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Schedule 2022

Schedule for AHCA Seminar 2022:

Sunday, Sept 18 – Tuesday, Sept 20, 2022

(Schedule may be subject to change)

At-A-Glance Schedule • Download Here  (Updated 8/15/22)
Sunday, September 18, 2022
Charity Golf Tournament: (Falcons Fire)

7:00 AM Registration - Golf at Falcon’s Fire Golf Course

8:30 AM Shotgun Start - Falcon’s Fire Golf Course

12:00 - 6:00 PM AHCA Seminar & Expo Registration (Coronado Central Registration), Expo Registration at Veracruz N. Registration
3:15 - 3:30 PM Special Event of the Sarah Szafranski Endowment Presentation (Coronado K-L)
3:30 - 5:30 PM Main Speaker Sessions (Coronado K-L)

3:30 - 4:20 PM

Session Title:

1: ASK AHCA 2022: Review of New Codes, Standards, Submissions, and Inspection Requirements of AHCA 

     Approved CEU's: 1 AIA/HSW, 1 FBPE, 1 FFC, 1 CILB (Suitable to submit for 1 ASHE)

Speakers:

Scott Waltz, NCARB, Bureau Chief, Office of Plans and Construction, AHCA, Tallahassee, FL

Eddie Alday, Gov. Analyst II, Life Safety Lead, HQA, Field Operations, AHCA, Tallahassee, FL

Session Summary: 

Questions submitted through ASK AHCA 2022 portal on the website will be answered. In addition, the session will include a review of revisions made for improved patient safety, an up-to-date summary of the process of review by AHCA and fire safety survey changes by AHCA, and a discussion of AHCA interpretations of various codes and standards requirements.

4:40 - 5:30 PM     

Session Title:
2: 
Reaching Climate and Energy Goals by Implementing Energy Transition Plans 

Approved CEU's: 1 AIA/HSW, 1 FBPE (Suitable to submit for 1 ASHE)

Speakers:

Bill Bradford, PE., Senior Vice President ❘ Energy, Sustainability & Resiliency Principal, Hanson Professional Services, Inc., Maitland, FL

Mathew Coalson, Mechanical and Energy Specialist, Hanson Professional Services Inc., Maitland, FL

Wade H. Conlan, P.E., CxA, Commissioning and Energy Discipline Manager, Hanson Professional Services Inc., Maitland, FL

Session Summary:

The UN Intergovernmental Panel on Climate Change (IPCC) Sixth Assessment Report stated, "The evidence is clear; the time for action is now. We can halve emissions by 2030". Energy prices skyrocketed in early 2022 impacting all of the built environment. The Securities and Exchange Commission just proposed rule changes to require climate related disclosures for investors, and a report by Candace Browning, Bank of America securities head of global research stated, "In 2019, about 16% of the world’s GDP, by country, had committed to some sort of net zero plan. And today, just three years later, that number is 90%....The first big take away was that it’s a movement, and it’s going to happen."

The momentum is increasing for hospitals and other healthcare facilities to begin their energy transition planning.  This presentation provides steps to follow when developing energy transition plans. The steps begin with benchmarking your facilities and processes; and include evaluating best practices and processes, identifying potential achievable goals for energy and emissions, establishing your conservation goals, developing a coordinated strategy to reach your goals and establishing a mechanism to verify and report the benefits of the measures you implemented.

5:30 -7:00 PM AHCA Seminar Meet & Greet Reception Sponsored by RYAN (Coronado H)

Monday, September 19, 2022

6:00 AM - 7:00 PM Registration - AHCA Seminar & Expo (Coronado Central Registration), Expo Registration at Veracruz N. Registration

7:00 - 8:15 AM Breakfast for AHCA Seminar Registrants Sponsored by APG (Monterrey Lobby)

 

8:30 - 12:00 Noon Main Speaker Sessions (Coronado K-L)

 

8:30 - 9:00 AM

Session Title:

Welcoming and Opening Remarks

Speaker:

Kim Smoak, Deputy Secretary, Agency for Health Care Administration, Tallahassee, FL

Session Summary:

An overview of AHCA and the review and licensure of health care.

 

9:00 - 10:00 AM

Session Title:  

3: Decarbonization in Health Care – Trends and Perspectives

     Approved CEU's: 1 AIA/HSW, 1 FBPE (Suitable to submit for 1 ASHE)

Speaker: 

Kara Brooks, Senior Associate Director of Sustainability, American Society of Healthcare Engineering (ASHE), Chicago, IL

Session Summary:

With health care accounting for 10% of all U.S. greenhouse gas emissions, environmental sustainability and decarbonization of health care are at the forefront of the climate action conversation. Climate deadlines and calls to action dominate the evening news and legislative agendas. However, the idea of decarbonizing the entire health care sector is more than a little overwhelming. Hospitals and health systems have a vested interest in the climate conversation not only because of the impact of climate change on public health and critical health care delivery infrastructure, but also because the complex energy and resource needs of hospitals and health care systems directly contribute to the health care industry’s carbon footprint.

This session will provide an overview of the complex concepts of environmental sustainability and decarbonization, provide an overview of the current regulatory trends, demonstrate tasks to empower attendees with practical ways to get started, and provide perspective on changing culture and engaging teams to work together in a joint effort to move the needle.

 

10:00 - 10:30 AM  Break Sponsored by WSP (Coronado Lobby)

10:30 - 11:30 AM

Session Title:   

4: The Moral and Financial Path to Sustainable Success

     Approved CEU's: 1 AIA/HSW (Suitable to submit for 1 ASHE)

Speaker:  

Jeff Thompson, MD, CEO Emeritus, Gundersen Health System, La Crosse, WI

Summary:

This presentation, from the CEO Emeritus of Gundersen Health System, will recount how Gundersen was able to drop its Green House Gas (GHG) emissions from energy use by 95% while at the same time create a positive financial success for the health care system. It will also detail the multitude of non-financial benefits that started to accrue immediately from these efforts to reduce GHG emissions.

Dr. Thompson will show how to start your own journey to GHG reductions and most importantly, how to convince the C-suite and the organization itself to invest for short and long term benefits with environmentally sound design and function.

He will also discuss where the rest of healthcare, the government, and the courts are heading, and the goals, requirements, and accountability for resilience as well as function healthcare facilities are currently undertaking.

 

11:30 AM - 12:50 PM AHCA Seminar Luncheon Sponsored by Emerald Engineering

 (Coronado H-J Main and Convention Center Porte Cochere Optional)

1:00 - 4:30 PM Monday Afternoon Breakaway Sessions

(Architecture, Mechanical Engineering, Electrical Engineering, Facility Engineering/Contractors, Fire Safety)

 

1:00 - 1:50 PM Monday Breakaway Sessions

Architecture Track (Coronado K) 1:00 - 1:50 PM
Session Title:

5: Designing Day-lit, Glare Free, Energy Efficient Buildings in Budget

Approved CEU's: 1 AIA/HSW

Speaker:

Sandeep Ahuja, Co-founder and CEO, Cove.Tool,  Atlanta, GA

Session Summary:

Shifting energy codes are challenging architects with a wide array of parameters to balance, including energy, cost, daylight, views, and embodied carbon. Hiring a consultant for every kind of analysis is a burden on fees. Many architects are harnessing simulation to shape the design and details of their projects. To be successful, teams must understand the levers that impact the performance and set up processes for success. Join this session diving into two case studies to generate beautiful analysis graphics and see how to shape the narrative in a data driven design process.

 

Mechanical Engineering Track (Coronado L) 1:00 - 1:50 PM
Session Title: 

8: ASHRAE 170 Updates Including Energy Reduction Considerations

     Approved CEU's: 1 FBPE (Suitable to submit for 1 ASHE)

Speakers:

Michael Sheerin, PE, LEED AP, (Chair ASHRAE 170) CEO, TLC Engineering Solutions, Orlando, FL

Aaron Johnson, Director Healthcare  (Member ASHRAE 170) TLC Engineering Solutions, Orlando, FL

Session Summary:

The presenters will provide an overview of ASHRAE 170 changes including energy reduction considerations that have been incorporated into the 2021 published edition along with more recent updates that have been approved or are presently in the works. 

Additionally, the presenters will provide insights on the code changes that the ASHRAE 170 committee have reviewed based on national input related to post-COVID ventilation strategies, planning considerations and examples based on recent new hospital projects, and information on the ASHE/CDC Project First Line program which was developed to improve preparedness for infection prevention across the entire design/operations team. 

Electrical Engineering Track (Fiesta 5) 1:00 - 1:50 PM
Session Title:  

11: Using Diverse Renewable Energy Sources To Produce A Resilient And Efficient Path To Carbon Neutrality

       Approved CEU's: 1 FBPE (Suitable to submit for 1 ASHE)

Speakers:

Veronique Pryor, AIA, Senior Project Director, EYP, Orlando, FL

Teresa Rainey, PE, LEED Fellow, Director of Engineering, EYP, Washington, DC

Patrick Markley, PE, RCDD, LEED AP BD+C, CPQ, National Discipline Lead, Electrical, EYP, Washington, DC

Session Summary: 

Recognize the need for reliable power in health care systems and note their annual energy consumption impact.

Cite findings from 2017 EYP report that many standby systems did not operate during extended natural disasters like Superstorm Sandy. Introduce the report's Resiliency Road Map. (See EYP/research report 'Natural Disasters, Hospitals and Emergency Generators: A natural progression to complete energy resiliency').

Cite anticipation of further natural disasters and their future frequency forecasts.

 

Introduce the under-represented GBCI PEER (Performance Excellence in Electricity Renewal) rating system, its aims and early adopters in the health care market.

Note environmental objectives and brief history UNFCCC, Kyoto Protocol, Paris Climate Agreement, AIA 2030.

Discuss renewables (Photovoltaics, Wind, Green Hydrogen Fuel Cells), energy storage (including thermal energy), and their use in a microgrid distributed generation application as well as the financial and energy security benefits of multiple sources.

 

Pairing PEER, renewable distributed generation and the Resiliency Road Map achieves several operational objectives concurrently in health care facilities to protect people and property.

Facility Engineering/Contractors Track (Fiesta 6) 1:00 - 1:50 PM
Session Title:

14: Demystifying Strategic Decarbonization Planning in Healthcare

     Approved CEU's: (Suitable to submit for 1 ASHE)

Speakers:

Christina Vernon Sanborn, AIA, LEED AP, Associate Principal/Senior Decarbonization Specialist, Mazzetti, Cleveland, OH

Saadat Khan, Energy Engineer, Sustainability Program Office, Stanford Health Care, Redwood City, CA

Session Summary:

Currently, the US health system is responsible for almost 10% of the country’s total greenhouse gas emissions, almost 5% of emissions globally, and a quarter of all health care emissions globally. Global and Federal goals call for a 50% reduction in emissions by 2030 and 100% by 2050. The call to action is clear, we must bend the carbon curve, but how do we go about it in our healthcare facilities? Is it realistic to address the climate impacts of healthcare delivery while bolstering resilience? What is decarbonization and how is it done? What exactly are Scope 1, 2, and 3 emissions? This session will explore a stepwise approach to decarbonization planning and highlight real-life examples of health systems that are tackling this important work in innovative ways.

Fire Safety Track (Monterrey) 1:00 - 1:50 PM

17: Lessons Learned from Hospital Fires: The Total Concept

      Approved CEU's: 1 FFC

Speaker:

Nicholas E. Gabriele, Healthcare + Emergency Management Global Service Line Leader, Jensen Hughes,  , CT

Session Summary:

Many resources and efforts go into meeting the “Total Concept” of the Life Safety Code®. Through several case studies we will explore how well this concept worked to keep patients safe. Our concept takes the "Total Concept" one step further where the building design process not only addresses the minimum fire protection codes (e.g., the Life Safety Code) but is expanded to take into account effective fire procedures, surge planning and building evacuation. By looking at specific events that have occurred, lessons about code compliance take on much more meaning than simply “survey exposure or compliance ”; we will explore if building design and operational features are taking into account this idea of “Total Concept”.

 

2:00 - 2:30 PM: Break Sponsored by WTI | Pure Air Control Services (Coronado Lobby K-L)

 

2:30 - 3:20 PM Monday Breakaway Sessions (Continued)

Architecture Track (Coronado K) 2:30 - 3:20 PM

Session Title:

6: The Embodied Carbon Opportunity for the Healthcare Industry

     Approved CEU's: 1 AIA/HSW

Speaker:

Stacy H. Smedley, Executive Director, Building Transparency, Seattle, WA

Session Summary:

The building sector, including all healthcare facilities, is responsible for nearly 40% of global GHG emissions. Much of the carbon footprint associated with buildings is embodied carbon – the emissions associated with material production and building construction. In fact, reports show that embodied carbon will be responsible for almost half of total new construction emissions between now and 2050. Unlike operational carbon emissions, which can be reduced over time, embodied carbon emissions are locked in place as soon as a building is built.

 

Embodied carbon marks a significant opportunity for the healthcare industry to mitigate its emissions and achieve zero-carbon, resilient and healthy built spaces. To achieve this, healthcare facility architects, engineers, contractors, and managers must directly measure, compare and reduce the embodied carbon of the products through low-carbon material procurement. 

 

During this session, Stacy Smedley, Executive Director at Building Transparency, will discuss the importance of reducing the embodied carbon emissions of healthcare facilities and best practices for looking at the overall emissions of a project and evaluating the carbon impact of materials and products.

Mechanical Engineering Track (Coronado L) 2:30 - 3:20 PM

Session Title: 

9: Geothermal Energy Source

     Approved CEU's: 1 FBPE (Suitable to submit for 1 ASHE)

Speaker:

Mike Burton, PE, Sr. Mechanical Engineer - Smith Seckman Reid, Inc., Nashville, TN

Session Summary:

Completed in 2013 and soon thereafter receiving the world’s first LEED Gold for Healthcare certification, Methodist Olive Branch Hospital in Olive Branch, MS, was built ahead of schedule and under budget, using Integrated Project Delivery. Central to this process was design of the HVAC system, due to the major impact this single system has on both first and operating costs. Five HVAC systems were considered: Ground Source Heat Pump, Water Source Heat Pump, Variable Refrigerant Flow, Chiller/Boiler Variable Air Volume, and Chilled Beam. After completing a collaborative Lifecycle Cost analysis that included first cost, energy modeling to determine projected energy consumption, and projected operation and maintenance costs, and then considering impacts to site, building structure and program space, the Ground Source Heat Pump system was selected. This system promised the lowest projected energy and O&M costs, offered significant benefits in terms of site, structure, program space and patient comfort impacts, and had a first cost lower than three of the other options. Years later, those promises have been realized. This presentation reveals the impacts and results of the choice, and how the journey was both challenging and rewarding.

 

Electrical Engineering Track  (Fiesta 5) 2:30 - 3:20 PM

Session Title:  

12: Electrification of Healthcare

       Approved CEU's: 1 FBPE

Speakers:

Nathan Boepple, Vice President, WSP, Orlando, FL

Erika Duran, Florida Sustainability Director, WSP, Miami, FL

April Woods, Vice President, WSP, Orlando, FL

Session Summary:

Current industry trends across the US and globally are embracing de-carbonization and a movement away from fossil fuel. This is in everything from cars to hospitals. This presentation will present a historical overview of electrification and the trends that have driven its evolution. It will review current state design strategies and motivations, as well as review future challenges related to available equipment, reliability of the grid, and other challenges facing the community as the world shifts toward de-carbonization and complete electrification.

 

Facility Engineering/Contractors Track (Fiesta 6) 2:30 - 3:20 PM

Session Title:   

15: Harnessing the Power of Technology Transformation for Your Healthcare Campus

       Approved CEU's: (Suitable to submit for 1 ASHE) 

Speakers:

Sanjyot Bhusar, Principal, AEI, Newberry, FL

Brad Pollitt, VP Facilities, UF Health Shands Hospital, Gainesville, FL

Mark Dykes, Energy Project Manager, UF Health Shands Hospital, Gainesville, FL

Session Summary:

The pace and acceleration of technological change has become a driving force behind a transformational shift in how we design, deploy, integrate, and manage the infrastructure and building systems that support healthcare campuses.  Systems and sensors that were once considered static assets to be monitored have become rich and dynamic sources of actionable data and the success of a facilities management plan today has become contingent upon the data management planning that underpins it.

Formulating economically responsible strategy that remains nimble enough to pivot towards the future needs of our campuses requires a vision that reaches both forwards and backwards simultaneously.  

Our panel of experts representing UF Health, MD Anderson, BayCare Health and Affiliated Engineers will convene to discuss the facility management challenges facing modern healthcare campuses and will share their perspective on how they continue to thrive in an ecosystem of rapidly changing technology. 

They will each elucidate their vision for the near, intermediate, and long term and will discuss successful strategies that they have developed and deployed to meet these challenges.  8At the heart of the conversation will be a focus on the fundamentals of their respective best-practices, lessons learned and preparedness for the challenges yet to come.  

 

Fire Safety Track (Monterrey) 2:30 - 3:20 PM

Session Title:

18: Updates to 101 and 99 2021

       Approved CEU's: 1 FFC, 1CILB

Speaker:

Mike Crowley, PE, FSFPE, Principal Advisor, Fire Protection Engineering, Coffman Engineers, Woodlands, TX

Session Summary:

The new edition of NFPA 101 and NFPA 99 are on the street for use and being adopted.  This is an overview of the major updates related to egress and health care occupancies and health care facilities.  Updates to definitions and applications will be discussed. There are advantages in using the new editions.

3:30 - 4:20 PM Monday Breakaway Sessions (Continued)

Architecture Track (Coronado K) 3:30 - 4:20 PM

Session Title:

7: Road Map to Net Zero, The Journey of the Emory Musculoskeletal Institute

     Approved CEU's: 1 AIA/HSW

Speakers:

Teresa Campbell, Principal / Health Practice Leader, HKS, Orlando, FL
Michael Chanin, CEO, Cherry Street Energy, Atlanta, GA

Greg Johnson, Partner, Newcomb & Boyd, Atlanta, GA

Sammy Shams, Sustainable Design Leader, HKS, Orlando, FL

Session Summary:

Healthcare buildings are synonymous with high energy consumption and elevated carbon emissions that discourage teams from pursuing building performance goals like LEED and Architecture 2030. This was not acceptable for Emory Healthcare or Scott D. Boden, MD, visionary, and champion behind the new outpatient institute. Dr. Boden negotiated with vendors to enhance the building’s performance, challenged the design team to exceed LEED Silver goals and ultimately set up a path for a Net-Zero energy building. The Emory Musculoskeletal Institute project leveraged an integrative design process that incorporates AIA measures of design excellence. This allowed the project team to collaborate early and maintain specific strategies throughout design. It’s not a perfect process, but one that is agile enough for any project to use and modify as needed while possibly achieving net positive energy, water, and carbon in the future. The panel will cover the journey and lessons learned to achieve net zero.

 

Mechanical Engineering Track (Coronado L) 3:30 - 4:20 PM
Session Title: 

10: Building Commissioning, Retro-Commissioning or Pre-Commissioning?

       Approved CEU's: 1 FBPE (Suitable to submit for 1 ASHE)

Speaker:

Jeffrey A. Miller, P.E., Senior Principal and Senior Mechanical Engineer, Terracon Consultants, Inc., Houston, TX

Brian DuChene, P.E., Senior Engineering Consultant, Terracon Consultants, Winter Park, FL

Session Summary:

Retro-Commissioning is typically applied to existing buildings with a goal to identify how to improve the efficiency and operation of energy consuming systems and equipment such as the heating, ventilating, and air conditioning (HVAC), interior and exterior lighting, service water usage and heating. The typical goals of Retro-Commissioning are to achieve efficient and well operated buildings, to identify, recommend and implement energy conservation measures (ECMs), and to provide documentation and training to the property owner’s personnel when Retro-Commissioning is complete.

Retro-Commissioning is an important process to follow for aged, inefficient buildings. It identifies opportunities for improvements in energy efficiency and performance in building systems and equipment, it helps owner meet ongoing operating requirements and expectations, it reduces potential for unexpected repairs and replacements, identifies and addresses potential indoor air quality and building pressurization concerns by the building owner, and verifies that maintenance personnel are adequately trained on the proper operation of a commercial building.

 

The benefits of Retro-Commissioning are typically improved building system and equipment operation, energy and water usage reduction, improved operation and maintenance of the owner’s building, improved temperature and relative humidity control and improved indoor air quality, and improved documentation for operation and maintenance.

 

Case histories of two to three Retro-Commissioning projects will be provided.

Electrical Engineering Track (Fiesta 5) 3:30 - 4:20 PM

Session Title:  

13: Resilience, Cost Savings, Sustainability - Can you really achieve all three?

       Approved CEU's: 1 FBPE

Speaker:

Chris Evanich, Program Director, Energy as a Service, Schneider Electric, Tampa, FL

Session Summary:

Microgrids are touted as being able to provide multiple value streams -- resilience, cost savings, and reduced carbon emissions -- but at times these values are in contention with one another. Can microgrid projects really optimize on all three at once? Renewable-based DERs and automation are keys to the puzzle as well as a strong customer understanding of project goals and operational strategy.

 

Facility Engineering/Contractors Track (Fiesta 6) 3:30 - 4:20 PM

Session Title:   

16: Electric Hospitals - A Healthy Part of a Low-Carbon Diet

       Approved CEU's: (Suitable to submit for 1 ASHE)

Speakers:

Jim Crabb, PE, Principal, Mazzetti, Decatur, GA

Steve Andert, PE, Principal, Mazzetti, St. Louis, CA

Session Summary:

Hospitals have always depended on natural gas for low-cost heat, humidification, and sterilization. Now, in the name of decarbonizing, there's talk of electrification of buildings - even hospitals. On top of that, doctors and visitors want charging stations on campus for their electric vehicles. Facility managers and designers wonder if their electrical infrastructure is up to the task.

The team will show that electrification is possible and share their experiences in developing hospitals that run mostly or entirely on electricity. We'll also discuss vehicle charging and give an overview of the power and management implications.

 

Fire Safety Track (Monterrey) 3:30 - 4:20 PM

Session Title:  

19: Processes to Ensure Compliance in Healthcare 

       Approved CEU's: 1 FFC, 1 CILB (Suitable to submit for 1 ASHE)

Speakers:

Kelly Mason, Director of Healthcare Partnerships, Specified Technologies Inc, Tomball, TX

Session Summary:

This session will provide a road map of best practices that can be utilized to assist with keeping barriers compliant. There are so many variables in maintaining rated and non-rated barriers in the facility. We will break down some of the more common issues associated with these barriers.

 

4:30 - 7:00 PM AHCA Expo and Reception Sponsored by Gilbane Building Company (Veracruz Hall)

Tuesday, September 20, 2022

7:00 AM – 4:00 PM Registration - AHCA Seminar & Expo (Coronado Central Registration), Expo Registration at Veracruz N. Registration

7:00 - 8:15 AM Breakfast in AHCA Expo Sponsored by RLF (Veracruz Hall) 

 

8:30 - 12:00 Noon Main Speaker Sessions (Coronado K-L)

 

8:30 - 9:20 AM

20: The Changing Policy Landscape: How Healthcare Buildings Will Weather the Storm

       Approved CEU's: AIA/HSW (Suitable to submit for 1 ASHE)

Speakers:

Anica Landreneau, Director of Sustainable Design, HOK, Washington, DC

Karen Carvalho, Sr. Project Manager, HOK, Tampa, FL

Session Summary:

In recent years, we have focused in on protecting our communities from the impact of climate change. Healthcare facilities are one of the most critical building types in a community. Their resiliency to not just natural disasters, but man-made hazards are the defenses that keep our public safe.

The American Institute of Architects’ Blue Ribbon Panel on the future of building codes has published a report outlining the direction of building codes for the next thirty years. The report includes themes such as an elevated meaning for Health, Safety, Welfare in the era of climate change, for resiliency and the design community’s responsibility to the public, and practice beyond ‘standard of care’. It also discusses the shrinking code enforcement workforce, leveraging design tools and technology for automated code checks and inspections, transitioning to performance and outcome-based codes, and getting our building policy to transparency/benchmarking and building performance standards.

9:30 - 10:00 AM Break in the AHCA Expo Sponsored by Wal-Mark Contracting Group, LLC (Veracruz Hall)

 

10:00 - 10:50 AM (Coronado K-L)

Session Title:

21: Microgrids! Powering the Future of Healthcare Power, Sustainability, Resiliency, And High-Value Financial Performance

       Approved CEU's: AIA/HSW (Suitable to submit for 1 ASHE)

Speakers:

David Bliss, MD, CEO, Charge Bliss, Irvine, CA

Jesse Avery, PE, Principal, Electrical Engineer, Mazzetti, San Francisco, CA

Summary:

The U.S. has been experiencing increasingly numerous and intense weather events; scientists say this trend will only accelerate in years to come. Resiliency has become an elevated priority for building owners. To achieve greater resiliency, particularly as it pertains to power, sustainability and resiliency must be in concert. We have opportunities today to leverage new technology—fuel cells and microgrids—to not only increase power resiliency, but simultaneously decrease our environmental footprint.

Code-making organizations, hospital facility planners and teams must understand how the combination of economics and technological advancements has bent the concept of ‘emergency power’ to the breaking point. This is truly a paradigm shift in terms of how we think about powering a healthcare facility, particularly a hospital.

In order for the code regulations to evolve accordingly, we need sufficient evidence to prove concept. Enter: Kaiser Permanente Ontario. Through a grant solicited by the California Energy Commission (CEC), Charge Bliss, with Kaiser and Mazzetti, are pioneering the power paradigm shift with the design and implementation of a microgrid. At the time of this conference, NEC will have passed the use of microgrids in hospitals, and we will have completed design, moving into construction.

Join this session to learn more about this project, its challenges, its prospective implications, and projections for the future of powering Healthcare.

11:00 - 12:00 Noon
Introduced by the American College of Healthcare Architects

Bill Hercules, FAIA, FACHA, FACHE, President/CEO WJH Health. (Coronado K-L)

Session Title:

22: Every Building Counts

       Approved CEU's: AIA/HSW, FBPE (Suitable to submit for 1 ASHE)

Speaker:

Edward Mazria, FAIA, FRAIC, CEO, Architecture 2030, Santa Fe, NM

Session Summary:

We are in a race to find solutions for the climate crisis, the pandemic, sustainable development, social and environmental equity, and affordable energy for all. Edward Mazria's eye-opening presentation will illustrate the powerful role of the design and planning community in both creating and alleviating the many crises facing America and the world today. His keynote will provide attendees with a deep understanding of the historic transformation taking place in the built environment today. He will also focus on health facilities and the magnitude of the opportunities before us.

 

We must remind ourselves that all the needed elements to bring forth a brighter, more promising future are possible now. This riveting keynote will inspire you to act.

 

12:00 - 1:00 PM AHCA Tuesday Luncheon in AHCA Expo Sponsored by Smith Seckman Reid, Inc. (Veracruz A Main and Veracruz Porte Cochere Optional)

12:00 - 2:00 PM AHCA Expo / Door prizes (AHCA Expo closes at 2:00 PM) Veracruz Exhibit Hall

 

2:00 - 4:00 PM Tuesday Breakaway Sessions

(Architecture, Mechanical Engineering, Electrical Engineering, Facility Engineering/Contractors, Fire Safety)

 

2:00 - 2:50 PM Tuesday Breakaway Sessions

Architecture Track (Coronado K) 2:00 - 2:50 PM

Session Title:

23: Pragmatic Energy Efficiency: Sensible Design Features for Healthcare in Florida

       Approved CEU's: AIA/HSW

Speakers:

Parker Hall, Lead Mechanical Engineer, Hoefer Welker, Leawood, KS

Ashley Eusey, Director of Sustainability, Hoefer Welker, Leawood, KS

Session Summary:

Integrated design process between engineers and architects is key to success in improving building performance and meeting energy efficiency goals. By deepening one’s understanding of how architectural design decisions affect these metrics for success, a designer is better poised to provide sustainable solutions that synergize with MEP design. This presentation aims to bridge the gap between engineers and architects as well as frame these decisions with a regional and healthcare specific lens.

The presentation will focus on often overlooked design decisions that have a significant impact on a building's performance. These can affect not just the utility bills, but also the first cost of the building, required maintenance, and the ability to withstand the changing environment. With multiple municipalities chugging towards Net Zero, the demand for sustainable MEP design is only increasing, but with all the options available and the variety of ways to be "sustainable" it can be difficult to know where to start. As such, this presentation outlines those key design decisions that architects can make to improve building performance with data on the potential savings to the project as well as architectural considerations for energy and water saving strategies. These suggestions will be focused on best practices for healthcare in Florida. Real world case studies and energy modeling of these strategies will be shared as well, for inspiration.

Mechanical Engineering Track (Coronado L) 2:00 - 2:50 PM

Session Title:

25: Solutions for Medical Gas Design and Preventative Maintenance Caused by the Pandemic and NFPA 99 Code Updates

       Approved CEU's: 1 FBPE (Suitable to submit for 1 ASHE)

Speakers:

Paul Rumbos, President and CEO, Major Medical Hospital Services, West Berlin, NJ

Brian Andrayo, Director of Business Development, Major Medical Hospital Services, West Berlin, NJ

Session Summary:

Help engineers and plant operations move forward with the design and preventative maintenance of the medical gas systems. What we learned from the infrastructure of the medical gas systems and how to alleviate the strain on those systems into the future.  Also, we will cover NFPA 99 code up dates for medical gas designs.

 

Electrical Engineering Track (Fiesta 5) 2:00 - 2:50 PM

Session Title:

27: Balancing Resilience, Sustainability, Cost, And Energy Use Through The Lens Of Decarbonization

       Approved CEU's: 1 FBPE (Suitable to submit for 1 ASHE)

Speakers:

Kameron Beeks, PE, Vice President | Education Sector Lead, GLUMAC, Portland, OR

David Nelson, PE, Senior Vice President | Life Science Sector Lead, GLUMAC, Irvine, CA

Ari Navarro, Project Manager, GLUMAC, Miami, FL

Robert Tomlinson, Mechanical Engineer | Central Plant Specialist, GLUMAC, Sacramento, CA

Session Summary:

The conversation around decarbonization and electrification for large scale campus facilities such as hospitals and education campuses, continues to mature and address the concerns that many are raising around resilience, feasibility, maintaining process steam loads, and cost.

This presentation will address these concerns by reviewing the key takeaways from studies performed at the California State University Chancellor's Office (the largest university system in the country) as well as University of California San Diego Hillcrest Medical Center. The California State University Chancellor's Office Decarbonization Framework was intended to be versatile and highly applicable to several large scale energy central plant type campuses as it needed to address the considerations of 23 different operating campuses in different climates throughout the state. The UCSD Hillcrest Medical Center central plant takes into account resilience, first cost, and energy cost while also working towards the University of California’s system goal for decarbonization.

 

Facility Engineering/Contractors Track (Fiesta 6) 2:00 - 2:50 PM

Session Title:

29: ICRA 2.0. Updated ICRA Guidelines

      Approved CEU's: CILB (Suitable to submit for 1 ASHE)

Speaker:

Robert D. Booth, MPH, CIH, Senior Consultant, Oncore, Inc., Tampa, FL

Session Summary:

ICRA was first presented and published in 1996.  As an industry practice for infection control during construction, this document sometimes did not provide clarity for implementing controls and processes.  A representative from ASHE, multiple healthcare organizations, and industry experts examined and updated the ICRA document. The speaker is one of the primary authors of the updated guideline and will discuss revisions, clarifications, and the addition of a 5th category for precautions.

Fire Safety Track (Monterrey)  2:00 - 2:50 PM

Session Title:

31: Innovations in Facility Planning: A Study on Phasing and ILSM Strategies

       Approved CEU's: 1 FFC (Suitable to submit for 1 ASHE)

Speaker:

Alexandra Andrei, RA, NCARB, EDAC, Boca Raton, FL

Session Summary:

A hospital renovation is often a driver for change and improvement on multiple scales. While sometimes these projects are riddled with challenges, they often benefit from a unique opportunity to update to latest best practice workflows and drive positive change.

An example of approx. 50% of the ground floor renovation and new building addition in an existing Hospital Campus will be presented in this session. The approx. 40,000 sf (16%) being renovated, and approx. 90,000 sf (34%) being reconfigured in addition to the construction of a new 4 story - 115,000 sf surgery tower has made navigating the path of department adjacencies and changing staff perception of workflows challenging for both the design teams and leadership.

Blending the latest in healthcare practice principles with current code compliance have informed a design which had to be crafted with approx. 10 construction phases and additional micro-phases in mind. Coordinating with interim life safety measures and multiple compartment walls changes have required the active involvement of both Facilities and A&E teams along the way of crafting the construction documents. 

Planning overview strategies will be presented as well as some highlighted phasing approaches which prioritize clinical flow and patient safety. 

 

3:10 - 4:00 PM Tuesday Breakaway Sessions (Continued)

Architecture Track (Coronado K) 3:10 - 4:00 PM

Session Title:

24: FGI: Sound Vibration Guidelines for Healthcare Facilities

       Approved CEU's: AIA/HSW

Speakers:

Jeff Teel, Director of Acoustics, Henderson Engineers, Lenexa, KS

Session Summary:

The guidelines provided by the Facility Guidelines Institute (FGI) serve as the industry standard document for healthcare design and construction, which includes design criteria for sound and vibration control. In the 2022 edition, the sound and vibration control guidelines were significantly expanded and impact building design across all three of FGI's publications for 1) hospitals, 2) outpatient facilities, and

3) residential health, care, and support facilities.

Although the adoption of the guidelines is, in and of itself, voluntary, most states do adopt and enforce at least some form of them in their building codes, which makes the design teams responsible for good acoustics in healthcare facilities.

This one-hour presentation reviews all six of the main acoustical areas of concern and provides examples and design techniques to achieve criteria. The presentation will dive into each of the following acoustical areas of concern: Site Exterior Noise, Sound Isolation, Acoustic Finishes, Speech Privacy, Room Noise Levels, and Building Vibration. In each section, the cause or source of the concern will be discussed. From there, the discussion will move into how each concern is measured or tested by acoustical consultants, as well as how these areas of concern can or should be addressed by healthcare facilities.

In whole, this presentation will equip the audience with a clear understanding of what the FGI guideline requires with regard to sound and vibration control.

 

Mechanical Engineering Track (Coronado L) 3:10 - 4:00 PM

Session Title: 

26: Pandemic Mode - Considerations for Mechanical Solutions

      Approved CEU's: 1 FBPE (Suitable to submit for 1 ASHE)

Speakers:

Dave Kistel, VP Facilities & Support Services, Lee Health, Cape Coral, FL

Hank Nirider, Principal, Smith Seckman Reid, Inc., Sarasota, FL

David Simmons, PE, Smith Seckman Reid, Inc., Sarasota, FL

Jesse Diaz, Mechanical Engineer Surveyor, AHCA, Tallahassee, FL

Session Summary:

The world has been challenged and changed by the 2020-2022 Pandemic.  Hospitals responded to the respiratory virus while many panicked.  Many innovative and resourceful solutions were rapidly implemented by plant operations and engineering to provide safety and effective environments for patients and staff.  There is a need to develop some of these solutions and incorporate applicable revisions to FGI Guidelines. 

Using a recent ICU project at Cape Coral Hospital, this session will guide attendees through deploying a tactical solution for future clinical projects from a mechanical systems perspective. Insights will be provided from the owner, mechanical engineer, and mechanical AHCA inspector.

 

Electrical Engineering Track (Fiesta 5) 3:10 - 4:00 PM

Session Title:

28: Carbon Monoxide Detection Update

       Approved CEU's: 1 FBPE

Speaker:

Larry Rietz, Technical Fellow, Jensen Hughes, Inc., Westminster, CO

Session Summary:

This presentation will feature a variety of information regarding Carbon Monoxide (CO) detection. This includes the basics of carbon monoxide and answers to frequently asked questions about CO detection. Attendees will be helped to learn about recent changes in building codes about CO detection. It will help explain the recent NFPA 720 and NFPA 72 consolidation of CO detection installation requirements and feature changes in the 2019 edition of NFPA 72. Finally, it will discuss some of the CO detection research that has been done in recent years.

Facility Engineering/Contractors Track (Fiesta 6) 3:10 - 4:00 PM

Session Title:

30: Healthcare Heating, Ventilation & Air Conditioning - Understanding Complex Systems in Dynamic Environments

       Approved CEU's: (Suitable to submit for 1 ASHE)

Speakers:

Tony Echazabal, CHFM, CHSP, Director Facilities Eng., Corporate Safety Officer, Cleveland Clinic Martin Health, Stuart, FL

Gifford Gumbineer, Compliance, LCG, LLC, West Palm Beach, FL

Session Summary:

In a healthcare setting, HVAC systems are critical to maintaining an appropriate environment to provide care and work in. HVAC is comprised of many different systems working together in complicated fashion. Combine this with a dynamic, ever changing industry of healthcare, and you have recipe for many problems. Everyone typically has a preventive maintenance program for this equipment, but why? This interactive session gets back to the basics of HVAC equipment and components, laying a foundation for understanding and application. Additionally, a focus will be given to regulatory compliance requirements, impact on energy usage and the importance of business continuity and equipment resiliency. This education was developed for anyone involved with healthcare HVAC systems and operations.

This is an interactive presentation. To get the most out of this session, be sure to bring a charged mobile device with internet capability.

 

Fire Safety Track (Monterrey) 3:10 - 4:00 PM

Session Title:

32: The Most Difficult Diesel Fuel System Design--Adding on to an Existing Fuel System

       Approved CEU's: 1 FFC, 1 CILB (Suitable to submit for 1 ASHE)

Speaker:

David Eoff, Preferred Utilities Manufacturing Corp., Danbury, CT

Session Summary:

In 2018, Florida passed a series of laws requiring nursing homes to have adequate generator capacity to run their air conditioners, and have 72 hours of generator fuel on site. This meant a lot of facilities had to add generators, or add storage tanks to an existing diesel fuel system to meet these new requirements. Retrofitting an existing fuel system is much more difficult than designing a new fuel system from scratch. In this presentation, we'll group these fuel systems into three main types, and use a real-life example of each to illustrate the lessons learned from each of the projects. Participants will receive instruction about the requirements of NFPA 30, NFPA 37, and NFPA 110 that govern diesel fuel storage systems for emergency generators.

End of AHCA Seminar & Expo. 

Contact Hours Approved as follows:

Architects: 12 AIA HSW Contact Hours

Engineers: 9 FBPE Contact Hours

Fire Safety Inspectors: 9 FFC Contact Hours

Contractors: 5 CILB Contact Hours

Facility Engineers: 12 ASHE Contact Hours suitable for submission by attendee

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38th Annual AHCA Seminar & Expo

September 18 - 20, 2022 (Sun. - Tues.)       Disney's Coronado Springs Resort