© 2016 American Society for Healthcare Engineering, a personal membership group of the American Hospital Association 155 N. Wacker Drive, Suite 400 | Chicago, IL ashe.org | | ASHE UPDATE September 20, 2106 Jan 2016

© 2016 American Society for Healthcare Engineering Terry Scott - ASHE President Jeff Henne - ASHE Region 2 Jan 2016

© 2016 American Society for Healthcare Engineering The American Hospital Association AHA represents and serves hospitals, health care networks, their patients and communities. ASHE is a Personal Membership Group (PMG) of AHA The PMGs are an individual’s conduit to national hospital information Jan 2016

© 2016 American Society for Healthcare Engineering ASHE Largest association dedicated to health care physical environment Over 12,000 members 60 Chapters Diverse membership Trusted resource National influence Mission Dedicated to optimizing the health care physical environment Jan 2016

© 2016 American Society for Healthcare Engineering Benefits of ASHE Membership Jan 2016 Membership types Professional Active Associate Educator/Student Retired

© 2016 American Society for Healthcare Engineering What to Expect from ASHE… Issue Briefs Monographs LISTSERV Inside ASHE Webinars Sustainability Roadmap Energy University Focus on Compliance On Demand Learning Jan 2016

© 2016 American Society for Healthcare Engineering Jan 2016

© 2016 American Society for Healthcare Engineering April PDC Summit March 12–15 Orlando, FL

© 2016 American Society for Healthcare Engineering April 2016

© 2016 American Society for Healthcare Engineering ASHE Courses Education courses hosted by ASHE at various locations (Chapters) Courses examples include: CHFM Exam Review Course CHC Exam Review Course Healthcare Construction Certificate Course Infection Prevention Water Systems and Management of Waterborne Pathogens Jan 2016

© 2016 American Society for Healthcare Engineering E-learning Online education Courses can be completed based on your schedule No travel required E-learning courses provide Continuing Education Units (CEUs) Jan 2016

© 2016 American Society for Healthcare Engineering The Value of Certification Certification is an increasingly desirable Financially desirable Managers with the CHFM have an average salary $22,196 higher than those without certification Required or preferred for many positions More than half the job postings on ASHE Career Flash list Certification as being required or approved CHC required by many health care organizations for contractors working in their facilities Jan 2016

© 2016 American Society for Healthcare Engineering Certification Where can I find information about becoming certified? Jan 2016

© 2016 American Society for Healthcare Engineering CHFM Exam Content Outline Five content areas 1.Compliance 2.Planning, design and construction 3.Maintenance and operations 4.Finance 5.Administration Jan 2016

© 2016 American Society for Healthcare Engineering Certified Healthcare Constructor CHC Handbook 1.Qualifications 2.Application process 3.CHC examination content outline Jan 2016

© 2016 American Society for Healthcare Engineering CHC Exam Content Outline Four content areas 1.Health care industry fundamentals 2.Planning, design and construction process 3.Health facility safety – additions and renovations 4.Financial stewardship Jan 2016

© 2016 American Society for Healthcare Engineering Preparing for the Exams Your own experience Review the outline Jan 2016

© 2016 American Society for Healthcare Engineering Resources Self assessment exams (SAE) ASHE preparation courses Other potential resources Books FGI Guidelines ASHE handbooks Monographs Healthcare Construction Certificate Program E-Learning courses Jan 2016

© 2016 American Society for Healthcare Engineering ASHE Strategic Plan Jan 2016

© 2016 American Society for Healthcare Engineering Mission, Vision, and Goals Mission: Dedicated to optimizing the health care physical environment Strategic goals  Regulation  Reputation  Capacity Jan 2016

© 2016 American Society for Healthcare Engineering Strategic Imperatives Support the Mission Member valueSuccession planningSustainability While strategic goals are long-term targets, strategic imperatives are short-term (1–2 year) initiatives that support ASHE’s strategic goals. Jan 2016

© 2016 American Society for Healthcare Engineering Member Value Jan 2016

© 2015 American Society for Healthcare Engineering MEMBER VALUE Members will receive full value for their ASHE membership, far exceeding their investment of time and money They will feel connected to ASHE at a professional and personal level, and demonstrate ASHE values They will have confidence in their ability to articulate the value that they generate to achieve the mission and goals of their organization Increase member engagement to current resources/tools. Increase ability to communicate value to C-Suite. Establish & recognize performance of facilities teams.

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© 2015 American Society for Healthcare Engineering Trusted and Timely Member Resources Codes and standards alerts and guidance Tools, templates, and other useful resources Educational programming Career Flash ASHE publications (Now earn CEUs through Inside ASHE!) Jan 2016

27 Coming in 2016: Improving the Patient Experience through the Health Care Physical Environment

© 2016 American Society for Healthcare Engineering ASHE Advocacy Program Representation National Regional State Proactive Efforts Managing code and standards Informing membership Jan 2016

© 2016 American Society for Healthcare Engineering Awards and Recognition FASHE, SASHE, CHFM, and CHC Awards  Crystal Eagle leadership award  Emerging Regional Leader award  Excellence in Facility Management award  President’s Award  Vista awards  Energy to Care awards  Energy Champion award Chapter level of affiliation awards  Elite status for chapters focused on sustainability April 2016

pdcsummit.org Impact of HAIs Cost: $9.8 Billion of 5 major infections Lost payment (CMS, other payers) Reputational costs CDC, 2015, based on 2011 data

pdcsummit.org Six areas of focus: 1.Infection Control Risk Assessment 2.Hand Hygiene Infrastructure 3.Reprocessing 4.Cleaning of Environmental Surfaces 5.Water-related Environmental Infection Control 6.Flow of Patients, Personnel & Equipment Improving Infection Prevention & Control Through Facility Design & Operations CDC/AHA Grant Partnership

© 2016 American Society for Healthcare Engineering Recently Launched ASHE Resources New ASHE website redesign ASHE Focus on Compliance project New education programs and content FGI Guidelines e-learning program …more to come! Jan 2016

© 2016 American Society for Healthcare Engineering Succession Planning Jan 2016

2016 PDC 13,000 Youth

Challenges in Succession Planning The health care facility management field has an aging workforce – 40% of health care facility managers were older than 55

© 2015 American Society for Healthcare Engineering ASHE Internship Program Available on ashe.org/internship: Chapter template for internship plan Fact sheets Host application Internships create interest in our field among young people Interns provide support for your staff Employers see higher retention rates among those who started as interns Jan 2016

Purdue University New York Institute of Technology Brigham Young University Texas A&M University of Fayetteville & Little Rock Massachusetts Maritime Academy Indiana State University IUPUI Arkansas State University Universities Engagement (Degrees, Interns, Competitions) ashe.org/internship Owensboro Community Technical College Texas Tech University of Colorado University of Nebraska

© 2015 American Society for Healthcare Engineering AIA/AAH Planning, Design Challenge PDC Summit student design competition Engages young professionals in health care planning and design in a “real world” project setting Jan 2016

© 2015 American Society for Healthcare Engineering ASHE Student, Intern Competition ASHE Annual Conference Student Competition Brings together students and interns for networking with health care facility management professionals Jan 2016

© 2015 American Society for Healthcare Engineering Planning for the Future of your Facility ASHE has published several articles on succession planning for health care facility managers Search the ASHE Resource Library for “succession planning” Jan 2016

© 2016 American Society for Healthcare Engineering Developing the Careers of ASHE Members Certifications  Certified Healthcare Facility Manager (CHFM)  Certified Healthcare Constructor (CHC)  Waivers------Waivers Designations  Senior (SASHE)  Fellow (FASHE) Education  ASHE is continually developing professional development opportunities through ASHE conferences, seminars, e-learning, and management monographs.  ASHE helped develop a two-year online degree program in Healthcare Facilities Leadership at Owensboro Community and Technical College. Jan 2016

© 2016 American Society for Healthcare Engineering Sustainability Jan 2016

Energy to Care and the Sustainability Roadmap Improving efficiency to reduce costs and support patient care

© 2015 American Society for Healthcare Engineering Sustainability Sustainability can be defined as the ability of a system to continue doing what it is doing over time. To be truly sustainable, however, initiatives must stand the test of time by being fiscally sound while also helping the community and the environment.

#ASHEANNUAL ASHE.ORG/ANNUAL Why Energy? 50% of Facility Managers Budget Reduce Energy not FTE’s If you Don’t Someone Will Bring value to Your Organization Confidential Data Benchmark Join the Battle

© 2015 American Society for Healthcare Engineering Agenda Why Improve efficiency Reduce costs Improve the patient experience How Energy to Care Sustainability Roadmap for Hospitals What Overcoming barriers and inertia Tools and resources

© 2015 American Society for Healthcare Engineering Benefits of Efficiency in Health Care Energy costs more than 50% of facility budget Energy cost inflation…off the bottom line! Patients and staff take notice Differentiate your hospital or system

What is Energy to Care? Complimentary program, sponsored by Johnson Controls, to help health care facilities monitor and reduce energy consumption National awards program Energy dashboard, system challenges, and web tools Energy data remains confidential

#ASHEANNUAL ASHE.ORG/ANNUAL

Geographic Distribution

Energy Savings Since 2009, hospitals and health care facilities participating in ASHE's Energy to Care program have tracked more than $100 million in energy savings!

© 2015 American Society for Healthcare Engineering Electricity vs. Previous Year Facility Comparisons

Health System Competitions

Energy to Care Awards: New! Energy to Care Awards Given to hospitals that reduce EUI by 10% from prior year baseline Application Deadline: April 1, 2017 Energy Champion Given to a single facility leading the way in energy efficiency Application Deadline: April 1, For questions, contact

Chapter Elite Award Special category added to Gold, Silver, and Bronze levels Must Join the Chapter Challenge Participate in Energy to Care – 75% of total hospital chapter membership OR – 10% increase from prior year Applications due March 1, 2017 For questions, contact Avis Gordon at

Energy to Care Resources

© 2015 American Society for Healthcare Engineering View Your Energy Performance Trend Analysis Facility Comparisons

© 2015 American Society for Healthcare Engineering Summary Small energy cost savings create a large positive financial impact Energy to Care and Sustainability Roadmap help hospitals continually improve efficiency and sustainability Programs are designed to be: Low cost Easy to implement and maintain Patients and staff expect hospitals to be efficient and deliver cost effective patient care

© 2015 American Society for Healthcare Engineering Energy Star Labeled Hospitals ?

© 2015 American Society for Healthcare Engineering Energy Star Labeled Hospitals 5643 Hospitals 56 Energy Star

© 2015 American Society for Healthcare Engineering Memorial Hermann The Most Energy Efficient Health System 9 Energy Star Labeled Hospitals 11 Energy Star MOB’S Clinics 250

#ASHEANNUAL ASHE.ORG/ANNUAL Memorial Hermann Cost Since 2009

#ASHEANNUAL ASHE.ORG/ANNUAL Memorial Hermann BTUs/SF July - December

#ASHEANNUAL ASHE.ORG/ANNUAL

pdcsummit.org

© 2015 American Society for Healthcare Engineering Texas Energy Roundup (TAHFM) 75 Buildings Benchmarked 2013 $1.7 Million Savings 100 Buildings 2014 Savings/Winners (Another million) Battle of the Buildings (EPA)

68 54 hospitals Cleveland Clinic 101 hospitals Midland Memorial

pdcsummit.org standards ENERGY / ACTUAL PATHWAY TO ENERGY STAR

© 2015 American Society for Healthcare Engineering Implementation Energy Committee Low hanging fruit Set Back Programs One Year Payback Recognition Obtain Staff buy in Hard Wire it Improves Hot/Cold calls (Patient Sat) Money

© 2015 American Society for Healthcare Engineering Set Backs OR/Cath Labs Reduce Air Changes Huge Savings Scenarios Obtain Buy In Infection Control Always Compliant Temp/Humidity Sensors Measure and Verify

pdcsummit.org Establishes the project energy efficiency goal, typically expressed as a target Energy Star rating. For new facilities, the recommended Energy Star target rating is 75 (the minimum required to earn the Energy Star label). For renovation and building addition projects, the recommended Energy Star target rating should be a reasonable increase from the current and baseline energy ratings for the existing facility. The OPR identifies the requirements for measuring and verifying actual building energy performance using the Energy Star rating system. If the actual Energy Star rating does not meet or exceed the target rating, the project team should work to identify the cause of the disparity and implement corrective action. New Facilities

© 2015 American Society for Healthcare Engineering Sustainability Goals (2016) Benchmarked Hospitals (401) % Energy Star Hospitals (40) 5625% Battle of Buildings (85) Increase Chapter Challenges 1017 Get All to Share Data Gathering of National Experts ASHE EPA Partner of the Year

pdcsummit.org

Survey Day Send them home

© 2016 American Society for Healthcare Engineering ASHE WANT’S YOU Willingness To Serve