1. Q1 ASHE Advocacy Liaison Webinar
1 March 2017

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

3. 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.

4. Chapter Attendance Poll
Contact Avis Gordon or Jo Ann Ofenloc with updates or changes to your Chapter’s advocacy liaison appointment

5. 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

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

7. NFPA Technical Meeting
If Planning to Attend Please RSVP
This will allow us to share details directly to those planning on attending
Currently there are 31 RSVP’s received 29 ASHE Members

8. 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

9. NFPA Technical Meeting
When - June :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

10. NFPA Technical Meeting
Additional Information
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

11. 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

12. NFPA Technical Meeting
If Planning to Attend Please RSVP
This will allow us to share details directly to those planning on attending

13. 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

14. 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

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

16. 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

17. 2017 Joint Commission EC and LS Standards
Life Safety Chapter
203 – 5 = = 219
32 modifications
Environment of Care
149 – 1 = = 161
31 modifications
Majority of modifications are updates to new code requirements

18. Highlights of Changes Webinars by George Mills On Demand Learning
Compliance
Introduction of the New Joint Commission Standards Part 1 & 2

19. 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

20. 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

21. 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

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

23. 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.

24. 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

25. How EPA Develops a Score

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

27. 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

28. 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.)

29. Survey Timeline

30. 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

31. What Makes a Survey Successful?

32. 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.

34. FAQs for EP & LS Emergency Preparedness Resources
Submit questions via link on page

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

36. 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

37. Medical Telemetry
Medical telemetry operating in the following bandwidths must be registered: 608 – 614 MHz 1395 – 1400 MHz MHz Section (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.”

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

40. Local Advocacy Updates