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Environmental Business Council of New England July 27, 2005

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Emerging Regulatory Trends and Management Issues for New England Hospitals and Healthcare Facilities. Robert Castaldo Director, EH&S Massachusetts General Hospital Boston, MA. Environmental Business Council of New England July 27, 2005. Partners HealthCare Network Founding Members

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slide1

Emerging Regulatory Trends and Management Issues for New England

Hospitals and Healthcare Facilities

Robert Castaldo

Director, EH&S

Massachusetts General Hospital

Boston, MA

Environmental Business Council of New England

July 27, 2005

slide2

Partners HealthCare Network

  • Founding Members
  • Massachusetts General Hospital*
  • Brigham & Women’s Hospital*
  • Other Members
  • Faulkner Hospital
  • McLean Hospital*
  • Newton – Wellesley Hospital
  • North Shore Medical Center
  • MGH Institute of Health Professions
  • Partners Community HealthCare
  • Partners Continuing Care
  • * Harvard Teaching Affiliate
slide3

Third Oldest Hospital in US; Largest in New England

  • 19,500 employees (includes 2,900 nurses)
  • 3,600 member medical staff
  • In- Patient Services
  • Available Beds: 893
  • Average Occupancy Rate: 80.47%
  • Admissions: 44,518
  • Average Length of Stay: 5.83 days
  • Admissions to Observe: 5,285
slide4

Ambulatory Services

  • MGPO Visits: 694,268
  • Clinics Visits: 417,203
  • Health Centers Visits: 299,232
  • Emergency Visits: 74,905
  • Total Ambulatory & Emergency 1,485,608
  • Surgical Services
  • In-Patient 17,957
  • Ambulatory 15,013
  • Total Surgical Cases 32,970
  • Births 3,604
slide5

MGH Mission

Clinical Care, Teaching and Research

  • Almost all staff physicians are on
  • the Harvard Medical School faculty
  • Largest hospital-based research
  • program in the US
slide6

Downtown Campus – clinical & research

Charlestown Navy Yard - research

Community Centers - clinical

slide7

Current Operational Drivers of EH&S Programming

  • Hospital Growth and Renewal
      • New Construction and Renovation
  • New Emergency Management Demands
      • HAZMAT Response Readiness
      • Biosafety
  • JCAHO
      • Periodic Performance Review Process
      • Patient Safety
  • Specific Continual Regulatory Oversights
      • EPA
      • MWRA
slide8

Hospital Growth and Renewal

  • Major additions on the main campus
  • Extensive backfill renovations
  • Preparations for next major rebuilding project
    • Impact on EH&S:
    • Keeps facilities-related safety issues as an everyday
    • priority
        • Construction Impacts – internal and external
        • Fire Safety Management
        • Life Safety Management
        • Environmental Impacts – asbestos, molds, ICRA
slide9

Emergency Preparedness and Homeland Security

  • HAZMAT Response Capabilities – Greater
  • expectations for hospitals
  • Chemical – Radiological – Biological Incidents: Mass
  • Casualty Management
  • Biosafety and Select Agent Rules: Public Health Security
  • and Bioterrorism Preparedness and Response Act
    • Impact on EH&S:
    • HAZMAT Incident Response – heightened and
    • continual readiness; mass casualty focus
    • More systematic oversight and control of biological
    • research – increased security re: personnel and
    • facilities
slide10

Chemical HAZMAT Response Teams

Risk Assessment

Recruitment

Training

Drills

slide11

Location

Visibility and Accessibility

Fleet Center

Government Center

Transportation Hubs

MGH

slide12

Protect our patients

  • Protect our staff
  • Protect our facility
  • Preserve the ability of MGH to serve the community in a large-scale disaster involving hazardous materials
slide15

JCAHO Periodic Performance Review Process

  • Changes JCAHO 3-year auditing process
  • Now requires mid-cycle self-review
  • Performance Improvement Plan submission
  • Improvement Tracking
  • Engineering surveyors now on the JCAHO team
  • 2006 Patient Safety Goals
      • Impact on EH&S:
      • From a once every 3 year exercise to more continual
      • quality management process in all areas
      • Engineer surveyors up the ante with facilities-related
      • management issues
      • Align safety functions with current patient safety goals
slide16

2006 Patient Safety Goals

  • Improve Accuracy of Patient Identification
  • Improve Caregiver Communication
  • Improve the Safety of Medications Usage
  • Reduce Care-Associated Infections
  • Reconcile Medications Across a Patient’s Care
  • Continuum
  • Reduce Harm from Patient Falls
slide17

Specific Continual Regulatory Oversights

      • EPA
        • RCRA
        • Contingency Planning and SPCCs
        • Air Emissions
        • Real Estate Assessment
      • MWRA
        • Mercury
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