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    New England 2015 - Post Summit Wrap

  May 28, 2015 - Boston, MA




    Sessions Included:

Can US Healthcare Adapt?


     A few takeaways from this session:

  • "Of course we can adapt — we just might not like it….We’re at the point now that [the ACA] is what it is. Our job now is to prosper, for our patients"

  • "What healthcare is looking for today are leaders….particularly those who can handle change"

  • "Advice to Facility Managers: You must be open to change and embrace it. Otherwise you’re on the outside, looking in"

  • "If you have a three year strategic plan it probably won’t last that long because the landscape is constantly changing"

  • "The best way to predict the future is to create it…It requires an aptitude to understand the coming trends, and harness them when considering major investments for your building"

  • "Healthcare in general is experiencing three major trends, all of which need to be mirrored in the evolution of health facilities and health facility managers" according to panelist Walt Vernon

1. Radical transparency. The healthcare world is now a world of metrics– HCAPS scores, quality measures, outcomes. Yet, when I speak to audiences of facility managers about the ASHE Energy to Care Program, one of the first questions they always ask is, “Can I keep my data confidential?” The difference between transparent reporting of patient outcomes and the unwillingness to report energy consumption makes me chuckle. What about the design and construction industry? What about the energy consumption of the buildings we design? Design professionals need to move towards transparency as well.

2. Pay for results. The ACA is shifting to reimbursement for outcomes, rather than activities. This is a sea change–it’s changing the way everything is done in medicine. Some insurers are now talking about paying pharmaceutical companies not for drugs, but for outcomes from drugs. This is breathtaking. And, I think facility operators need to take this philosophy to heart and need to be showing their value. And, again, what about paying design professionals for results?

3. Shift to paying for (Public) health, instead of fixing what’s broken. More and more, healthcare seeks to keep people out of the healthcare system by keeping them well. What if we could do that for health facilities? And, what if designers designed, not only buildings, but ways to keep buildings healthy.
Source: Mazzetti Foursight Blog posted by Walt Vernon following the Summit

Click here for more in-depth coverage of this session by FacilityCare http://www.facilitycare.com/career-care/need-more-flexible-healthcare-fm


L to R: Leo Gehring, Jack Gosselin, Jeff Kent, Walt Vernon


-Leo Gehring, CHFM, CHC, FASHE, President of IFMA Healthcare Institute and Past National President of ASHE

-Jack Gosselin, FASHE, CHFM, Principal, Gosselin Associates and Administrative Director of NEHES

-Jeff Kent, Managing Director Facilities, Nemours Foundation

-Walt Vernon, PE, LEED AP, EDAC, CEO of Mazzetti


2015 Economic & Political Realities of ACA – How Hidden Requirements Can Derail Projects  

 A few takeaways from this session:

  • "If your medical office building has been acquired by a health system that’s a deemed authority, your Conditions of Participation are different now – and DHS and CMS, are inspecting this more aggressively"

  • "Healthcare Villages (Mixed-Use) will replace the Acute Care Centers / Campuses (Dedicated Use)"

  • "Strategically distributed systems of Specialty Centers of Care will replace traditional campus oriented medical office buildings (MOB’s)"

  • "Legislated implementation of the EMR/EHR (ElectronicMedical/Health Record) across & between health systems has driven increased reliance on the IT Network and software systems"

  • "27 States are participating in Health Exchanges, 23 are not"

  • "Inpatient Admissions – are downward trending – between 1.8 and 10.5% reductions. ED visits are DOWN overall – approx. 3 to 5%. Orthopedics visits are going UP. Elective knee & hip replacements in outpatient facilities are UP"

  -Mike Wood, Director/Healthcare Market Development, Oldcastle; and Vice President of IFMA HealthCare Institute. Mike’s career includes working as facility director for Kaiser Permanente, and Healthcare PM Director at Heery.

The Healthcare Design/Construction Challenge: Adapting Off Campus Delivery Models to New England Real Estate Market Panel   

       A few takeaways from this session:

  • “In recent years available funding has gone increasingly to IT departments. IT is getting a bigger and bigger slice of the pie"

  • "Prioritization is getting harder as funds get tighter"

  • "Look closely at the tools you have available to assess potential properties for leasing. For example, have your designer and/or general contractor go along to better assess how much of an investment is needed to make a property workable for your needs"

  • "Benefit of off-campus development: Further you get away from the main hospital campus, cheaper the rent"

  • "Lot more (upfront) collaboration now than in the past. We’re recognizing that whoever designed and built the product knows it best"

  L to R: Kimberly Silvestri, Stephen Evers, Joe Breen
  -Joe Breen, Senior Vice President - Project Executive, Skanska USA
-Stephen Evers, President, Tro Jung Brannen
-Kimberly Silvestri, Director of Facility Development and Project Management, Care New England Health System

Rethinking Healthcare Real Estate Strategies Panel 

   A few takeaways from this session:
  • “Way to look at real estate: You can either manage it as an asset or liability"

  • "There’s need for flexibility. What looks like the perfect plan on Monday, may change the following Monday"

  • "Over the past years have seen some clients say, 'we need to own everything'. Others say 'we need to lease everything'. Today, an open mind is best. The best deal may be a lease, or it may be as owner, or as joint venture. Be nimble"

  • "What underpins our real estate strategy: Improving patient experience"

  • "Evaluate all of the options on their own merits. There’s no magic formula." 


L to R: Bob Biggio, Frank Nelson, William Gause, Matt Kiefer

  -Bob Biggio, Vice President Facilities & Support Services, Boston Medical Center. Bob directly oversees Facilities, Support Services, Public Safety, Infrastructure and Design/Construction.
-William Gause, Executive Vice President/Director of Acquisitions, Leggat McCall Properties. Bill directs the company's investment strategy and is responsible for the acquisition, development, repositioning and asset management
-Matt Kiefer, Director, and Co-Chair of Medical, Educational & Cultural Institutions Group at Goulston & Storrs. Matt, is a Director co-Chair of the Goulston & Storrs Medical, Educational and Cultural Institutions industry group and also coordinates the firm’s Green Business practice
-Frank Nelson, Executive Director/Medical Academic Group, Cushman & Wakefield. Frank has been involved in has been involved in over 6 million square feet of major medical and academic research transactions since 2003.

Environment of Care Regulations – Avoiding Compliance Landmines

  A few takeaways from this session:
  • "Since 2011 ambulatory surgical centers have required the same deeming as hospitals. What’s new is that these centers are being surveyed by a Life Safety Code specialist now, in addition to a clinician. “They’re not doing that well because they’re not used to that level of scrutiny”

  • "When AHJ’s are in Conflict: First rule for the organization is always comply with the strictest interpretation if possible"

  -Bruce L. Boggan, MBA/HCM, CHFM, Field Surveyor/Life Safety Code Specialist, The Joint Commission. He has worked in various hospitals as Director of Facilities Management for 25 years prior to joining TJC

Unlocking the Intelligence Inside Your Building Systems with Infrastructure Improvements
  A few takeaways from this session:
  • "It’s important to consider how a building management system and facility management in general addresses the needs of your chief technology officer, chief nursing officer, and other departments"

  • "Construction today is a process where every item is put out to bid separately—and for building management systems, this can meet duplication from different vendors and way more technology than one facility truly needs. Addressing the building’s needs holistically can reduce costs and eliminate duplication"

  • "To reduce energy usage, it’s crucial to track energy usage. 'How do you preserve energy when you don’t know what your spending is?'”

  -Warren Rosebraugh, Director of Infrastructure Integration & Design, Schneider Electric. Warren holds more than 25 years of experience in building solutions and security.
  Does Healthcare Have the Willpower to Harness the Horsepower of BIM
  A few takeaways from this session:
  • "The U.S. construction industry is the only non-farm industry that has experienced a loss of productivity over the past 50 years"

  • "There’s need for cultural change that’s long lasting"

  • "Facility managers need to move beyond looking at BIM as simply a tool and added expense. It can be a solution for easing operational processes and challenges, although, it’s important to have a BIM execution plan in place to get the most out of this software solution"

  • "Five years ago BIM was a tool. It’s now undergoing transition. It’s a process within a set of tools"

  • "Purpose of BIM is to remove the guesswork from a project"

  -Robert Levine, Currently Consultant for One of America’s Biggest Healthcare Construction Projects and formerly Senior VP Healthcare for Turner Construction
-Jim Chambers, Associate/BIM Manager, Shepley Bulfinch
-Adam Cooper, Regional VDM Manager, Suffolk Construction
-Allan Chasey, PhD, Program Chair and Sundt Professor of Alternative Delivery and Sustainable Development, Del E. Webb School of Construction
  How to Join the BIM Discussion Group – Robert Levine, moderator of popular BIM Panel, invites you to keep this discussion charging forward and join the recently created “Harnessing the Horsepower of BIM” group. Join via your LinkedIn account (open group) or email: robertdlevine@sbcglobal.net