​​Health Care in the Built Environment Conference

Breakout Sessions Information

Wednesday, March 14, 2018

Glacier Canyon Conference Center, Wisconsin Dells, WI

 

Breakout Sessions "A" from 9:45 am - 11:00 am

A1A2A3

An Innovative Approach for a
New Children's Hospital

Steve Gollehon, AIA, LEED AP, BD+C
Timothy Koch, AIA, LEED AP, BD+C
HDR Architecture Inc.

Road to Recovery:
Person-Centered Design in Behavioral Health

David Kimball, AIA, CCS, CDT
Jerry Deetz, Administrator
Wendel  and Trempealeau County Health Care Center

Adaptive Reuse of
Vacated Hospital & Healthcare Buildings

Kevin Broich, AIA, NCARB
Dave Carr, CHC, CCM
Matt Dekkers, V.P. Operations
Plunkett Raysich Architects and Graham Construction

A1: An Innovative Approach for a New Children's Hospital
Project delivery is revolutionary in its anticipated effects on the construction industry; yet its concepts have been practiced for centuries in a variety of forms.  Newer methods in process require a great change that is often met with resistance.  A case study will summarize an innovative process used to minimize cost and maximize space utilization through a collaborative team decision making process.

Objectives:
1. Optimize and validate the owner’s project goals.
2. Discuss real collaboration from planning, design and regulatory review, through to occupancy.
3. Ensure the building performs as intended and delivers the expected value to support the organizational mission.

​A2: Road to Recovery: Person-Centered Design in Behavioral Health
With roots back to 1898, Trempealeau County Health Care Center (TCHCC) sought a facility to match staff’s unparalleled delivery of care. In this session, attendees will gain insight into a recovery based behavioral health model that sheds paradigms, strives to eliminate stigma and places the person at the center of each design decision.  The presenters will convey understanding of how empathetic design transforms the built environment to foster wellness, promote confidence building, and create personal pride for each individual.  Attendees will also see how attention to both macro and micro elements can drive success for a positive experience for resident/guests, staff, family, and visitors.

Objectives:
1. Assess a facilities' delivery of care, population, and current state.
2. Distinguish and recognize features of a wellness-focused environment versus illness-focused environment.
3. Apply operational planning and design practices for positive emotional and physical outcomes.

​A3: Adaptive Reuse of Vacated Hospital & Healthcare Buildings
In this session, presenters will provide insights through case studies regarding the challenges of prudently reusing inefficient existing buildings that healthcare and other owners must often leave behind. Applying the best practices, principles and processes of integrated project delivery will deliver faster, lower cost and high quality adaptive re-use and renovation projects. The presenters will also explain the code implications, phasing issues and trends in the financial, regulatory, design and construction environment that are driving the push toward cost-effective adaptive re-use in lieu of new green-field construction. The team will outline its unique pre-development and design processes’ implementation, and how to plan for achieving a successful transition into occupancy and deliver the much improved facility to a very satisfied owner.

Objectives:
1. Learn the essential steps of a process to prudently reclaim and revitalize healthcare physical environments.
2. Plan for how to do more with less by converting underutilized space, by phases, into code compliant new service lines within the same square footage, but when different regulations may apply.
3. Establish a team process to identify goals, challenges and user-defined, performance based solutions.
4. Eliminate inefficiencies and improve performance for present and future long-term goals when you need to leave your old hospital to move into your new facility.

Breakout Sessions "B" from 11:15 am - 12:30 pm

B1B2B3

Readiness Assessments: Key Decision Points for Successful Organizations

Tim Prince, MHA, FACHE
J. H. Findorff & Son Inc.

LTC Adaptive Reuse: The Process to Reclaiming and Revitalizing Healthcare Physical Environments

Mark Radmer, Harbor Haven
Steve Schmitt, Schmitt Construction
Larry Schneider, Plunkett Raysich Architects

UW Health at the American Center: Achieving 20% Across-the-Board Operational Cuts with Lean

Laura Serebin, AIA LEED AP
Cindy Cox, Medical Planner
Joel Boado, PE, LEEP AP
Flad Architects and Affiliated Engineers Inc.

​B1: Readiness Assessments: Key Decision Points for Successful Organizations
Critical business and clinical initiatives have profound impact on your healthcare organization. How you prepare for them is crucial to your success. Healthcare providers are embarking on more complex projects for clinical transformation, advancing patient / resident safety, increasing margins and improving administrative efficiency.

Objectives:
1. Identify your current key organizational strategies and limitations.
2. Identify common pitfalls and risk in traditional facility planning.
3. Discuss Go / No-Go decision points for an operational or project opportunity.
4. Discuss realistic measurement and communication of success.

B2: LTC Adaptive Reuse: The Process to Reclaiming and Revitalizing Healthcare Physical Environments
In this session, presenters will provide a case study of an adaptive reuse of an aging nursing home as it is transformed into a state-of-the-art skilled nursing facility with resident-centered households.  The team will provide insight into the challenges of working within the box from the perspective of design, operations and construction with a traditional design-bid build approach.  This multi-phased project needed to create swing space for construction while maintaining 24/7 occupancy of a wide range of residents from transitional care to residents with behavior support needs.

Objectives:
1. Discuss planning for how to do more with less by converting underutilized space into new service lines within the same square footage.
2. Identify how to establish a team process to identify goals, challenges, and user performance-based solutions.
3. Discuss eliminating inefficiencies and improve performance for present and future long-term goals.

​B3: UW Health at the American Center: Achieving 20% Across-the-Board Operational Cuts with Lean
Lean planning inspired a new approach to healthcare delivery at UW Health's new satellite campus. The UW team will show how Lean planning and metrics can be used to improve efficiency, focus on the patient and encourage space sharing and describe the successes and challenges of cutting 20 percent of program space.

Objectives:
1. Discover how to use new operational methods and create building plans to leverage change, reduce program size and square footage.
2. Learn to apply Lean planning/metrics to improve efficiency, focus on the patient and encourage space sharing.
3. Understand the successes and challenges of cutting 20 percent of program spaces.
4. Discuss how to quickly foster a vision and commitment to change among diverse stakeholders, including patient and family advisors.

Breakout Sessions "C" from 1:30 pm - 2:45 pm

C1C2C3

Integrated Lean Project Delivery for Best-in-Class Results

Tim Klein, Director of Facilities
Trent Jezwinski
Bay Area Medical Center and The Boldt Company

Nursing Homes: New Designs and Accessibility Options

Kimberly Paarlberg, Senior Architect
International Code Council (ICC) Codes and Standards

Innovative Virtual Regulatory Reviews:
It is Possible through a Collaborative Team Environment

James N. Bartl, AIA

​​C1: Integrated Lean Project Deliver for Best-in-Class Results
Boldt Construction and Bay Area Medical Center (BAMC) will do a session on the Integrated Lean Project Delivery (ILPD) system which is a trademarked process in which collaboration and lean process/lean tools are interwoven to create a high cross functioning team for a construction project that produces best-in-class results. The presenters will provide an overview of the ILPD process used on the BAMC project and the results achieved, along with lessons learned.

Objectives:
1. Understand the complex and ever changing nature of the health care planning, design and construction market.
2. Learn to eliminate inefficiencies and improve performance while working directly with the owner to align with present and future strategic plans.
3. Discuss how to establish a team process to identifying goals, challenges, and lessons learned from schematic through to final owner occupancy.

C2: Nursing Homes: New Designs and Accessibility Options
The new approach for nursing home design is to incorporate more of a home-like environment for residents. A large facility may include many ‘houses’ – typically 15 to 30 residents with a shared living and dining space. During the latest cycles the ICC codes have incorporated these new design ideas into code requirements. Accessibility needs to meet the requirements from ADA and the Fair Housing Act. The IBC has incorporated requirements from both these federal rules. The presenters will discuss how this accessibility can be achieved and some of the new studies coming forward that could offer new design options.

Objectives:
1. Identify new approaches for toileting and bathing in accessible nursing home rooms.
2. Understand how new home-like environments can remain safe within the model codes.
3. Discover new arrangements that could lead future design.

​C3: Innovative Virtual Regulatory Reviews: It is Possible Through a Collaborative Team Environment
Traditional project delivery methods establish a set of contracts, assign roles, transfer risk from one party to another, and result in “nonteam” behavior.  Facilities must demand improvements in planning and construction for collaborative team environments that mutually share the risk and rewards of the project.  Owner project requirements are established early and are tracked throughout the process to assist positive performance outcomes for the end-users.

Objectives:
1. Identify how to establish and validate an owner’s project goals.
2. Understand how collaboration is a requirement for increased accountability by the entire team.
3. Discover reduced regulatory oversight and improved end-user satisfaction.

 

Health Care.png