Building Analytics and Compliance: How analytics can be used to aid in performancebased certifications Bryant M. Kirkland Jr, PE, CCP, LEED AP
AIA Quality Assurance The Building Commissioning Association is a Registered Provider with The American Institute of Architects Continuing Education Systems (AIA/CES). Credit(s) earned on completion of this program will be reported to AIA/CES for AIA members. Certificates of the Completion for both AIA members and non-aia members are available upon request. This program is registered with AIA/CES for continuing professional education. As such, it does not include content that may be deemed or construed to be an approval or endorsement by the AIA of any material of construction or any method or manner of handling, using, distributing, or dealing in any material or product. Questions related to specific materials, methods, and services will be addressed at the conclusion of this presentation. 2
Learning Objectives 1. How whole facility performance metrics can be applied, and scaled to match the size and technological aptitude in a given healthcare environment 2. How data from the performance metrics can be used to provide an automated report to intelligently show facility performance compliance with The Joint Commission. 3. Value of crafting and tailoring a Cx process in Mission Critical Facilities 4. How to integrate your Cx Team with the facilities operations team and staff 3
Facility Performance Metrics for Healthcare 4
The Joint Commission Standards EC.02.03.05 The [organization] maintains fire safety equipment and fire safety building features. EC.02.05.01 The hospital manages risk associated with its utility systems. EC.02.05.05 The hospital inspects, tests, and maintains utility systems. EC.02.05.07 The [organization] inspects, tests, and maintains emergency power systems. EC.02.06.01 The hospital establishes and maintains a safe, functional environment. EC.04.01.01 The hospital collects information to monitor conditions in the environment. 5
EC.02.03.05 Fire Safety EP3 Every 12 months, the [organization] tests duct detectors, electromechanical releasing devices, heat detectors, manual fire alarm boxes, and smoke detectors. The completion date of the tests is documented. See NFPA 72 for guidance on performing tests. EP7 For automatic sprinkler systems: Every 6 months, the [organization] tests water-storage tank high- and low-water level alarms. The completion date of the tests is documented. 6
EC.02.05.01 Utility System Risks EP2 - The hospital maintains a written inventory of all operating components of utility systems. See EC.02.05.05 EP3 - The [organization] identifies the activities and frequencies for maintaining, inspecting, and testing for all operating components of utility systems. Various maintenance strategies may be used to ensure reliable performance (for example, predictive maintenance, reliability-centered maintenance, interval-based inspections, corrective maintenance, or metered maintenance). See also EC.02.05.05, EP2; EC.02.05.09, EP1. 7
EC.02.05.05 Inspection, Maintenance, and Testing of Utility Systems EP1 - The hospital tests utility system components on the inventory before initial use and after major repairs or upgrades. The completion date of the tests is documented. EP3, EP4, EP5 - The [organization] inspects, tests, and maintains the following: o o o High-risk utility system components on the inventory. Infection control utility system components on the inventory. Non-high-risk utility system components on the inventory. 8
EC.02.05.07 Emergency Power Systems EP4 - At least monthly, the [organization] tests each emergency generator under load for at least 30 continuous minutes. The completion dates of the tests are documented. EP6 - At least monthly, the [organization] tests all automatic transfer switches. The completion date of these tests is documented. 9
EC.02.06.01 Safe, Functional Environment EP1 - Interior spaces meet the needs of the patient population and are safe and suitable to the care, treatment, and services provided. EP13 - The hospital maintains ventilation, temperature, and humidity levels suitable for the care, treatment, and services provided. See EC.02.05.01, EP6. 10
EC.04.01.01 Monitoring of Environmental Conditions EP9 Based on its process(es), the [organization] reports and investigates the following; Fire safety management problems, deficiencies and failures. See also ec.04.01.03, EP1. EP11 - Utility systems management problems, failures, or use errors. See EC.04.01.03, EP1. 11
EC.04.01.03 Identification of Environment of Care Issues EP1 - Representatives from clinical, administrative, and support services participate in the analysis of environment of care data. 12
How Can We Use Monitoring-Based Commissioning to Aid Compliance? 1. Ongoing verification that systems are operating within parameters. 2. Indicate when improper operator response has occurred. 3. Provide quick reports for surveyors when inspection is announced. 4. Reports can be annotated to indicate dates of maintenance. 13
How Are the Metrics Defined? TJC The Joint Commission FGI Facility Guidelines Institute Metrics ASHRAE 170 Ventilation of Healthcare Facilities 14
ASHRAE 170 Table 7.1 15
Procedure Room Temperature Report Percentage of Time Within Compliance 70% 30% Out of Range In Range 16
Procedure Room Relative Humidity Report 1% Percentage of Time Within Compliance 99% Out of Range In Range 17
Sterilization Room Temperature Report 7% Percentage of Time Within Compliance Out of Range In Range 93% 18
Sterilization Room Relative Humidity Report 1% Percentage of Time Within Compliance 99% Out of Range In Range 19
Why is Automated Reporting Important to the Client? The value obtained from a properly commissioned project can quickly evaporate as a result of incompatible maintenance practices. Consequently the C-level marketing plan should include change initiatives that support ongoing activities related to the commissioning directive as well as the initial cost of the commissioning effort. The full value of commissioning cannot be realized unless operations and maintenance activities have been structured to maintain performance at optimum levels. Absent this emphasis, the performance of the commissioned systems will erode over time. Health Facility Commissioning Guidelines, ASHE, page 7. 20
Who Benefits from Automated Reporting? All healthcare clients The Joint Commission covers: o o o o o o o o Ambulatory Health Care Behavioral Health Care Critical Access Hospital Hospital Laboratory Nursing Care Centers Office-Based Surgery Home Care 21
Bryant Kirkland Jr., PE, CCP, LEED AP Dewberry bkirkland@dewberry.com www.dewberry.com