Keith Deline Director Region 10
Jan 01, 2016
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
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
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
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
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
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
Fire Safety Testing
• Inability to provide proper documentation
#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
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 [email protected]
ASHE Volunteer Program,
• Please Volunteer • New Data Base