3.  Becoming exposed to research on design, cultural competence, and social impact.
4.  Becoming aware of the symbiotic relationship between design, health and spirit of place. 
3:00 PM - 4:00 PM

G07: Late Breaking Session

Open to Conference Attendees Only

Please check back in early May 2019 when this conference session will be announced.
4:15 PM - 5:15 PM

G08: Late Breaking Session

Open to Conference Attendees Only

Please check back in early May 2019 when this conference session will be announced.
SESSION FOCUS AREAS: = Generative Space = NOAH