1. Q3 ASHE Advocacy Liaison Webinar
19 Sept 2018

2. Agenda CMS Update NFPA Update ICC Cycle A Update
HFM Surveys and ASHE Current Research
Advocacy Day
Local Advocacy Reports

3. CMS Update

4. CMS Proposed Rule – Burden Relief
Some Great Clinical Relief
Very Limited Physical Environment Relief
Comments Due 19 November 2018
Electronically
Regular Mail
Express/Overnight Mail

5. Physical Environment Emergency Management
Annual Review of Program Biennially
Documentation of Contact Removed
Process still required
Annual Training Biennially
Additional Training if Significant Changes
Functional Exercise ≠ “boots on the ground”
Exercises – 2 per year - 1 = Exercise of Choice
Community Full-Scale Exercise
Facility Functional Exercise
Drill – Table Top – Workshop
No real relief for Biennially review since still requires that program/plan be evaluated at each test and revise the hospital's emergency plan, as needed.

6. Physical Environment Emergency Management
Outpatient Exercises Only 1 Annually
Year 1 – Community or Facility Functional Exercise
Year 2 – Exercise of Choice
Actual Natural/Man-made Emergency Activation of Plan
Exempt from next Community or Functional Exercise
Applies to both Inpatient and Outpatient

7. Other Opportunities
Part II Paragraph B ASC Subpart 3 Medical Records (§416.47)
Specifically seeking Additional Proposals/Modifications
Further Reduce Burden on ASCs
Most Useful Comments
Include data or evidence to support position
Offer suggestions to amend specific sections
Offer particular additions

8. Other Opportunities
Part II Paragraph D Hospitals Subpart 4 Infection Control (§482.42)
Specifically seeking Comment
Other programs currently required under CoPs be better managed through unified program
Safety, Security, Hazardous Materials and Waste, Fire Safety, Medical Equipment, Utility
Offer suggestions to amend specific sections

9. Other Opportunities
Part II Paragraph D Hospitals Subpart 5 Swing Beds (§482.58(b)(1), (4), (5), and (8))
Specifically seeking Comment
Regulatory reforms for burden reduction in future rulemaking.
Specifically further reduce burden on hospitals and create cost savings
While also preserving quality of care and patient health and safety
Suggestions?

10. Other Opportunities
Part II Paragraph H CAHs Subsection 2 - Provision of Services (§ (a)(4))
Minimum of Biennial Review of Polices and Procedures
More often if needed
Why not all P/P’s – not just service P/P
Why not all Provider Types
CAHs tend to have fewer resources

11. NFPA Update

12. NFPA 110 TIA 1388 – Diesel Fuel Testing
Proposed to clarify proper fuel testing
Increases testing requirements
Increases testing to semi-annual
No data to substantiate Emergency Nature of TIA
No data to substantiate need
ASHE Research indicates limited failure due to fuel system
50% failure of EES is due to ATSs
NFPA 25 – Fire Pumps
Requires annual fuel testing for diesel fire pumps
Requires ASTM D6751 & D7462

13. NFPA 99 TIA 18-2
Issued 10 April 2018
Effective 30 April 2018

14. NFPA 101 and 99 Continuing process for next cycle
Public Input Period closed – 27 June 2018
Committee Review – February 2019
Posting of 1st Draft – 27 February 2019
Public Comment Period Closes – 18 May 2019
Time for Input Passed
Next Opportunity for input Begins March 2019

15. ICC Code Development 2021 Cycle Group A Update

16. ICC Code Development Cycle Status
2018 – 2019 Cycle “underway”
2018 – Group A
IBC- E, IBC - FS, IBC -G, IFC, IFGC, IMC, IPC, IPMC, IPSDC, IRC – M, IRC- P, ISPSC, IWUIC, IZC
2019 – Group B
Admin, IBC-S, IEBC, IECC-C, IECC-R/IRC-E, IgCC (Ch. 1), IRC – B
12 Public Comments Submitted by ICC CHC
1 PC Submit by Other
Reviewing 39 Other PC’s

17. HFM Surveys and
Current Research

18. Health Facilities Management Magazine
Now part of ASHE and provides additional opportunities
Surveys in August Issue – Close END SEPT!
Firefighter Elevator Recall Testing
Monthly Exit Sign Inspection
Monthly Fire Extinguisher Inspection

19. Advocacy Day

20. AHA Advocacy Representative as Keynote
ASHE Advocacy Day
AHA Advocacy Representative as Keynote
Code Development Organization Representatives
How to Engage Chapters in Grass Root Efforts
Facilitated Work Shop
What do you deal with?
How can ASHE help?
Date Pending AHA Government Relations and Public Policy Schedule

21. Local Advocacy Updates

22. Local Advocacy Updates
Region 4 – Mississippi
MHA Society for Healthcare Engineers and Facility Managers - Jason Lea
Education Question:
Certified Healthcare Physical environment worker the same training as Safe Day One? No – similar but not the same
Physical Environment Worker Recertification is a retest

23. Local Advocacy Updates
Region 5 – Michigan
Michigan Society for Healthcare Engineering(MiSHE) Pier-George Zanoni, PE
Draft 7 of the proposed Michigan healthcare licensing rules which includes adoption of the 2018 FGI is out for review. The rules will be open for general public comment soon, with likely final adoption not until 2019.
Michigan adoption of 2018 FGI public review soon, likely to be finalized mid 2019
Started MISHE Advocacy subcommittee to assist advocacy efforts coordinated by the ASHE advocate. (subcommittee was in the bylaws but not active)
Started advocacy subcommittee to assist advocacy liaison efforts

24. Local Advocacy Updates
Region 5 – Michigan - Continued
Michigan Society for Healthcare Engineering(MiSHE) Pier-George Zanoni, PE
MISHE is working to attract more nursing home facility managers for membership. There has been a slow steady growth of NH MISHE members (still a small percentage – less than 5%) but growing particularly amongst larger nursing home facilities and NH systems.
Working to increase nursing home facility manager membership in MISHE
Sharing information with NH
Under the same fire safety code regulations and face the same problems

25. Local Advocacy Updates
Region 7 – Oklahoma
Oklahoma Association of Healthcare Engineers Ron Thetford
My ASHE
ASHE All Member Community
Just Ask ASHE
Current Status of Oklahoma State Health Department
OSDH Rule Changes for construction

26. Local Advocacy Updates
Region 1 – Maryland
New England Healthcare Engineers' Society Lennon Peake
Getting Members Involved

27. http://www.ashe.org/about/volunteer.shtml SELECT HERE
Getting Involved
SELECT HERE

28. Getting Involved
SELECT HERE

29. VOLUNTEER PROFILE VOLUNTEER OPPORTUNIES LIST
Getting Involved
VOLUNTEER PROFILE VOLUNTEER OPPORTUNIES LIST

30. Getting Involved

31. Reminder - AL Recordings and Future 2018 Webinars

32. AL Recordings/pptx Posting
Developed an AL Webinar Page
Will maintain last 4 webinars
Page requires member login
4th Quarter AL Call 5 December 12 Noon CT
Combined with Sustainability Liaison Call
2019 Dates:
3/20, 6/19, 9/18, 12/11
All at 12 Noon Central Time

33. AL 2018 Webinar Dates
Q3 – Wednesday 19 September
Q4 – Wednesday 5 December
All webinars will begin at 12:00 Noon CT

34. Thank you for all you do to help optimize the health care physical environment!