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Keith Deline Director Region 10

Keith Deline Director Region 10. Mission: Optimize the Health Care Physical Environment. Strategic Goals: Regulation , Reputation , and Capacity. Strategic Imperative: Unified Code. Strategic Imperative: Succession Planning. Strategic Imperative: Commissioning. Strategic Imperative:

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Keith Deline Director Region 10

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  1. Keith Deline Director Region 10

  2. Mission: Optimize the Health Care Physical Environment Strategic Goals: Regulation,Reputation, and Capacity Strategic Imperative: Unified Code Strategic Imperative: Succession Planning Strategic Imperative: Commissioning Strategic Imperative: Value of Membership

  3. Strategic Goal: Regulation Regulation: Our members will work in a regulatory environment characterized by: • Good science • Defensible economics • Informed policy-making • Clear decision authority • Representation: • National • Regional • State

  4. Who Regulates Hospitals? Source: American Hospital Association http://www.aha.org/aha/trendwatch/2011/11mar-tw-costofcaring.pdf

  5. Poor Codes Cost Money without Improving Safety • $6 billion a year wasted in operational costs because of unnecessary codes and standards • $10 billion a year wasted in capital costs because of unnecessary codes and standards • Small things could have a profound effect nationwide • $50 perUS citizen per year

  6. Adoption of Unified Codes • Working on long term plan to develop a unified set of recommended codes for adoption • Objectives • Improve quality and increase access to healthcare using cost savings from conflicting, unnecessary and costly codes and regulations with little ROI • With unified voice, backed by identified values, leading the change to national codes.

  7. Communication of Regulatory Issues • ASHE learns about local issues from chapter advocacy liaisons • Advocacy liaisons learn about national issues from ASHE www.ashe.org/advocacyhighway

  8. Advocacy Liaisons • Advocacy leaders can help – but they have to know about the problem. • Communications through the Advocacy Highway are critical. • Advocacy Liaisons or Chapter Presidents must attend quarterly conference calls

  9. OPPORTUNITIES FOR ACTION/INVOLVEMENT NFPA ICC ASHRAE ASCE ASHE Committee Action Plans Many Others! www.ashe.org/volunteer

  10. NFPA •Plan now for NFPA’s 2017 Annual Conference and Expo •Vote on 2018 NFPA 101 and NFPA 99 •Chapter can subsidize attendance •VSHE sponsored several members

  11. ICC UPDATE •Final public code hearings for the 2015 International Green Construction Code (IgCC) •October 1 – 4 – AHC has 5 Proposals to Present •16 Proposals on Consent Agenda •Live Video Streaming at www.iccsafe.org •Working on additional proposals for the 2018 IgCC •Proposals due 1/12/15 •2018 edition will incorporate ASHRAE 189.1 and the LEED green building program

  12. ASHRAE UPDATE •Proposals for Public Review •Standard 189.3P: Standard for the Design, Construction, and Operation of Sustainable High-Performance Health Care Facilities (Oct 20) •Standard 185.1P, Method of Testing UVC Lights for Use in Air Handling Units or Air Ducts to Inactivate Airborne Microorganisms (Sept 22) •Addendum c, d, and e to ASHRAE 170: Ventilation of Health Care Facilities (Oct 12)

  13. ASHRAE UPDATE •Proposals for Public Review •Announcement in ASHE Enews •Link for Access to ASHRAE Webpage •Important to get multiple reviewers •NEED YOUR INPUT •Volunteers?

  14. ASCE American Society of Civil Engineering •ASCE/SEI 24-14 •FLOOD RESISTANT DESIGN AND CONSTRUCTION •Open for Public Comment until 28 Sept •Access via https://secure.asce.org/ASCEWebSite/StandardsBalloting •Have to create account but don’t have to be a member

  15. ASHE COMMITTEE ACTION PLANS (CAPS) •7A-Just Ask ASHE •10A-Patient Experience and HCAHPS •11A-Member Involvement ROI •12A-Sustainability (volunteers?) •13A-Commissioning Magazine •14A-Utility Engagement (volunteers?)

  16. Strategic Goal: Reputation Reputation: strengthen the reputation of facilities professionals and their strategic, operational, and business value to the entire enterprise.

  17. Succession Planning www.ashe.org/internship

  18. Succession Planning Our Challenge: • The health care facility management field has an aging workforce • 2012 Salary Survey showed 40% of health care facility managers were older than 55 • Little awareness among younger generations of the health care facility management profession

  19. ASHE Internship Program • ASHE and Schneider Electric have teamed up to create the ASHEinternship program • Develop University relationships and identify intern candidates • Support ASHE member and chapter participation in hosting interns • Create a program to promote the profession and sustain the future workforce www.ashe.org/internship

  20. How It Works • ASHE’s Role: Recruiting Services, University Relationship Building, Resources, Funding (if applicable) • Scholarships for ASHE interns to attend the ASHE Annual Conference • Free e-learning courses for interns, including: • Managing Life Safety course • Fundamentals of Facility Management course (in development) • MyEnergy University courses • Host Organization’s Role: Interviewing, Hiring, Managing of Intern, Intern Wage/Additional Funding • Chapter’s Role: Potential Funding Model for State/Region, Assistance with University Relationship Building

  21. Resources for Chapters/Host Organizations • Chapter template for internship plan • Fact Sheets • Host Application • Available on ashe.org/internship ashe.org/internship

  22. Why Host an ASHE Intern? • 40% of new college hires come from internship programs • Internship retention rates were at an all-time high in 2012 with 58.6%. • Quality hires: Host companies saw a 62.4% retention rate after 5 years versus 48.1% of hires that had no previous experience. • Interns provide additional support for your staff

  23. Resources for Students Student Sell Sheets ashe.org/internship

  24. Creating Pathways • 2012 ASHE Intern: Brittany Griner • Purdue University Alumna • Interned at Advocate Healthcare in Chicago • Manager of Building Maintenance at Loyola University Medical Center

  25. energytocare.com Screen shot of site goes here

  26. e2c.energytocare.com z Energy Dashboard Sponsor

  27. Sustainability Resources SustainabilityRoadmap.org ashe.org/energyuniversity

  28. Utility Usage: Consumption metrics – per patient discharge

  29. Other Benchmarks • Cost/Adjusted patient days • Patient care volumes, procedures, throughput • Return on Investment (ROI) • Cash flow • Branding | Competitive position

  30. ASHE PDC Summit PDC Summit March 15-18, 2015 San Antonio, TX www.pdcsummit.org

  31. ASHE Education Portfolio www.ashe.org/learn

  32. Certifications, Designations, and Award Programs Certifications • Certified Healthcare Facility Manager (CHFM) • Certified Healthcare Constructor (CHC) Professional Designations • Senior (SASHE) • Fellow (FASHE) Awards • Crystal Eagle Leadership Award • Emerging Regional Leader Award • Excellence in Facility Management • Vista Awards Program www.ashe.org/about/awards

  33. Trusted Source of Information

  34. Top Joint Commission Findings As reported by George Mills at the ASHE Annual Conference

  35. Related Issues of Improper System Design • Mechanical system can’t achieve required results • Lack of written inspections • No testing or maintenance schedule • Poor air filtration • Air pressure and exchange rates

  36. Problems Related to Sprinklers • The 18 inch rule • Hanging “stuff” from sprinkler pipes

  37. Unsafe Patient Care Conditions • Improperly stored oxygen cylinders • Ventilation • Temperature • Humidity

  38. Smoke Barrier Penetration Problems

  39. Fire Safety Testing • Inability to provide proper documentation

  40. Fire Barrier Penetrations

  41. #1 Problem Sited is Means of Egress • Hallway clutter • Problems with the SOC drawings • Boundaries • Dimensions • exits

  42. CHFM

  43. The Value of the CHFM • Required for employment in a number of facilities • Recognition by the hospital C-suite • Opportunity for advancement within your organization - Opens doors to more career opportunities • Salary increases

  44. ASHE Insider: March 26, 2013 Threat to WMTS – TV Auction • Middle Class Tax Relief and Job Creation Act of 2012 • Reallocate all TV Spectrum • Move WMTS to another TV band • Congress earmark $300M • Actual cost > $2B • ASHE Insider

  45. Relocatable Power TapsAKA Power Strips

  46. Box.com • A location to archive important ASHE documents used for the ASHE Chapter Levels of Affiliation Awards Program Avis Gordon can be of assistance agordon@aha.org

  47. ASHE Volunteer Program, • Please Volunteer • New Data Base

  48. Questions?

  49. Thank You!

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