Q1 ASHE Advocacy Liaison Webinar 1 March 2017

ASHE Advocacy Team Chad E. Beebe, AIA, CHFM, CFPS, CBO, SASHE Deputy Executive Director of Advocacy cbeebe@aha.org Tim Adams, FASHE, CHFM, CHC Director of Leadership Development tadams@aha.org Monika Berrier Senior Instructional Designer mberrier@aha.org Jonathan Flannery, CHFM, CHC, FASHE, MHSA Senior Associate Director of Advocacy jflannery@aha.org

Housekeeping Please mute your line to reduce background noise. Do not put us on hold if you have background music on your hold line. We will unmute for the interactive discussions. This session will be recorded. The slides will be distributed after the meeting.

Chapter Attendance Poll Contact Avis Gordon agordon@aha.org or Jo Ann Ofenloc jofenloc@aha.org with updates or changes to your Chapter’s advocacy liaison appointment

Agenda NFPA Technical Meeting Joint Commission 2017 LS and EC EP Update Energy and Water Survey FAQs Life Safety and Emergency Preparedness WMTS Update Local Advocacy Reports

NFPA Technical Meeting Electronic PDF file for distribution to chapter members Following 6 slides for AL’s use

NFPA Technical Meeting If Planning to Attend Please RSVP http://www.ashe.org/advocacy/initiatives/nfpa2017.shtml This will allow us to share details directly to those planning on attending Currently there are 31 RSVP’s received 29 ASHE Members

NFPA Technical Meeting Who – NFPA Members of Record since December 2016 (180 Days before session) NFPA Membership must have been active prior to 10 December 2016 What – Voting on Certified Amending Motions for the 2018 Edition of: NFPA 99 Health Care Facilities Code 101 Life Safety Code Final issues to post 17 April 2017

NFPA Technical Meeting When - June 7 2017 8:00 AM – 8:00 PM Conference & Expo is 4th – 6th Technical Meeting is the 7th Where – Boston Convention and Exhibit Center 415 Summer St. Boston, MA Why – Votes will determine what ends up in NFPA 99 and 101

NFPA Technical Meeting Additional Information http://www.nfpa.org/conference?icid=D701 Do not need to attend entire conference Registration for the full conference includes Technical Session & Expo Also includes Education Sessions Health Care Sub-Track has 12 Education Sessions NFPA 80, 99, 101, 110, 111, TJC & CMS Updates, Emergency Preparedness, Defend in Place, etc. Category Before 3/31 After 3/31 Members - Full conference $1,010 $1,065 Technical Meeting only $250 NFPA Technical Meeting only: Does not include education sessions. Badges will be issued starting on Wednesday

NFPA Technical Meeting If Attending Just Tech Session Session Starts at 8:00 AM If traveling arrive evening of 6 June ASHE will be hosting a welcome reception Details to follow – PLEASE RSVP Session scheduled until 8:00 PM ASHE does not have a particular hotel booking NFPA has several http://www.nfpa.org/training-and-events/by-type/conferences/conference/travelhotels

NFPA Technical Meeting If Planning to Attend Please RSVP http://www.ashe.org/advocacy/initiatives/nfpa2017.shtml This will allow us to share details directly to those planning on attending

NFPA Technical Meeting – Call to Action Why is this important? Site neutral payments to be developed and voted on at a workshop What organizations would be at this workshop? Implications of changes in NFPA 101 & 99 to the facility Patient safety Patient care Capitol Financial Costs

NFPA Technical Meeting – Call to Action Call to Action Plan Need to get this information to chapter members Need to help chapter members understand potential impact Changes may not be “adopted” by CMS now Will be adopted in next update of NFPA adoption Wet Location Impact from NFPA 99 Voted that risk assessment is required for existing locations If determined wet location isolated power required If AHJ disapproves risk assessment isolated power required Installing isolated power in existing OR’s designed per code when built is a significant impact Need voting eligible members at the NFPA Tech Mtg

NFPA Technical Meeting – Call to Action Deployment Plan Share information via Chapter Meeting Presentation Email Posting on Chapter Website Your Deployment Plan? Best way to get this information to members? What actions will you take? Other opportunities?

2017 Joint Commission EC and LS Standards Revised Life Safety Chapter Approximately 21 new Elements of Performance Approximately 32 modifications Approximately 5 deletions Revised Environment of Care Chapter Approximately 13 new Elements of Performance Approximately 31 modifications Approximately 1 deletion

2017 Joint Commission EC and LS Standards Life Safety Chapter 203 – 5 = 198 +21 = 219 32 modifications Environment of Care 149 – 1 = 148 + 13 = 161 31 modifications Majority of modifications are updates to new code requirements

Highlights of Changes Webinars by George Mills On Demand Learning http://www.ashe.org/education/ondemand.shtml Compliance Introduction of the New Joint Commission Standards Part 1 & 2

Updating the ENERGY STAR score for Hospitals and Medical Offices ASHE Healthcare Energy/Water Survey Updating the ENERGY STAR score for Hospitals and Medical Offices Clark Reed, U.S. EPA ENERGY STAR ASHE Sustainability Committee member

6,000+ Organizations Partner with ENERGY STAR for Commercial Buildings ASHE + ENERGY STAR a strong partnership for over 20 years! 6,000+ Organizations Partner with ENERGY STAR for Commercial Buildings

The 1-100 ENERGY STAR Score ENERGY STAR Certified Buildings More efficient than 75% of similar buildings Uses 35% less energy (on average) One simple number understood by ALL stakeholders

ENERGY STAR Scores Measure Environmental Achievement ASHE Practice Greenhealth USGBC U.S. EPA

From 244 ENERGY STAR certified GMS hospitals now… ASHE Goal From 244 ENERGY STAR certified GMS hospitals now… 530 ENERGY STAR certified hospitals (300 more) by 2020 … ENERGY STAR certified hospitals use 35% less energy than typical hospitals on average.

Benchmarking Numbers More than 450,000 buildings have received ENERGY STAR scores Greater than 40 billion square feet 40% of commercial buildings market 4,939+ GMS hospitals (2.4 billion ft2) have benchmarked in Portfolio Manager Hospital Score Updates

How EPA Develops a Score

Developing a 1 – 100 ENERGY STAR Score Data analysis Nationally representative survey Statistical modeling Comparison between actual energy data and the modeled estimate

ENERGY STAR Score Key Principles Measured -Based on actual as-billed energy data for all fuel types -No modeled data or extrapolations Whole building indicator -Includes all energy use in a building -Captures interactions of building systems not individual equipment efficiency -Accounts for weather and operational differences among buildings and over time Peer group comparison -Compares a building’s energy performance to its national peer group -Tracks how changes at a building level alter the building’s standing relative to its peer group

What makes a survey successful? Large number of facilities The more, the better Goal: 370 GMS Hospitals, 370 MOBs Diverse group of facilities Ownership: Better to have 100 hospitals from 20 different systems then to have 200 hospitals from 1 system Geography: Ideally have facilities in all regions of the country (including Hawaii, Puerto Rico, Alaska) Answers to ALL questions We cannot use surveys if respondents skip questions Need complete energy data Need accurate values for all operational inputs (staffed beds, MRIs, etc.)

Survey Timeline

ASHE Energy & Water Survey Timeline May - August 2016: ASHE/EPA finalize survey design Sept. 1, 2016: ASHE Energy Survey issued April 28, 2017: Deadline for submitting surveys to ASHE Summer 2017: EPA begins analysis, shares hospital model with ASHE 2018: Updated healthcare model(s) scheduled release

What Makes a Survey Successful?

An ENERGY STAR Score for Hospitals and MOBs is not a slam dunk… Older data set caused EPA to discontinue MOB certification in 2013. Only You and your ASHE chapter (and good data) can make it happen by submitting completed surveys.

www.ashe.org/energysurvey

FAQs for EP & LS Emergency Preparedness Resources http://www.ashe.org/resources/cmsemergencypreprule.shtml Submit questions via link on page

FAQs for EP & LS Life Safety Code Adoption Resources Access via Compliance News on home page

FAQs for EP & LS Life Safety Code Adoption Resources Access via Compliance News on home page Submit questions via link on page Many other resources available

Medical Telemetry Medical telemetry operating in the following bandwidths must be registered: 608 – 614 MHz 1395 – 1400 MHz 1427 -1432 MHz Section 95.1111(a) of the FCC’s rules states, “Prior to operation, authorized health care providers who desire to use wireless medical telemetry devices must register all devices with a designated frequency coordinator.”

ASHE is the FCC’s designated frequency coordinator. To register telemetry: Two step process. Register the facility Register the telemetry equipment

http://www.ashe.org/wmts/index.shtml

Local Advocacy Updates