36th Annual Conference of the
Canadian Healthcare Engineering Society
September 11-13, 2016
Vancouver Convention Centre, Vancouver BC
"RISKY BUSINESS: Is Healthcare Sustainable?"
Download the CHES 2016 Program PDF
| SUNDAY SEPTEMBER 11, 2016 | |
| 09:00-14:00 | The Great CHES Golf Game (Bus time to be determined) |
| 18:30-21:00 | Opening Reception Sponsored by Class 1 Inc. |
| MONDAY SEPTEMBER 12, 2016 | |
| 07:00-08:30 | Breakfast |
| 08:30-08:45 | Opening Ceremonies |
| 08:45-09:30 | KEYNOTE ADDRESS - Sponsored by Honeywell |
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As a graduate of both University of Saskatchewan and University of Toronto, Tony Dagnone has more than 38 years experience in the Health Care sector, 25 of which have been as Chief Executive Officer of academic hospitals. After spending more than two decades at Royal University Hospital in Saskatoon, Saskatchewan, Mr. Dagnone was appointed in 1992 as the President and CEO of University Hospital, London Ontario. In 1995, University Hospital merged with Victoria Hospital and became the London Health Sciences Centre (LHSC) and Mr. Dagnone was appointed President and CEO. His career achievements include the visioning, planning and redevelopment of over $500 million of new healthcare facilities. In 2009, he was appointed as Independent Commissioner by the Saskatchewan government to conduct a Province wide Patient First Review. Over the years he has held a number of leadership and Board positions at the provincial, national and international level. Mr. Dagnone is past Chair of the Ontario Hospital Association, past Chair of the Canadian College of Health Service Executives, past Chair of the Change Foundation. Between 1985 and 1989, he served as Chair of the Canada Games held in Saskatoon. In 1991, he was granted the Order of Canada for his work in the community and leadership in health care. In 2005, Mr. Dagnone was the recipient of the Canadian College of Heath Service Executives (CCHSE) Distinguished Service Award as a testament to his extraordinary contributions to health care managei:nent. He is a Fellow of the Canadian College of Health Service Executives and a Fellow of the American College of Healthcare Executives. In 2009 he was awarded the Regents Award by the American College of Healthcare Executives. In London, his community volunteer work has included United Way Cabinet for two campaigns, Honorary Chair 2001 Canada Games, and Founding Board member of the Canadian Medical Hall of Fame. He frequently presides over Citizenship Court ceremonies in Southwest Ontario. |
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| 09:30-10:30 | PLENARY SESSION - TRACK 1 |
| Track 1: | Healthcare Sustainability: Designing for Wellness Presentation |
| Marco Buccini, Architect AIBC, President, MB Architecture Inc. | |
| This session will look beyond designing green and sustainable buildings and explore how conscious design decisions can influence the determinants of an individual's and community's health, which in turn keeps us healthier, thus allowing the universal health system to sustain itself and thrive with the emphasis on prevention, not cure. | |
| 10:30-11:00 | Break in the Exhibit Hall |
| 11:00-12:00 | 2 CONCURRENT TRACKS - 2A & 2B |
| Track 2A: | Bottoms Up Planning: The way LEAN methodology transforms patient care Presentation |
| Paul Blazer, President, Principal Architect, LEAN Integrated, Saskatoon SK Cecile Hunt, President & CEO, Prince Albert Parkland Health Region, Prince Albert SK Mike Weishaar, CEO, LEAN Integrated, Saskatoon, SK |
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| Since 2011, Saskatchewan has committed to continuous Improvement through the Saskatchewan Healthcare Management System using LEAN Methodology. Among the many stories of improvement, the planning of the new Regional Hospital for Prince Albert stands out as an exemplary model for integrating hospital planning around real improvements to patient care. Data is collected, processes are planned, and the design of the hospital emerges around the new way to care for patients. The process is fully integrated, with the patient at the centre. | |
| Objectives: | 1) Learn how to bridge hospital design from planning to operations 2) Learn, Innovate, Test and Adapt healthcare planning in an iterative process that keeps patient care as the core outcome 3) Prove planned innovations in care before the new facility is built |
| Track 2B: | Addressing Various Clinical Patient Safety Needs in High Rise Hospital Design Presentation |
| Paul Anseeuw, BSc, PEng, Principal, AME Group, Vancouver BC Kevin Zembik, AScT, Project Manager, Construction, BC Childrens and BC Womens Redevelopment Project, Vancouver BC |
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| Clinical Patient needs are identified in the CSA standards but intent is not often understood or addressed in high-rise hospital design. The clinical definition of Patient Population Classification for Mobility is the key. | |
| Objectives: | 1) Understand in medical terms the definition of and other areas where it is impractical to move a patient in an emergency as defined by a specific CASE study of BC Childrens and Womens Hospital 2) Be able to access the high-rise hospital code requirements for your facilities i.e. horizontal relocations areas. 3) Understand high-rise smoke control requirements. Be able to determine system approaches and strategies to successfully implementing smoke control systems. |
| 12:00-13:00 | 2 CONCURRENT TRACKS - 3A & 3B |
| Track 3A: | OPR TEAM Presentation |
| Maureen Haddock, Capital Project Planner, Fraser Health, Vancouver BC Rob Kolen, Project Manager, Fraser Health, Vancouver BC Larry Harder, Director, Capital Projects, Fraser Health, Vancouver BC |
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| The Owners Project Requirements is a process in which the owner gathers information clarifying the specific functional characteristics of the built environment to support the clinical program and building operations. The statements are primarily performance-based rather than prescriptive to inform project consultants responsible for the design and to support innovation. Time lines can be optimized and multi-stakeholder conversations can result in conflict identification and resolution in a timely fashion. | |
| Objectives: | 1) Understand the Owner's Project Requirement Process. 2) Understand the deliverables resulting from the OPR process. 3) Identify how current gaps in standard project delivery models are addressed. 4) Describe advantages to the stakeholders (including FMO) and the consultants. 5) Describe the advantages when used in alternate procurement strategies such as Design/Build, P3 and IPD (Integrated Project Development). |
| Track 3B: | Infrastructure Assessments - Navigating the Risk Presentation |
| Kevin Cassidy, BEng, PEng, Manager-Electrical Engineering, Partner, MMM Group Limited, Toronto ON Ron Saporta, Executive Director, Redevelopment & Support Services, Baycrest Centre, Toronto ON |
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| As our neglected hospital infrastructure continues to age, we are often presented with a need for renewal that far outweighs our available resources. This session will present a case study of the strategies employed at Baycrest hospital to prioritize their approach to infrastructure renewal through a comprehensive risk management framework. | |
| Objectives: | 1) Analyze existing building infrastructure and identify renewal needs 2) Apply a risk management framework to prioritize infrastructure investments 3) Translate facility capital needs into a language that C-level and board members understand |
| 13:00-14:00 | Lunch in Exhibit Hall |
| 13:00-15:00 | Exhibit Hall Open |
| 15:00-16:00 | 2 CONCURRENT TRACKS - 4A & 4B |
| Track 4A: | Emergency Generators: Undertaking critical power upgrades without compromising back-up power Presentation |
| Philip Chow, PEng, P.E., Senior Project Manager and Electrical Engineer, H.H. Angus & Associates Ltd., Toronto ON Michael McRitchie, CFM, CCHFM, CHPA, Director of Plant Operations, Maintenance, Security & Biomedical Engineering, Sunnybrook Health Sciences Centre, Toronto ON |
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| With a centralized diesel generator plant dating back to the 1970's and approaching end-of-life conditions, Sunnybrook Health Sciences Centre was faced with the challenge of undertaking a project to replace their existing generating plant in its entirety. This presentation will discuss the challenges faced by the project team including: creating a schedule to meet provincial funding requirements, managing risk throughout the project and building within the footprint of the existing diesel plant, while ensuring critical power to the campus was not interrupted. | |
| Objectives: | 1) Understand how a complicated infrastructure renewal project can be undertaken. 2) Identify planning opportunities for operational savings when undertaking a project. 3) Mitigate risk to operations when undertaking a critical power project. 4) Structure a project schedule that meets funding requirements. |
| Track 4B: | Risk Reduction - Collaborative Planning and Design Presentation |
| Tracey Graham, MN, MBM, Senior Associate, Stantec, Winchester VA Tariq Amlani, PEng, LEED AP, Principal, Stantec, Victoria BC Jean Molina, Business Sector Leader Engineering and Healthcare, Stantec, Longueuil QC |
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| "Healthcare Sustainability Best Practices for the Future" describing opportunities for sustainability through client support, operational planning and improvements in technology, infrastructure upgrades and energy management. | |
| Objectives: | 1) Offer tools / checklist for assessment, continuity planning and ways to mitigate risk (building, site, IT and Operations) 2) Methodology for assessing energy efficiency and creating solutions for the future 3) Review technology system life cycles and provide ways to achieve a long-lived, flexible, scalable set of technology systems, including equipment, and infrastructure. 4) Assist participants in planning for systems and supporting structures which are easily applied to future requirements, technology demands, structural additions and modification with minimal "site-adapt".(planned and unplanned). |
| 16:00-17:00 | "Happy Hour" in Exhibit Hall |
| 18:00-19:00 | President's Reception |
| 19:00-23:00 | Gala Banquet |
| Banquet Entertainment | |
| TUESDAY SEPTEMBER 13, 2016 | |
| 07:00-08:30 | Breakfast |
| 08:30-09:30 | 2 CONCURRENT TRACKS - 5A & 5B |
| TRACK 5A: | Limiting Risk by the Decisions You Make Presentation |
| Denis Pellichero, PEng, PMP, CD, Manager, Infrastructure Management, Nova Scotia Department of Transportation and Infrastructure Renewal, Halifax NS | |
| With decisions comes risk. The human mind can observe and weigh a multitude of sensory information and make a calculated "gut" decision in a fraction of a second. It would take hours, a day, or more to have that person explain to stakeholders why they made that decision. This can be further complicated when a team gathers to make the same sort of decision and the risk is always increasing. What if a scientific model can be used to develop guide that aids a team to make a decision? A set of clear rules and objectives that not only identifies the best decision but also proves it. | |
| Objectives: | 1) Understand the pitfalls of some current methods of group decision making 2) Understand the concept of evidence based decision making 3) Walk away with an understanding of how this can be implemented in their organization |
| TRACK 5B: | Fire, Life Safety & Security for Healthcare Facilities - Updates to the 2015 National Building Code Presentation |
| Gordon Richards, AIBC, FRAIC, CP, Senior Consultant, Jensen Hughes Consulting Canada, Vancouver BC |
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| This session will cover basic building code provisions for health care facilities, updated to incorporate the 2015 National Building Code requirements. Topics covered include requirements for fire compartmentation, fire alarm early warning systems, and a discussion about the myths of pressurization of compartments under fire emergency conditions. Sustainability issues will be examined with respect to the fire and life safety mandatory requirements and what can be done to incorporate sustainable features of emergency systems. | |
| Objectives: | Upon completion of this seminar, attenders will be able to: . 1) Understand basic code requirements governing patient areas in hospitals and health care facilities. 2) Understand and appreciate the importance of fire safety planning and staff training. 3) Understand the correct design issues relating to air movement systems. |
| 09:30-10:15 | CHES National Annual General Meeting |
| 10:15-10:45 | Refreshment Break in the Exhibit Hall |
| 10:15-10:45 | CHES BC Chapter AGM |
| 10:15-13:15 12:15-13:15 |
Exhibit Hall Open Lunch in the Exhibit Hall / Draw Prizes |
| 13:15-14:15 | 2 CONCURRENT TRACKS - 6A & 6B |
| TRACK 6A: | Security Design Guidelines for Healthcare Facilities: Supporting a safe, secure and accessible environment of care Presentation |
| Jeffery Young, Executive Director, Lower Mainland Integrated Protection Services & 2016 President, IAHSS, Fraser Health, Surrey BC Kevin Tuohey, Executive Director, Research Compliance, Boston University & Boston Medical Center, Boston MA |
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| This session will introduce the International Association for Healthcare Security & Safety (IAHSS), and security design guidelines for healthcare facilities in support of the provision of a safe, secure and accessible environment of care, allowing our clinicians to focus on, and provide, exceptional care. These guidelines, which are now integrated into and referenced throughout the 2014 FGI Guidelines for Hospitals and Outpatient Facilities and being expanded in the 2018 FGI document, were developed by a multi-disciplinary team that included persons with extensive expertise in design, healthcare security management, physical security, Crime Prevention Through Environmental Design, regulatory agencies, emergency management, healthcare physical plant management and included international representation to ensure the Design Guidelines will also be applicable outside the US. | |
| Objectives: | 1) Overview of the Design Guidelines 2) Putting the Guidelines to work inside and outside 3) Putting the Guidelines to work high risk areas, Behavioral/Mental Health Emergency Departments 4) Consider healthcare facility design and its impact on security and safety |
| TRACK 6B: | Critical Factors in the Design & Maintenance of Enviromental Rooms in Healthcare: aka How to keep cold rooms cold Presentation |
| Jeff Mumford, Vice President, Labworks International Inc., Vaughan ON | |
| Modern Healthcare Institutions have been designed to provide continuous operation in the event of emergencies, disasters, and unexpected interruptions. Within Hospitals, Environmentally controlled rooms represent one of the most critical areas of concern, as in many cases there is no ability to shut the area down, and the product most often requires the cooling to be continuous. This presentation uncovers the most common ‘Achilles heals’ found in the operation of cold rooms and provides ‘best practice’ solutions to those challenges in the event of a loss of service. | |
| Objectives: | Participants will: 1) Be provided an assessment criteria to determine what areas of risk exist in their facility. 2) Understand the options that are available to address areas of concern, and resources to do so. 3) Learn from previous experiences at other institutions the pitfalls and opportunities as they relate to critical environmental rooms. 4) Understand what the latest approaches are to addressing these concerns in new installations. |
| 14:15-15:15 | 2 CONCURRENT TRACKS - 7A & 7B |
| TRACK 7A: | Sustainable Healthcare Design: How adopting a hybrid approach to LEAN design will benefit your project Presentation |
| Dallas Huard, MSAA, MRAIC, A.T., Principal Architect, aodbt architecture + interior design, Saskatoon SK | |
| While a full 3P Session allows for the most engagement, the lean process can be costly. By adopting a hybrid Lean session can be more economically efficient in allocating resources and time for small projects or projects in smaller communities. The success of the Lean session should be tailored to the specific needs of the client. | |
| Objectives: | 1) Learn how to make Lean Design more efficient and sustainable. 2) How accelerated version of Lean workshops can be tailored to the project and the specific needs of the client. 3) Resulting in an increase in user group buy-in and a reduction in waste 4) How money and resources can be used more efficiently through a hybrid version of the Lean session 5) The importance of keeping the staff doing what they need to do while maintaining high quality patient care. 6) Patient-Centred Lean Process - How money can be saved through a hybrid version of the Lean session 7) Efficiency in schematic design can save money and time in the overall process. 8) Any money that can be saved can be put towards the actual construction of the project. 9) When budget cannot afford a full Lean Design process, a hybrid solution can be an alternative solution that will accomplish the same result. |
| TRACK 7B: | Medical Air 2.0: Managing your risk as a drug producer |
| Paul Edwards, B. Com., Vice-President-Medical Gas, Air Liquide Healthcare, Mississauga, ON | |
| Having spent the past two years introducing Canadian facilities to the concept of Quality Control for on-site medical air production, we now have data to share with facility engineers, including a growing list of reported quality incidents. This presentation will clearly outline the risks and personal liabilities associated with producing a therapeutic product, and provide recommendations for risk mitigation. | |
| Objectives: | 1) Understand the therapeutic importance of the drug Medical Air. 2) Understand certain physiological consequences of treating patients with off-spec product. 3) Understand the National and Provincial regulations pertaining to on-site production of gaseous drugs. 4) Learn first hand of recent medical air quality incidents and how to avoid experiencing the same. |
| 15:15-15:45 | Refreshment Break |
| 15:45-16:45 | PLENARY SESSION - TRACK 8 |
| TRACK 8: | Lessons Learned During the CHES Conference |
| Gordon Burrill, Fredericton NB Richard Dixon, Vancouver BC |
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| This closing session of the conference will bring together thought leaders in the industry as well as all conference delegates to share their experiences and their "to do" lists. Converting learnings at any conference into actions back at home will inevitably move our healthcare system in a positive direction. Sharing those learning on a national basis significantly increases the reach of the CHES conference. | |
| Objectives: | Throughout the conference, attendees will develop their "to do" ideas. This session will help consolidate those ideas into actionable steps. |
| 16:30-17:00 | Closing Ceremonies |
Tony Dagnone, C.M.
