Who Owns Compliance

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Who Owns ComplianceAdvanced HCC

David Soens, PE, RALife Safety Fire Authority

November 10, 2021

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Overview

• Process

• Team

• Delivery

• Quality

• Summary

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Team Selection

• Owner

• Design

• Construction

• Regulatory

• Operations

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Process

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Priorities

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Project Charter

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Delivery Methods

Design-Bid-Build

IPD

Construction Manager

Design-Build Design Assist

Negotiated Contract

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Team RepresentativesBuilder

• General Contractor

• Construction Manager

• Sub Contractor

Design

• Architect

• Engineers

• Consultants

Owners

• Clinical

• Facilities

• Operations

• BioMed

• IT

• Security

• Environmental Services

Regulatory

• State

• Local

• Fire Marshall

• Accreditation

• Insurance

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Piecework

UW Engineering Professional Development

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Piecework6 month – 2 years 2 month – 1 year

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Relationship

QUALITY RISK

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Relationship

QUALITY WASTE

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Executives

PROCESS RISK

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Legal

• Medicare Agreement

• Contracts

• License

• Copyrights

• Research

• Titles

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Noncompliance

• Fire rated walls

• Incomplete

• Utilities

• Access

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Facility’s Role

• Manage scope control

• Explain to entire team organization mission

• Sustain priorities

• Role expansion

• Avoid generic contracts

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Facility’s Role• Hire qualified design

professionals

• Promote proactive interim inspections

• Schedule includes AHJ

• Document action item list

• Designers available during construction to resolve issues

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Designers Role• Experience personnel

available during construction

• Project familiarity• Problem resolution

role• Document decisions

into project set

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Designers Role

• Color assist

• Coordinate across the aisle

• Avoid generic details

• AHJ is not a crutch

• Revisions signed and stamped = ownership

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Regulator Role

• Code minimum

• Consistency

• Clear communications

• Navigate the code

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Regulator Role

• Not a designer

• Each project is unique

• Reliance on written documents

• Inspection volume changes based on complexity of project

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Builder’s Role

• Proactive engagement of AHJ

• Action item list with details

• Documented resolutions ( photo )

• AHJ is not a designer

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Builder’s Role

• Details of project consistent throughout

• Safety runs in the family

• Collaboration with facility ICRA team

• Proactive communication

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Quality

UW Engineering Professional Development

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Process

• Document

• Verification

• Corrections

• Implementation

• Monitoring

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Summary

Owner owns overall compliance

Each individual has a role that can help the owner reach success in their long-

term quest for success

W I S C O N S I N H E A L T H C A R E E N G I N E E R I N G A S S O C I A T I O N

Thank You

David R. SoensDQA