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Advocacy

Optimize the Health Care Physical Environment. Strategic Goals: Regulation , Reputation , and Capacity. Advocacy. Professional Development. Networking. Information Resource. Strategic Goal: Capacity.

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Advocacy

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  1. Optimize the Health Care Physical Environment Strategic Goals: Regulation,Reputation, and Capacity Advocacy Professional Development Networking Information Resource

  2. Strategic Goal: Capacity Our members will be supported by a nimble association with the resources, relationships, decision systems and work processes necessary to achieve their envisioned future for the field • Industry Trends • Current Information Tools & Guidance • Professional Development

  3. The Next ThingHPCS Planning Session Chairs, Co-chairs Steering Committee ASHE Staff Strategic Imperatives Highly Productive Committee Structure

  4. Succession Planning “Project Pathways”

  5. Strategic Taskforce Exercise Project (STEP) Plan • ASHE Intellectual Capital • Corporate Sponsors • National Focus • Work with Associate Board Member to Grow Plan • Regional Plan • Geographical Alignment • Region Sponsors • Work with Region Board Member and Local Business Partners to Grow Plan

  6. Region Plan • ASHE STEP Plan • Host Facility • Project Sponsors • Project Business Partners • University • Under Graduate Program • Graduate Program • Research • Internships Under Grad Program Interns Research Grad Program

  7. Trusted Source of Information

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

  9. 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

  10. ASHE Annual Conference & PDC Summit ASHE Annual Conference July 21-24, 2013 Atlanta, Georgia www.ashe.org/annual PDC Summit March 16-19, 2014 Orlando, Florida www.pdcsummit.org

  11. ASHE Education Portfolio

  12. 2012 Salary Survey • Construction Facilities Management • Project Management Operations/Engineering * N = 2,788 +/- 5% (40% of HFM > 55 years old)

  13. 2012 Salary Survey • Construction Facilities Management • Project Management Operations/Engineering * N = 2,788 +/- 5%

  14. CHFM

  15. 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

  16. Benchmarking 2.0 Operations and Maintenance Benchmarking for Health Care Facilities

  17. Utility Usage: Consumption metrics – per patient discharge

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

  19. ASHE Sustainability Committee – PDC Meeting Monday, February 25, 2013

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

  21. Poor Codes Cost Money without Improving Safety • $4 billion a year wasted because of poor codes and standards • Small things could have a profound effect nationwide

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

  23. ASHE Advocacy Program • Representation • National • Regional • State • Proactive Efforts • Managing code and standards

  24. ICC Ad-hoc Committee on Healthcare • Prepared 35 proposals for IBC • 26 Approved • Requirement for Fire/Smoke Dampers in smoke barrier walls – Disapproved • Smoke Dampers exemption in Hospitals – Approved as Modified

  25. Update: OR minimum 35% humidity • 2010: 7 CA hospitals fined >$100K for “putting patients at risk of death or serious injury” • In cold weather cannot maintain >35% RH ASHE coalition with APIC, SHEA, AORN, ASHRAE, NIH • ASHRAE 170 lower to min 20% • Adopted by NFPA 99 - 2012 • > $200M over the next 10 years • reducing the initial ventilation system installation cost, • eliminating the need to modernize existing systems • energy conservation savings.

  26. ASHE Insider: March 26, 2013 CMS Draft memo March 15 • RH of ≥20% permitted in anesthetizing locations: recommending that RH not exceed 60% in these locations. • Hospitals & CAHs must elect to use the categorical waiver: • Individual waiver applications are not required, but facilities are expected to have written documentation that they have elected to use the waiver. • Facilities must monitor RH in anesthetizing locations to ensure RH remains within the permitted range

  27. ASHE Insider: March 26, 2013 Sprinkler Requirement for LTC • CMS requires sprinklers by Aug 13, 2013 • Consider deadline extensions of two years if: • undergoing major modifications in all unsprinklered living areas; • Funds committed • construction plans submitted for approval • An additional extension could be granted for up to one year, depending on the circumstances. • ASHE Insider March 22

  28. Hurricane Sandy and LSC • The Obama administration is reviewing power failures at hospitals battered by Hurricane Sandy to determine whether requirements for backup power should be updated. • “We are always looking at ways to update and improve our regulations, and we will apply our experiences with Sandy and other events to see if there are lessons there for improving the rules governing emergency preparedness,” CMS spokesman Brian Cook (10/31/12)

  29. Letter to HHS Secretary Sebelius • Congressman Michael Burgess, MD, R-TX • The 2000 Life Safety Code also references other technical standards relating to the structure of hospitals. • Therefore, when hospitals comply with 2000 Life Safety code, they also comply with other outdated technical standards. • For example, the 1998 standards for portable fire extinguishers, • 1999 National Electric code, • 1999 air conditioning and ventilating systems standards, • 1999 emergency and standby power systems standards, • 1994 elevators and escalators standards. • Because privately accredited hospitals, that are deemed to meet Medicare standards, must comply with CMS regulations, the majority of U.S. hospitals are held to these ten-year-old standards

  30. 2014 - FGI Guidelines • XiaoboQuan, PhD, EDAC: “Indoor water features can play a significant role in creating a healing environment that is stress reducing and psychologically supportive,” • Linda Dickey, RN, MPH, CIC: “There has been real harm related to these features,” • Are indoor water features? • stagnant pools of disease or • flowing streams of healing • ASHE Insider March 27

  31. 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 March 26

  32. In Summary ASHE Is Dedicated to Optimizing the Health Care Physical Environment Through Strategic Goals of • Regulation • Reputation • Capacity

  33. ASHE Annual Conference July 21-24, 2013 Atlanta, Georgia www.ashe.org/annual PDC Summit March 16-19, 2014 Orlando, Florida www.pdcsummit.org

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