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     New York 2015 - Post Summit Wrap
     September 29, 2015 - New York, NY
 



 
 

Heard from 200+ Attendees
  “Excellent variety of speakers from different aspects of healthcare industry”
  “Wonderful information, well presented and exciting new concepts”
  “Great freeform and analogue”


   

Summit Q&A Leader:

Eileen McMorrow, Publisher of The McMorrow Reports

 

Summit Emcee:

Alan Whitson, President of Corporate Realty, Design & Management Institute

 
       

Transforming Today’s Hospital into Tomorrow’s Healthcare System, Perspectives from 3 Senior Strategy Leaders

 
Left to Right    
 

-Jeffrey Kraut, Senior VP/Strategy & Business Informatics, North Shore-LIJ Health System

 

  -Richard Donoghue, Senior VP/Strategy, Planning & Business Development, NYU Langone Medical Center  

-Emme Deland, Senior VP of Strategy, New York Presbyterian

   

Take Away Messages:

  • “We’re moving from sickness to wellness model”

  • “Watch for rapid consolidation by end of decade”

  •  “Ambulatory is about where people, live, work and play”

  • “We need to improve bed stock rather than add more beds”

  • “Need for beds is shrinking”

  • “We’re looking at what telehealth can do to shrink our facilities footprint”

  • “It’s wonderful time to try and innovate”

  •  “Our facilities stay open a lot later than 10 years ago and quality is getting better”

  • “Not every location does everything.  For example, we’re closing pediatrics”

  • “Need to repurpose facilities to deliver care as a network”

Predictions: 

  • “More and more 50,000 to 100,000 sq. ft. facilities will be built in future”

  • “More providers will become insurers.  Currently four insurers have 80% of the market. They’re buying physician groups and looking more like a provider”

  • “Eventually we’ll be transparent on price.  You’ll compete on price but the differentiator will be quality, elegance and comfort”

Roadblock:  “Codes don’t recognize quality of care now”

 

 

NYC Healthcare Development: Moving a Project from A to Z

Left to Right
-Paul Wexler, Wexler Healthcare Properties Team at The Corcoran Group
-H. Guy Leibler, President, Simone Healthcare Development

Take Away Messages:

  • “Healthcare business has changed dramatically in past 5 years….seeing more specialty hospitals, consolidation”
  • “Not a lot of sites available for ground-up development (in NY). This is why repurposing is important… former Kmart’s, Barnes & Nobles, and warehouse properties sought…. It’s hard to figure out how to repurpose these buildings, but the market is there”
  • “Defunct department stores are viable for medical use”
  • “Ideal building size is one with 25,000 sq. ft. floor plate. You gain efficiency. Bigger the floor, the better”
  • “Healthcare systems want to use their capital for existing campuses and to invest in physician practices they can own. They need relationships with developers for off the main campus facilities”
  • “New York (Manhattan) is complicated on a variety of levels…everything from land use planning, zoning, bringing in building materials, and costs….you can have the health system and documents in place but not the right building or have the building and physician group, but not all the documents needed. We’ve learned not to get blocked by a no”
  • “We’re very interested in new materials and styles of construction”

 


Understanding How Environment of Care Regulations are Driving Design, Construction & Operation of Medical Facilities – Ambulatory Clinics Now in Play

-Chris Ricchiuto, CHFM, CFPS, Life Safety Code Specialist, The Joint Commission

Take Away Messages:

  • “If we see it, we have to score it”
  • “Every facility is supported by an applicable code and standard”

Ambulatory Facilities Inspections Now in Play:

  • “Ambulatory occupancies are now being surveyed by both a clinical surveyor and a life safety code specialist (LSCS)

What’s Being Uncovered, Biggest Problem Areas in Ambulatory Facilities

  • Documentation issues with fire alarms
  • Smoke and fire damper testing (4 yrs)
  • DOT training
  • Penetrations
  • Many facilities are managed and maintained by 3rd party vendors
  • Based on early reports, will take a few survey cycles to get compliant

Important Compliance Pitfalls to Address in Advance
(from Eric Babcock’s “Reimagining Outpatient Care Facilities for Future” presentation)

  • “Who is responsible for building maintenance to life safety code standards? (Avoid future questions on accountability)”
  • “If citation issued in future, provider is responsible…review the lease agreement, impact on facility manager, and access to other spaces in building”

SquareFootage Editor’s Note: Alan Whitson’s Understanding Regulatory Issues in Leasing Medical Office Buildings and Healthcare Facilities Guide is a timely, proactive tool to prime you on regulatory and patient safety issues in these types of facilities. Go here for full description: http://squarefootage.myshopify.com/products/leasingmedical

 


Reimagining Outpatient Care Facilities for Future

 

Left to Right:

Jeff Rosser, Kristin Moore, Eric Babcock, Jeffrey Drucker

 
   
       

The Contractor

-Jeff Rosser, Vice President, Skanska USA

 

Modular Interiors 

-Kristin Moore, Director of Healthcare, DIRTT Environmental Solutions

 

Life Safety Engineer

-Eric Babcock, Director/NY, Jensen Hughes

 

The Architect

-Jeffrey Drucker, Regional VP/Northeast Region, Array Architects

 

Design & Construction Considerations

  • “Get all the stakeholders involved in beginning stage (preferably prior to site selection), i.e., real estate broker, architect, engineer, property owners, developer, hospital’s real estate leadership”
  • “Criteria in evaluation process: Long-term leave vs. ownership, standard lease templates to use, real estate brokers vs. in-house real estate departments”
  • “We need to rethink about how we’re rebuilding space”
  • “Not necessary to put every component of a general hospital into an ambulatory facility”

What’s Coming

  • “Telemedicine”
  • “Don’t underestimate baby boomers. They still have a big say”
  • “More innovation and technology”

Construction Stats & Trends from Jeffrey Drucker – Where They’re Building
To view video clip:
https://array-architects.wistia.com/medias/1zh3n2dxel

 


Unlocking the Intelligence Inside Your Building Systems with Infrastructure Improvements

-Warren Rosebraugh, Director of Infrastructure Integration & Design, Schneider Electric. Warren holds more than 25 years of experience in building solutions and security

Take Away Messages:

  • 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?"
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