Keith DelineDirector Region 10

Strategic Imperative: Unified

Code

Strategic Imperativ

e:Successio

n Planning

Strategic Imperative

:Commissio

ning

Strategic Imperativ

e:Value of Members

hip

Mission: Optimize the Health Care Physical Environment

Strategic Goals: Regulation, Reputation, and Capacity

Strategic Goal: RegulationRegulation: Our members will work in a regulatory environment characterized by:o Good scienceo Defensible economicso Informed policy-makingo Clear decision authority

Representation:• National• Regional• State

Who Regulates Hospitals?

Source: American Hospital Association http://www.aha.org/aha/trendwatch/2011/11mar-tw-costofcaring.pdf

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 per US citizen per year

Adoption of Unified Codes• Working on long term plan to develop a unified

set of recommended codes for adoption• Objectives

o Improve quality and increase access to healthcare using cost savings from conflicting, unnecessary and costly codes and regulations with little ROI

o With unified voice, backed by identified values, leading the change to national codes.

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

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

OPPORTUNITIES FOR ACTION/INVOLVEMENT

NFPA ICC ASHRAE ASCE ASHE Committee Action Plans Many Others! www.ashe.org/volunteer

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

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

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)

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?

ASCEAmerican 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

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?)

Strategic Goal: Reputation

Reputation: strengthen the reputation of facilities professionals

and their strategic, operational, and business value to the entire

enterprise.

Succession Planning

www.ashe.org/internship

Succession Planning

Our Challenge:• The health care facility management field has an

aging workforceo  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

ASHE Internship Program

• ASHE and Schneider Electric have teamed up to create the ASHE internship 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

How It Works• ASHE’s Role: Recruiting Services, University Relationship

Building, Resources, Funding (if applicable)o Scholarships for ASHE interns to attend the ASHE Annual

Conferenceo 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

Resources for Chapters/Host Organizations

• Chapter template for internship plan • Fact Sheets• Host Application

Available on ashe.org/internship

ashe.org/internship

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%.o 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

Resources for Students

Student Sell Sheets

ashe.org/internship

Creating Pathways

• 2012 ASHE Intern: Brittany Grinero Purdue University Alumnao Interned at Advocate Healthcare in Chicagoo Manager of Building Maintenance at Loyola

University Medical Center

Screen shot of site goes here

energytocare.com

z

Energy Dashboard Sponsor

e2c.energytocare.com

ashe.org/energyuniversity

SustainabilityRoadmap.org

Sustainability Resources

Utility Usage: Consumption metrics – per patient discharge

Annual Consumption/Discharge

PercentileElectricity

kWhFuel OilGallons

Natural Gas

Therms

Chilled Water

Ton Hours

SteamM-LBS

Domestic Water

Gallons

SewerGallons

90 3380.40 0.72 190.72 898.47 838.84 5583.76 4106.94

75 2455.43 0.42 126.17 307.84 12.36 3724.04 2403.96

50 1463.77 0.19 62.59 4.71 5.53 1889.20 671.46

25 827.56 0.05 22.31 0.12 1.63 671.99 51.35

10 368.04 0.03 1.41 0.0009 0.73 33.03 8.58

Mean 1829.04 0.28 92.30 295.29 463.20 2529.97 1559.70

Other Benchmarks

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

ASHE PDC Summit

PDC SummitMarch 15-18, 2015

San Antonio, TXwww.pdcsummit.org

ASHE Education Portfolio

www.ashe.org/learn

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

Certifications, Designations, and Award Programs

www.ashe.org/about/awards

Trusted Source of Information

Top Joint Commission Findings

As reported by George Mills at the ASHE Annual Conference

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

Problems Related to Sprinklers

• The 18 inch rule• Hanging “stuff” from sprinkler pipes

Unsafe Patient Care Conditions

• Improperly stored oxygen cylinders• Ventilation• Temperature • Humidity

Smoke Barrier Penetration Problems

Fire Safety Testing

• Inability to provide proper documentation

Fire Barrier Penetrations

#1 Problem Sited is Means of Egress

• Hallway clutter• Problems with the SOC drawings

o Boundarieso Dimensionso exits

2000 2003 2006 2009 2012

110

563

989

1771

386

Maintenance and Operations Code Compliance Planning, Design, and Construction Finance Management Administration

CHFM

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

Average Salary without CHFM Certification

Average increase Average Salary with CHFM

$94,281 $10,067 $104,348

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

ASHE Insider: March 26, 2013

Relocatable Power TapsAKA Power Strips

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

ASHE Volunteer Program,

• Please Volunteer • New Data Base

Questions?

Thank You!