Q1 Advocacy Webinar 3/24/15

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2014 American Society for Healthcare Engineering 155 N. Wacker Drive, Suite 400 Chicago, IL 60606 ashe.org ashe@aha.org 312-422-3800 Q1 Advocacy Webinar 3/24/15

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 Lynn Kenney Senior Advocacy Analyst lkenney@aha.org Jonathan Flannery, CHFM, FASHE, MHSA Senior Associate Director of Advocacy jflannery@aha.org

Agenda Intro material and attendance poll Overview of 2014 listserv topics with Dave Stymiest Waiver template NFPA 99 and 101 open for comment Proposed code adoption bill in Utah Regional updates

Housekeeping Please mute your line to reduce background noise. Do not put us on hold if you have background music on your hold line. At the end of the presentation we will unmute for the regional updates. This session will be recorded. The slides will be distributed after the meeting.

Attendance Poll Please enter your name and Chapter name to receive credit for your participation. Welcome new Advocacy Liaisons!

A Two-Way Street The ASHE advocacy highway is a two-way street of communication between ASHE and chapter advocacy liaisons. The goal of the advocacy highway is to support communication and improve advocacy efforts at the national, state and local level. Please share this information with your Chapter

A Two-Way Street Gives us the opportunity to share national issues at the local level. Gives us the opportunity to share your local advocacy issues nationally.

Learning from ASHE ASHE will keep chapter advocacy liaisons up-to-date about national advocacy efforts and issues affecting health care facilities. ASHE will provide practical tools and resources to empower chapter advocacy liaisons.

2014 Listserv Overview David Stymiest, PE, CHFM, CHSP, FASHE Senior Consultant Smith, Seckman, Reid, Inc.

ASHE Listserv 2014 Activity Discussion (or thread): A group of related posts with the same subject title 562 discussion (thread) topics 2,081 posts Average mean posts/discussion: 3.7 93% of discussions had 9 or less posts 83% of discussions had 6 or less posts 40% of discussions had only 1 post Some threads had multiple content areas

Top 10 discussions (threads) CMS Proposes Annual 4 Hour Gen Test 31 posts 3rd Shift fire drill 26 posts JC Survey 23 posts Emergency Generator Lighting 23 posts Oxygen Cylinders 20 posts Emergency Generator Testing 19 posts Generator Oil Change 18 posts Fire Drill Conductors 18 posts Weekly Generator Testing 18 posts Fly Problem 17 posts

Top thread content 1-10 Design Questions: New & Changes 77 Fire Protection / Fire Alarm 49 EOC Management Issues 44 Life Safety Code, IBC, etc. 35 Equipment/System Testing 30 Department Management Issues 29 Emergency Power Systems 27 CMS 26 General Maintenance Issues 26 Survey Issues & Surveyor Decisions 25

Top thread content 11-20 HVAC: ACH, RH, Temp, +/- Pressure 24 Construction/Renovation Issues 23 RPTs, Power Strips, Surge, Cords 18 Benchmarking: Labor, Budget, Utilities 17 Security 16 Hazardous Materials & Waste 16 Emergency Management 14 EVS and non-hvac Infection Control 13 Medical Gas & Vacuum Systems 12 Eye Washes & Safety Showers 10

Discussions by Type of Content Discussions by Type of Content Design Questions: New & Changes Fire Protection / Fire Alarm EOC Management Issues Life Safety Code, IBC, Related Issues Equipment/System Testing Department Management Issues Emergency Power Systems General Maintenance Issues CMS Survey Issues & Surveyor Decisions HVAC Issues (ACH, RH, Temp, Pressure Relationships) Construction/Renovation Project Issues RPTs, Power Strips, Surge Suppressors, Cords Benchmarking for Labor, Budgeting, Utilities Hazardous Materials & Waste Security Emergency Management EVS and non-hvac Infection Control Issues Medical Gas & Vacuum Systems Eye Washes & Safety Showers Medical Equipment Management Sustainability: Energy / Cost / Environmental Utility Inventories & AEM Issues 0 10 20 30 40 50 60 70 80 90

Most popular content (# posts) 1-10 Design Questions: New & Changes 275 Fire Protection / Fire Alarm 209 Emergency Power Systems 199 Life Safety Code, IBC, etc. 165 Equipment/System Testing 147 CMS 138 EOC Management Issues 119 Survey Issues & Surveyor Decisions 111 HVAC (ACH, RH, Temp, +/- Pressure) 110 Department Management Issues 101

Most popular content (# posts) 11-20 Security 81 RPTs, Power Strips, Surge, Cords 69 General Maintenance Issues 68 Construction/Renovation Issues 66 EVS and non-hvac IC Issues 56 Fire Drills 53 Medical Gas & Vacuum Systems 52 Benchmarking: Labor, Budgets, Utilities 51 Hazardous Materials & Waste 51 Emergency Management 39

No. of Posts by Type of Content Posts by Type of Content Design Questions: New Systems & Changes Fire Protection / Fire Alarm Emergency Power Systems Life Safety Code, IBC, Related Issues Equipment/System Testing CMS EOC Management Issues Survey Issues & Surveyor Decisions HVAC Issues (ACH, RH, Temp, Pressure Relationships) Department Management Issues Security RPTs, Power Strips, Surge Suppressors, Cords General Maintenance Issues Construction/Renovation Project Issues EVS and non-hvac Infection Control Issues Fire Drills Medical Gas & Vacuum Systems Benchmarking for Labor, Budgeting, Utilities Hazardous Materials & Waste Emergency Management Eye Washes & Safety Showers Utility Inventories & AEM Issues 0 50 100 150 200 250 300

Design Questions: New/Changes Broad spectrum of topics, including: Hyperbaric, MRI, OR, BUS, other OP Utility system designs FGI Requirements Flooring Nurse call pull cords Anterooms Survey findings Copper surfaces

Fire Protection / Fire Alarm Physician Sleep Rooms Fire Hoses Fire Extinguishers Sprinkler Systems & Equipment Fire Watch Fire Alarm Systems & Equipment Testing & Inspections others

Emergency Power Systems Testing Maintenance Inspection Lighting Demand Response Documentation SEPSS

Life Safety Code, IBC, etc.. Survey findings Different occupancies / constructions Doors & NFPA 80 Special uses for spaces Exit stairs, combustibles Corridor clutter others

Equipment / System Testing EPSS testing Mold & mildew testing IPS LIM testing FA / FP testing Receptacle testing Nurse call & code call testing Sterilization steam testing

CMS Proposed Emer. Mgmt. requirements Occupancies Power strips, etc. Waivers Plan of corrections Legionella policy Trash cans

EOC Management Issues Time re-defined EOC & Safety Committees Rounding software & apps Compliance training & documentation Management plan annual evals Plants, signage, animals, beds Appliances; patient/visitor devices others

Survey issues & surveyor decisions New inventory & AEM requirements Multiple site representatives at EOC CMS: follow-up surveys; occupancies Childbirth music Unexpected surveyor input/scoring What is this surveyor like? TJC / DNV differences

HVAC issues in special areas Air exchanges Temperatures Relative humidity Pressure relationships Measuring / monitoring Environments for supplies & equipment Filtration IAQ

Facilities department management Boiler engineers licensing CHFM Prep CMMS recommendations Service contracts Mobile work order solutions Job titles, descriptions, staffing, growth Holiday decorations

Advocacy Issues and Regional Reports Chad E. Beebe, AIA, CHFM, CFPS, CBO, SASHE Deputy Executive Director of Advocacy cbeebe@aha.org Lynn Kenney Sr. Advocacy Analyst lkenney@aha.org

NFPA Update NFPA 99 and NFPA 101 are open for public review and comment Questions on how to submit a comment? Contact Jonathan Flannery at jflannery@aha.org Plan now for NFPA s 2017 Annual Conference and Expo to Vote on 2018 NFPA 101 and NFPA 99

Coalition for Current Safety Codes Proposed bill in Utah would delay adoption of updated codes and standards If this bill passes, other states may follow suit ASHE will create talking points Encourage your chapters to sign the Coalition for Current Safety Codes (CCSC) www.coalitionforcurrentsafetycodes.org

CMS Waiver Template Comprehensive chart of available waivers http://www.ashe.org/resources/tools/member/ pdfs/rpt_updated_waiver_chart_141205.pdf Waiver template streamlines waiver process http://www.ashe.org/resources/asheinsider/2 015/spotlight_150210.html

Help Your Chapter Members Improve Barrier Management and Reduce Citations April 13-15, 2015 @ ASHE Region 6 Kahler Hotel, Rochester, MN To host contact Jonathan Flannery jflannery@aha.org

2010 FGI GUIDELINES E-LEARNING PROGRAM View demo video at www.ashe.org/fgielearning

2015 Advocacy Liaison Webinars and Newsletters Q2 June 30 at 11CT Q3 September 22 at 11CT Q4 December 8 at 11 CT Advocacy Newsletter Archives http://www.ashe.org/advocacy/member/newsletter/

Regional Updates Region 10 Region 9 Region 6 Region 8 Region 5 Region 3 Region 1 Region 2 Region 7 Region 4 2014 American Society for Healthcare Engineering 155 N. Wacker Drive, Suite 400 Chicago, IL 60606 ashe.org ashe@aha.org 312-422-3800