SPEAKERS
Bert M. Gumeringer, MBA, MSIT, CHFM, FASHE - Sr. Vice President Facilities OperationsTexas, Children's Hospital
Bert M. Gumeringer is currently the Sr. Vice President for Facilities Operations at Texas Children’s Hospital located in Houston, Texas.  He is a Fellow of the American Society of Healthcare Engineering (FASHE) and a Certified Healthcare Facility Manager (CHFM).
In his current role, Bert is responsible for more than 10 million sf feet of space, 953 licensed beds and 1,100 FTE’s in the departments of Facilities Engineering, Environmental Services & Sustainability, Security Services, Supply Chain Management, Patient Escort, Parking, Valet Parking, Organizational Resilience and Visitor Management Services at Texas Children’s. Bert has over 30 years of healthcare related experience with his last nineteen years at Texas Children’s.
Bert served as a Life Safety Code Consultant for Joint Commission Resources, is a member of the National Fire Protection Association and the ASHE Faculty teaching the CHFM Preparation, CHC and Healthcare Construction Management programs. Bert previously served as the President of the Texas Association of Healthcare Facilities Management (TAHFM) and is a lifetime member of TAHFM and ASHE.
He received his education from the University of Phoenix with a Master’s in Business Administration and also holds a Master’s and Bachelor’s degree in Industrial Technology from the University of North Dakota.
Abstract
Are you planning to take the CHFM Exam in the near future? Join us for the ASHE Certified Healthcare Facility Manager (CHFM) Exam Review Program, presented by Bert Gumeringer. This program will help you gain confidence in the five key competency areas of the CHFM test. Through a combination of lecture, CHFM-formatted practice test questions, and study materials, you will feel more prepared to take the CHFM exam.
Learning Objectives
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Apply your knowledge and experience in answering application and analysis questions.
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Identify the topic areas that are your strengths.
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Enjoy personal interaction with experts in the field and have your exam-related questions answered.
Lindsey Brackett, CHC, CHFM, SASHE - Chief Empowerment Officer, Legacy FM
Lindsey Brackett is the Chief Empowerment Officer of Legacy FM, LLC, a Certified Healthcare Constructor, Certified Healthcare Facility Manager, SASHE, and an influencer in the Healthcare Facilities Management industry. Since 2011, she has experience providing solutions, including staff assessments and training, to facilities management teams. Lindsey has led the development and management of over 120 educational resources and currently serves on the ASHE Advisory Board, chairs the ASHE Sustainability Task Force, and has authored numerous articles and white papers for the healthcare facilities management industry.
Abstract
“The only thing worse than training your employees and having them leave is not training them and having them stay.”
— Henry Ford, Founder, Ford Motor Company.
This presentation explores the economic benefits of staff mentorship and retention in healthcare. Hospitals are unlike other building types, and special knowledge is required to design, build, operate, and maintain them. Without this knowledge, the staff is ill-equipped to support patient safety and building optimization, which directly impacts the healthcare business environment. Investing in hospital facilities team members is critical to positive patient outcomes, cost-effective operations, and employee retention and engagement. Participants in this presentation will be empowered with the key points they need to make the business case to their hospital administration for retaining and mentoring their talent pool.
Learning Objectives
This session will enable attendees to:
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Facilitate a “catch-and-keep” process for talent recruitment, engagement, and retention
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Communicate the financial and operational impact of employee turnover in healthcare
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Engage existing employees with short-term and long-term management strategies
Mike Becchetti - Construction Executive - Healthcare, Kraus-Anderson
Mike Becchetti is the Construction Executive for the KA healthcare team, ranked by Modern Healthcare as one of the nation’s top 20 healthcare construction management teams. KA has completed over 3.8 million square feet of healthcare facilities over the past five years. Mike works closely with the marketing, business development, and operations team, providing specific oversight. Mike joined KA in 2013 as a project manager, overseeing projects for HealthParters, Park Nicollet, Allina, M Health Fairview, The University of Minnesota MN Physician’s, and many others. Mike holds a B.S. in Construction Management from Moorhead State University in Moorhead, MN. He is a member of the American Society for Health Care Engineering (ASHE) and the American Hospital Association (AHA), holds a Certified Healthcare Construction (CHC) certificate, and is a LEED Accredited Professional.
Jake Boerboon, Sr. - Project Manager, Kraus-Anderson
Jake Boerboon is a Senior Project Manager at Kraus-Anderson in Minneapolis, MN. He brings demonstrated experience in cross-functional, cross-disciplinary project management and leadership to his healthcare teams. Jake is passionate about advising all stakeholders to meet schedules and budgets centered around owner experience. An industry veteran, Jake started his career with Kraus-Anderson in 1999 as an assistant project manager. His notable healthcare projects include Regina Medical Center in Hastings, MN; United Hospital District in Blue Earth, MN; Owatonna Hospital in Owatonna, MN; New Ulm Medical Center in New Ulm, MN; and Ridgeview Sibley Medical Center in Arlington, MN; St. Croix Regional Medical Center, St Croix Falls, WI. Jake holds a B.S. in Construction Management from North Dakota State University, Fargo, North Dakota. He is an Architecture, Construction, and Engineering (ACE) mentor and holds a Certified Healthcare Construction (HCC) certificate.
Bob Chamberland - Project Manager, Associated Mechanical
With more than 31 years of experience, Chamberland attended Dunwoody and holds certification in Warm Air Masters. A master problem-solver, his expertise is in project management, design and estimating. Chamberland is on the SMARCA Board of Directors. He likes keeping busy in his spare time, and especially enjoys hunting.
Lisa David - Senior Estimator, Kraus-Anderson
Lisa David has over 14 years of experience in the Building Industry. Two years as an Architectural Intern and 10 years in the Construction Industry, including seven years of experience as an Estimator, Estimator II, and Senior Estimator. Lisa has created detailed and insightful estimates on various projects in Healthcare, Higher Education, K-12, Casinos, Multi-Use Projects, Multi-Family Housing, Senior Living, and Government Projects. She has been the lead estimator on projects exceeding $200 million. Lisa holds a B.A. in Architecture from Clemson University in Clemson, SC. In 2021, Lisa received the Top Women in Construction award for outstanding project management/estimating from Finance and Commerce.
Charlie Zarembinski, PE - Healthcare Construction Executive, Parsons Electric
Charlie has over 15-years of experience in healthcare construction. He is an electrical engineer that has worked both as a contractor and as an owner. He has served in a variety of engineering, project management, and leadership roles. Charlie has a special appreciation for the full healthcare project lifecycle, from inception through operations.
Abstract
With today’s dynamic labor, material, and supply market how can your team effectively and proactively plan for the future needs of your facility and community you serve? Understanding the drivers and disruptors in the market, while incorporating them into a holistic facility plan will allow your team to proactively plan for the future and mitigate risk related to construction costs
Learning Objectives
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Understand major disruptors in the construction industry and how they can affect your future construction project
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Understand the construction costs landscape for major systems and their expected volatility over the next year
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Learn strategies for mitigating risk related to volatility in construction costs
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Understand questions to ask your project partners to best plan for your upcoming projects
Danielle Gathje, MBA, CHFM - Vice President Hospital Operations, MHealth Fairview - St. John's Hospital
Danielle M. Gathje, MBA, CHFM, currently holds the position of Vice President of Hospital Operations at St. John’s Hospital, part of MHealth Fairview. She is responsible for overseeing operations for ancillary and support matrixed departments within the hospital. Previously, she served as the Director of Plant Operations for St. Joseph’s, St. John’s, and Woodwinds Hospitals part of Fairview Health Services. She has also held roles as in emergency management and employee safety.
Danielle has her Bachelors of Science degree from University of Wisconsin-Stevens Point. She received her Certified Healthcare Facility Manager (CHFM) certification through the American Hospital Association in July 2015. She received her MBA degree from the University of St. Thomas May 2022. She also currently serves as the American Society for Health Care Engineering (ASHE) Region 6 Advisory Board member.
Jake Humphreys - Quality Project Manager, The University of Iowa
Jake has been an owner’s representative for The University of Iowa collaborating with facility managers, designers, and contractors for 9 years at the University of Iowa Hospitals and Clinics. He has 17 years’ experience completing healthcare projects at Iowa, Minnesota, and the Pacific Northwest. Jake is a LEED Accredited Professional and Associate Design-Build Professional with DBIA.
Molly Meyer - Senior Mechanical Engineer / Healthcare Commissioning Specialist, Questions & Solutions Engineering
Ms. Meyer has been collaborating with owners and facility operators on the technical details of integrated building system operations and commissioning process fundamentals for more than 20 years. Ms. Meyer is a licensed professional mechanical engineer, a LEED Accredited Professional, a Certified Energy Manager, a Certified Commissioning Professional through the Building Commissioning Association, and a Certified Healthcare Facility Manager through the American Society of Healthcare Engineers.
Miles Ryan - Senior Commissioning Engineer, Questions & Solutions Engineering
Miles Ryan is a senior commissioning engineer at Questions & Solutions Engineering in Chaska, MN. He has thirteen years’ experience in the industry, getting his start as a Civil Engineering officer in the Air Force. He served in various roles overseeing the design, construction, and operation of facility mechanical systems at Grand Forks AFB, ND. In 2015, he became a mechanical systems instructor at the Air Force Institute of Technology (AFIT). Since leaving active duty in 2018, he has remained on faculty at AFIT as an Air Force Reservist to continue teaching courses in HVAC control systems as well as HVAC design and analysis. He holds a B.S. in mechanical engineering from Montana State University and M.S in architectural engineering from University of Colorado Boulder. He is a licensed professional engineer in the state of Ohio.
Abstract
Far too often, building operators are overwhelmed with the number of alarms generated on their Building Automation System (BAS). This results in alarms being ignored, the critical ones not identified and addressed in a timely manner, and even decision paralysis. The alarms become a liability instead of an asset, and their intended purpose is lost. This presentation will discuss the steps that can be taken in both new construction and existing facilities to improve the function of alarming and allow building operators to make better use of their BAS.
Learning Objectives
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Define the purpose of alarming
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Identify typical issues that plague alarm generation and alarm response protocols
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Explain the steps to be taken to ensure effective alarm management in new buildings
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Describe the strategies that can address alarm saturation in existing facilities
Shannon Kaplan, PE - Partner, AKF Group
Shannon Kaplan, PE, LEED AP will lead this session. A Partner at AKF, Shannon specializes in the design and analysis of high performance systems for buildings with an emphasis on ultra low-energy lighting systems, daylight harvesting, and on-site renewable energy. She has over 20 years of experience designing numerous high performance, net zero, and LEED® Certified projects. Shannon works with clients to help them find ways to minimize energy usage in buildings and has helped develop innovative tools such as low energy building user guides to achieve energy goals.
Abstract
The renewed focus on global warming and carbon footprint impacts all industries, including healthcare. New legislation financially penalizes buildings that do not meet carbon reduction targets. This challenge is especially difficult for the healthcare industry which is currently one of the largest emitters of greenhouse gases. Many of the new policies include targets for healthcare institutions and non-compliance results in monetary ramifications. Therefore, these institutions must quickly determine how to meet these regulations without sacrificing patient wellness.
Many healthcare institutions have already implemented strategies to minimize their carbon footprint. Progress is being made through energy efficiency, waste reduction, and supply chain management. This session challenges the healthcare industry to think “outside of the box” to design carbon-conscious healthcare facilities without compromising quality in patient care. Attendees will be provided with an overview of states that have declared greenhouse gas (GHG) mitigation strategies or action plans. As design engineers, we will differentiate between strategies for new and existing healthcare facilities. Throughout this session, the speaker will discuss innovative design strategies to provide attendees with a better understanding of how design decisions directly correlate to a hospital’s carbon footprint.
Participants will also receive an overview of various benchmarking and design tools available to assist in making informed design decisions. These tools help to evaluate the carbon, energy, and cost impact of each design option to ensure the appropriate systems, or combination of systems, are selected.
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Learning Objectives
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Understand the various regulations being adopted throughout the country and how they can affect you
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Recognize the financial impacts related to non-compliance of local regulations
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Identify strategies to minimize building energy to offset carbon footprints
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Examine various benchmarking tools available to aid informed decision-making
Brenda Beckwith, MBA, BSN, RN - Senior Director of Surgical Services, Children's Minnesota
Brenda Beckwith, MBA, BSN, RN, is the Senior Director of Surgical Services for Children’s Minnesota. She is responsible for all operational, financial and clinical outcomes of the surgery division that spans three campuses, including the Mi nneapolis and St. Paul Children’s hospitals and the Minnetonka Surgery Center. In her years of healthcare leadership, she has led numerous large-scale projects from concept to construction in highly-regulated, complex surgical and procedural settings. Brenda approaches each of these projects with a patient-centered focus and ensures all details are designed and built with the patient’s best interest at heart.
Kirk Gridley, M.Arch, IMRIS - Principal Project Designer, IMRIS
Kirk offers 20 years of healthcare architecture experience. He specializes in intraoperative imaging and focuses on providing hospitals and surgeons the necessary tools to measurably improve patient outcomes
Adam McLane, AIA, NCARB, CHC - Associate Director of Healthcare Architecture, Ryan A+E, Inc.
As Associate Director of Architecture for Ryan’s Healthcare team, Adam brings 15 years of experience and notable success in the design and development of complex healthcare facilities. He is responsible for working with the team to facilitate national healthcare projects and collaborating with leaders in development and construction. Adam ensures that each project has an effective project delivery approach, maintains relationships with the local design community, and works with development and construction on all aspects of business development. He values transparency and trust; and he places a high priority on cultivating the client relationship and ensuring that the client comes first at every step of the process. Adam’s strengths include bringing together teams that will be the right fit for each project, fostering a collaborative approach and ensuring flawless execution.
Abstract
Health systems are converting or updating existing spaces to fit their ever-changing needs and navigating the challenges of where to locate these facilities. Join this engaging presentation for insights and lessons learned from a recent case study on how a complex vision turned into a state-of-the-art Hybrid Operating Suite and the challenges associated with coordinating a land-locked build-out within a highly acute, active hospital environment. This project included the installation of a surgical theater, a ceiling-hung magnet to scan patients without moving them during surgery, and the remodeling of adjacent operating rooms. The team will discuss obstacles encountered with its location and how to navigate them, strategies that have been successful throughout the process such as how to evaluate a proposed space to reduce the operational impact on the client, as well as tips and tricks for navigating a large team of consultants and vendors through a collaborative approach.
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Children’s Minnesota collaborated with Ryan Companies for this complex remodel and installation of an iMRI system into a landlocked space on the second floor of an existing hospital, creating a new Hybrid Operating Suite. The unique iMRI system consists of a magnet that travels on a ceiling-mounted rail system between the diagnostic room and adjacent operating room, bringing the MRI system directly to the patient and surgeon. With a moving magnet, the patient will never need to be moved for a scan allowing the surgical team to stay with the patient. This state-of-the-art technology allows surgeons the ability to evaluate the progress, help identify possible complications for earlier intervention, and assist with any in-surgery decision-making needed.
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The main challenge was to identify where, within the existing facility, this new iMRI system would be located. After analysis of multiple spaces, the team redesigned two existing shell general operating rooms into a Hybrid Operating Suite. The approach was complex and included collaborations with all partners and over one dozen vendors to make the footprint work. The goal was to ensure a safe environment and operational sense for the client.
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Learning Objectives
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Evaluate spaces within a landlocked facility. Children’s Minnesota campus is surrounded by developed land with no room to add an expansion. Within the tight site, the teams had to get creative for construction staging and prep areas as the selected space was sandwiched between an existing parking ramp, active operating rooms, below the NICU, and above the Emergency Department.
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Minimize operational disruptions. With the NICU above and an Emergency Department below, the remodel was taking place between some of the most critical patients in the hospital.
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Alleviate sound disturbances during complex construction, but also while the iMRI was being used. An acoustical consultant joined the design team to document existing noise levels, analyze the different MRI noise frequencies, and provide recommendations to limit noise transfer to meet or exceed FGI requirements.
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Evaluate travel path options. Discussions around whether the 1970’s side of the building, the newer 2009/2010, both, or neither hold the weight of the steel and iMRI. As well as the evaluation of options for transferring construction equipment into the tight space, such as seven steel beams ranging in weight from 5,000 – 8,000lbs each.
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Navigate specialty subcontractors. Like the tolerances required in complex neurosurgical cases, the structural components in this project demanded a similar level of precision. Due to these requirements, many steel fabricators chose not to pursue this project.
Mark Keller, PE, CHFM, MS - Section Head - Facilities Management, Mayo Clinic
Mark Keller, PE, CHFM, MS is a Section Head in the Division of Facilities Management at Mayo Clinic in Rochester, Minnesota. Mark has a bachelor’s degree in Mechanical Engineering from the Missouri University of Science and Technology and a master’s degree in finance from Saint Louis University. Mark is a registered professional engineer and a Certified Healthcare Facility Manager. In his current role, Mark provides leadership, vision and strategic direction for the overall operation, maintenance, and performance of the built environment for over 150 facilities totaling 20 million SF across Southeast Minnesota.
Troy McCabe - Unit Head - Facilities Operations, Mayo Clinic
Troy McCabe, a Unit Head in the Section of Facilities Operations at Mayo Clinic in Rochester, Minnesota. Troy has a degree in Building Utilities Mechanic from the Community and Technical College in Rochester, MN and a bachelor’s degree in Business Administration from Crossroads College in Rochester, MN. In his current role, Troy provides leadership with a cohesive and collaborative approach for the overall operation, maintenance, and performance of the built environment for 5 hospital campuses across SE Minnesota.
Learn about how the Mayo Clinic Rochester Facilities Operations team integrated with five community-based hospitals campuses in southeast Minnesota. The presenters will share the journey of aligning job descriptions, implementing career ladders, integrating maintenance philosophies, identifying assets in the facility, and standardizing The Joint Commission reporting processes. Lessons and challenges of supporting an existing facility will be shared to show how standardized maintenance programs can improve the performance of the existing infrastructure.
Information on the continued evolution of Facilities Operations ITM (Inspection, Testing, and Maintenance) processes will be shared. Learn how the Facilities Operations team is looking to define and align technical skills, recruitment, and contracted maintenance to better support the built environment.
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Learning Objectives
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Learn about the challenges of changing and aligning roles from an integration perspective.
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Define the difference in ITM (inspection, testing, and maintenance) activities.
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Identify how assets are categorized for alignment to compliance inspection and testing requirements.
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Learn how infrastructure assessments and maintenance programs were used to improve the operational performance of the existing infrastructure.
Abstract
Adam Kaufman, EIT - Senior Energy Engineer, Wendel
Adam M. Kaufman EIT (NY) has a Master's of Science in Mechanical Engineering from Stony Brook University and is a senior energy engineer at Wendel. As a senior energy engineer at Wendel, Adam leads teams through the development and implementation of projects with sustainability goals of reducing carbon emissions and electrification. He has over 6 years of experience working with a variety of diverse clients such as hospitals, medical centers, universities, and pharmaceutical manufacturing buildings. He has been the technical lead on serval clean energy master plans leveraging a variety of emerging technologies such as heat recovery heat pumps and building analytics along with more traditional energy efficiency measures. Adam has presented on these technologies and programs to different stakeholders from engineering personnel to business executives. Adam has authored a case study proving the business case for implementing cutting edge analytics technologies and has been a guess speaker on the nexus podcast to discuss the importance of operational teams in leveraging analytics to meet efficiency goals.
David Kimball, RA, AIA CCS CDT - Director of Healthcare Services, Principal, Wendel
As Wendel's Director of Healthcare Design Services, David guides a team dedicated to creating effective and responsible solutions for healing environments. He has been positively impacting people's lives through design in healthcare for over 30 years, offering thoughtful experience through a holistic approach, utilizing evidence-based and values added principles. Having fun through work and creating long-lasting relationships as a trusted advisor is his motivation. David's project experience crosses the continuum of care; hospital, outpatient, and living centers including long- and short-term care but also includes specialties like behaviorial health by way of inpatient, outpatient, IMD, AODA, and memory care. He has spoken on the topic of behavioral health design and has been published in the AIA Academy of Architecture for Health. David has a strong focus on mentorship and is a former instructor of Architecture at Wisconsin's Polytechnic Univeristy, UW Stout.
Robert Myrick, PE - Energy Engineer, Wendel
Robert J Myrick, PE (NY) has a Master’s of Science in Mechanical Engineering from Stony Brook University and is an Energy Engineer at Wendel. He has over 5 years of experience working with a multitude of private and public clients proposing, designing, and implementing energy efficiency projects. He has been a technical lead in the development of multiple long term clean energy masterplans for clients in both the healthcare and higher education spaces; leveraging emerging technologies and a variety of incentives to reach these goals as efficiently and economically as possible. These campus level plans have involved coordinating the interactions between solutions across all systems within the campus, including HVAC&R, controls, lighting, building envelope, process loads, domestic water, and operation. He has presented on these technologies and solutions to both technical and executive level clients at well-known organizations.
Abstract
The goal of the presentation is to equip end use customers and service providers in the healthcare sector with the tools for identifying and implementing long term Clean Energy Projects to meet strict climate goals. We will provide tips and insights for each step of the process – from developing an RFP, through audit and project planning, to implementation and M&V of results – a result of strategies developed throughout 10 years of campus planning alongside some of the country’s leading healthcare facilities and research laboratories.
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Learning Objectives​
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Strategies for identifying a path towards healthcare campus electrification
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Taking the first steps with actionable initial campus electrification projects
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Developing timelines for short-term vs. long-term project implementation
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Utilizing programs and incentives to secure funding and increase project success
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Developing Clean Energy Study RFPs to meet project goals
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Case Studies for leading healthcare projects completed showing paths towards clean energy/electrification and the associated costs/savings
Justin Thiner - Senior Associate, Electrical Engineer, Dunham Associates
With 18 years of experience designing normal and emergency power systems for healthcare environments, Justin has established himself as a leader in his field. He leads the electrical design for some of Dunham Associates' most challenging and complex hospital and clinic projects. He is known for exceptional client services, thorough design, and his knowledge of healthcare industry trends and best practices. Justin holds a Bachelor of Science in Electrical Engineering from South Dakota State University and currently serves as a Senior Associate in the firm.
Abstract
Emergency generators in healthcare environments are critical to the health and safety of patients and staff. Because of the critical nature of these environments, many questions need to be addressed before a designer can accurately size a generator and select its components. Factors include sizing, branch requirements, design day load vs. everyday load, sound attenuation, clearances, and run time, among others.
In healthcare environments, designs must adhere to various industry-specific codes and regulations to ensure loads are prioritized. We will break down what the code states and what that means to an electrical engineer when designing generator systems. Throughout this presentation, Justin Thiner, PE, will explain how sizing decisions and component selections are made and address common questions that arise when designing generator systems.
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Learning Objectives
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Understanding Sizing and Electrical Branch Requirements
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Generator Loading – Design Day vs. Every Day
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Sound, Site, and Run Time Considerations
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Distribution Equipment Better understand the decisions that go into sizing generators and the importance of placing each load on the appropriate branch.
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How do we meet the FGI and Local sound guidelines with standard vs. custom sound attenuated enclosures? Understand the clearance requirements for generators and adjacent walls, equipment, and obstructions. Distribution equipment compartmentalization and sizing: What is appropriate for each application?
Eric Espe - NDT Manager, Predictive Technologies, Inc.
Mechanical Integrity Inspections are completed to many codes and standards, which can include pressure vessels, piping, and storage tanks. The Non-Destructive Testing (NDT) methods used in these inspections are Ultrasonic (UT), Phased Array Ultrasonic Testing (PAUT), Magnetic Particle (MT), Eddy Current (ET), Magnetic Flux Leakage (MFL), Penetrant (PT), Radiography (RT), & Visual Inspection (VT). As an integrity manager and fixed equipment inspector, Eric Espe (NDT Manager) ties all these together to assist in finding needle in the haystack type of issues for companies. These inspections contribute to the critical decisions owners need to make to help ensure safety, reliable operation, increased uptime, and compliance. Eric has 13 years’ experience as a Reliability Specialist (Cat-II) and NDT Technician in multiple methods including PAUT, UT, MT, PT, and VT. He has also obtained certifications through the American Petroleum Institute for an API-510 Pressure Vessel Inspector and an API-570 Piping Inspector.
Gregg Schwartz - Senior Reliability Manager, Predictive Technologies, Inc.
Gregg Schwartz (CEO/Sr. Reliability Manager): Predictive Technologies, Inc. was established in March 2007. Our team works with clients throughout the Midwest implementing mechanical integrity & predictive diagnostics plans, scheduling & implementing work during plant downtimes, and validating repairs post shutdown. He has been involved in Reliability Programs, Mechanical Integrity, and Predictive Diagnostics Solutions & Repairs for 31 years. He currently holds two ISO-18436-2 Vibration Analyst certifications one as a Category III from the Vibration Institute & another as Category IV from Technical Associates of Charolotte. Rotor Dynamics, Modal Analysis, Motion Amplification, & Root Cause Analysis are just a few of his specialty areas of interest.
Abstract
Predictive Technologies, Inc. has worked with facilities throughout the Midwest implementing fixed & rotating asset solutions to meet the needs of these organizations. Even though each facility may have different goals, objectives, and outcomes. These solutions seemly different are intertwined into the outcome of ensuring there are no disruptions to serving their patients & support areas.
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Mechanical Integrity (Fixed Assets) & Reliability (Rotating Assets) come in the form of piping, vessels, storage tanks, air handlers, pumps, chillers, & cooling towers among many others. These fixed & rotating assets are integral to facilities data centers, patient areas, surgery suites, MRI's, Labs, & power plants not to mention other areas. Understanding & implementing the proper technologies to ensure piping system meet requirements to retain pressures due to wall loss, corrosion under insulation, Victaulic fitting failures, or vessel's failures due to stress corrosion cracking or weld fatigue. Not to mention Reliability Programs using vibration analysis, oil analysis, lubrication using HFE (High Frequency Enveloping), ultrasonics for compressed gases are all just as important.
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Acceptance Standards of new and rebuilt equipment, commissioning, and Mechanical, Electrical, and Predictive Diagnostics Solutions & Repairs. Vibration providing this evidence to the OEM to cover warranties can also be a challenge. Our goal will be to assist in providing this information to everyone to increase the quality of products being installed. Tying in standards at the inception of the design or implementation of current equipment is integral to achieving these goals.
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Learning Objectives
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​Mechanical Integrity (Fixed Assets): Understanding Exposure & Eliminating Risks of Piping, Vessels, Storage Tanks Failures.
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Reliability Programs: (Rotating Assets) Implementation of proper Non-Destructive technologies to increase uptime & reducing secondary damage costs.
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Acceptance Standards: Implementation of standards for reliability to OEM's & following up with proper commissioning techniques to determine if met.
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Condition Monitoring Solutions: Portable, Wireless, Hard Wired monitoring solutions to tie these all together.
Lindsey Evenson - Senior Project Manager, Perkins&Will
Lindsey Evenson is a project architect at Perkins&Will in Minneapolis. With almost 20 years of experience working on healthcare projects, her primary focus is improving patient experiences through thoughtful medical planning and design. Her combined experience with interior design and architecture has given her unique opportunities to provide critical perspectives to clients when it comes to the challenge of healthy material selections in healthcare settings. She is passionate about sustainability and improving the indoor environmental quality of hospitals and outpatient facilities.
Kenneth Potts, AIA - Project Manager, Mayo Clinic
Ken is a Project Manager in the Department of Facilities and Support Services at the Mayo Clinic in Rochester, Minnesota. In his current role, he and the Project Services team are responsible for project delivery of over 150 capital projects per year in Rochester, MN, and in the Mayo Clinic Health System. In addition to delivering individual projects in support of the Mayo Clinic mission, he oversees annual programs to advance energy efficiency through improvements to exterior envelope performance and Building Automation Systems.
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Ken has been with the Mayo Clinic for 7 years. His prior experience includes consulting architecture, real estate development, and construction. He brings expertise in sustainable design and construction to all his roles; and has contributed this knowledge in a Board of Director role for several organizations including the U.S. Green Building Council. Ken has a BA in Political Science and a Masters of Architecture. He has been a licensed architect in the State of Minnesota for 29 years.
Abstract
Mayo Clinic pursues the continual improvement of its finish materials Standards. A recent Facilities project engaged Perkins&Will Minneapolis to use the design effort and inform the Standards, with a focus on healthy material selection and speficifaction. This presentation will review 5-10 chemicals of concern that are commonly found in building products, why they should be avoided and why healthy material selection is especially important in healthcare settings. We will share methods for analyzing healthy materials and resources that are readily available online. Additionally, we will walk session attendees through the Mayo Clinic Environmental Services Training Facility project, which contains three mock patient rooms and one mock exam room. We’ll talk through our process for analyzing and selecting materials to install for testing and share test results, lessons learned and potential impacts to Mayo Clinic material standards going forward. The training facility is also used to test various cleaning products and we will give a brief summary of test results to date.
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Learning Objectives
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Demonstrate knowledge of chemicals of concern and healthy interior finish materials.
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Analyze materials to avoid chemicals of concern, while weighing material attributes against specific project needs.
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Understand the process of material selection for Mayo Clinic’s Environmental Services Training Facility project in addition to material test results and lessons learned.
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Understand the impacts of test results on future projects.
Jeff Eckstein, AIA - Healthcare Business Development, Findorff
Jeff is a registered architect, has worked in facility planning for 2 major healthcare systems and has over 30 years’ experience in healthcare planning, design, and construction. He is also Co-Chair of the WHEA Code Committee, past president of WHEA Chapter I and recipient of WHEA's Robert H. Botts Healthcare Engineering Pioneer Award and Founders Award for Outstanding Service.
Sara Kania, AIA - Project Manager, Associate Vice President, HGA Architects and Engineers
Collaborative teamwork is at the root of Sara’s efforts as a Project Manager. She works closely with clients from the pre-design phase through to project closeout and leverages her strong leadership skills to manage architectural, engineering, consultant, and construction teams. She combines her healthcare experience with a passion for understanding clients needs to achieve innovative design solutions that positively impact the patient, family, and caregiver experience while also
meeting a project’s schedule and budget requirements.
Maggie Pipek - Certifications Managers and Sr. Sustainability Specialist, HGA Architects and Engineers
Maggie is a registered architect with a background in sustainable planning and development. She has particular interest in how the built environment can contribute positively to the lives of the people that inhabit them by improving human health and experience. Maggie provides support for projects seeking green, third party certifications, bringing her extensive experience with sustainable solutions, product/material research, consultant coordination, and reviewing and contributing to specification writing.
William Schlie - Senior Preconstruction Manager, Findorff
Bill is a Senior Preconstruction Manager for Findorff, providing leadership for his team in subjects related to architectural design, value analysis, and constructability analysis. Bill has over 15 years of experience in Healthcare Preconstruction and Project Management from small, specialized projects to those over $250 million.
Abstract
This case study focuses on the development of a 182,000-square-foot clinic replacement for a large Midwest healthcare system priced over $50 million. This project was guided by principles of environmental sustainability and an integrated team structure with several aggressive building performance energy objectives, including Well Building Goal certification. These guiding principles were developed using tools such as the Lean culture, IPD Light, and models of ideal patient/caregiver experience from arrival to discharge. The team, consisting of owners, architects, and contractors, drove the planning and design process using the Target Value Design Approach, optimizing the construction process. The result was a top-quality care facility serving the surrounding area with extensive use of alternative energy resources, completed on time and within budget.
Case Study/Lecture Topics:
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Integrated PDC Teams i.e., IPD Light
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Lean Operations
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TVD Design
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Well Building
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Sustainability / Energy Conservation
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Sustainability – How does this effect construction plans
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Learning Objectives
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​Understand the benefits of the unique teaming and Integrated Design Process
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Learn how Sustainability & WELL can be efficiently incorporated into a clinic design
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Use Lean operation techniques and a patient-centered care model to achieve 60% exam room utilization
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Apply the Target Value Design approach to reach budget objectives
Ryan Hunwardsen - Mechanical Engineer, HGA Architects and Engineers
Ryan has 3 years of experience in mechanical engineering, specializing in plumbing infrastructure for healthcare campuses and science/technology. He has been an instrumental member on the teams working with healthcare clients to analyze their medical gas systems.
Jill Imig - Mechanical Department Leader, HGA Architects and Engineers
Jill, HGA’s Milwaukee Mechanical Department Leader, has 15 years of experience in the design of plumbing systems for health care buildings. She is highly involved with the Medical Gas Professional Healthcare Organization (MGPHO) and the American Society of Plumbing Engineers (ASPE). She is a past president of ASPE Wisconsin Chapter. She is ASSE 6060 certified.
Ray Schwalbe - Sr Mechanical Engineer, HGA Architects and Engineers
Ray has nearly 10 years of experience as a mechanical engineer, specializing in plumbing infrastructure for healthcare campuses and facilities, science/technology and lab facilities, as well as corporate, higher education and cultural projects. His expertise includes plumbing engineering design, specification writing and commissioning.
Abstract
While most facilities focus on Architectural facility master planning, little thought is given to the medical gas systems required to support the program needs. Many facility teams cannot answer the question “Can the oxygen (or medical air, or medical vacuum) system support the building addition we are contemplating”.
This presentation will cover aspects of medical gas systems like benchmarking medical gas equipment vs calculated loads, thinking about the med gas piping and equipment when making renovations/additions to the facility, questions to ask the designers during the design process, locations for additional valves for maintenance and future expansion, etc.
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Learning Objectives
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What does code require of the facility teams
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Questions to ask the engineering team during design to ensure long term viability of the systems
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Lessons learned from COVID and existing facility master plan work
Jake Connor - Director, MODUS Engineering
Jake Connor is a Director and Mechanical Engineer at Modus Engineering. Jake has been in the MEPT consulting field for over a decade and has worked with clients and exceeded their expectations along the way. A graduate of Iowa State University, he has served as a mechanical engineer and project manager for several hospital clients including several projects with Unity Point. He takes pride in working on messy renovations with complicated phasing in order to tap into his knack for problem solving.
Steve Cusher, CHFM - Regional Director Facility Operations, UnityPoint Health - Waterloo
Steve Cusher is the Regional Director of Facilty Operations for UnityPoint Health – Waterloo. This position has oversite over maintenance, construction, and property management for two hospitals and several properties covering a 15-county service area. Steve has experience in low voltage systems, hospital maintenance, healthcare environmental safety, emergency management, and security. Steve recently received a degree in Healthcare Facility Leadership from Owensboro Technical and Community College and has been a CHFM since 2014. He is a past board member for the Iowa Society for Healthcare Engineering and is currently on the ASHE Region 6 Conference Planning Committee. Steve takes pride in offering safe and functional environments for patient care.
Kristina Mehmen, AIA, ACHA - Principal, INVISION Architecture
Kristina Mehmen is a Principal and Medical Planner at INVISION and has extensive experience in the design and construction of healthcare facilities. Her knowledge of all project phases, from planning through construction, allows her to lead interdisciplinary teams throughout a project. Kristina has worked as a medical planner for large national firms and high-caliber regional teams, working on projects ranging from master planning to major additions and renovations. She believes in understanding and exhausting every concern and idea to provide the most value to clients and strives for solutions that make sense, are beautiful and satisfy project goals.
Abstract
Rural hospitals and communities are facing several challenges in today’s healthcare climate. The decline of rural populations, aging demographics, and a growing number of residents with chronic illnesses, the demand for mental health services and the desire for specialty telehealth visits are amongst the most pressing issues. In addition, many disturbances and interruptions can arise that may challenge a hospital including national disasters and staff shortages. To best serve their communities, hospitals must continue to put the needs of the patients and staff first while adhering to tight, budgetary constraints and ensuring safety. As a beacon of community safety, the need for healthcare institutions to stay operational and serve those in need of care during times of turmoil is paramount. This session will review the design strategy of the new Marshalltown Hospital & how it uniquely addressed the complexities of bringing a state-of-the-art hospital to a rural community.
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Learning Objectives
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Understand the unique challenges healthcare facilities face in rural communities
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Learn how innovations in programming and design can aid in right-sizing a healthcare facility
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Explore the importance of budgetary & value alignment during the design process
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Identify lessons learned while designing & relocating a hospital
Andrew Jordan - Healthcare Design Principal, Wold Architects and Engineers
Andrew Jordan is a Healthcare Design Principal at Wold Architects and Engineers. Andrew joined his Father’s healthcare focused design firm in 1992 and has spent his entire career dedicated to planning, designing and delivering innovative healthcare facilities. He has extensive experience leading a wide range of healthcare projects with particular expertise in facilitating proper functional relationships and efficiencies of flow.
Andrew’s broad healthcare background, position as a leader in the healthcare design industry and passion to always help others has built long lasting and trusted relationships with clients, code officials, consultants and contractors.
Andrew’s background leading healthcare projects with multiple Owners, facilitating consensus, and navigating an ever-changing market illustrates his strengths for both leadership and creative solution-seeking in healthcare.
Andrew Peterson - Manager, Allina Health
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17 years with Allina Health Corporate Security
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MBA from St Cloud State University
Dave Warning - Project Manager, M.A. Mortenson Company
Dave has over 12 years in construction project management in the local Minnesota area. He currently focuses on Healthcare and has expierence in security initiatives, imaging suites, surgical and sterile processing and active clinical renovation projects. Previously Dave worked in the sports and entertainment, retail and hospitality markets. He has his BS in Construction Engineering from Iowa State University.
Abstract
Healthcare facilities are challenged with balancing patient safety and patient experience while they look to maintain, expand and improve their facilities. Workplace violence is a serious problem that continues to impact our country, so finding new and improved ways to provide preventive measures in our Healthcare settings is important to the safety of our workers, patients and visitors. Leaning on different industry experts brings us all together to find new and efficient ways to identify opportunities, plan for the future and execute with ease and confidence.
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Learning Objectives
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​Understand the impact lobby design has on the safety and security of our workers, patients and visitors
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Review best practices for engaging the right team and developing an action plan
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Analyze secondary impacts to implementing various security measures in a healthcare setting
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Strategize the approach for executing enhancements across hundreds of facilities while maintaining standards and consistency
John Kriesel - Director of Veteran Services for a County in Suburban, Minneapolis, MN; Motivational Speaker, Co-Author and more!
John Kriesel may have lost his legs and three close buddies in Iraq, but he came home with a powerful message of hope and living testimony to the value of a positive attitude to overcome any challenge.
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John served as a NATO peacekeeper in Kosovo in 2004 before volunteering for deployment to Iraq. On December 2, 2006 his team struck an improvised explosive device (IED) and he was not expected to survive. He died three times in the operating room, but 35 surgeries and nine months later he walked out of Walter Reed Army Medical Center. He retired as a staff sergeant following 10 years in the Army National Guard receiving the Combat Infantryman Badge, Purple Heart, Bronze Star, and other awards.
In 2010 he was elected to the Minnesota House of Representatives but decided not to seek re-election when his family said they wanted to spend more time with him.
He is director of veterans services for a County in Suburban Minneapolis, MN, a part-time personality on KFAN Radio, motivational speaker, and co-author of the book, “Still Standing: The Story of SSG John Kriesel,” republished in 2018 and winner of 8 national book awards.
Abstract
LESSONS TO BE LEARNED LISTENING TO JOHN KRIESEL
Challenges...Everybody faces adversity--it doesn't matter the size or scope of your challenge, it is the attitude that you bring to the table that will help you overcome that adversity and it will make you a stronger person.
Acceptance...You can't begin to resolve your challenge until you accept it. John lost his legs and two buddies in Iraq explosion. Rather than wallow in self-pity, he resolved to live his life to the fullest and to make the best out of his second chance at life.
Plan...Develop a plan to overcome your challenge, make it into an opportunity. When told he might not walk again and would be hospitalized two years, John doubled his physical therapy regimen, working himself to exhaustion. He walked out of Walter Reed Medical Center nine months later.
Humor…In his darkest moments, John found time to laugh. Always a lighthearted guy, he discovered laughter and not taking yourself too seriously are powerful medicine in any endeavor.
Support...Nobody does it alone. Friends, family and people you don't know will help but you need to accept their help. Success is a team sport. John’s army buddies in the field, medical staff in four hospitals, family, and scores of people, many he never met, got John up on his new feet.
Share...Use your success to help others and you help yourself. The greater your success, the more you will enjoy sharing it by helping others beat their challenges, no matter how big or small those challenges may be.
James Kendig, MS, CHSP, CHCM, HEM, LHRM - Field Director, Surveyor Management and Development Accreditation and Certification Operations, The Joint Commission
James Kendig is the Field Director for the Life Safety Code Surveyors/Engineers at The Joint Commission. In this role, he oversees half (approximately 40) of the surveyor cadre who
specialize in surveying The Joint Commission’s life safety, environment of care, and emergency management standards.
Previously, Mr. Kendig also served as a Joint Commission Life Safety Code Surveyor. Prior to joining The Joint Commission, he was a Vice President and Safety Officer for a four-hospital system in Florida on the “Space Coast”.
Mr. Kendig maintains certifications as a Certified Healthcare Safety Professional, Certified Hazard Control Manager, Certified Healthcare Environmental Manager, and is a licensed Healthcare Risk Manager. He serves on the faculty of the University of Central Florida’s Licensed Risk Management Program.
Mr. Kendig holds a Bachelor’s and Master’s degree from West Chester University, West Chester, Pennsylvania. He is currently a resident of Florida.
Abstract
Abstract Details Coming Soon.